A male client comes into the emergency department with a serum creatinine of 2.2 mg/dL and a blood urea nitrogen (BUN) of 24 mL/dL. What question should the nurse ask first when taking this client's history?

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NCLEX Questions on the Renal System Questions

Question 1 of 5

A male client comes into the emergency department with a serum creatinine of 2.2 mg/dL and a blood urea nitrogen (BUN) of 24 mL/dL. What question should the nurse ask first when taking this client's history?

Correct Answer: A

Rationale: NSAIDs are nephrotoxic and could explain elevated creatinine; it's the priority question.

Question 2 of 5

Which nursing action is essential for a patient immediately after a renal biopsy?

Correct Answer: D

Rationale: Pressure and positioning post-biopsy prevent bleeding at the site.

Question 3 of 5

The apex of the renal pyramid is called the:

Correct Answer: C

Rationale: Renal papilla is the pyramid apex, draining urine into minor calyces.

Question 4 of 5

Which material is actively reabsorbed from the filtrate in the kidney tubule?

Correct Answer: A

Rationale: Sodium is actively reabsorbed, driving passive movement of other substances.

Question 5 of 5

Which list of structures is presented in the correct order in which urine passes through them on the way to the bladder?

Correct Answer: C

Rationale: Urine flows from papilla through calyces to pelvis, then ureter.

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