NSG 403 Renal NCLEX
Questions and Answers
2023
, NSG 403 100 Renal NCLEX Questions
1. A client who has a renal mass asks the nurse why an ultrasound has been
scheduled, as opposed to other diagnostic tests that may be ordered. The nurse
formulates a response based on the understanding that:
a) all other tests are more invasive than an ultrasound
b) all other tests require more elaborate postprocedure care
c) an ultrasound can differentiate a solid mass from a fluid-filled cyst
d) an ultrasound is much more cost effective than other diagnostic tests
2. A client has been admitted to the hospital with a diagnosis of acute
glomerulonephritis. During history-taking the nurse first asks the client about a recent
history of:
a) bleeding ulcer
b) deep vein thrombosis
c) myocardial infarction
d) streptococcal infection
3. A nurse is assigned to care for a client with nephrotic syndrome. The nurse assesses
which important parameter on a daily basis?
a) weight
b) albumin levels
c) activity tolerance
d) blood urea nitrogen (BUN) level
4. A client is being admitted to the hospital with a diagnosis of urolithiasis and ureteral
colic. The nurse assesses the client for pain that is:
a) dull and aching in the costovetebal area
b) aching and camplike thoughout the abdomen
c) sharp and radiating posteriorly to the spinal column
d) excruciating, wavelike, and radiating toward the genitalia
5. A client with renal failure is receiving epoetin alfa (Epogen) to support erythropoiesis.
The nurse questions the client about compliance with taking which of the following
medications that supports red blood cell (RBC) production?
a) iron supplement
, b) zinc supplement
c) calcium supplement
d) magnesium supplement
6. A client has an arteriovenous (AV) fistula in place in the right upper extremity for
hemodialysis treatments. When planning care for this client, which of the following
measures should the nurse implement to promote client safely?
a) take blood pressures only on the right arm to ensure accuracy
b) use the fistula for all venipunctures and intravenous infusions
c) ensure that small clamps are attached to the AV fistula dressing
d) assess the fistula for the presence of a bruit and thrill every 4 hours
7. A nurse is assessing a client who is diagnosed with cystitis. Which assessment
finding is inconsistent with the typical clinical manifestations noted in this disorder?
a) hematuria
b) low back pain
c) urinary retention
d) burning on urination
8. The home care nurse is making follow-up visits to a client following renal transplant.
The nurse assesses the client for which signs of acute graft rejection?
a) hypotension, graft tenderness, and anemia
b) hypertension, oliguria, thirst, and hypothermia
c) fever, hypertension, graft tenderness, and malaise
d) fever, vomiting, hypotension, and copious amounts of dilute urine
9. A client is scheduled for computed tomography (CT) of the kidneys to rule out renal
disease. As an essential preprocedure component of the nursing assessment, the nurse
plans to ask the client about a history of:
a) familial renal disease
b) frequent antibiotic use
c) long-term diuretic therapy
d) allergy to shellfish or iodine
10. The client with an external arteriovenous shunt in place for hemodialysis is at risk for
bleeding. The priority nurse action would be to:
a) check the shunt for the presence of bruit and thrill
b) observe the site once as time permits during the shift
c) check the results of the prothrombin time as they are determined
d) ensure that small clamps are attached to the arteriovenous shunt dressing
Questions and Answers
2023
, NSG 403 100 Renal NCLEX Questions
1. A client who has a renal mass asks the nurse why an ultrasound has been
scheduled, as opposed to other diagnostic tests that may be ordered. The nurse
formulates a response based on the understanding that:
a) all other tests are more invasive than an ultrasound
b) all other tests require more elaborate postprocedure care
c) an ultrasound can differentiate a solid mass from a fluid-filled cyst
d) an ultrasound is much more cost effective than other diagnostic tests
2. A client has been admitted to the hospital with a diagnosis of acute
glomerulonephritis. During history-taking the nurse first asks the client about a recent
history of:
a) bleeding ulcer
b) deep vein thrombosis
c) myocardial infarction
d) streptococcal infection
3. A nurse is assigned to care for a client with nephrotic syndrome. The nurse assesses
which important parameter on a daily basis?
a) weight
b) albumin levels
c) activity tolerance
d) blood urea nitrogen (BUN) level
4. A client is being admitted to the hospital with a diagnosis of urolithiasis and ureteral
colic. The nurse assesses the client for pain that is:
a) dull and aching in the costovetebal area
b) aching and camplike thoughout the abdomen
c) sharp and radiating posteriorly to the spinal column
d) excruciating, wavelike, and radiating toward the genitalia
5. A client with renal failure is receiving epoetin alfa (Epogen) to support erythropoiesis.
The nurse questions the client about compliance with taking which of the following
medications that supports red blood cell (RBC) production?
a) iron supplement
, b) zinc supplement
c) calcium supplement
d) magnesium supplement
6. A client has an arteriovenous (AV) fistula in place in the right upper extremity for
hemodialysis treatments. When planning care for this client, which of the following
measures should the nurse implement to promote client safely?
a) take blood pressures only on the right arm to ensure accuracy
b) use the fistula for all venipunctures and intravenous infusions
c) ensure that small clamps are attached to the AV fistula dressing
d) assess the fistula for the presence of a bruit and thrill every 4 hours
7. A nurse is assessing a client who is diagnosed with cystitis. Which assessment
finding is inconsistent with the typical clinical manifestations noted in this disorder?
a) hematuria
b) low back pain
c) urinary retention
d) burning on urination
8. The home care nurse is making follow-up visits to a client following renal transplant.
The nurse assesses the client for which signs of acute graft rejection?
a) hypotension, graft tenderness, and anemia
b) hypertension, oliguria, thirst, and hypothermia
c) fever, hypertension, graft tenderness, and malaise
d) fever, vomiting, hypotension, and copious amounts of dilute urine
9. A client is scheduled for computed tomography (CT) of the kidneys to rule out renal
disease. As an essential preprocedure component of the nursing assessment, the nurse
plans to ask the client about a history of:
a) familial renal disease
b) frequent antibiotic use
c) long-term diuretic therapy
d) allergy to shellfish or iodine
10. The client with an external arteriovenous shunt in place for hemodialysis is at risk for
bleeding. The priority nurse action would be to:
a) check the shunt for the presence of bruit and thrill
b) observe the site once as time permits during the shift
c) check the results of the prothrombin time as they are determined
d) ensure that small clamps are attached to the arteriovenous shunt dressing
