ATI LPN
NCLEX Questions on Renal System Questions
Question 1 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.
Question 2 of 5
Dipstick testing of an older adult patients urine indicates the presence of protein. Which of the following statements is true of this assessment finding?
Correct Answer: A
Rationale: Proteinuria via dipstick (A) requires further testing due to influences like concentration or hematuria, not confirming diabetes (D), aging (C), or incontinence risk (B), making A the true statement (corrected from B,C,D).
Question 3 of 5
A client with schizophrenia tells the nurse, 'Aliens are controlling my thoughts.' The nurse documents this as an example of:
Correct Answer: B
Rationale: The belief that external forces control thoughts reflects a delusion of control.
Question 4 of 5
The nurse is planning patient teaching for a patient with ESKD who is scheduled for the creation of a fistula. The nurse would include which of the following in teaching the patient about the fistula?
Correct Answer: A
Rationale: The fistula joins an artery and a vein, either side-to-side or end-to-end. This access will need time, usually 2 to 3 months, to mature before it can be used. The patient is encouraged to perform exercises to increase the size of the affected vessels (e.g., squeezing a rubber ball for forearm fistulas). Two needles will be inserted into the fistula for each dialysis treatment.
Question 5 of 5
A patient reports flank pain and scanty urination. The nurse notices periorbital edema. What question is most important?
Correct Answer: B
Rationale: Strep infections can lead to glomerulonephritis.