NCLEX Questions &
Answers for Renal
Disorders Updated 2026
You'reBpreparingBforBurinaryBcatheterizationBofBaBtraumaBpatientBandByouBobserveBbl
eedingBatBtheBurethralBmeatus.BWhichBactionBhasBpriority?
A.BIrrigateBandBcleanBtheBmeatusBbeforeBcatheterization.
B.BCheckBtheBdischargeBforBoccultBbloodBbeforeBcatheterization.
C.BHeavilyBlubricateBtheBcatheterBbeforeBinsertion.
D.BDelayBcatheterizationBandBnotifyBtheBdoctor.B-
BAnswerBD.BDelayBcatheterizationBandBnotifyBtheBdoctor.
Rationale:
BleedingBatBtheBurethralBmeatusBisBevidenceBthatBtheBurethraBisBinjured.BBecauseBca
theterizationBcanBcauseBfurtherBharm,BconsultBwithBtheBdoctor.
WhichBofBtheBfollowingBcausesBtheBmajorityBofBUTI'sBinBhospitalizedBpatients?
A.BLackBofBfluidBintake
B.BInadequateBperinealBcare
C.BInvasiveBprocedures
D.BImmunosuppressionB-BAnswerBC.BInvasiveBprocedures.
Rationale:BInvasiveBproceduresBsuchBasBcatheterizationBcanBintroduceBbacteriaBintoBth
eBurinaryBtract.BABlackBofBfluidBintakeBcouldBcauseBconcentrationBofBurine,BbutBwoul
dn'tBnecessarilyBcauseBinfection.
ABpatientBwithBdiabetesBhasBhadBmanyBrenalBcalculiBoverBtheBpastB20ByearsBandBno
wBhasBchronicBrenalBfailure.BWhichBsubstanceBmustBbeBreducedBinBthisBpatient'sBdiet
?
A.BCarbohydrates
B.BFats
, C.BProtein
D.BVitaminBCB-BAnswerBC.BProtein
Rationale:BBecauseBofBdamageBtoBtheBnephrons,BtheBkidneyBcan'tBexcreteBallBtheBme
tabolicBwastesBofBprotein,BsoBthisBpatient'sBproteinBintakeBmustBbeBrestricted.BABhigh
erBintakeBofBcarbs,Bfats,BandBvitaminBsupplementsBisBneededBtoBensureBtheBgrowthB
andBmaintenanceBofBtheBpatient'sBtissues.
You'reBdevelopingBaBcareBplanBwithBtheBnursingBdiagnosisBriskBforBinfectionBforByourB
patientBthatBreceivedBaBkidneyBtransplant.BABgoalBforBthisBpatientBisBto:
A.BRemainBafebrileBandBhaveBnegativeBcultures
B.BResumeBnormalBfluidBintakeBwithinB2BtoB3Bdays
C.BResumeBtheBpatient'sBnormalBjobBwithinB2BtoB3Bweeks
D.BTryBtoBdiscontinueBcyclosporineB(Neural)BasBquicklyBasBpossibleB-
BAnswerBA.BRemainBafebrileBandBhaveBnegativeBcultures
Rationale:BTheBimmunosuppressiveBactivityBofBcyclosporineBplacesBtheBpatientBatBriskB
forBinfection,BandBsteroidsBcanBmaskBtheBsignsBofBinfection.BTheBpatientBmayBnotBbe
BableBtoBresumeBnormalBfluidBintakeBorBreturnBtoBworkBforBanBextendedBperiodBofBt
imeBandBtheBpatientBmayBneedBcyclosporineBtherapyBforBlife.
WhichBcriterionBisBrequiredBbeforeBaBpatientBcanBbeBconsideredBforBcontinuousBperit
onealBdialysis?
A.BTheBpatientBmustBbeBhemodynamicallyBstable
B.BTheBvascularBaccessBmustBhaveBhealed
C.BTheBpatientBmustBbeBinBaBhomeBsetting
D.BHemodialysisBmustBhaveBfailedB-
BAnswerBA.BTheBpatientBmustBbeBhemodynamicallyBstable
Rationale:BHemodynamicBstabilityBmustBbeBestablishedBbeforeBcontinuousBperitonealBd
ialysisBcanBbeBstarted.
YouBhaveBaBpatientBthatBisBreceivingBperitonealBdialysis.BWhatBshouldByouBdoBwhenB
youBnoticeBtheBreturnBfluidBisBslowlyBdraining?
