NCLEX-PN
NCLEX Genitourinary Questions Questions
Extract:
Question 1 of 5
Which assessment before and after peritoneal dialysis is most valuable in evaluating the outcome of treatment?
Correct Answer: B
Rationale: Body weight is the most valuable assessment, as weight loss after dialysis indicates effective removal of excess fluid.
Question 2 of 5
The client who is post-thyroidectomy complains of numbness and tingling around the mouth and the tips of the fingers. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Numbness and tingling post-thyroidectomy suggest hypocalcemia due to parathyroid injury. Checking serum calcium and magnesium levels confirms the diagnosis before treatment. Notification, Chvostek’s sign, or calcium administration follow confirmation.
Question 3 of 5
When the client questions why both drugs are not taken daily, which response by the nurse is best?
Correct Answer: B
Rationale: Alternating methylprednisolone and prednisone helps maintain adrenal function by mimicking natural cortisol rhythms, reducing suppression of the adrenal glands.
Question 4 of 5
Which client should the nurse not assign to a UAP working on a surgical floor?
Correct Answer: C
Rationale: A client on a bladder-training regimen requires nursing judgment to assess progress and adjust the plan, which is outside the UAP’s scope. Routine catheter care or post-removal care can be assigned.
Question 5 of 5
Which intervention should the nurse implement first for the client who has had an incontinent episode?
Correct Answer: C
Rationale: Assisting the client to change wet clothes addresses immediate comfort and dignity, preventing skin breakdown. Palpating the/moist bladder, obtaining a commode, or changing linens are secondary.