LEWIS MED SURG URINARY KIDNEY NCLEX
REVIEW PRACTICE QUESTIONS
AND ANSWERS LATEST VERSION VERIFIED
RATIONALE GRADED A+
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.
,LEWIS MED SURG URINARY KIDNEY NCLEX
REVIEW PRACTICE QUESTIONS
AND ANSWERS LATEST VERSION VERIFIED
RATIONALE GRADED A+
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
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
, LEWIS MED SURG URINARY KIDNEY NCLEX
REVIEW PRACTICE QUESTIONS
AND ANSWERS LATEST VERSION VERIFIED
RATIONALE GRADED A+
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.
REVIEW PRACTICE QUESTIONS
AND ANSWERS LATEST VERSION VERIFIED
RATIONALE GRADED A+
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.
,LEWIS MED SURG URINARY KIDNEY NCLEX
REVIEW PRACTICE QUESTIONS
AND ANSWERS LATEST VERSION VERIFIED
RATIONALE GRADED A+
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
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
, LEWIS MED SURG URINARY KIDNEY NCLEX
REVIEW PRACTICE QUESTIONS
AND ANSWERS LATEST VERSION VERIFIED
RATIONALE GRADED A+
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.
