NCLEX-PN
NCLEX Questions on Genitourinary System Questions
Extract:
Question 1 of 5
Which statement indicates the client diagnosed with calcium phosphate renal calculi understands the discharge teaching for ways to prevent future calculi formation?
Correct Answer: A
Rationale: Increased fluid intake dilutes urine, reducing calcium phosphate stone formation, especially in warm weather when dehydration risk is higher. Cocoa/chocolate, minimal exercise, and extra calcium increase stone risk.
Question 2 of 5
The nurse is developing a nursing care plan for the client diagnosed with CKD. Which nursing problem is priority for the client?
Correct Answer: D
Rationale: Excess fluid volume is the priority in CKD due to impaired kidney excretion, leading to edema, hypertension, and heart failure risk. Fluid overload is a life-threatening issue, whereas self-esteem, knowledge, and activity intolerance are secondary.
Question 3 of 5
The nurse is examining a 15-year-old female who is complaining of pain, frequency, and urgency when urinating. After asking the parent to leave the room, which question should the nurse ask the client?
Correct Answer: C
Rationale: Sexual activity is a risk factor for UTIs in young females due to urethral irritation. Asking this privately ensures honesty and guides diagnosis/treatment. Menstrual cycle, urine color, and pain relief are secondary.
Question 4 of 5
Which signs/symptoms indicate to the nurse the client is in the recovery period of ARF? Select all that apply.
Correct Answer: A,C,D
Rationale: In the recovery phase, renal function improves, leading to increased alertness (reduced uremia), resolution of nausea/vomiting, and decreased urine-specific gravity as kidneys concentrate urine. Increased hemoglobin/hematocrit is not typical, and elevated creatinine indicates worsening, not recovery.
Question 5 of 5
When the nurse is advising the client about the potential complications associated with peritoneal dialysis, which complication is most important to include?
Correct Answer: B
Rationale: Abdominal peritonitis is a significant and common complication of peritoneal dialysis due to the risk of infection.