Renal and Urinary Nursing Practice
Examination Test Merged With
Correct Verified And Well Analyzed
Answers Graded A+ | 2026 Latest
Update!!!
1. A nurse is assessing a client with acute glomerulonephritis.
Which finding should the nurse expect?
A. Increased urine output B. Hypotension C. Hematuria and
proteinuria D. Excessive thirst
Answer: C. Hematuria and proteinuria
Rationale: Acute glomerulonephritis commonly presents with
hematuria, proteinuria, edema, and hypertension due to inflammation
of the glomeruli. Increased urine output and hypotension are not
typical findings. Excessive thirst is more associated with endocrine
disorders.
2. A client with chronic kidney disease is prescribed a low-protein
diet. What is the primary reason for this dietary restriction?
A. To prevent dehydration B. To reduce the workload on the
kidneys C. To increase potassium levels D. To improve calcium
absorption
Answer: B. To reduce the workload on the kidneys
,Rationale: Protein metabolism produces nitrogenous wastes that the
kidneys must filter. Restricting protein intake helps reduce waste
buildup and decreases stress on impaired kidneys.
3. Which laboratory value is most important for the nurse to
monitor in a client with renal failure?
A. Hemoglobin B. Potassium C. Calcium D. Platelet count
Answer: B. Potassium
Rationale: Hyperkalemia is a life-threatening complication of renal
failure because it can lead to cardiac dysrhythmias. Monitoring
potassium levels is essential for client safety.
4. A nurse is caring for a client receiving hemodialysis. Which
assessment finding requires immediate intervention?
A. Mild fatigue after dialysis B. Bruit heard over the arteriovenous
fistula C. Absence of thrill over the fistula D. Slight decrease in
blood pressure
Answer: C. Absence of thrill over the fistula
Rationale: A functioning arteriovenous fistula should have a palpable
thrill and audible bruit. Absence of a thrill may indicate clotting or
occlusion, requiring immediate intervention.
5. Which symptom is commonly associated with a urinary tract
infection?
A. Bradycardia B. Dysuria C. Constipation D. Cyanosis
Answer: B. Dysuria
Rationale: Dysuria, or painful urination, is a common symptom of
urinary tract infections. Other symptoms include urinary frequency,
urgency, and cloudy urine.
, 6. A client with nephrotic syndrome is at risk for which
complication?
A. Dehydration B. Infection C. Hypercalcemia D. Hypoglycemia
Answer: B. Infection
Rationale: Nephrotic syndrome results in loss of proteins, including
immunoglobulins, through the urine. This increases susceptibility to
infection.
7. Which intervention is appropriate for a client experiencing
renal colic from kidney stones?
A. Restrict oral fluids B. Encourage ambulation C. Maintain strict
bed rest D. Limit pain medication
Answer: B. Encourage ambulation
Rationale: Ambulation can help move kidney stones through the
urinary tract. Adequate hydration and pain management are also
important interventions.
8. A nurse is teaching a client how to prevent recurrent urinary
tract infections. Which statement by the client indicates
understanding?
A. “I will drink less water every day.” B. “I will wipe from back to
front.” C. “I will urinate after sexual intercourse.” D. “I will avoid
emptying my bladder often.”
Answer: C. “I will urinate after sexual intercourse.”
Rationale: Voiding after intercourse helps flush bacteria from the
urethra, reducing the risk of urinary tract infections. Clients should
also drink adequate fluids and wipe front to back.
Examination Test Merged With
Correct Verified And Well Analyzed
Answers Graded A+ | 2026 Latest
Update!!!
1. A nurse is assessing a client with acute glomerulonephritis.
Which finding should the nurse expect?
A. Increased urine output B. Hypotension C. Hematuria and
proteinuria D. Excessive thirst
Answer: C. Hematuria and proteinuria
Rationale: Acute glomerulonephritis commonly presents with
hematuria, proteinuria, edema, and hypertension due to inflammation
of the glomeruli. Increased urine output and hypotension are not
typical findings. Excessive thirst is more associated with endocrine
disorders.
2. A client with chronic kidney disease is prescribed a low-protein
diet. What is the primary reason for this dietary restriction?
A. To prevent dehydration B. To reduce the workload on the
kidneys C. To increase potassium levels D. To improve calcium
absorption
Answer: B. To reduce the workload on the kidneys
,Rationale: Protein metabolism produces nitrogenous wastes that the
kidneys must filter. Restricting protein intake helps reduce waste
buildup and decreases stress on impaired kidneys.
3. Which laboratory value is most important for the nurse to
monitor in a client with renal failure?
A. Hemoglobin B. Potassium C. Calcium D. Platelet count
Answer: B. Potassium
Rationale: Hyperkalemia is a life-threatening complication of renal
failure because it can lead to cardiac dysrhythmias. Monitoring
potassium levels is essential for client safety.
4. A nurse is caring for a client receiving hemodialysis. Which
assessment finding requires immediate intervention?
A. Mild fatigue after dialysis B. Bruit heard over the arteriovenous
fistula C. Absence of thrill over the fistula D. Slight decrease in
blood pressure
Answer: C. Absence of thrill over the fistula
Rationale: A functioning arteriovenous fistula should have a palpable
thrill and audible bruit. Absence of a thrill may indicate clotting or
occlusion, requiring immediate intervention.
5. Which symptom is commonly associated with a urinary tract
infection?
A. Bradycardia B. Dysuria C. Constipation D. Cyanosis
Answer: B. Dysuria
Rationale: Dysuria, or painful urination, is a common symptom of
urinary tract infections. Other symptoms include urinary frequency,
urgency, and cloudy urine.
, 6. A client with nephrotic syndrome is at risk for which
complication?
A. Dehydration B. Infection C. Hypercalcemia D. Hypoglycemia
Answer: B. Infection
Rationale: Nephrotic syndrome results in loss of proteins, including
immunoglobulins, through the urine. This increases susceptibility to
infection.
7. Which intervention is appropriate for a client experiencing
renal colic from kidney stones?
A. Restrict oral fluids B. Encourage ambulation C. Maintain strict
bed rest D. Limit pain medication
Answer: B. Encourage ambulation
Rationale: Ambulation can help move kidney stones through the
urinary tract. Adequate hydration and pain management are also
important interventions.
8. A nurse is teaching a client how to prevent recurrent urinary
tract infections. Which statement by the client indicates
understanding?
A. “I will drink less water every day.” B. “I will wipe from back to
front.” C. “I will urinate after sexual intercourse.” D. “I will avoid
emptying my bladder often.”
Answer: C. “I will urinate after sexual intercourse.”
Rationale: Voiding after intercourse helps flush bacteria from the
urethra, reducing the risk of urinary tract infections. Clients should
also drink adequate fluids and wipe front to back.
