LEWIS MED SURG URINARY KIDNEY NCLEX
REVIEW PRACTICE QUESTIONS
AND ANSWERS LATEST VERSION VERIFIED
RATIONALE GRADED A+
Davis Advantage for Maternal-Newborn Nursing Critical Components of Nursing Care 4th Edition Connie
Durham, Roberta Chapman, Linda Miller Test Bank Chapter 1-19 | Complete Guide Newest Version 2024
A 22-year-old patient's blood pressure at her physical done for her new job was 110/68. At the health fair two months
later, her blood pressure is 154/96. What renal problem should the nurse be aware of that could contribute to this
abrupt rise in blood pressure?
A. Renal trauma
B. Renal artery stenosis
C. Renal vein thrombosis
D. Benign nephrosclerosis - ansB. Renal artery stenosis
Renal artery stenosis contributes to an abrupt rise in blood pressure, especially in people under 30 or over 50 years
of age. Renal trauma usually has hematuria. Renal vein thrombosis causes flank pain, hematuria, fever, or nephrotic
syndrome. Benign nephrosclerosis usually occurs in adults 30 to 50 years of age and is a result of vascular changes
resulting from hypertension.
A 24-year-old female donated a kidney via a laparoscopic donor nephrectomy to a non-related recipient. The patient
is experiencing a lot of pain and refuses to get up to walk. How should the nurse handle this situation?
A. Have the transplant psychologist convince her to walk.
B. Encourage even a short walk to avoid complications of surgery.
C. Tell the patient that no other patients have ever refused to walk.
D. Tell the patient she is lucky she did not have an open nephrectomy. - ansB. Encourage even a short walk to avoid
complications of surgery.
Because ambulating will improve bowel, lung, and kidney function with improved circulation, even a short walk with
assistance should be encouraged after pain medication. The transplant psychologist or social worker's role is to
determine if the patient is emotionally stable enough to handle donating a kidney, while postoperative care is the
nurse's role. Trying to shame the patient into walking by telling her that other patients have not refused and telling the
patient she is lucky she did not have an open nephrectomy (implying how much more pain she would be having if it
had been open) will not be beneficial to the patient or her postoperative recovery.
A 78-year-old patient has Stage 3 CKD and is being taught about a low potassium diet. The nurse knows the patient
understands the diet when the patient selects which foods to eat?
A. Apple, green beans, and a roast beef sandwich
, LEWIS MED SURG URINARY KIDNEY NCLEX
REVIEW PRACTICE QUESTIONS
AND ANSWERS LATEST VERSION VERIFIED
RATIONALE GRADED A+
B. Granola made with dried fruits, nuts, and seeds
C. Watermelon and ice cream with chocolate sauce
D. Bran cereal with ½ banana and milk and orange juice - ansA. Apple, green beans, and a roast beef sandwich
When the patient selects an apple, green beans, and a roast beef sandwich, the patient demonstrates understanding
of the low potassium diet. Granola, dried fruits, nuts and seeds, milk products, chocolate sauce, bran cereal, banana,
and orange juice all have elevated levels of potassium, at or above 200 mg per 1/2 cup.
A nurse is admitting a patient with the diagnosis of advanced renal carcinoma. Based upon this diagnosis, the nurse
will expect to find what clinical manifestations as the "classic triad" occurring in patients with renal cancer?
A. Fever, chills, flank pain
B. Hematuria, flank pain, palpable mass
C. Hematuria, proteinuria, palpable mass
D. Flank pain, palpable abdominal mass, and proteinuria - ansB. Hematuria, flank pain, palpable mass
There are no characteristic early symptoms of renal carcinoma. The classic manifestations of gross hematuria, flank
pain, and a palpable mass are those of advanced disease.
A patient is recovering in the intensive care unit (ICU) after receiving a kidney transplant approximately 24 hours ago.
What is an expected assessment finding for this patient during this early stage of recovery?
A. Hypokalemia
B. Hyponatremia
C. Large urine output
D. Leukocytosis with cloudy urine output - ansC. Large urine output
Patients frequently experience diuresis in the hours and days immediately following a kidney transplant. Electrolyte
imbalances and signs of infection are unexpected findings that warrant prompt intervention.
A patient with a history of end-stage kidney disease secondary to diabetes mellitus has presented to the outpatient
dialysis unit for his scheduled hemodialysis. Which assessments should the nurse prioritize before, during, and after
his treatment?
