RENAL NCLEX REAL EXAM AND STUDY GUIDE 100 QUESTIONS
AND CORRECT ANSWERS 2024//2025//ALREADY GRADED A+
A male client has a history of urinary tract infections due to urinary retention. Which intervention should
the nurse implement to decrease the risk of infection? - CORRECT ANSWER-Assist the client to stand for
voiding
The nurse is assisting a client who is new to a low-potassium diet to select food items from the menu.
Which food item is lowest in potassium and should be recommended to the client on this dietary
restriction? - CORRECT ANSWER-Lima Beans
A client diagnosed with chronic kidney disease is being treated at home with continuous ambulatory
peritoneal dialysis. The client notes that there is a decrease in the catheter outflow following the
prescribed 6-hour dwell time and calls the nurse to report this occurrence. The nurse should reinforce
instructing the client to take which action? - CORRECT ANSWER-Ambulate in the home
A client is diagnosed with polycystic kidney disease, and the nurse provides information to the client
about the treatment plan. The nurse determines that the client needs further teaching if the client
states that which component is part of the treatment plan? - CORRECT ANSWER-Sodium restriction
The nurse is reinforcing dietary instructions to a client with renal calculi who must learn to eat an
alkaline-ash diet. The nurse determines that the client has properly understood the information
presented if the client chooses which selection from a diet menu? - CORRECT ANSWER-Spinach, milk
and a banana
A client with chronic kidney disease 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 has mental cloudiness, dementia, and complaints of bone pain. Which does this
data indicate? - CORRECT ANSWER-Aluminum intoxication
A client who has a cold is seen in the emergency department with an inability to void. Because the client
has a history of benign prostatic hyperplasia (BPH), the nurse questions the client about use of which
medication? - CORRECT ANSWER-Decongestants
, A client's kidneys are retaining greater amounts of sodium. The nurse anticipates that the kidneys are
also retaining greater amounts of which other substances? - CORRECT ANSWER-Chloride and
bicarbonate
The nurse has a prescription to collect a 24-hour urine specimen from a client. The unlicensed assistive
personnel (UAP) has been instructed on the collection technique. Which action by the UAP
demonstrates the UAP needs further teaching? - CORRECT ANSWER-Asks the client to void, save the
specimen, and note the start time
Aluminum hydroxide is prescribed for the client with chronic kidney disease (CKD). When should the
nurse instruct the client to take this medication? - CORRECT ANSWER-with meals
The nurse is assigned to care for a client who has just returned to the nursing unit after having
hemodialysis for the first time. The nurse monitors the client carefully for which signs and symptoms of
disequilibrium syndrome? - CORRECT ANSWER-vomiting and headaches
The nurse notes that a client's urinalysis report contains a notation of positive red blood cells (RBCs).
The nurse interprets that this finding is unrelated to which item that is part of the client's medical
record? - CORRECT ANSWER-Diabetes mellitus
The nurse is assigned to care for a client who has returned to the nursing unit following a left
nephrectomy. The nurse places the highest priority on monitoring which data? - CORRECT ANSWER-
hourly urine output
The nurse is preparing a client scheduled for an intravenous pyelogram (IVP). The nurse should take
which important action before the test? - CORRECT ANSWER-ask about allergies to iodine or shellfish
A client arrives at the ambulatory care clinic with low abdominal pain. A routine urine specimen reveals
hematuria. The client does not have a fever. The nurse should next ask the client about a history of
which condition? - CORRECT ANSWER-Blow or trauma to the bladder or abdomen
A long-term care nurse notes that a female client has leakage of urine when sneezing, coughing, or
laughing. The nurse reports that this client has which type of incontinence? - CORRECT ANSWER-Stress
incontinence
AND CORRECT ANSWERS 2024//2025//ALREADY GRADED A+
A male client has a history of urinary tract infections due to urinary retention. Which intervention should
the nurse implement to decrease the risk of infection? - CORRECT ANSWER-Assist the client to stand for
voiding
The nurse is assisting a client who is new to a low-potassium diet to select food items from the menu.
Which food item is lowest in potassium and should be recommended to the client on this dietary
restriction? - CORRECT ANSWER-Lima Beans
A client diagnosed with chronic kidney disease is being treated at home with continuous ambulatory
peritoneal dialysis. The client notes that there is a decrease in the catheter outflow following the
prescribed 6-hour dwell time and calls the nurse to report this occurrence. The nurse should reinforce
instructing the client to take which action? - CORRECT ANSWER-Ambulate in the home
A client is diagnosed with polycystic kidney disease, and the nurse provides information to the client
about the treatment plan. The nurse determines that the client needs further teaching if the client
states that which component is part of the treatment plan? - CORRECT ANSWER-Sodium restriction
The nurse is reinforcing dietary instructions to a client with renal calculi who must learn to eat an
alkaline-ash diet. The nurse determines that the client has properly understood the information
presented if the client chooses which selection from a diet menu? - CORRECT ANSWER-Spinach, milk
and a banana
A client with chronic kidney disease 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 has mental cloudiness, dementia, and complaints of bone pain. Which does this
data indicate? - CORRECT ANSWER-Aluminum intoxication
A client who has a cold is seen in the emergency department with an inability to void. Because the client
has a history of benign prostatic hyperplasia (BPH), the nurse questions the client about use of which
medication? - CORRECT ANSWER-Decongestants
, A client's kidneys are retaining greater amounts of sodium. The nurse anticipates that the kidneys are
also retaining greater amounts of which other substances? - CORRECT ANSWER-Chloride and
bicarbonate
The nurse has a prescription to collect a 24-hour urine specimen from a client. The unlicensed assistive
personnel (UAP) has been instructed on the collection technique. Which action by the UAP
demonstrates the UAP needs further teaching? - CORRECT ANSWER-Asks the client to void, save the
specimen, and note the start time
Aluminum hydroxide is prescribed for the client with chronic kidney disease (CKD). When should the
nurse instruct the client to take this medication? - CORRECT ANSWER-with meals
The nurse is assigned to care for a client who has just returned to the nursing unit after having
hemodialysis for the first time. The nurse monitors the client carefully for which signs and symptoms of
disequilibrium syndrome? - CORRECT ANSWER-vomiting and headaches
The nurse notes that a client's urinalysis report contains a notation of positive red blood cells (RBCs).
The nurse interprets that this finding is unrelated to which item that is part of the client's medical
record? - CORRECT ANSWER-Diabetes mellitus
The nurse is assigned to care for a client who has returned to the nursing unit following a left
nephrectomy. The nurse places the highest priority on monitoring which data? - CORRECT ANSWER-
hourly urine output
The nurse is preparing a client scheduled for an intravenous pyelogram (IVP). The nurse should take
which important action before the test? - CORRECT ANSWER-ask about allergies to iodine or shellfish
A client arrives at the ambulatory care clinic with low abdominal pain. A routine urine specimen reveals
hematuria. The client does not have a fever. The nurse should next ask the client about a history of
which condition? - CORRECT ANSWER-Blow or trauma to the bladder or abdomen
A long-term care nurse notes that a female client has leakage of urine when sneezing, coughing, or
laughing. The nurse reports that this client has which type of incontinence? - CORRECT ANSWER-Stress
incontinence
