Renal NCLEX Exam - Questions With Correct
Solutions
A patient undergoes a nephrectomy after having massive trauma to the
kidney. Which assessment finding obtained postoperatively is most
important to communicate to the surgeon? ✔️Ans - Urine output is 20
mL/hr for 2 hours.
Which information noted by the nurse when caring for a patient with a
bladder infection is most important to report to the health care provider?
✔️Ans - Left-sided flank pain
After the insertion of an arteriovenous graft (AVG) in the right forearm, a
patient complains of pain and coldness of the right fingers. Which action
should the nurse take? ✔️Ans - Report the patient's symptoms to the
health care provider.
A patient with acute kidney injury (AKI) has an arterial blood pH of 7.30.
The nurse will assess the patient for _________________ ✔️Ans - rapid
respirations.
A patient with severe heart failure develops elevated blood urea nitrogen
(BUN) and creatinine levels. The nurse will plan care to meet the goal of
__________________ ✔️Ans - maintaining cardiac output.
A patient who has acute glomerulonephritis is hospitalized with acute
kidney injury (AKI) and hyperkalemia. Which information will the nurse
obtain to evaluate the effectiveness of the prescribed calcium gluconate IV?
✔️Ans - Cardiac rhythm
A patient with stage 2 chronic kidney disease (CKD) is scheduled for an
intravenous pyelogram (IVP). Which of these orders for the patient will the
nurse question? ✔️Ans - Ibuprofen (Advil) 400 mg PO PRN for pain
Which statement by a patient with stage 5 chronic kidney disease (CKD)
indicates that the nurse's teaching about management of CKD has been
effective? ✔️Ans - "I will measure my urinary output each day to help
calculate the amount I can drink."
, Which patient information will the nurse plan to obtain in order to
determine the effectiveness of the prescribed calcium carbonate (Caltrate)
for a patient with chronic kidney disease (CKD)? ✔️Ans - Phosphate
level
Before administering sodium polystyrene sulfonate (Kayexalate) to a
patient with hyperkalemia, the nurse should assess the ______________
✔️Ans - patient's bowel sounds.
The nurse has instructed a patient who is receiving hemodialysis about
appropriate dietary choices. Which menu choice by the patient indicates
that the teaching has been successful? ✔️Ans - Scrambled eggs, English
muffin, and apple juice
Before administration of calcium carbonate (Caltrate) to a patient with
chronic kidney disease (CKD), the nurse should check the laboratory value
for _______________ ✔️Ans - serum phosphate.
Which information will be most useful to the nurse in evaluating
improvement in kidney function for a patient who is hospitalized with
acute kidney injury (AKI)? ✔️Ans - Calculated glomerular filtration rate
(GFR)
A patient needing vascular access for hemodialysis asks the nurse what the
differences are between an arteriovenous (AV) fistula and a graft. The
nurse explains that one advantage of the fistula is that it ✔️Ans - is
much less likely to clot.
When caring for a patient with a left arm arteriovenous fistula, which
action will the nurse include in the plan of care to maintain the patency of
the fistula? ✔️Ans - Check the fistula site for a bruit and thrill.
When a patient who has had progressive chronic kidney disease (CKD) for
several years is started on hemodialysis, which information about diet will
the nurse include in patient teaching? ✔️Ans - More protein will be
allowed because of the removal of urea and creatinine by dialysis.
Solutions
A patient undergoes a nephrectomy after having massive trauma to the
kidney. Which assessment finding obtained postoperatively is most
important to communicate to the surgeon? ✔️Ans - Urine output is 20
mL/hr for 2 hours.
Which information noted by the nurse when caring for a patient with a
bladder infection is most important to report to the health care provider?
✔️Ans - Left-sided flank pain
After the insertion of an arteriovenous graft (AVG) in the right forearm, a
patient complains of pain and coldness of the right fingers. Which action
should the nurse take? ✔️Ans - Report the patient's symptoms to the
health care provider.
A patient with acute kidney injury (AKI) has an arterial blood pH of 7.30.
The nurse will assess the patient for _________________ ✔️Ans - rapid
respirations.
A patient with severe heart failure develops elevated blood urea nitrogen
(BUN) and creatinine levels. The nurse will plan care to meet the goal of
__________________ ✔️Ans - maintaining cardiac output.
A patient who has acute glomerulonephritis is hospitalized with acute
kidney injury (AKI) and hyperkalemia. Which information will the nurse
obtain to evaluate the effectiveness of the prescribed calcium gluconate IV?
✔️Ans - Cardiac rhythm
A patient with stage 2 chronic kidney disease (CKD) is scheduled for an
intravenous pyelogram (IVP). Which of these orders for the patient will the
nurse question? ✔️Ans - Ibuprofen (Advil) 400 mg PO PRN for pain
Which statement by a patient with stage 5 chronic kidney disease (CKD)
indicates that the nurse's teaching about management of CKD has been
effective? ✔️Ans - "I will measure my urinary output each day to help
calculate the amount I can drink."
, Which patient information will the nurse plan to obtain in order to
determine the effectiveness of the prescribed calcium carbonate (Caltrate)
for a patient with chronic kidney disease (CKD)? ✔️Ans - Phosphate
level
Before administering sodium polystyrene sulfonate (Kayexalate) to a
patient with hyperkalemia, the nurse should assess the ______________
✔️Ans - patient's bowel sounds.
The nurse has instructed a patient who is receiving hemodialysis about
appropriate dietary choices. Which menu choice by the patient indicates
that the teaching has been successful? ✔️Ans - Scrambled eggs, English
muffin, and apple juice
Before administration of calcium carbonate (Caltrate) to a patient with
chronic kidney disease (CKD), the nurse should check the laboratory value
for _______________ ✔️Ans - serum phosphate.
Which information will be most useful to the nurse in evaluating
improvement in kidney function for a patient who is hospitalized with
acute kidney injury (AKI)? ✔️Ans - Calculated glomerular filtration rate
(GFR)
A patient needing vascular access for hemodialysis asks the nurse what the
differences are between an arteriovenous (AV) fistula and a graft. The
nurse explains that one advantage of the fistula is that it ✔️Ans - is
much less likely to clot.
When caring for a patient with a left arm arteriovenous fistula, which
action will the nurse include in the plan of care to maintain the patency of
the fistula? ✔️Ans - Check the fistula site for a bruit and thrill.
When a patient who has had progressive chronic kidney disease (CKD) for
several years is started on hemodialysis, which information about diet will
the nurse include in patient teaching? ✔️Ans - More protein will be
allowed because of the removal of urea and creatinine by dialysis.
