NCLEX Genitourinary Questions

Extract:

Question 1 of 5

Which problem is the nurse's immediate concern after kidney transplant surgery?

Correct Answer: A

Rationale: Risk for infection is the immediate concern post-transplant due to immunosuppression, which increases susceptibility to infections.

Question 2 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 3 of 5

Which assessment before and after peritoneal dialysis is most valuable in evaluating the outcome of treatment?

A. Pulse rate B. Body weight C. A Abdominal girth D. Urine output

Correct Answer: B

Rationale: Body weight is the most valuable assessment, as weight loss after dialysis indicates effective removal of excess fluid.

Question 4 of 5

The nurse identifies the concepts of elimination and immunity for a female client diagnosing with a urinary tract infection. Which discharge instructions should the nurse provide the client? Select all that apply.

A. Teach the client to wipe from front to back after voiding. B. Encourage the client to drink cranberry juice each morning. C. Inform the client that frequent episodes of incontinence are expected. D. Discuss the signs and symptoms of a recurrent infection. E. Have the client fill a container of water to sip until at least 2,000 mL is consumed. F. Request that the client sit in a tub of warm water twice a day for 25 minutes.

Correct Answer: A,B,D,E

Rationale: Wiping front to back prevents bacterial spread, cranberry juice may reduce UTI risk, discussing recurrent symptoms aids early detection, and 2,000 mL fluid intake flushes the bladder. Incontinence is not expected, and tub baths increase infection risk.

Question 5 of 5

Which finding provides the best evidence that peritoneal dialysis is achieving a therapeutic effect?

A. Urine output increases. B. Appetite improves. C. Red blood cell count is lower.

Correct Answer: B

Rationale: Improved appetite indicates reduced uremia, a sign that dialysis is effectively removing toxins.

NCLEX Genitourinary Questions | Nurselytic

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