NCLEX Renal and Urinary
The nurse has instructed a client about the procedure for continuous ambulatory peritoneal dialysis
(CAPD). The nurse determines that the client needs further teaching if the client indicates that she
or he plans to take which action? -
✅Perform 1 exchange per day.
The nurse caring for a client undergoing peritoneal dialysis notes that the drainage from the outflow
catheter is cloudy. Which action should the nurse take? -
✅Obtain a culture and sensitivity of the drainage.
What should the nurse do to enhance the client's comfort during the insertion of a peritoneal dialysis
catheter? -
✅Obtain a prescription for premedication.
The nurse is giving the client diagnosed with polycystic kidney disease instructions for replacing
the elements that are lost in the urine as a result of impaired kidney function. The nurse instructs the
client to increase the intake of which items in the diet? Select all that apply. -
✅Water ; sodium
The nurse is caring for a client receiving peritoneal dialysis and notes a brownish tinge to the
dialysate output. The nurse should interpret this finding as a sign of which related complication? -
✅Bowel perforation
The nurse is creating a teaching plan for a client diagnosed with chronic kidney disease who has
been started on hemodialysis. What information should the nurse plan to include in discussions with
the client? -
✅Daily medications should be taken after hemodialysis, not before.
The nurse has completed teaching with a hemodialysis client regarding the self-monitoring of the
fluid status between hemodialysis treatments. The nurse determines that the client understands the
information given if the client states the need to record which item(s) on a daily basis? -
✅Intake, output, and weight
The nurse is admitting a client with an arteriovenous (AV) fistula in the right arm for hemodialysis.
Which strategy should the nurse plan to implement to best prevent injury to the AV fistula site? -
✅Placing an alert bracelet per agency procedure on the client's right arm
The nurse is caring for a client who has been diagnosed with intrarenal failure. The nurse
understands that which factor can cause intrarenal failure? Select all that apply. -
✅1.Leukemia 2.Antibiotics 3.Lymphoma 4.Bacterial infection 6.Nonsteroidal anti-
inflammatory drugs
The nurse is teaching a client with acute kidney injury to include proteins in the diet that are
considered high quality or complete proteins. The nurse determines that the client needs further
teaching if he indicates that which food item is considered high quality? -
✅Broccoli
1
, The home care nurse has given instructions to a female client diagnosed with cystitis about
measures to help prevent recurrence. Which statement made by the client indicates the need for
further instructions? -
✅"I should take bubble baths for more effective hygiene."
A client diagnosed with hyperaldosteronism has developed kidney failure and states to the nurse,
"This means that I will die very soon." Which is the most appropriate therapeutic response for the
nurse to make to the client? -
✅"You sound discouraged today."
The nurse caring for a client with a diagnosis of urolithiasis instructs the client that it is most
important to perform which activity? -
✅Strain all urine from each voiding.
A client with a diagnosis of nephrotic syndrome states to the nurse, "Why should I even bother
trying to control my diet and the swelling? It doesn't really matter what I do if I can never get rid of
this kidney problem anyway!" Which potential client problem should the nurse address based on the
client's statement? -
✅Feeling powerless
The nurse is teaching a client about self-monitoring between hemodialysis treatments. What should
the nurse tell the client to record on a daily basis? Select all that apply. -
✅Weight ; Intake and output
A client has been admitted with a diagnosis of acute glomerulonephritis. During history taking, the
nurse should ask the client about a recent history of which event? -
✅Streptococcal infection
The client has been diagnosed with pyelonephritis. The nurse interprets that which health problem
has placed the client at risk for this disorder? -
✅Diabetes mellitus
Which statement by the client diagnosed with prostatitis would indicate a need for further teaching?
-
✅"I need to avoid sexual activity for 2 weeks."
The nurse admitting a client diagnosed with chronic kidney disease assesses for which
cardiovascular sign/symptom frequently associated with chronic kidney disease? -
✅Hypertension
A client has been prescribed nitrofurantoin sodium therapy for the treatment of a urinary tract
infection. The nurse determines that the therapy is effective when which client assessment is noted?
-
✅Absence of dysuria
A client undergoes transurethral resection of the prostate (TURP). Which solution should the nurse
have available postoperatively for continuous bladder irrigation (CBI)? -
✅Sterile normal saline
The nurse is teaching a client who is taking cyclosporine after renal transplant about medication
information. The nurse should tell the client to be especially alert for which problem? -
✅Signs of infection
2
The nurse has instructed a client about the procedure for continuous ambulatory peritoneal dialysis
(CAPD). The nurse determines that the client needs further teaching if the client indicates that she
or he plans to take which action? -
✅Perform 1 exchange per day.