A.BCheckBforBkinksBinBtheBoutflowBtubing
Answers for Renal
Disorders Updated 2026
You'reBpreparingBforBurinaryBcatheterizationBofBaBtraumaBpatientBandByouBobserveBbl
eedingBatBtheBurethralBmeatus.BWhichBactionBhasBpriority?
A.BIrrigateBandBcleanBtheBmeatusBbeforeBcatheterization.
B.BCheckBtheBdischargeBforBoccultBbloodBbeforeBcatheterization.
C.BHeavilyBlubricateBtheBcatheterBbeforeBinsertion.
D.BDelayBcatheterizationBandBnotifyBtheBdoctor.B-
BAnswerBD.BDelayBcatheterizationBandBnotifyBtheBdoctor.
Rationale:
BleedingBatBtheBurethralBmeatusBisBevidenceBthatBtheBurethraBisBinjured.BBecauseBca
theterizationBcanBcauseBfurtherBharm,BconsultBwithBtheBdoctor.
WhichBofBtheBfollowingBcausesBtheBmajorityBofBUTI'sBinBhospitalizedBpatients?
A.BLackBofBfluidBintake
B.BInadequateBperinealBcare
C.BInvasiveBprocedures
D.BImmunosuppressionB-BAnswerBC.BInvasiveBprocedures.
Rationale:BInvasiveBproceduresBsuchBasBcatheterizationBcanBintroduceBbacteriaBintoBth
eBurinaryBtract.BABlackBofBfluidBintakeBcouldBcauseBconcentrationBofBurine,BbutBwoul
dn'tBnecessarilyBcauseBinfection.
ABpatientBwithBdiabetesBhasBhadBmanyBrenalBcalculiBoverBtheBpastB20ByearsBandBno
wBhasBchronicBrenalBfailure.BWhichBsubstanceBmustBbeBreducedBinBthisBpatient'sBdiet
?
A.BCarbohydrates
B.BFats
, C.BProtein
D.BVitaminBCB-BAnswerBC.BProtein
Rationale:BBecauseBofBdamageBtoBtheBnephrons,BtheBkidneyBcan'tBexcreteBallBtheBme
tabolicBwastesBofBprotein,BsoBthisBpatient'sBproteinBintakeBmustBbeBrestricted.BABhigh
erBintakeBofBcarbs,Bfats,BandBvitaminBsupplementsBisBneededBtoBensureBtheBgrowthB
andBmaintenanceBofBtheBpatient'sBtissues.
You'reBdevelopingBaBcareBplanBwithBtheBnursingBdiagnosisBriskBforBinfectionBforByourB
patientBthatBreceivedBaBkidneyBtransplant.BABgoalBforBthisBpatientBisBto:
A.BRemainBafebrileBandBhaveBnegativeBcultures
B.BResumeBnormalBfluidBintakeBwithinB2BtoB3Bdays
C.BResumeBtheBpatient'sBnormalBjobBwithinB2BtoB3Bweeks
D.BTryBtoBdiscontinueBcyclosporineB(Neural)BasBquicklyBasBpossibleB-
BAnswerBA.BRemainBafebrileBandBhaveBnegativeBcultures
Rationale:BTheBimmunosuppressiveBactivityBofBcyclosporineBplacesBtheBpatientBatBriskB
forBinfection,BandBsteroidsBcanBmaskBtheBsignsBofBinfection.BTheBpatientBmayBnotBbe
BableBtoBresumeBnormalBfluidBintakeBorBreturnBtoBworkBforBanBextendedBperiodBofBt
imeBandBtheBpatientBmayBneedBcyclosporineBtherapyBforBlife.
WhichBcriterionBisBrequiredBbeforeBaBpatientBcanBbeBconsideredBforBcontinuousBperit
onealBdialysis?
A.BTheBpatientBmustBbeBhemodynamicallyBstable
B.BTheBvascularBaccessBmustBhaveBhealed
C.BTheBpatientBmustBbeBinBaBhomeBsetting
D.BHemodialysisBmustBhaveBfailedB-
BAnswerBA.BTheBpatientBmustBbeBhemodynamicallyBstable
Rationale:BHemodynamicBstabilityBmustBbeBestablishedBbeforeBcontinuousBperitonealBd
ialysisBcanBbeBstarted.
YouBhaveBaBpatientBthatBisBreceivingBperitonealBdialysis.BWhatBshouldByouBdoBwhenB
youBnoticeBtheBreturnBfluidBisBslowlyBdraining?
A.BCheckBforBkinksBinBtheBoutflowBtubing