NCLEX Florida Practice: Renal & Urinary Care Updated most
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A nurse is caring for a client with acute glomerulonephritis. Which finding should the
nurse expect?
A. Polyuria
B. Hypotension
C. Cola-colored urine
D. Decreased serum creatinine
Answer: C. Cola-colored urine
Rationale: Acute glomerulonephritis commonly causes hematuria, producing dark or
cola-colored urine due to bleeding within the kidneys.
Which laboratory value is most important for the nurse to monitor in a client with renal
failure?
A. Hemoglobin
B. Potassium
C. Platelet count
D. Calcium
Answer: B. Potassium
Rationale: Hyperkalemia can lead to life-threatening cardiac dysrhythmias and is a
major concern in renal failure.
,A client with chronic kidney disease is prescribed erythropoietin. What is the purpose of
this medication?
A. Reduce potassium levels
B. Prevent infection
C. Treat anemia
D. Lower blood pressure
Answer: C. Treat anemia
Rationale: Diseased kidneys produce less erythropoietin, leading to anemia.
Replacement therapy stimulates red blood cell production.
Which assessment finding indicates fluid overload in a client with renal impairment?
A. Dry mucous membranes
B. Weight loss
C. Crackles in the lungs
D. Hypotension
Answer: C. Crackles in the lungs
Rationale: Crackles indicate fluid accumulation in the lungs, a common sign of fluid
overload.
A nurse is teaching a client about preventing urinary tract infections. Which statement
by the client indicates understanding?
A. “I will hold my urine as long as possible.”
,B. “I will drink plenty of fluids daily.”
C. “I should avoid voiding after intercourse.”
D. “I should wipe from back to front.”
Answer: B. “I will drink plenty of fluids daily.”
Rationale: Increased fluid intake helps flush bacteria from the urinary tract and reduces
infection risk.
Which electrolyte imbalance is most common in chronic kidney disease?
A. Hypokalemia
B. Hyperkalemia
C. Hypernatremia
D. Hypocalcemia
Answer: B. Hyperkalemia
Rationale: Impaired kidney function decreases potassium excretion, causing elevated
serum potassium levels.
A client receiving hemodialysis has a left arm arteriovenous fistula. Which nursing
action is appropriate?
A. Take blood pressure in the left arm
B. Draw blood from the fistula
C. Assess for bruit and thrill
D. Apply restraints to the arm
, Answer: C. Assess for bruit and thrill
Rationale: A palpable thrill and audible bruit indicate proper blood flow through the
fistula.
Which food should a client with renal disease avoid due to high potassium content?
A. Apples
B. Rice
C. Bananas
D. Bread
Answer: C. Bananas
Rationale: Bananas are high in potassium and may worsen hyperkalemia in renal
disease.
A nurse is caring for a client after a renal biopsy. Which finding requires immediate
intervention?
A. Mild flank discomfort
B. Pink-tinged urine
C. Blood pressure 88/50 mm Hg
D. Small bruise at the site
Answer: C. Blood pressure 88/50 mm Hg
Rationale: Hypotension may indicate hemorrhage, a serious complication after renal
biopsy.
Frequent Tested Exam 2026 WITH Recent Newest Verified
And Well Analyzed Exam Questions (Actual Exam 2026-
2027) Correct Detailed & Verified ANSWERS (100% Accurate
Solutions) ALREADY GRADED A+||NEWEST VERSION Of
The Exam Guarantee Pass!!
A nurse is caring for a client with acute glomerulonephritis. Which finding should the
nurse expect?
A. Polyuria
B. Hypotension
C. Cola-colored urine
D. Decreased serum creatinine
Answer: C. Cola-colored urine
Rationale: Acute glomerulonephritis commonly causes hematuria, producing dark or
cola-colored urine due to bleeding within the kidneys.
Which laboratory value is most important for the nurse to monitor in a client with renal
failure?
A. Hemoglobin
B. Potassium
C. Platelet count
D. Calcium
Answer: B. Potassium
Rationale: Hyperkalemia can lead to life-threatening cardiac dysrhythmias and is a
major concern in renal failure.
,A client with chronic kidney disease is prescribed erythropoietin. What is the purpose of
this medication?
A. Reduce potassium levels
B. Prevent infection
C. Treat anemia
D. Lower blood pressure
Answer: C. Treat anemia
Rationale: Diseased kidneys produce less erythropoietin, leading to anemia.
Replacement therapy stimulates red blood cell production.
Which assessment finding indicates fluid overload in a client with renal impairment?
A. Dry mucous membranes
B. Weight loss
C. Crackles in the lungs
D. Hypotension
Answer: C. Crackles in the lungs
Rationale: Crackles indicate fluid accumulation in the lungs, a common sign of fluid
overload.
A nurse is teaching a client about preventing urinary tract infections. Which statement
by the client indicates understanding?
A. “I will hold my urine as long as possible.”
,B. “I will drink plenty of fluids daily.”
C. “I should avoid voiding after intercourse.”
D. “I should wipe from back to front.”
Answer: B. “I will drink plenty of fluids daily.”
Rationale: Increased fluid intake helps flush bacteria from the urinary tract and reduces
infection risk.
Which electrolyte imbalance is most common in chronic kidney disease?
A. Hypokalemia
B. Hyperkalemia
C. Hypernatremia
D. Hypocalcemia
Answer: B. Hyperkalemia
Rationale: Impaired kidney function decreases potassium excretion, causing elevated
serum potassium levels.
A client receiving hemodialysis has a left arm arteriovenous fistula. Which nursing
action is appropriate?
A. Take blood pressure in the left arm
B. Draw blood from the fistula
C. Assess for bruit and thrill
D. Apply restraints to the arm
, Answer: C. Assess for bruit and thrill
Rationale: A palpable thrill and audible bruit indicate proper blood flow through the
fistula.
Which food should a client with renal disease avoid due to high potassium content?
A. Apples
B. Rice
C. Bananas
D. Bread
Answer: C. Bananas
Rationale: Bananas are high in potassium and may worsen hyperkalemia in renal
disease.
A nurse is caring for a client after a renal biopsy. Which finding requires immediate
intervention?
A. Mild flank discomfort
B. Pink-tinged urine
C. Blood pressure 88/50 mm Hg
D. Small bruise at the site
Answer: C. Blood pressure 88/50 mm Hg
Rationale: Hypotension may indicate hemorrhage, a serious complication after renal
biopsy.
