NCLEX-PN
Genitourinary NCLEX Questions Questions
Extract:
Question 1 of 5
Which statement by the client indicates a need for further teaching about the management of urolithiasis?
Correct Answer: D
Rationale: Avoiding water intake is incorrect, as increased fluid intake is essential to promote stone passage and prevent recurrence.
Question 2 of 5
The client is admitted to a nursing unit from a long-term care facility with a hematocrit of 56% and a serum sodium level of 152 mEq/L. Which condition is a cause for these findings?
Correct Answer: C
Rationale: Elevated hematocrit (56%) and hypernatremia (152 mEq/L) indicate dehydration, which concentrates blood components and sodium. Overhydration dilutes these values, anemia lowers hematocrit, and renal failure typically causes hyponatremia.
Question 3 of 5
Because the client also has diabetes mellitus, which statement by the nurse best explains why that client is at higher risk for a training in a bladder infection?
Correct Answer: A
Rationale: Glucose in the urine, common in diabetes, provides a nutrient-rich environment that promotes bacterial growth, increasing infection risk.
Question 4 of 5
Considering the amount of time the client must remain in bed, why is it imperative for the nurse to monitor for a urinary tract infection?
Correct Answer: B
Rationale: Prolonged bed rest can lead to incomplete bladder emptying, increasing the risk of urinary stasis and subsequent urinary tract infections.
Question 5 of 5
The client from a long-term care facility is admitted to the medical unit with a fever, hot flushed skin, and clumps of white sediment in the indwelling catheter. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Symptoms suggest a catheter-associated UTI. Collecting a urine culture first identifies the causative organism, guiding antibiotic therapy. Starting an IV, antibiotics, or changing the catheter are secondary to obtaining a diagnostic sample.