The nurse caring for a client undergoing peritoneal dialysis notes that the drainage from the outflow
catheter is cloudy. Which action should the nurse take? -
✅Obtain a culture and sensitivity of the drainage.
What should the nurse do to enhance the client's comfort during the insertion of a peritoneal dialysis
catheter? -
✅Obtain a prescription for premedication.
The nurse is giving the client diagnosed with polycystic kidney disease instructions for replacing
the elements that are lost in the urine as a result of impaired kidney function. The nurse instructs the
client to increase the intake of which items in the diet? Select all that apply. -
✅Water ; sodium
The nurse is caring for a client receiving peritoneal dialysis and notes a brownish tinge to the
dialysate output. The nurse should interpret this finding as a sign of which related complication? -
✅Bowel perforation
The nurse is creating a teaching plan for a client diagnosed with chronic kidney disease who has
been started on hemodialysis. What information should the nurse plan to include in discussions with
the client? -
✅Daily medications should be taken after hemodialysis, not before.
The nurse has completed teaching with a hemodialysis client regarding the self-monitoring of the
fluid status between hemodialysis treatments. The nurse determines that the client understands the
information given if the client states the need to record which item(s) on a daily basis? -
✅Intake, output, and weight
The nurse is admitting a client with an arteriovenous (AV) fistula in the right arm for hemodialysis.
Which strategy should the nurse plan to implement to best prevent injury to the AV fistula site? -
✅Placing an alert bracelet per agency procedure on the client's right arm
The nurse is caring for a client who has been diagnosed with intrarenal failure. The nurse
understands that which factor can cause intrarenal failure? Select all that apply. -
✅1.Leukemia 2.Antibiotics 3.Lymphoma 4.Bacterial infection 6.Nonsteroidal anti-
inflammatory drugs
The nurse is teaching a client with acute kidney injury to include proteins in the diet that are
considered high quality or complete proteins. The nurse determines that the client needs further
teaching if he indicates that which food item is considered high quality? -
✅Broccoli
1
, The home care nurse has given instructions to a female client diagnosed with cystitis about
measures to help prevent recurrence. Which statement made by the client indicates the need for
further instructions? -
✅"I should take bubble baths for more effective hygiene."
A client diagnosed with hyperaldosteronism has developed kidney failure and states to the nurse,
"This means that I will die very soon." Which is the most appropriate therapeutic response for the
nurse to make to the client? -
✅"You sound discouraged today."
The nurse caring for a client with a diagnosis of urolithiasis instructs the client that it is most
important to perform which activity? -
✅Strain all urine from each voiding.
A client with a diagnosis of nephrotic syndrome states to the nurse, "Why should I even bother
trying to control my diet and the swelling? It doesn't really matter what I do if I can never get rid of
this kidney problem anyway!" Which potential client problem should the nurse address based on the
client's statement? -
✅Feeling powerless
The nurse is teaching a client about self-monitoring between hemodialysis treatments. What should
the nurse tell the client to record on a daily basis? Select all that apply. -
✅Weight ; Intake and output
A client has been admitted with a diagnosis of acute glomerulonephritis. During history taking, the
nurse should ask the client about a recent history of which event? -
✅Streptococcal infection
The client has been diagnosed with pyelonephritis. The nurse interprets that which health problem
has placed the client at risk for this disorder? -
✅Diabetes mellitus
Which statement by the client diagnosed with prostatitis would indicate a need for further teaching?
-
✅"I need to avoid sexual activity for 2 weeks."
The nurse admitting a client diagnosed with chronic kidney disease assesses for which
cardiovascular sign/symptom frequently associated with chronic kidney disease? -
✅Hypertension
A client has been prescribed nitrofurantoin sodium therapy for the treatment of a urinary tract
infection. The nurse determines that the therapy is effective when which client assessment is noted?
-
✅Absence of dysuria
A client undergoes transurethral resection of the prostate (TURP). Which solution should the nurse
have available postoperatively for continuous bladder irrigation (CBI)? -
✅Sterile normal saline
The nurse is teaching a client who is taking cyclosporine after renal transplant about medication
information. The nurse should tell the client to be especially alert for which problem? -
✅Signs of infection
2
