NUR 514 EXAM 5 | COMPREHENSIVE NURSING STUDY GUIDE, PRACTICE
QUESTIONS & ANSWERS 2026/2027
A nurse is teaching a client who will have an x-ray of the kidneys, ureters, and bladder. Which of the
following statements should the nurse include in the teaching?
a) "You will receive contrast dye during the procedure"
b) "An enema is necessary before the procedure"
c) "You will need to lie prone during the procedure"
d) "The procedure determines whether you have a kidney stone" - correct answer ✔✔The procedure
determines whether you have a kidney stone
A nurse is monitoring a patient who had a kidney biopsy for postoperative complications. Which
complication should the nurse identify as the greatest risk to the client?
Infection
Hemorrhage
Hematuria
Pain - correct answer ✔✔Hemorrhage
A nurse is caring for a client with type 2 diabetes mellitus who will have excretory urography. Prior to the
procedure, which actions should the nurse take (select all that apply)
Identify an allergy to seafood
Withhold metformin for 24 hours
Administer an enema
Access for asthma
Obtain blood coagulation profile - correct answer ✔✔Identify an allergy to seafood
Withhold metformin for 24 hours
Administer an enema
Access for asthma
A nurse administered captopril to a client during a renal scan. Which of the following actions should the
nurse take?
Assess for hypertension
Limit fluid intake
Encourage early ambulation
Monitor for orthostatic hypotension - correct answer ✔✔Monitor for orthostatic hypotension
A nurse is reviewing the results of a client's urinalysis. The findings indicate that the urine is positive for
leukocyte esterase and nitrates. Which of the following actions should the nurse take?
Repeat the test early the next morning
Obtain a clean-catch urine sample for culture and sensitivity
Start a 24 hour urine collection for creatinine clearance - correct answer ✔✔Obtain a clean-catch urine
sample for culture and sensitivity
A nurse is teaching a client who has chronic kidney disease and is to begin hemodialysis. Which of the
following should the nurse include in the teaching?
Hemodialysis restores kidney function
,Hemodialysis replaces hormonal function of the renal system
Hemodialysis allows an unrestricted diet
Hemodialysis returns a balance to blood electrolytes - correct answer ✔✔Hemodialysis returns a
balance to blood electrolytes
A nurse is preparing to initiate hemodialysis for a patient with acute kidney injury. Which of the following
actions should the nurse take (select all that apply)
Review the medications that the client currently takes
Assess the AV fistula for a bruit
Calculate the client's hourly urine output
Measure the client's weight
Check blood electrolytes
Assess site area for venipuncture - correct answer ✔✔Review the medications that the client currently
takes
Assess the AV fistula for a bruit
Measure the client's weight
Check blood electrolytes
A nurse is planning post-procedure care for a client who received hemodialysis. Which of the following
interventions should the nurse include in the plan of care? (select all that apply)
Check BUN and blood creatinine
Administer the medications the nurse witheld prior to dialysis
Observe for findings of hypovolemia
Assess the access site for bleeding
Evaluate blood pressure on the arm with AV access - correct answer ✔✔Check BUN and blood creatinine
Administer the medications the nurse witheld prior to dialysis
Observe for findings of hypovolemia
Assess the access site for bleeding
A nurse is caring for a client who develops disequilibrium syndrome after receiving hemodialysis. Which
of the following actions should the nurse take
Administer an opioid medication
Monitor for hypertension
Assess level of consciousness
Increase the dialysis exchange rate - correct answer ✔✔Assess level of consciousness
A nurse is planning care for a client who will undergo peritoneal dialysis. Which of the following actions
should the nurse take? (select all that apply)
Monitor blood glucose levels
Report cloudy dialysate return
Warm the dialysate in a microwave oven
Assess for shortness of breath
Check the access site dressing for wetness
Maintain medical asepsis when accessing the catheter insertion site - correct answer ✔✔Monitor blood
glucose levels
Report cloudy dialysate return
Assess for shortness of breath
Check the access site dressing for wetness
, A nurse is assessing a client with end- stage kidney disease. Which of the following should the nurse
expect? (select all that apply)
Anuria
Marked Azotemia
Crackles in the Lungs
Increased calcium level
Proteinuria - correct answer ✔✔Anuria
Marked Azotemia
Crackles in the Lungs
Proteinuria
A nurse is planning post-operative care for a client following kidney transplant. Which actions should the
nurse include? (select all that apply)
Obtain daily weights
Assess dressings for bloody drainage
Replace hourly urine output with IVs
Expect oliguria in the first 4 hours
Monitor blood electrolytes - correct answer ✔✔Obtain daily weights
Assess dressings for bloody drainage
Replace hourly urine output with IVs
Monitor blood electrolytes
A nurse is teaching a client who is post operative following a kidney transplant and is taking cyclosporine.
Which of the following should the nurse include?
Decrease your intake of protein rich food
Take this medication with grapefruit juice
Monitor and report a sore throat to your provider
Expect your skin to turn yellow - correct answer ✔✔Monitor and report a sore throat to your provider
A client who is scheduled for kidney transplant surgery is assessed by the nurse for risk factors. Which of
the following increase risk of surgery?
Age older than 70
BMI 41
Administering NPH insulin every morning
past history of lymphoma
blood pressure averating 120/70 - correct answer ✔✔Age older than 70
BMI 41
Administering NPH insulin every morning
past history of lymphoma
A nurse is teaching a client who is scheduled for kidney transplant about organ rejection. Which
statement should the nurse include?
