Genitourinary NCLEX Questions

Extract:

Question 1 of 5

Which nursing assessment is most important before beginning bladder retraining for this client?

Correct Answer: A

Rationale: Recording the times of incontinence helps establish a pattern, which is critical for developing an effective bladder retraining schedule tailored to the client's needs.

Question 2 of 5

The nurse is observing the UAP providing direct care to a client with an indwelling catheter. Which data warrant immediate intervention by the nurse?

A. The UAP secures the tubing to the client’s leg with tape. B. The UAP provides catheter care with the client’s bath. C. The UAP puts the collection bag on the client’s bed. D. The UAP cares for the catheter after washing the hands.

Correct Answer: C

Rationale: Placing the collection bag on the bed risks contamination and infection, as it should be below bladder level and off surfaces. Securing tubing, providing care during bathing, and hand washing are appropriate.

Question 3 of 5

Which statements should be included when the nurse instructs a female client about the technique for collecting a clean-catch midstream urine specimen for routine urinalysis? Select all that apply.

A. Clean the urethral area using several circular motions. B. Void into the plastic liner under the toilet seat. C. Void a small amount, and then collect a sample of urine. D. Mix the antiseptic solution with the collected urine specimen. E. Collect the urine in the nonsterile cup. F. Drink several caffeinated beverages before collecting the urine.

Correct Answer: A,C

Rationale: Cleaning the urethral area and voiding a small amount before collecting the sample ensure a clean-catch specimen, reducing contamination and ensuring accurate results.

Question 4 of 5

The nurse is preparing the plan of care for the client diagnosed with a neurogenic flaccid bladder. Which expected outcome is appropriate for this client?

A. The client has conscious control over bladder activity. B. The client’s bladder does not become overdistended. C. The client has bladder sensation and no discomfort. D. The client demonstrates how to check for bladder distention.

Correct Answer: B

Rationale: A neurogenic flaccid bladder lacks tone, risking overdistention. Preventing this is a key outcome to avoid complications like infection or reflux. Conscious control and sensation are unlikely, and checking distention is an intervention.

Question 5 of 5

Which nursing intervention is most appropriate when the nurse is changing the appliance of the client's ileal conduit?

A. When you remove the appliance, let the urine drip into a container. B. When you remove the appliance, insert a tampon into the stoma. C. When you remove the appliance, press a gloved finger over the stoma. D. When you remove the appliance, pinch the stoma with two fingers.

Correct Answer: C

Rationale: Pressing a gloved finger over the stoma prevents urine leakage during appliance changes, maintaining hygiene and skin integrity.

Genitourinary NCLEX Questions | Nurselytic

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