NCLEX GU,PEDIATRIC GU QUESTIONS
NCLEX/RENAL GU NCLEX / RENAL & GU –
NCLEX / GU NCLEX 3500 WITH CORRECT
ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST 2024 –
2025 ALREADY GRADED A+
1. A client is scheduled for a renal arteriogram. When the nurse checks the chart
for allergies to shellfish or iodine, the nurse finds no allergies recorded. The client
is unable to provide the information. During the procedure, the nurse should be
alert for which finding that may indicate an allergic reaction to the dye used
during the arteriogram.
1. Increased alertness
2. Hypoventilation
3. Pruritus
4. Unusually smooth skin - ANSWERS-Answer 3:
RATIONALES: The nurse should be alert for urticaria and pruritus, which may
indicate a mild anaphylactic reaction to the arteriogram dye. Decreased (not
,increased) alertness may occur as well as dyspnea (not hypoventilation).
Unusually smooth skin isn't a sign of anaphylaxis.
2. Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat
a client's uremia. Which finding signals a significant problem during this
procedure?
1. Blood glucose level of 200 mg/dl
2. White blood cell (WBC) count of 20,000/mm3
3. Potassium level of 3.5 mEq/L
4. Hematocrit (HCT) of 35% - ANSWERS-Answer 2:
RATIONALES: An increased WBC count indicates infection, probably resulting from
peritonitis, which may have been caused by insertion of the peritoneal catheter
into the peritoneal cavity. Peritonitis can cause the peritoneal membrane to lose
its ability to filter solutes; therefore, peritoneal dialysis would no longer be a
treatment option for this client. Hyperglycemia occurs during peritoneal dialysis
because of the high glucose content of the dialysate; it's readily treatable with
sliding-scale insulin. A potassium level of 3.5 mEq/L can be treated by adding
potassium to the dialysate solution. An HCT of 35% is lower than normal.
However, in this client, the value isn't abnormally low because of the daily blood
samplings. A lower HCT is common in clients with chronic renal failure because of
the lack of erythropoietin.
3. A client requires hemodialysis. Which type of drug should be withheld before
this procedure?
1. Phosphate binders
,2. Insulin
3. Antibiotics
4. Cardiac glycosides - ANSWERS-Answer 4:
RATIONALES: Cardiac glycosides such as digoxin should be withheld before
hemodialysis. Hypokalemia is one of the electrolyte shifts that occur during
dialysis, and a hypokalemic client is at risk for arrhythmias secondary to digitalis
toxicity. Phosphate binders and insulin can be administered because they aren't
removed from the blood by dialysis. Some antibiotics are removed by dialysis and
should be administered after the procedure to ensure their therapeutic effects.
The nurse should check a formulary to determine whether a particular antibiotic
should be administered before or after dialysis.
4. The nurse determines that instruction regarding prevention of future UTIs for a
patient with cystitis has been effective when the patient states,
a. "I will empty my bladder every 3 to 4 hours during the day."
b. "I can use vaginal sprays to reduce bacteria."
c. "I will wash with soap and water before sexual intercourse."
d. "I will drink a quart of water or other fluids every day." - ANSWERS-Answer: A
Rationale: Voiding every 3 to 4 hours is recommended to prevent UTIs. Use of
vaginal sprays is discouraged. The bladder should be emptied before and after
intercourse, but cleaning with soap and water is not necessary. A quart of fluids is
insufficient to provide adequate urine output to decrease risk for UTI.
Cognitive Level: Application Text Reference: p. 1161
, Nursing Process: Evaluation
NCLEX: Health Promotion and Maintenance
5. To relieve the symptoms of a lower UTI for which the patient is taking
prescribed antibiotics, the nurse suggests that the patient use the OTC urinary
analgesic phenazopyridine (Pyridium) but cautions the patient that this
preparation
a. contains methylene blue, which turns the urine blue or green.
b. should be taken on an empty stomach for maximum effect.
c. causes the urine to turn reddish orange and can stain underclothing.
d. frequently causes allergic reactions and should be stopped if a rash occurs. -
ANSWERS-Answer: C
Rationale: Patients should be taught that Pyridium will color the urine deep
orange and stain underclothing. Urised may turn the urine blue or green. The
medication can cause gastrointestinal distress and should be taken with food.
Although an allergic reaction may occur, this is not common.
Cognitive Level: Comprehension Text Reference: p. 1158
Nursing Process: Implementation NCLEX: Physiological Integrity
6. A 34-year-old patient with diabetes mellitus is hospitalized with fever, anorexia,
and confusion. The health care provider suspects acute pyelonephritis when the
urinalysis reveals bacteriuria. An appropriate collaborative problem identified by
the nurse for the patient is potential complication
a. hydronephrosis.
