NCLEX-PN
NCLEX Genitourinary Questions Questions
Extract:
Question 1 of 5
Which dietary recommendation should the nurse provide to the client to prevent the recurrence of calcium oxalate stones?
Correct Answer: B
Rationale: Limiting oxalate-rich foods (e.g., spinach, nuts) reduces the formation of calcium oxalate stones.
Question 2 of 5
Which nursing assessment is essential to add to the client's care plan?
Correct Answer: B
Rationale: Measuring intake and output is critical in renal failure to monitor fluid balance and kidney function.
Question 3 of 5
Which intervention should the nurse include when assessing the client for urinary retention? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Assessing urinary retention involves asking about fullness, percussing for dullness (indicating a full bladder), scanning with ultrasound for residual urine, and palpating for a distended bladder. Auscultation is not relevant.
Question 4 of 5
The client diagnosed with diabetes insipidus weighed 180 pounds when the daily weight was taken yesterday. This morning’s weight is 175.6 pounds. One liter of fluid weighs approximately 2.2 pounds. How much fluid has the client lost?
Correct Answer: 2 L
Rationale: Weight loss: 180 - 175.6 = 4.4 pounds. Fluid loss: 4.4 pounds ÷ 2.2 pounds/L = 2 L. This calculation accounts for fluid loss typical in diabetes insipidus due to excessive urination.
Question 5 of 5
The male client diagnosed with CKD secondary to diabetes has been receiving dialysis for 12 years. The client is notified he will not be placed on the kidney transplant list. The client tells the nurse he will not be back for any more dialysis treatments. Which response by the nurse is most therapeutic?
Correct Answer: B
Rationale: A therapeutic response acknowledges the client’s emotions and encourages discussion. Reflecting anger and the desire to quit dialysis validates feelings and opens dialogue. Other options are dismissive, confrontational, or non-therapeutic.