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NCLEX PN· Genitourinary · NCLEX Genitourinary Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The client diagnosed with CKD is receiving peritoneal dialysis. Which assessment data warrant immediate intervention by the nurse?

A. Inability to auscultate a bruit over the fistula.

B. The client's abdomen is soft, is nontender, and has bowel sounds.

C. The dialysate being removed from the client's abdomen is clear.

D. The dialysate instilled was 1,500 mL and removed was 1,500 mL.

Expert Explanatory Rationale

Correct Answer: Inability to auscultate a bruit over the fistula.

Question 2 of 5

The male client diagnosed with metastatic cancer of the bladder is emaciated and refuses to eat. Which nursing action is an example of the ethical principle of paternalism?

A. The nurse allows the client to talk about not wanting to eat.

B. The nurse tells the client if he does not eat, a feeding tube will be placed.

C. The nurse consults the dietitian about the client's nutritional needs.

D. The nurse asks the family to bring favorite foods for the client to eat.

Expert Explanatory Rationale

Correct Answer: The nurse tells the client if he does not eat, a feeding tube will be placed.

Question 3 of 5

A nurse is assigned to care for a client with a cutaneous ureterostomy. Which of the following images correlates with the client's urinary diversion?

A. Image A

B. Image B

C. Image C

D. Image D

Expert Explanatory Rationale

Correct Answer: Image C

Question 4 of 5

Which intervention should the nurse implement first for the client who has had an incontinent episode?

A. Palpate the client's bladder to assess for urinary retention.

B. Obtain a bedside commode for the client.

C. Assist the client with changing the wet clothes.

D. Request the UAP to change the client's linens.

Expert Explanatory Rationale

Correct Answer: Assist the client with changing the wet clothes.

Question 5 of 5

The client is one (1) day postoperative TURP. Which task should the nurse delegate to the UAP?

A. Increase the irrigation fluid to clear clots from the tubing.

B. Elevate the scrotum on a towel roll for support.

C. Change the dressing on the first postoperative day.

D. Teach the client how to care for the continuous irrigation catheter.

Expert Explanatory Rationale

Correct Answer: Elevate the scrotum on a towel roll for support.

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