NCLEX/RENAL GU NCLEX / RENAL & GU –
NCLEX / GU NCLEX 3500 WITH CORRECT
ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST 2024 –
2025 ALREADY GRADED A+
1. A client is scheduled for a renal arteriogram. When the nurse checks the chart
for allergies to shellfish or iodine, the nurse finds no allergies recorded. The client
is unable to provide the information. During the procedure, the nurse should be
alert for which finding that may indicate an allergic reaction to the dye used
during the arteriogram.
1. Increased alertness
2. Hypoventilation
3. Pruritus
4. Unusually smooth skin - ANSWERS-Answer 3:
RATIONALES: The nurse should be alert for urticaria and pruritus, which may
indicate a mild anaphylactic reaction to the arteriogram dye. Decreased (not
,increased) alertness may occur as well as dyspnea (not hypoventilation).
Unusually smooth skin isn't a sign of anaphylaxis.
2. Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat
a client's uremia. Which finding signals a significant problem during this
procedure?
1. Blood glucose level of 200 mg/dl
2. White blood cell (WBC) count of 20,000/mm3
3. Potassium level of 3.5 mEq/L
4. Hematocrit (HCT) of 35% - ANSWERS-Answer 2:
RATIONALES: An increased WBC count indicates infection, probably resulting from
peritonitis, which may have been caused by insertion of the peritoneal catheter
into the peritoneal cavity. Peritonitis can cause the peritoneal membrane to lose
its ability to filter solutes; therefore, peritoneal dialysis would no longer be a
treatment option for this client. Hyperglycemia occurs during peritoneal dialysis
because of the high glucose content of the dialysate; it's readily treatable with
sliding-scale insulin. A potassium level of 3.5 mEq/L can be treated by adding
potassium to the dialysate solution. An HCT of 35% is lower than normal.
However, in this client, the value isn't abnormally low because of the daily blood
samplings. A lower HCT is common in clients with chronic renal failure because of
the lack of erythropoietin.
3. A client requires hemodialysis. Which type of drug should be withheld before
this procedure?
1. Phosphate binders
,2. Insulin
3. Antibiotics
4. Cardiac glycosides - ANSWERS-Answer 4:
RATIONALES: Cardiac glycosides such as digoxin should be withheld before
hemodialysis. Hypokalemia is one of the electrolyte shifts that occur during
dialysis, and a hypokalemic client is at risk for arrhythmias secondary to digitalis
toxicity. Phosphate binders and insulin can be administered because they aren't
removed from the blood by dialysis. Some antibiotics are removed by dialysis and
should be administered after the procedure to ensure their therapeutic effects.
The nurse should check a formulary to determine whether a particular antibiotic
should be administered before or after dialysis.
4. The nurse determines that instruction regarding prevention of future UTIs for a
patient with cystitis has been effective when the patient states,
a. "I will empty my bladder every 3 to 4 hours during the day."
b. "I can use vaginal sprays to reduce bacteria."
c. "I will wash with soap and water before sexual intercourse."
d. "I will drink a quart of water or other fluids every day." - ANSWERS-Answer: A
Rationale: Voiding every 3 to 4 hours is recommended to prevent UTIs. Use of
vaginal sprays is discouraged. The bladder should be emptied before and after
intercourse, but cleaning with soap and water is not necessary. A quart of fluids is
insufficient to provide adequate urine output to decrease risk for UTI.
Cognitive Level: Application Text Reference: p. 1161
, Nursing Process: Evaluation
NCLEX: Health Promotion and Maintenance
5. To relieve the symptoms of a lower UTI for which the patient is taking
prescribed antibiotics, the nurse suggests that the patient use the OTC urinary
analgesic phenazopyridine (Pyridium) but cautions the patient that this
preparation
a. contains methylene blue, which turns the urine blue or green.
b. should be taken on an empty stomach for maximum effect.
c. causes the urine to turn reddish orange and can stain underclothing.
d. frequently causes allergic reactions and should be stopped if a rash occurs. -
ANSWERS-Answer: C
Rationale: Patients should be taught that Pyridium will color the urine deep
orange and stain underclothing. Urised may turn the urine blue or green. The
medication can cause gastrointestinal distress and should be taken with food.
Although an allergic reaction may occur, this is not common.
Cognitive Level: Comprehension Text Reference: p. 1158
Nursing Process: Implementation NCLEX: Physiological Integrity
6. A 34-year-old patient with diabetes mellitus is hospitalized with fever, anorexia,
and confusion. The health care provider suspects acute pyelonephritis when the
urinalysis reveals bacteriuria. An appropriate collaborative problem identified by
the nurse for the patient is potential complication
a. hydronephrosis.
