Saunders NCLEX Renal EXAM QUESTIONS AND
VERIFIED CORRECT ANSWERS LATEST 2026-2027
NEW VERSION
A client with chronic kidney disease (CKD) has been taking aluminum hydroxide gel.
On the basis of this information, the nurse determines that the client is most at risk
for which problem?
1.
Constipation
2.
Dehydration
3.
Inability to tolerate activity
4.
Impaired physical mobility - answer>>>Constipation
The client with CKD is almost certain to have a problem with constipation as a result
of factors such as fluid restriction, fatigue that limits exercise, and dietary
restrictions. In addition, phosphate-binding antacids such as aluminum hydroxide gel
cause constipation as a side effect. The other problems listed are unrelated to the
information in the question.
The nurse is working with a client newly diagnosed with chronic kidney disease (CKD)
to set up a schedule for hemodialysis. The client states, "This is impossible! How can
I even think about leading a normal life again if this is what I'm going to have to do?"
The nurse determines that the client is exhibiting which problem?
1.
, -
Anger
2.
Projection
3.
Depression
4.
Withdrawal - answer>>>Anger
Psychosocial reactions to CKD and hemodialysis are varied and may include anger.
Other reactions include personality changes, emotional lability, withdrawal, and
depression. The individual client's response may vary depending on the client's
personality and support systems. The client in this question is exhibiting anger. The
client's behavior is not indicative of projection; in addition, the client's statement
does not reflect withdrawal or depression.
A client with an arteriovenous fistula in the left arm who is undergoing hemodialysis
is at risk for infection. Which should the nurse formulate as the best outcome goal
for this client problem?
1.
The client washes hands at least once per day.
2.
The client's temperature remains lower than 101°F (38.3°C).
3.
The client avoids blood pressure (BP) measurement in the left arm.
4.
The client's white blood cell (WBC) count remains within normal limits. -
answer>>>The client's white blood cell (WBC) count remains within normal limits.
,General indicators that the client is not experiencing infection include a temperature
and WBC count within normal limits. The client also should use proper hand-washing
technique as a general preventive measure. Hand washing once per day is
insufficient. It is true that the client should avoid BP measurement in the affected
arm; however, this would relate more closely to the problem of risk for injury.
The nurse is giving general instructions to a client receiving hemodialysis. Which
statement would be most appropriate for the nurse to include?
1.
"It is acceptable to eat whatever you want on the day before hemodialysis."
2.
"It is acceptable to exceed the fluid restriction on the day before hemodialysis."
3.
"Medications should be double-dosed on the morning of hemodialysis because of
potential loss."
4.
"Several types of medications should be withheld on the day of dialysis until after
the procedure." - answer>>>"Several types of medications should be withheld on
the day of dialysis until after the procedure."
Many medications are dialyzable, which means that they are extracted from the
bloodstream during dialysis. Therefore, many medications may be withheld on the
day of dialysis until after the procedure. It is not typical for medications to be
double-dosed because there is no way to be certain how much of each medication is
cleared by dialysis. Clients receiving hemodialysis are not routinely taught that it is
acceptable to disregard dietary and fluid restrictions.
A client with chronic kidney disease (CKD) has been on dialysis for 3 years. The client
is receiving the usual combination of medications for the disease, including
aluminum hydroxide as a phosphate-binding agent. The client now presents with
, -
mental cloudiness, dementia, and complaints of bone pain. The nurse determines
that these assessment data are compatible with which condition?
1.
Advancing uremia
2.
Phosphate overdose
3.
Folic acid deficiency
4.
Aluminum intoxication - answer>>>Aluminum intoxication
Aluminum hydroxide may be prescribed as a phosphate-binding agent. Aluminum
intoxication can occur when there is an accumulation of aluminum, an ingredient in
many phosphate-binding antacids. It results in mental cloudiness, dementia, and
bone pain from infiltration of the bone with aluminum. It can be treated with
aluminum-chelating agents, which make aluminum available to be dialyzed from the
body. It can be prevented by avoiding or limiting the use of phosphate-binding
agents that contain aluminum. The data in the question are not specifically
associated with the other conditions noted in the options.
A client undergoing hemodialysis is at risk for bleeding from the heparin used during
the hemodialysis treatment. The nurse assesses for this occurrence by periodically
checking the results of which laboratory test?
