ATI LPN
NCLEX Questions on Renal System Questions
Question 1 of 5
A patient with renal calculi is hospitalized with gross hematuria and severe colicky left flank pain. Which nursing action will be of highest priority at this time?
Correct Answer: B
Rationale: Severe colicky pain (B) in renal calculi demands immediate analgesia for relief, a priority over fluids (A), monitoring (C), or antiemetics (D), which address secondary issues. Pain management enhances patient comfort and stability, making B the top action.
Question 2 of 5
The nurse is collecting data for a patient with kidney disease. Which adventitious lung sound is the nurse most likely to note from fluid overload?
Correct Answer: B
Rationale: Crackles (B) indicate fluid overload in the lungs, common in kidney disease, heard as popping on inspiration. Wheezes (A) suggest airway narrowing, stridor (C) upper obstruction, and pleural rub (D) inflammation, making B the likely finding.
Question 3 of 5
Which of the following hormones affects kidney function?
Correct Answer: C
Rationale: ADH (C), aldosterone (E), ANH (F), and parathyroid (D) affect kidneys, but C (water reabsorption) is a primary example. Estrogen (A) and TSH (B) have minimal direct impact, making C a key hormone.
Question 4 of 5
The nurse is caring for a patient who is unstable and has acute kidney injury. What therapy would the nurse expect to be ordered?
Correct Answer: C
Rationale: CRRT has few cardiovascular effects and can be used on the unstable patient.
Question 5 of 5
The nurse is collecting data for a patient who has a graft in the right arm for vascular access for dialysis. Which of the following actions would be most appropriate for the nurse to take?
Correct Answer: C
Rationale: Arteriovenous grafts are checked for patency by palpating for a thrill and auscultating for a bruit.