ATI LPN
NCLEX Questions on the Renal System Questions
Question 1 of 5
A nurse reviews the urinalysis of a client and notes the presence of glucose. Which action should the nurse take?
Correct Answer: D
Rationale: Glucose in urine suggests high blood sugar, requiring immediate capillary glucose testing for evaluation.
Question 2 of 5
An emergency department nurse assesses a client with a history of urinary incontinence who presents with extreme dry mouth, constipation, and an inability to void. Which question should the nurse ask first?
Correct Answer: B
Rationale: Medications like anticholinergics can cause these symptoms, making it the priority question.
Question 3 of 5
The nurse is caring for a patient who is receiving an intravenous antibiotic. The nurse notes that the provider has ordered serum drug peak and trough levels. The nurse understands that these tests are necessary for which type of drugs?
Correct Answer: D
Rationale: Narrow therapeutic index drugs need monitoring to ensure efficacy and avoid toxicity.
Question 4 of 5
The nurse is preparing to administer clarithromycin to a patient. When performing a medication history, the nurse learns that the patient takes warfarin to treat atrial fibrillation. The nurse will perform which action?
Correct Answer: C
Rationale: Clarithromycin increases warfarin levels, requiring monitoring to prevent bleeding risks.
Question 5 of 5
A patient taking trimethoprim-sulfamethoxazole (TMP-SMX) to treat a urinary tract infection complains of a sore throat. The nurse will contact the provider to request an order for which laboratory test(s)?
Correct Answer: A
Rationale: Sore throat may indicate anemia, requiring a CBC with differential to assess.