NCLEX-PN
NCLEX Questions on Genitourinary System Questions
Extract:
Question 1 of 5
Which assessment finding indicates that the client with urolithiasis is experiencing a complication?
Correct Answer: C
Rationale: Fever and chills suggest a possible urinary tract infection or obstruction, which are complications of urolithiasis.
Question 2 of 5
Which assessment supports the nurse's assumption that the client's sleep disturbance was most likely due to anxiety?
Correct Answer: A
Rationale: Pacing before bedtime is a behavioral sign of anxiety, supporting the assumption that anxiety caused the sleep disturbance.
Question 3 of 5
Which assessment finding indicates a potential complication of the client's ileal conduit?
Correct Answer: C
Rationale: Foul-smelling, cloudy urine suggests a possible urinary tract infection, a common complication of an ileal conduit.
Question 4 of 5
Which signs/symptoms indicate to the nurse the client is in the recovery period of ARF? Select all that apply.
Correct Answer: A,C,D
Rationale: In the recovery phase, renal function improves, leading to increased alertness (reduced uremia), resolution of nausea/vomiting, and decreased urine-specific gravity as kidneys concentrate urine. Increased hemoglobin/hematocrit is not typical, and elevated creatinine indicates worsening, not recovery.
Question 5 of 5
The client diagnosed with ARF is placed on bedrest. The client asks the nurse, 'Why do I have to stay in bed? I don’t feel bad.' Which scientific rationale supports the nurse’s response?
Correct Answer: B
Rationale: Bedrest reduces the body’s metabolic demands, minimizing stress on the kidneys during the acute phase of ARF. It does not directly increase renal blood flow, reduce heart workload, or address edema in this context.