Renal & Urinary Nursing -- Practice
Questions
*** A client with acute kidney injury has a serum potassium level of 6.0 mEq/L. The nurse should
plan which action as a PRIORITY?
1) check the sodium level
2) place the client on a cardiac monitor
3) encourage increased vegetables in the diet
4) allow an extra 500 mL of fluid intake to dilute the electrolyte concentration - ANS2
*** A client being hemodialyzed suddenly becomes short of breath and complains of chest pain.
The client is tachycardic, pale, and anxious and the nurse suspects air emoblism. What is the
PRIORITY nursing action?
1) monitor vital signs
2) d/c dialysis and notify the HCP
3) continue dialysis at a slower rate after checking the lines for air
4) bolus the client with 500 mL of NS to break up the air embolus - ANS2
If the client experiences air embolus during hemodialysis, the nurse should terminate dialysis
immediately, notify the HCP, and administer O2 as needed.
A client arrives at the ED with complaints of low abdominal pain and hematuria. The client is
afebrile. The nurse NEXT assesses the client to determine a hX of which condition?
1) pyelonephritis
2) glomerulonephritis
3) trauma to the bladder or abdomen
4) renal cancer in the client's family - ANS3
Bladder trauma or injury should be considered or suspected in the client with low abdominal
pain and hematuria. Glomerulonephritis and pyelonephritis would be accompanied by fever and
are thus not applicable to the client described in this question. Renal cancer would not cause
pain that is felt in the low abdomen; rather, the pain would be in the flank area.
A client is admitted to the ED following a motor vehicle accident. The client was wearing a lap
seat belt when the accident occurred and now the client has hematuria and lower abdominal
pain. To assess further whether the pain is caused by bladder trauma, the nurse should ask the
client if the pain is referred to which area?
, 1) hip
2) shoulder
3) umbilicus
4) costovertebral angle - ANS2
*** A client is admitted to the ED following a fall from a horse and the HCP prescribes insertion
of a Foley. While preparing for the procedure, the nurse notes blood at the urinary meatus. The
nurse should take which action?
1) notify the HCP
2) use a small-sized catheter
3) administer pain medication before inserting the catheter
4) use extra povidone-iodine solution in cleansing the meatus - ANS1
The nurse is assessing the patency of a client's left arm arteriovenous fistula prior to initiating
hemodialysis. Which finding indicates that the fistula is patent?
1) palpation of a thrill over the fistula
2) presence of a radial pulse in the left wrist
3) absence of a bruit on auscultation of the fistula
4) capillary refill less than 3 seconds in the nail beds of the fingers on the left hand - ANS1
A male client has a tentative dX of urethritis. The nurse should assess the client for which
manifestation of the disorder?
1) hematuria and pyuria
2) dysuria and proteinuria
3)hematuria and urgency
4) dysuria and penile discharge - ANS4
Urethritis in the male client often results from chlamydial infection and is characterized by
dysuria, which is accompanied by a clear to mucopurulent discharge. Because this disorder
often coexists with gonorrhea, diagnostic tests are done for both and include culture and rapid
assays.
The nurse is assessing a client with epididymitis. The nurse anticipates which findings on
physical examination?
1) fever, diarrhea, groin pain, and ecchymosis
2) N, V, scrotal edema, and ecchymosis
3) fever, N, V, and painful scrotal edema
4) diarrhea, groin pain, testicular torsion, and scrotal edema - ANS3
Questions
*** A client with acute kidney injury has a serum potassium level of 6.0 mEq/L. The nurse should
plan which action as a PRIORITY?
1) check the sodium level
2) place the client on a cardiac monitor
3) encourage increased vegetables in the diet
4) allow an extra 500 mL of fluid intake to dilute the electrolyte concentration - ANS2
*** A client being hemodialyzed suddenly becomes short of breath and complains of chest pain.
The client is tachycardic, pale, and anxious and the nurse suspects air emoblism. What is the
PRIORITY nursing action?
1) monitor vital signs
2) d/c dialysis and notify the HCP
3) continue dialysis at a slower rate after checking the lines for air
4) bolus the client with 500 mL of NS to break up the air embolus - ANS2
If the client experiences air embolus during hemodialysis, the nurse should terminate dialysis
immediately, notify the HCP, and administer O2 as needed.
A client arrives at the ED with complaints of low abdominal pain and hematuria. The client is
afebrile. The nurse NEXT assesses the client to determine a hX of which condition?
1) pyelonephritis
2) glomerulonephritis
3) trauma to the bladder or abdomen
4) renal cancer in the client's family - ANS3
Bladder trauma or injury should be considered or suspected in the client with low abdominal
pain and hematuria. Glomerulonephritis and pyelonephritis would be accompanied by fever and
are thus not applicable to the client described in this question. Renal cancer would not cause
pain that is felt in the low abdomen; rather, the pain would be in the flank area.
A client is admitted to the ED following a motor vehicle accident. The client was wearing a lap
seat belt when the accident occurred and now the client has hematuria and lower abdominal
pain. To assess further whether the pain is caused by bladder trauma, the nurse should ask the
client if the pain is referred to which area?
, 1) hip
2) shoulder
3) umbilicus
4) costovertebral angle - ANS2
*** A client is admitted to the ED following a fall from a horse and the HCP prescribes insertion
of a Foley. While preparing for the procedure, the nurse notes blood at the urinary meatus. The
nurse should take which action?
1) notify the HCP
2) use a small-sized catheter
3) administer pain medication before inserting the catheter
4) use extra povidone-iodine solution in cleansing the meatus - ANS1
The nurse is assessing the patency of a client's left arm arteriovenous fistula prior to initiating
hemodialysis. Which finding indicates that the fistula is patent?
1) palpation of a thrill over the fistula
2) presence of a radial pulse in the left wrist
3) absence of a bruit on auscultation of the fistula
4) capillary refill less than 3 seconds in the nail beds of the fingers on the left hand - ANS1
A male client has a tentative dX of urethritis. The nurse should assess the client for which
manifestation of the disorder?
1) hematuria and pyuria
2) dysuria and proteinuria
3)hematuria and urgency
4) dysuria and penile discharge - ANS4
Urethritis in the male client often results from chlamydial infection and is characterized by
dysuria, which is accompanied by a clear to mucopurulent discharge. Because this disorder
often coexists with gonorrhea, diagnostic tests are done for both and include culture and rapid
assays.
The nurse is assessing a client with epididymitis. The nurse anticipates which findings on
physical examination?
1) fever, diarrhea, groin pain, and ecchymosis
2) N, V, scrotal edema, and ecchymosis
3) fever, N, V, and painful scrotal edema
4) diarrhea, groin pain, testicular torsion, and scrotal edema - ANS3