REVIEW PRACTICE QUESTIONS
AND ANSWERS LATEST VERSION VERIFIED
RATIONALE GRADED A+
Davis Advantage for Maternal-Newborn Nursing Critical Components of Nursing Care 4th Edition Connie
Durham, Roberta Chapman, Linda Miller Test Bank Chapter 1-19 | Complete Guide Newest Version 2024
A 22-year-old patient's blood pressure at her physical done for her new job was 110/68. At the health fair two months
later, her blood pressure is 154/96. What renal problem should the nurse be aware of that could contribute to this
abrupt rise in blood pressure?
A. Renal trauma
B. Renal artery stenosis
C. Renal vein thrombosis
D. Benign nephrosclerosis - ansB. Renal artery stenosis
Renal artery stenosis contributes to an abrupt rise in blood pressure, especially in people under 30 or over 50 years
of age. Renal trauma usually has hematuria. Renal vein thrombosis causes flank pain, hematuria, fever, or nephrotic
syndrome. Benign nephrosclerosis usually occurs in adults 30 to 50 years of age and is a result of vascular changes
resulting from hypertension.
A 24-year-old female donated a kidney via a laparoscopic donor nephrectomy to a non-related recipient. The patient
is experiencing a lot of pain and refuses to get up to walk. How should the nurse handle this situation?
A. Have the transplant psychologist convince her to walk.
B. Encourage even a short walk to avoid complications of surgery.
C. Tell the patient that no other patients have ever refused to walk.
D. Tell the patient she is lucky she did not have an open nephrectomy. - ansB. Encourage even a short walk to avoid
complications of surgery.
Because ambulating will improve bowel, lung, and kidney function with improved circulation, even a short walk with
assistance should be encouraged after pain medication. The transplant psychologist or social worker's role is to
determine if the patient is emotionally stable enough to handle donating a kidney, while postoperative care is the
nurse's role. Trying to shame the patient into walking by telling her that other patients have not refused and telling the
patient she is lucky she did not have an open nephrectomy (implying how much more pain she would be having if it
had been open) will not be beneficial to the patient or her postoperative recovery.
A 78-year-old patient has Stage 3 CKD and is being taught about a low potassium diet. The nurse knows the patient
understands the diet when the patient selects which foods to eat?
A. Apple, green beans, and a roast beef sandwich
, LEWIS MED SURG URINARY KIDNEY NCLEX
REVIEW PRACTICE QUESTIONS
AND ANSWERS LATEST VERSION VERIFIED
RATIONALE GRADED A+
B. Granola made with dried fruits, nuts, and seeds
C. Watermelon and ice cream with chocolate sauce
D. Bran cereal with ½ banana and milk and orange juice - ansA. Apple, green beans, and a roast beef sandwich
When the patient selects an apple, green beans, and a roast beef sandwich, the patient demonstrates understanding
of the low potassium diet. Granola, dried fruits, nuts and seeds, milk products, chocolate sauce, bran cereal, banana,
and orange juice all have elevated levels of potassium, at or above 200 mg per 1/2 cup.
A nurse is admitting a patient with the diagnosis of advanced renal carcinoma. Based upon this diagnosis, the nurse
will expect to find what clinical manifestations as the "classic triad" occurring in patients with renal cancer?
A. Fever, chills, flank pain
B. Hematuria, flank pain, palpable mass
C. Hematuria, proteinuria, palpable mass
D. Flank pain, palpable abdominal mass, and proteinuria - ansB. Hematuria, flank pain, palpable mass
There are no characteristic early symptoms of renal carcinoma. The classic manifestations of gross hematuria, flank
pain, and a palpable mass are those of advanced disease.
A patient is recovering in the intensive care unit (ICU) after receiving a kidney transplant approximately 24 hours ago.
What is an expected assessment finding for this patient during this early stage of recovery?
A. Hypokalemia
B. Hyponatremia
C. Large urine output
D. Leukocytosis with cloudy urine output - ansC. Large urine output
Patients frequently experience diuresis in the hours and days immediately following a kidney transplant. Electrolyte
imbalances and signs of infection are unexpected findings that warrant prompt intervention.
A patient with a history of end-stage kidney disease secondary to diabetes mellitus has presented to the outpatient
dialysis unit for his scheduled hemodialysis. Which assessments should the nurse prioritize before, during, and after
his treatment?
