Nclex PN Renal and urinary practice questions
The nurse is caring for the client with epididymitis. Which treatment modalities should be
implemented? -
✅-Bed rest
-Sitz bath
-Antibiotics
-Scrotal elevation
A client has epididymitis as a complication of a urinary tract infection (UTI). The nurse is giving
the client instructions to prevent recurrence. The nurse determines that the client needs further
teaching if the client states the intention to do which action? -
✅Continue to take antibiotics until all symptoms are gone.
The nurse is collecting data from a client who has had benign prostatic hyperplasia (BPH) in the
past. To determine whether the client is currently experiencing exacerbation of BPH, the nurse
should ask the client about the presence of which early symptom? -
✅Decreased force in the stream of urine
The nurse is instructing a client with diabetes mellitus about peritoneal dialysis. The nurse tells the
client that it is important to maintain the prescribed dwell time for the dialysis because of the risk of
which complication? -
✅Hyperglycemia
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? -
✅Aluminum intoxication
A hemodialysis client with a left arm fistula is at risk for arterial steal syndrome. The nurse
monitors this client for which signs/symptoms of this disorder? -
✅Pallor, diminished pulse, and pain in the left hand
The nurse is reviewing the medical record of a client with a diagnosis of pyelonephritis. Which
disorder noted on the client's record should the nurse identify as a risk factor for this diagnosis? -
✅Diabetes mellitus
The nurse is reviewing the client's record and notes that the primary health care provider (PHCP)
has documented that the client has a renal disorder. Which laboratory results would indicate a
decrease in renal function? -
✅Elevated serum creatinine level
Decreased red blood cell (RBC) count
Elevated blood urea nitrogen (BUN) level
A client is scheduled for intravenous pyelography (IVP). Which priority nursing action should the
nurse take? -
✅Determine if there is a history of allergies.
1
, After a renal biopsy, the client complains of pain at the biopsy site that radiates to the front of the
abdomen. Which would this indicate? -
✅Bleeding
The nurse monitoring a client receiving peritoneal dialysis notes that the client's outflow is less than
the inflow. The nurse should take which actions? -
✅Check the level of the drainage bag
Reposition the client to his or her side.
Place the client in good body alignment.
Check the peritoneal dialysis system for kinks.
A male client has a tentative diagnosis of urethritis. The nurse should assess the client for which
manifestation of the disorder? -
✅Dysuria and penile discharge
A client with benign prostatic hypertrophy (BPH) undergoes a transurethral resection of the prostate
(TURP) and is receiving continuous bladder irrigations postoperatively. Which are the
signs/symptoms of transurethral resection (TUR) syndrome? -
✅Bradycardia and confusion
A client with prostatitis resulting from kidney infection has received instructions on management of
the condition at home and prevention of recurrence. Which statement indicates that the client
understood the instructions? -
✅Use warm sitz baths and analgesics to increase comfort.
The nurse is monitoring an older client suspected of having a urinary tract infection (UTI) for signs
of infection. Which sign/symptom is likely to present first? -
✅Confusion
The 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, the nurse determines that the client should
be questioned about the use of which class of medications? -
✅Decongestants
A sulfonamide is prescribed for a client with a urinary tract infection. During review of the client's
record, the nurse notes that the client is taking warfarin sodium daily. Which prescription should the
nurse anticipate for this client? -
✅A decrease in the warfarin sodium dosage
Following kidney transplantation, cyclosporine is prescribed for a client. Which laboratory result
would indicate an adverse effect from the use of this medication? -
✅Blood urea nitrogen level of 25 mg/dL (8.8 mmol/L)
Trimethoprim-sulfamethoxazole is prescribed for a client. The nurse should instruct the client to
report which symptom if it developed during the course of this medication therapy? -
✅Sore throat
Phenazopyridine hydrochloride is prescribed for a client for symptomatic relief of pain resulting
from a lower urinary tract infection. Which should the nurse reinforce to the client? -
✅A reddish-orange discoloration of the urine may occur.
