NCLEX Genitourinary Questions

Extract:

Question 1 of 5

Which nursing action is most appropriate when the client complains about being thirsty because of the fluid restrictions?

Correct Answer: A

Rationale: Hard candy stimulates saliva production, alleviating thirst without contributing to fluid intake, which is restricted.

Question 2 of 5

Which intervention should the nurse implement first for the client who has had an incontinent episode?

A. Palpate the client’s bladder to assess for urinary retention. B. Obtain a bedside commode for the client. C. Assist the client with changing the wet clothes. D. Request the UAP to change the client’s linens.

Correct Answer: C

Rationale: Assisting the client to change wet clothes addresses immediate comfort and dignity, preventing skin breakdown. Palpating the/moist bladder, obtaining a commode, or changing linens are secondary.

Question 3 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?

A. You cannot just quit your dialysis. This is not an option.' B. You’re angry at not being on the list, and you want to quit dialysis?' C. I will call your nephrologist right now so you can talk to the HCP.' D. Make your funeral arrangements because you are going to die.'

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.

Question 4 of 5

The male client diagnosed with metastatic cancer of the bladder is emaciated and refuses to eat. Which nursing action is an example of the ethical principle of paternalism?

A. The nurse allows the client to talk about not wanting to eat. B. The nurse tells the client if he does not eat, a feeding tube will be placed. C. The nurse consults the dietitian about the client’s nutritional needs. D. The nurse asks the family to bring favorite foods for the client to eat.

Correct Answer: B

Rationale: Paternalism involves acting in the client’s best interest without their consent. Threatening a feeding tube overrides the client’s refusal to eat. Allowing discussion, consulting a dietitian, or involving family respect autonomy.

Question 5 of 5

The client had surgery to remove a kidney stone. Which laboratory assessment data warrant immediate intervention by the nurse?

A. A serum potassium level of 3.8 mEq/L. B. A urinalysis shows microscopic hematuria. C. A creatinine level of 0.8 mg/100 mL. D. A white blood cell count of 14,000/mm3.

Correct Answer: D

Rationale: An elevated WBC (14,000/mm3) suggests infection, a serious post-surgical complication requiring immediate intervention. Normal potassium (3.8 mEq/L), creatinine (0.8 mg/dL), and microscopic hematuria are expected or benign.

NCLEX Genitourinary Questions | Nurselytic

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