ATI LPN
NCLEX Questions on the Renal System Questions
Question 1 of 5
A 78-year-old who has been admitted to the hospital with dehydration is confused and incontinent of urine. Which nursing action will be best to include in the plan of care?
Correct Answer: D
Rationale: Scheduled toileting every 2 hours (D) prevents incontinence in confused elderly patients, promoting dignity and reducing risks. Pads (A) risk skin issues, catheters (C) increase UTI risk, and fluid restriction (B) worsens dehydration, making D best.
Question 2 of 5
A female patient being admitted with pneumonia has a history of neurogenic bladder due to a spinal cord injury. Which action will the nurse plan to take first?
Correct Answer: A
Rationale: Before planning any interventions, the nurse should complete the assessment and determine the patient's normal bladder pattern and the usual measures used by the patient at home. Other responses may be appropriate, but until the assessment is complete, an individualized plan for the patient cannot be developed.
Question 3 of 5
The nurse is collecting data for a patient who has kidney disease. How much urine will the nurse need to collect for a urinalysis?
Correct Answer: B
Rationale: At least 10 mL (B) is required for urinalysis to ensure adequate testing volume. 5 mL (A) is insufficient, while 20 mL (C) and 50 mL (D) exceed the minimum, making B the standard amount.
Question 4 of 5
The nurse is reinforcing 24-hour fluid intake teaching for a patient to prevent further urinary tract infections. Which of the following amounts if stated by the client would indicate a correct understanding of the teaching?
Correct Answer: D
Rationale: To prevent urinary tract infections drink up to 3,000 mL of fluid a day if there are no fluid restrictions.
Question 5 of 5
A nurse is caring for a patient with impaired renal function. A creatinine clearance measurement has been ordered. The nurse should facilitate collection of what samples?
Correct Answer: B
Rationale: Creatinine clearance requires a 24-hour urine sample and a midway serum creatinine level (B) to assess GFR. Potassium (A), repeated BUN/creatinine (C), or electrolytes (D) don't measure clearance, making B the correct collection method.