ATI LPN
NCLEX Questions on the Renal System Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The nurse is caring for a patient scheduled for renal angiography following a motor vehicle accident. What patient preparation should the nurse most likely provide before this test?
Correct Answer: B
Rationale: A laxative (B) clears the colon for unobstructed renal angiography x-rays. Potassium (A), Gastrografin (C), and urine tests (D) aren't prep steps, making B the likely preparation.
Question 5 of 5
A patient diagnosed with schizophrenia is prescribed antipsychotic medication. The nurse understands that the primary purpose of this medication is to:
Correct Answer: B
Rationale: Antipsychotics target positive symptoms like hallucinations and delusions in schizophrenia.