ATI LPN
NCLEX Questions on Renal System Questions
Question 1 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.
Question 2 of 5
A nurse assesses a client with bladder cancer who is recovering from a complete cystectomy with ileal conduit. Which assessment finding should alert the nurse to urgently contact the health care provider?
Correct Answer: C
Rationale: Pale, cyanotic stoma suggests poor circulation, risking necrosis; urgent action is needed.
Question 3 of 5
A client with chronic kidney disease (CKD) is experiencing nausea, vomiting, visual changes, and anorexia. Which action by the nurse is best?
Correct Answer: A
Rationale: Symptoms suggest digoxin toxicity, common in CKD; checking levels is key.
Question 4 of 5
A patient gives the nurse health information before a scheduled intravenous pyelogram (IVP). Which item has the most immediate implications for the patient's care?
Correct Answer: B
Rationale: Shellfish allergy suggests iodine sensitivity, critical for IVP contrast safety.
Question 5 of 5
Which of the following is the correct sequence in which urine flows through the kidney toward the urinary bladder?
Correct Answer: B
Rationale: Urine flows from papillary duct to minor calyx, major calyx, renal pelvis, ureter.