NCLEX RN Practice Question # 671

Answer: Option 3 is the correct answer.

Rationale: Bladder trauma or injury should be considered or suspected in the client with low abdominal pain and hematuria. Glomerulonephritis and pyelonephritis would be accompanied by fever and are thus not applicable to the client described in this question. Renal cancer would not cause pain that is felt in the low abdomen; rather, the pain would be in the flank area.
Test-Taking Strategy: Note the strategic word, next. Eliminate options 1 and 2 because they are comparable or alike, knowing that any inflammatory disease or infection is accompanied by fever. Because this client is afebrile, these are not possible options. Use knowledge of anatomy and pain assessment to select the correct option. Pain from renal cancer is a later finding and is localized in the flank area.