NCLEX Questions & Answers for Renal Disorders Updated 2026

NCLEX Questions &
Answers for Renal
Disorders Updated 2026
You'reBpreparingBforBurinaryBcatheterizationBofBaBtraumaBpatientBandByouBobserveBbl
eedingBatBtheBurethralBmeatus.BWhichBactionBhasBpriority?

A.BIrrigateBandBcleanBtheBmeatusBbeforeBcatheterization.

B.BCheckBtheBdischargeBforBoccultBbloodBbeforeBcatheterization.

C.BHeavilyBlubricateBtheBcatheterBbeforeBinsertion.

D.BDelayBcatheterizationBandBnotifyBtheBdoctor.B-
BAnswerBD.BDelayBcatheterizationBandBnotifyBtheBdoctor.

Rationale:

BleedingBatBtheBurethralBmeatusBisBevidenceBthatBtheBurethraBisBinjured.BBecauseBca
theterizationBcanBcauseBfurtherBharm,BconsultBwithBtheBdoctor.



WhichBofBtheBfollowingBcausesBtheBmajorityBofBUTI'sBinBhospitalizedBpatients?

A.BLackBofBfluidBintake

B.BInadequateBperinealBcare

C.BInvasiveBprocedures

D.BImmunosuppressionB-BAnswerBC.BInvasiveBprocedures.

Rationale:BInvasiveBproceduresBsuchBasBcatheterizationBcanBintroduceBbacteriaBintoBth
eBurinaryBtract.BABlackBofBfluidBintakeBcouldBcauseBconcentrationBofBurine,BbutBwoul
dn'tBnecessarilyBcauseBinfection.



ABpatientBwithBdiabetesBhasBhadBmanyBrenalBcalculiBoverBtheBpastB20ByearsBandBno
wBhasBchronicBrenalBfailure.BWhichBsubstanceBmustBbeBreducedBinBthisBpatient'sBdiet
?

A.BCarbohydrates

B.BFats

, C.BProtein

D.BVitaminBCB-BAnswerBC.BProtein

Rationale:BBecauseBofBdamageBtoBtheBnephrons,BtheBkidneyBcan'tBexcreteBallBtheBme
tabolicBwastesBofBprotein,BsoBthisBpatient'sBproteinBintakeBmustBbeBrestricted.BABhigh
erBintakeBofBcarbs,Bfats,BandBvitaminBsupplementsBisBneededBtoBensureBtheBgrowthB
andBmaintenanceBofBtheBpatient'sBtissues.



You'reBdevelopingBaBcareBplanBwithBtheBnursingBdiagnosisBriskBforBinfectionBforByourB
patientBthatBreceivedBaBkidneyBtransplant.BABgoalBforBthisBpatientBisBto:

A.BRemainBafebrileBandBhaveBnegativeBcultures

B.BResumeBnormalBfluidBintakeBwithinB2BtoB3Bdays

C.BResumeBtheBpatient'sBnormalBjobBwithinB2BtoB3Bweeks

D.BTryBtoBdiscontinueBcyclosporineB(Neural)BasBquicklyBasBpossibleB-
BAnswerBA.BRemainBafebrileBandBhaveBnegativeBcultures

Rationale:BTheBimmunosuppressiveBactivityBofBcyclosporineBplacesBtheBpatientBatBriskB
forBinfection,BandBsteroidsBcanBmaskBtheBsignsBofBinfection.BTheBpatientBmayBnotBbe
BableBtoBresumeBnormalBfluidBintakeBorBreturnBtoBworkBforBanBextendedBperiodBofBt
imeBandBtheBpatientBmayBneedBcyclosporineBtherapyBforBlife.



WhichBcriterionBisBrequiredBbeforeBaBpatientBcanBbeBconsideredBforBcontinuousBperit
onealBdialysis?

A.BTheBpatientBmustBbeBhemodynamicallyBstable

B.BTheBvascularBaccessBmustBhaveBhealed

C.BTheBpatientBmustBbeBinBaBhomeBsetting

D.BHemodialysisBmustBhaveBfailedB-
BAnswerBA.BTheBpatientBmustBbeBhemodynamicallyBstable

Rationale:BHemodynamicBstabilityBmustBbeBestablishedBbeforeBcontinuousBperitonealBd
ialysisBcanBbeBstarted.



YouBhaveBaBpatientBthatBisBreceivingBperitonealBdialysis.BWhatBshouldByouBdoBwhenB
youBnoticeBtheBreturnBfluidBisBslowlyBdraining?

A.BCheckBforBkinksBinBtheBoutflowBtubing