NCLEX-PN
Genitourinary NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
Which modifiable risk factor should the nurse identify for the development of cancer of the bladder in a client?
Correct Answer: C
Rationale: Cigarette smoking is a major modifiable risk factor for bladder cancer due to carcinogenic compounds in tobacco. Chemical exposure and radiation are risks but less modifiable, and parasitic infections are rare.
Question 2 of 5
Which nursing intervention is most important to add to the client's care plan after removal of the suprapubic catheter?
Correct Answer: C
Rationale: Changing wet dressings prevents infection and promotes healing at the suprapubic site.
Question 3 of 5
When the client asks the nurse to clarify the surgeon's explanation of the procedure, which statement is most accurate?
Correct Answer: C
Rationale: An ileal conduit diverts urine to an abdominal stoma, where it drains externally.
Question 4 of 5
The telemetry monitor technician notifies the nurse of the morning telemetry readings. Which client should the nurse assess first?
Correct Answer: A
Rationale: Peaked T waves indicate hyperkalemia, which can lead to life-threatening arrhythmias, requiring immediate assessment. Atrial fibrillation, PVCs, and first-degree AV block are less urgent unless unstable.
Question 5 of 5
Which intervention should the nurse implement for the client who has had an ileal conduit?
Correct Answer: D
Rationale: Monitoring the stoma for infection (e.g., redness, discharge) prevents complications. Pouching requires a precise fit, not a 1-inch margin; ostomy referrals are secondary; and decreased output is monitored but not always reported immediately.