Dialysis NCLEX Questions and Answers
Updated 2026
A client is leaving the unit to go to hemodialysis. In which way should the nurse manage the client's
medications?
a. Give all of the client's medications since they will be gone for several hours
b. Hold the client's antihypertensives because of the risk of hypotension during hemodialysis
c. Do not give any of the client's medications the morning of dialysis because they will all be removed
during dialysis
d. Only subcutaneous and IV medications may be given prior to dialysis - Answerb. Hold the client's
antihypertensives because of the risk of hypotension during hemodialysis
A client has a temporary permcath inserted into the subclavian area for emergent hemodialysis.
Which of the following is an important part of routine nursing care for this client?
a. Maintain sterile technique when changing the catheter dressing.
b. Keep the affected extremity immobilized for the first 24 hours.
c. Flush the catheter with heparin every 8 hours and after medication administration.
d. Auscultate for a bruit and palpate for a thrill every 12 hours. - Answera. Maintain sterile technique
when changing the catheter dressing.
The nurse assesses a client who performs peritoneal dialysis in the home. Which client information
indicates to the nurse that the client is at risk for infection?
a. Follows the daily diet/fluid allowance as prescribed
b. Wears a mask throughout the dialysis procedure
c. Relaxing in a hot tub each night enhances sleep
d. Avoid tight clothing or belts around the catheter site - Answerc. Relaxing in a hot tub each night
enhances sleep
A client with kidney failure is beginning hemodialysis. Which medication should the nurse anticipate
being prescribed to supplement red blood cell production?
Updated 2026
A client is leaving the unit to go to hemodialysis. In which way should the nurse manage the client's
medications?
a. Give all of the client's medications since they will be gone for several hours
b. Hold the client's antihypertensives because of the risk of hypotension during hemodialysis
c. Do not give any of the client's medications the morning of dialysis because they will all be removed
during dialysis
d. Only subcutaneous and IV medications may be given prior to dialysis - Answerb. Hold the client's
antihypertensives because of the risk of hypotension during hemodialysis
A client has a temporary permcath inserted into the subclavian area for emergent hemodialysis.
Which of the following is an important part of routine nursing care for this client?
a. Maintain sterile technique when changing the catheter dressing.
b. Keep the affected extremity immobilized for the first 24 hours.
c. Flush the catheter with heparin every 8 hours and after medication administration.
d. Auscultate for a bruit and palpate for a thrill every 12 hours. - Answera. Maintain sterile technique
when changing the catheter dressing.
The nurse assesses a client who performs peritoneal dialysis in the home. Which client information
indicates to the nurse that the client is at risk for infection?
a. Follows the daily diet/fluid allowance as prescribed
b. Wears a mask throughout the dialysis procedure
c. Relaxing in a hot tub each night enhances sleep
d. Avoid tight clothing or belts around the catheter site - Answerc. Relaxing in a hot tub each night
enhances sleep
A client with kidney failure is beginning hemodialysis. Which medication should the nurse anticipate
being prescribed to supplement red blood cell production?
