NCLEX-PN
NCLEX Genitourinary Questions Questions
Extract:
Question 1 of 5
Which finding provides the best evidence that peritoneal dialysis is achieving a therapeutic effect?
Correct Answer: B
Rationale: Improved appetite indicates reduced uremia, a sign that dialysis is effectively removing toxins.
Question 2 of 5
Which of the following measures performed by the client would offer the best protection against acquiring a urinary tract infection?
Correct Answer: A
Rationale: Wiping away from the urinary meatus prevents fecal bacteria from being introduced into the urethra, reducing UTI risk.
Question 3 of 5
The client is two (2) days postureterosigmoidostomy for cancer of the bladder. Which assessment data warrant notification of the HCP by the nurse?
Correct Answer: D
Rationale: A rigid abdomen and fetal position suggest peritonitis or other serious complications (e.g., anastomotic leak) post-ureterosigmoidostomy, requiring immediate HCP notification. Mild pain, coughing discomfort, and ambulation are less urgent.
Question 4 of 5
The client returned from surgery after having a TURP and has a P 110, R 24, BP 90/40, and cool and clammy skin. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,C,D
Rationale: Tachycardia, hypotension, and clammy skin suggest hypovolemic shock, likely from bleeding. Assess urine for blood, use Trendelenburg to improve perfusion, and notify the surgeon. Decreasing irrigation may worsen clotting, and lab checks are less urgent.
Question 5 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.