"Expect immediate removal of the donor kidney for a hyperacute rejection"
"You might need to begin dialysis to monitor kidney function for hyperacute rejection"A fever is a
manifestion of an acute reaction
Fluid retention is a manifestation of an acute reaction - correct answer ✔✔Expect immediate removal of
the donor kidney for a hyperacute rejection
QUESTIONS & ANSWERS 2026/2027
A nurse is teaching a client who will have an x-ray of the kidneys, ureters, and bladder. Which of the
following statements should the nurse include in the teaching?
a) "You will receive contrast dye during the procedure"
b) "An enema is necessary before the procedure"
c) "You will need to lie prone during the procedure"
d) "The procedure determines whether you have a kidney stone" - correct answer ✔✔The procedure
determines whether you have a kidney stone
A nurse is monitoring a patient who had a kidney biopsy for postoperative complications. Which
complication should the nurse identify as the greatest risk to the client?
Infection
Hemorrhage
Hematuria
Pain - correct answer ✔✔Hemorrhage
A nurse is caring for a client with type 2 diabetes mellitus who will have excretory urography. Prior to the
procedure, which actions should the nurse take (select all that apply)
Identify an allergy to seafood
Withhold metformin for 24 hours
Administer an enema
Access for asthma
Obtain blood coagulation profile - correct answer ✔✔Identify an allergy to seafood
Withhold metformin for 24 hours
Administer an enema
Access for asthma
A nurse administered captopril to a client during a renal scan. Which of the following actions should the
nurse take?
Assess for hypertension
Limit fluid intake
Encourage early ambulation
Monitor for orthostatic hypotension - correct answer ✔✔Monitor for orthostatic hypotension
A nurse is reviewing the results of a client's urinalysis. The findings indicate that the urine is positive for
leukocyte esterase and nitrates. Which of the following actions should the nurse take?
Repeat the test early the next morning
Obtain a clean-catch urine sample for culture and sensitivity
Start a 24 hour urine collection for creatinine clearance - correct answer ✔✔Obtain a clean-catch urine
sample for culture and sensitivity
A nurse is teaching a client who has chronic kidney disease and is to begin hemodialysis. Which of the
following should the nurse include in the teaching?
Hemodialysis restores kidney function
,Hemodialysis replaces hormonal function of the renal system
Hemodialysis allows an unrestricted diet
Hemodialysis returns a balance to blood electrolytes - correct answer ✔✔Hemodialysis returns a
balance to blood electrolytes
A nurse is preparing to initiate hemodialysis for a patient with acute kidney injury. Which of the following
actions should the nurse take (select all that apply)
Review the medications that the client currently takes
Assess the AV fistula for a bruit
Calculate the client's hourly urine output
Measure the client's weight
Check blood electrolytes
Assess site area for venipuncture - correct answer ✔✔Review the medications that the client currently
takes
Assess the AV fistula for a bruit
Measure the client's weight
Check blood electrolytes
A nurse is planning post-procedure care for a client who received hemodialysis. Which of the following
interventions should the nurse include in the plan of care? (select all that apply)
Check BUN and blood creatinine
Administer the medications the nurse witheld prior to dialysis
Observe for findings of hypovolemia
Assess the access site for bleeding
Evaluate blood pressure on the arm with AV access - correct answer ✔✔Check BUN and blood creatinine
Administer the medications the nurse witheld prior to dialysis
Observe for findings of hypovolemia
Assess the access site for bleeding
A nurse is caring for a client who develops disequilibrium syndrome after receiving hemodialysis. Which
of the following actions should the nurse take
Administer an opioid medication
Monitor for hypertension
Assess level of consciousness
Increase the dialysis exchange rate - correct answer ✔✔Assess level of consciousness
A nurse is planning care for a client who will undergo peritoneal dialysis. Which of the following actions
should the nurse take? (select all that apply)
Monitor blood glucose levels
Report cloudy dialysate return
Warm the dialysate in a microwave oven
Assess for shortness of breath
Check the access site dressing for wetness
Maintain medical asepsis when accessing the catheter insertion site - correct answer ✔✔Monitor blood
glucose levels
Report cloudy dialysate return
Assess for shortness of breath
Check the access site dressing for wetness
, A nurse is assessing a client with end- stage kidney disease. Which of the following should the nurse
expect? (select all that apply)
Anuria
Marked Azotemia
Crackles in the Lungs
Increased calcium level
Proteinuria - correct answer ✔✔Anuria
Marked Azotemia
Crackles in the Lungs
Proteinuria
A nurse is planning post-operative care for a client following kidney transplant. Which actions should the
nurse include? (select all that apply)
Obtain daily weights
Assess dressings for bloody drainage
Replace hourly urine output with IVs
Expect oliguria in the first 4 hours
Monitor blood electrolytes - correct answer ✔✔Obtain daily weights
Assess dressings for bloody drainage
Replace hourly urine output with IVs
Monitor blood electrolytes
A nurse is teaching a client who is post operative following a kidney transplant and is taking cyclosporine.
Which of the following should the nurse include?
Decrease your intake of protein rich food
Take this medication with grapefruit juice
Monitor and report a sore throat to your provider
Expect your skin to turn yellow - correct answer ✔✔Monitor and report a sore throat to your provider
A client who is scheduled for kidney transplant surgery is assessed by the nurse for risk factors. Which of
the following increase risk of surgery?
Age older than 70
BMI 41
Administering NPH insulin every morning
past history of lymphoma
blood pressure averating 120/70 - correct answer ✔✔Age older than 70
BMI 41
Administering NPH insulin every morning
past history of lymphoma
A nurse is teaching a client who is scheduled for kidney transplant about organ rejection. Which
statement should the nurse include?
"Expect immediate removal of the donor kidney for a hyperacute rejection"
"You might need to begin dialysis to monitor kidney function for hyperacute rejection"A fever is a
manifestion of an acute reaction
Fluid retention is a manifestation of an acute reaction - correct answer ✔✔Expect immediate removal of
the donor kidney for a hyperacute rejection