1.
Bleeding time
2.
VERIFIED CORRECT ANSWERS LATEST 2026-2027
NEW VERSION
A client with chronic kidney disease (CKD) has been taking aluminum hydroxide gel.
On the basis of this information, the nurse determines that the client is most at risk
for which problem?
1.
Constipation
2.
Dehydration
3.
Inability to tolerate activity
4.
Impaired physical mobility - answer>>>Constipation
The client with CKD is almost certain to have a problem with constipation as a result
of factors such as fluid restriction, fatigue that limits exercise, and dietary
restrictions. In addition, phosphate-binding antacids such as aluminum hydroxide gel
cause constipation as a side effect. The other problems listed are unrelated to the
information in the question.
The nurse is working with a client newly diagnosed with chronic kidney disease (CKD)
to set up a schedule for hemodialysis. The client states, "This is impossible! How can
I even think about leading a normal life again if this is what I'm going to have to do?"
The nurse determines that the client is exhibiting which problem?
1.
, -
Anger
2.
Projection
3.
Depression
4.
Withdrawal - answer>>>Anger
Psychosocial reactions to CKD and hemodialysis are varied and may include anger.
Other reactions include personality changes, emotional lability, withdrawal, and
depression. The individual client's response may vary depending on the client's
personality and support systems. The client in this question is exhibiting anger. The
client's behavior is not indicative of projection; in addition, the client's statement
does not reflect withdrawal or depression.
A client with an arteriovenous fistula in the left arm who is undergoing hemodialysis
is at risk for infection. Which should the nurse formulate as the best outcome goal
for this client problem?
1.
The client washes hands at least once per day.
2.
The client's temperature remains lower than 101°F (38.3°C).
3.
The client avoids blood pressure (BP) measurement in the left arm.
4.
The client's white blood cell (WBC) count remains within normal limits. -
answer>>>The client's white blood cell (WBC) count remains within normal limits.
,General indicators that the client is not experiencing infection include a temperature
and WBC count within normal limits. The client also should use proper hand-washing
technique as a general preventive measure. Hand washing once per day is
insufficient. It is true that the client should avoid BP measurement in the affected
arm; however, this would relate more closely to the problem of risk for injury.
The nurse is giving general instructions to a client receiving hemodialysis. Which
statement would be most appropriate for the nurse to include?
1.
"It is acceptable to eat whatever you want on the day before hemodialysis."
2.
"It is acceptable to exceed the fluid restriction on the day before hemodialysis."
3.
"Medications should be double-dosed on the morning of hemodialysis because of
potential loss."
4.
"Several types of medications should be withheld on the day of dialysis until after
the procedure." - answer>>>"Several types of medications should be withheld on
the day of dialysis until after the procedure."
Many medications are dialyzable, which means that they are extracted from the
bloodstream during dialysis. Therefore, many medications may be withheld on the
day of dialysis until after the procedure. It is not typical for medications to be
double-dosed because there is no way to be certain how much of each medication is
cleared by dialysis. Clients receiving hemodialysis are not routinely taught that it is
acceptable to disregard dietary and fluid restrictions.
A client with chronic kidney disease (CKD) has been on dialysis for 3 years. The client
is receiving the usual combination of medications for the disease, including
aluminum hydroxide as a phosphate-binding agent. The client now presents with
, -
mental cloudiness, dementia, and complaints of bone pain. The nurse determines
that these assessment data are compatible with which condition?
1.
Advancing uremia
2.
Phosphate overdose
3.
Folic acid deficiency
4.
Aluminum intoxication - answer>>>Aluminum intoxication
Aluminum hydroxide may be prescribed as a phosphate-binding agent. Aluminum
intoxication can occur when there is an accumulation of aluminum, an ingredient in
many phosphate-binding antacids. It results in mental cloudiness, dementia, and
bone pain from infiltration of the bone with aluminum. It can be treated with
aluminum-chelating agents, which make aluminum available to be dialyzed from the
body. It can be prevented by avoiding or limiting the use of phosphate-binding
agents that contain aluminum. The data in the question are not specifically
associated with the other conditions noted in the options.
A client undergoing hemodialysis is at risk for bleeding from the heparin used during
the hemodialysis treatment. The nurse assesses for this occurrence by periodically
checking the results of which laboratory test?
1.
Bleeding time
2.
