NCLEX-PN
NCLEX Questions on Genitourinary System Questions
Extract:
Question 1 of 5
Which outcome should the nurse identify for the client diagnosed with fluid volume excess?
Correct Answer: C
Rationale: No adventitious breath sounds (e.g., crackles) indicates resolution of pulmonary edema from fluid volume excess. Adequate urine output and elastic skin turgor are normal but not specific, and creatinine reflects renal function, not fluid status.
Question 2 of 5
The elderly client being seen in the clinic has complaints of urinary frequency, urgency, and 'leaking.' Which priority intervention should the nurse implement when interviewing the client?
Correct Answer: A
Rationale: Nonjudgmental, respectful communication builds trust, encouraging the elderly client to discuss sensitive incontinence issues openly. Comfort, loud speech, and lighting are secondary to effective communication.
Question 3 of 5
Which outcome should the nurse identify for the client diagnosed with fluid volume excess?
Correct Answer: C
Rationale: No adventitious breath sounds (e.g., crackles) indicates resolution of pulmonary edema from fluid volume excess. Adequate urine output and elastic skin turgor are normal but not specific, and creatinine reflects renal function, not fluid status.
Question 4 of 5
When managing catheter care, which nursing action is most important for promoting wound healing?
Correct Answer: A
Rationale: Avoiding tension on the catheter prevents trauma to the surgical site, promoting healing.
Question 5 of 5
The client receiving hemodialysis is being discharged home from the dialysis center. Which instruction should the nurse teach the client?
Correct Answer: A
Rationale: A fever of 102°F or higher may indicate infection, a serious complication in hemodialysis patients, requiring prompt HCP notification. Ice may worsen bleeding, short nails are general advice, and encouraging dependency is not therapeutic.