NCLEX-PN
Genitourinary NCLEX Questions Questions
Extract:
Question 1 of 5
Which nursing intervention is most appropriate when the nurse is changing the appliance of the client's ileal conduit?
Correct Answer: C
Rationale: Pressing a gloved finger over the stoma prevents urine leakage during appliance changes, maintaining hygiene and skin integrity.
Question 2 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for clients on a medical floor. Which nursing task is most appropriate for the nurse to delegate?
Correct Answer: A
Rationale: Collecting a clean voided midstream urine specimen is a task within the UAP’s scope, as it involves following a standard procedure. Evaluating intake/output, checking blood, or administering enemas require nursing judgment or specialized training, making them inappropriate for delegation.
Question 3 of 5
The client diagnosed with a fluid and electrolyte disturbance in the emergency department is exhibiting peaked T waves on the STAT electrocardiogram. Which interventions should the nurse implement? List in order of priority.
Order the Items
Source Container
Correct Answer: B,C,E,D,A
Rationale: Peaked T waves indicate hyperkalemia. Priority: 1) Check potassium level to confirm; 2) Notify HCP for orders; 3) Administer Kayexalate to lower potassium; 4) Transfer to telemetry for monitoring; 5) Assess cramps, a less urgent symptom.
Question 4 of 5
Which comment is the best response the nurse can offer?
Correct Answer: D
Rationale: Acknowledging the client's feelings of discouragement validates their emotional state and opens the door for supportive communication.
Question 5 of 5
The nurse is caring for the client recovering from a percutaneous renal biopsy. Which data indicate the client is complying with client teaching?
Correct Answer: A
Rationale: Post-renal biopsy, lying flat (supine, assuming 'saline' is a typo) prevents bleeding complications, indicating compliance. Fluid restriction is unnecessary, using a commode risks bleeding, and refusing pain meds is unrelated.