ATI LPN
NCLEX Questions on Renal System Questions
Question 1 of 5
A nurse assesses a client with polycystic kidney disease (PKD). Which assessment finding should alert the nurse to immediately contact the health care provider?
Correct Answer: B
Rationale: Periorbital edema is atypical for PKD, indicating a serious issue needing urgent attention.
Question 2 of 5
A female patient who is taking trimethoprim-sulfamethoxazole (TMP-SMZ) (Bactrim, Septra) to treat a urinary tract infection reports vaginal itching and discharge. The nurse will perform which action?
Correct Answer: C
Rationale: Vaginal symptoms suggest superinfection, a side effect to report to the provider.
Question 3 of 5
The nurse is caring for a patient who is taking hydrochlorothiazide (HydroDIURIL) and digoxin (Lanoxin). Which potential electrolyte imbalance will the nurse monitor for in this patient?
Correct Answer: D
Rationale: Thiazides cause hypokalemia, increasing digoxin toxicity risk in this patient.
Question 4 of 5
Which statement about potassium handling in the nephron is true?
Correct Answer: C
Rationale: Aldosterone stimulates potassium secretion in the distal tubule.
Question 5 of 5
A nurse cares for a client with a urine specific gravity of 1.018. Which action should the nurse take?
Correct Answer: B
Rationale: Normal specific gravity requires no action beyond documentation and monitoring.