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Exam (elaborations)

NUR 514 | Exam 5 (100 Questions) | Renal Disorders, Hemodialysis, Kidney Function, UTI, AKI/CKD – 2025/2026

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This document provides 100 fully answered and up-to-date exam questions from NUR 514 – Exam 5 for the 2025/2026 academic year, focused on renal and urinary system disorders. It includes questions with verified correct answers and rationales, covering a wide range of clinical topics: Kidney function and diagnostics (e.g., urinalysis, creatinine clearance, GFR) Acute and chronic kidney conditions (AKI, CKD, ESRD, post-streptococcal glomerulonephritis) Hemodialysis and peritoneal dialysis procedures and complications Kidney transplant care and organ rejection signs Renal calculi (urolithiasis), pyelonephritis, UTIs, and incontinence management Pharmacologic precautions for patients with renal impairment Patient education and safety practices post-procedure (e.g., cystoscopy, nephrectomy) The format supports NCLEX-style practice, complete with multiple-choice and select-all-that-apply questions, including rationale-based learning for deeper understanding. This makes it a highly useful study aid for exam preparation, clinical reviews, and reinforcement of renal-related nursing interventions. Relevant for: BSN and ADN students Pre-licensure RN programs Students enrolled in renal-focused or med-surg courses like NUR 514 Candidates preparing for NCLEX-RN, ATI, or HESI exams Learners studying nephrology nursing, urology, and internal medicine rotations Keywords: renal nursing, kidney disease, hemodialysis, peritoneal dialysis, acute kidney injury, chronic kidney disease, kidney transplant, urinary tract infection, pyelonephritis, renal calculi, BUN and creatinine, glomerular filtration rate, AV fistula care, nephrotic syndrome, electrolyte imbalance, post-renal obstruction, urolithiasis, NCLEX renal questions, urinary assessment, patient education, dialysis complications

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Uploaded on
October 8, 2025
Number of pages
58
Written in
2025/2026
Type
Exam (elaborations)
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Nur514 Exam 5 2025/2026 Exam
Questions with 100% Correct Answers |
Latest Update



A nurse is teaching a client who will have an x-ray of the kidneys, ureters,

and bladder. Which of the following statements should the nurse include in

the teaching?

a) "You will receive contrast dye during the procedure"

b) "An enema is necessary before the procedure"

c) "You will need to lie prone during the procedure"

d) "The procedure determines whether you have a kidney stone" - 🧠

ANSWER ✔✔The procedure determines whether you have a kidney stone


A nurse is monitoring a patient who had a kidney biopsy for postoperative

complications. Which complication should the nurse identify as the greatest

risk to the client?

,Infection

Hemorrhage

Hematuria


Pain - 🧠 ANSWER ✔✔Hemorrhage


A nurse is caring for a client with type 2 diabetes mellitus who will have

excretory urography. Prior to the procedure, which actions should the nurse

take (select all that apply)

Identify an allergy to seafood

Withhold metformin for 24 hours

Administer an enema

Access for asthma


Obtain blood coagulation profile - 🧠 ANSWER ✔✔Identify an allergy to

seafood

Withhold metformin for 24 hours

Administer an enema

Access for asthma

,A nurse administered captopril to a client during a renal scan. Which of the

following actions should the nurse take?

Assess for hypertension

Limit fluid intake

Encourage early ambulation


Monitor for orthostatic hypotension - 🧠 ANSWER ✔✔Monitor for orthostatic

hypotension

A nurse is reviewing the results of a client's urinalysis. The findings indicate

that the urine is positive for leukocyte esterase and nitrates. Which of the

following actions should the nurse take?

Repeat the test early the next morning

Obtain a clean-catch urine sample for culture and sensitivity

Start a 24 hour urine collection for creatinine clearance - 🧠 ANSWER

✔✔Obtain a clean-catch urine sample for culture and sensitivity


A nurse is teaching a client who has chronic kidney disease and is to begin

hemodialysis. Which of the following should the nurse include in the

teaching?



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3

, Hemodialysis restores kidney function

Hemodialysis replaces hormonal function of the renal system

Hemodialysis allows an unrestricted diet

Hemodialysis returns a balance to blood electrolytes - 🧠 ANSWER

✔✔Hemodialysis returns a balance to blood electrolytes


A nurse is preparing to initiate hemodialysis for a patient with acute kidney

injury. Which of the following actions should the nurse take (select all that

apply)

Review the medications that the client currently takes

Assess the AV fistula for a bruit

Calculate the client's hourly urine output

Measure the client's weight

Check blood electrolytes


Assess site area for venipuncture - 🧠 ANSWER ✔✔Review the medications

that the client currently takes

Assess the AV fistula for a bruit

Measure the client's weight

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