2
The nurse is caring for the client with epididymitis. Which treatment modalities should be
implemented? -
✅-Bed rest
-Sitz bath
-Antibiotics
-Scrotal elevation
A client has epididymitis as a complication of a urinary tract infection (UTI). The nurse is giving
the client instructions to prevent recurrence. The nurse determines that the client needs further
teaching if the client states the intention to do which action? -
✅Continue to take antibiotics until all symptoms are gone.
The nurse is collecting data from a client who has had benign prostatic hyperplasia (BPH) in the
past. To determine whether the client is currently experiencing exacerbation of BPH, the nurse
should ask the client about the presence of which early symptom? -
✅Decreased force in the stream of urine
The nurse is instructing a client with diabetes mellitus about peritoneal dialysis. The nurse tells the
client that it is important to maintain the prescribed dwell time for the dialysis because of the risk of
which complication? -
✅Hyperglycemia
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? -
✅Aluminum intoxication
A hemodialysis client with a left arm fistula is at risk for arterial steal syndrome. The nurse
monitors this client for which signs/symptoms of this disorder? -
✅Pallor, diminished pulse, and pain in the left hand
The nurse is reviewing the medical record of a client with a diagnosis of pyelonephritis. Which
disorder noted on the client's record should the nurse identify as a risk factor for this diagnosis? -
✅Diabetes mellitus
The nurse is reviewing the client's record and notes that the primary health care provider (PHCP)
has documented that the client has a renal disorder. Which laboratory results would indicate a
decrease in renal function? -
✅Elevated serum creatinine level
Decreased red blood cell (RBC) count
Elevated blood urea nitrogen (BUN) level
A client is scheduled for intravenous pyelography (IVP). Which priority nursing action should the
nurse take? -
✅Determine if there is a history of allergies.
1
, After a renal biopsy, the client complains of pain at the biopsy site that radiates to the front of the
abdomen. Which would this indicate? -
✅Bleeding
The nurse monitoring a client receiving peritoneal dialysis notes that the client's outflow is less than
the inflow. The nurse should take which actions? -
✅Check the level of the drainage bag
Reposition the client to his or her side.
Place the client in good body alignment.
Check the peritoneal dialysis system for kinks.
A male client has a tentative diagnosis of urethritis. The nurse should assess the client for which
manifestation of the disorder? -
✅Dysuria and penile discharge
A client with benign prostatic hypertrophy (BPH) undergoes a transurethral resection of the prostate
(TURP) and is receiving continuous bladder irrigations postoperatively. Which are the
signs/symptoms of transurethral resection (TUR) syndrome? -
✅Bradycardia and confusion
A client with prostatitis resulting from kidney infection has received instructions on management of
the condition at home and prevention of recurrence. Which statement indicates that the client
understood the instructions? -
✅Use warm sitz baths and analgesics to increase comfort.
The nurse is monitoring an older client suspected of having a urinary tract infection (UTI) for signs
of infection. Which sign/symptom is likely to present first? -
✅Confusion
The 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, the nurse determines that the client should
be questioned about the use of which class of medications? -
✅Decongestants
A sulfonamide is prescribed for a client with a urinary tract infection. During review of the client's
record, the nurse notes that the client is taking warfarin sodium daily. Which prescription should the
nurse anticipate for this client? -
✅A decrease in the warfarin sodium dosage
Following kidney transplantation, cyclosporine is prescribed for a client. Which laboratory result
would indicate an adverse effect from the use of this medication? -
✅Blood urea nitrogen level of 25 mg/dL (8.8 mmol/L)
Trimethoprim-sulfamethoxazole is prescribed for a client. The nurse should instruct the client to
report which symptom if it developed during the course of this medication therapy? -
✅Sore throat
Phenazopyridine hydrochloride is prescribed for a client for symptomatic relief of pain resulting
from a lower urinary tract infection. Which should the nurse reinforce to the client? -
✅A reddish-orange discoloration of the urine may occur.
2
