NCLEX-PN
NCLEX Questions on Genitourinary System Questions
Extract:
Question 1 of 5
Which clinical manifestations should the nurse expect to assess for the client diagnosed with a ureteral renal stone?
Correct Answer: B
Rationale: Ureteral stones cause severe colicky pain, often with nausea, vomiting, pallor, and diaphoresis due to autonomic response. Flank pain and microscopic hematuria are more typical of renal pelvic stones, gross hematuria is less common, and stones are rarely asymptomatic.
Question 2 of 5
Which statement indicates the client diagnosed with calcium phosphate renal calculi understands the discharge teaching for ways to prevent future calculi formation?
Correct Answer: A
Rationale: Increased fluid intake dilutes urine, reducing calcium phosphate stone formation, especially in warm weather when dehydration risk is higher. Cocoa/chocolate, minimal exercise, and extra calcium increase stone risk.
Question 3 of 5
Which symptom indicative of renal failure would the nurse expect to note when assessing this client?
Correct Answer: A
Rationale: Anemia is a common symptom of renal failure due to decreased erythropoietin production by the kidneys.
Question 4 of 5
The nurse is teaching the female client diagnosed with tuberculosis of the urinary tract prior to discharge. Which information should the nurse include specific to this diagnosis?
Correct Answer: B
Rationale: Urinary TB can spread to sexual partners, so condoms are recommended during treatment. Medication timing, chest x-rays (for pulmonary T
B), and diet/fluids are general or less specific.
Question 5 of 5
The client diagnosed with ARF is experiencing hyperkalemia. Which medication should the nurse prepare to administer to help decrease the potassium level?
Correct Answer: C
Rationale: Regular insulin, often given with glucose, drives potassium into cells, temporarily lowering serum potassium levels in hyperkalemia. Calcium gluconate stabilizes cardiac membranes, erythropoietin treats anemia, and osmotic diuretics are not used for hyperkalemia.