NCLEX Review - Week 08_Renal & Urinary

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20 questions of renal and urology NCLEX style questions

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Mrs. Ramos

United States

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2	Mani Dashtizadeh August 18, 2025	% 85	03:54
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NCLEX Review - Week 08_Renal & Urinary


Froggy Jumps NCLEX Review - Week 08_Renal & UrinaryOnline version 20 questions of renal and urology NCLEX style questions by Mrs. Ramos 1 Which lab value is most indicative of worsening chronic kidney disease (CKD)? a Creatinine 4.2 mg/dL b Calcium 9.2 mg/dL c Sodium 138 mEq/L 2 Which symptom is most characteristic of a lower UTI? a Flank pain and fever b Cloudy urine and burning with urination c Nausea and vomiting 3 Which assessment finding should be reported immediately in a client receiving hemodialysis? a Bleeding at AV fistula site b Weight loss of 2 kg c Dry skin and itching 4 Which medication may contribute to urinary retention in older adults? a Lisinopril b Metformin c Diphenhydramine 5 Which instruction helps prevent nocturia in older adults? a Use diuretics in the evening b Drink fluids only at night c Limit fluid intake 2 hours before bedtime 6 A client with CKD has a GFR of 10 mL/min. What is the priority nursing action? a Start IV fluids for hydration b Prepare for hemodialysis c Encourage protein intake 7 Which medication should be questioned in a client with CKD? a Acetaminophen b Ibuprofen c Erythropoietin 8 A nurse teaches a client with CKD about fluid restrictions. Which statement indicates understanding? a I will measure all fluids including soup and ice cream b I can have only caffeinated drinks c If I eat salty food, I should drink more water 9 Which dietary recommendation is most appropriate for a client with CKD? a High protein and high potassium b High phosphorus and high calcium c Low phosphorus and low potassium 10 Which condition increases the risk for pyelonephritis in older women? a Frequent voiding b Incomplete bladder emptying c Increased hydration 11 Which symptom differentiates upper UTI (pyelonephritis) from lower UTI? a Hematuria b Flank pain and fever c Cloudy urine 12 Which teaching helps prevent recurrent UTIs in women? a Empty bladder after intercourse b Wipe from back to front c Restrict fluid intake 13 A client with a UTI is started on antibiotics. Which instruction is most important? a Take medication until symptoms improve b Take medication with milk c Finish the entire course of antibiotics 14 Which lab result supports the diagnosis of a urinary tract infection? a Presence of leukocyte esterase and nitrites b Low specific gravity c Positive glucose in urine 15 What is the nurse’s priority when caring for a client with a new AV fistula? a Apply pressure dressing after dialysis b Auscultate a bruit over the site c Keep the arm immobilized 16 Which finding indicates peritonitis in a client receiving peritoneal dialysis? a Cloudy drainage and abdominal pain b Weight gain and hypotension c Redness at catheter exit site only 17 Which condition is most likely to lead to postrenal AKI? a Nephrotoxic antibiotics b Sepsis c Kidney stones 18 Which lab result is most consistent with AKI? a Hemoglobin 13 g/dL b Creatinine 0.9 mg/dL c Potassium 6.2 mEq/L 19 Which action is appropriate during hemodialysis treatment? a Clamp the catheter between sessions b Start IV antibiotics through the fistula c Assess for thrill and bruit at the access site 20 A client is unable to void 6 hours after surgery. What should the nurse do first? a Insert Foley catheter immediately b Perform bladder scan c Encourage oral fluids

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NCLEX Review - Week 08_Renal & Urinary

Froggy Jumps

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NCLEX Review - Week 08_Renal & UrinaryOnline version

by Mrs. Ramos

Which lab value is most indicative of worsening chronic kidney disease (CKD)?

Which symptom is most characteristic of a lower UTI?

Which assessment finding should be reported immediately in a client receiving hemodialysis?

Which medication may contribute to urinary retention in older adults?

Which instruction helps prevent nocturia in older adults?

A client with CKD has a GFR of 10 mL/min. What is the priority nursing action?

Which medication should be questioned in a client with CKD?

A nurse teaches a client with CKD about fluid restrictions. Which statement indicates understanding?

Which dietary recommendation is most appropriate for a client with CKD?

Which condition increases the risk for pyelonephritis in older women?

Which symptom differentiates upper UTI (pyelonephritis) from lower UTI?

Which teaching helps prevent recurrent UTIs in women?

A client with a UTI is started on antibiotics. Which instruction is most important?

Which lab result supports the diagnosis of a urinary tract infection?

What is the nurse’s priority when caring for a client with a new AV fistula?

Which finding indicates peritonitis in a client receiving peritoneal dialysis?

Which condition is most likely to lead to postrenal AKI?

Which lab result is most consistent with AKI?

Which action is appropriate during hemodialysis treatment?

A client is unable to void 6 hours after surgery. What should the nurse do first?