ATI LPN
NCLEX Questions on Renal System Questions
Question 1 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 2 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 3 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 4 of 5
A patient with elevated BUN and creatinine values has been referred by her primary physician for further evaluation. The nurse should anticipate the use of what initial diagnostic test?
Correct Answer: A
Rationale: Ultrasound (A) is the initial, noninvasive test for renal evaluation, detecting structural issues. X-ray (B), CT (C), and nuclear scans (D) may follow, but A is the sensitive starting point.
Question 5 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).