ATI LPN
NCLEX Questions on the Renal System Questions
Question 1 of 5
Which agent causes relaxation of mesangial cells of the glomerulus?
Correct Answer: B
Rationale: Dopamine relaxes mesangial cells, increasing glomerular filtration.
Question 2 of 5
After delegating to an unlicensed assistive personnel (UAP) the task of completing a bladder scan examination for a client, the nurse evaluates the UAP's performance. Which action by the UAP indicates the nurse must provide additional instructions when delegating this task?
Correct Answer: A
Rationale: Using the female icon for hysterectomized women is incorrect; retraining is needed.
Question 3 of 5
A male client comes into the emergency department with a serum creatinine of 2.2 mg/dL and a blood urea nitrogen (BUN) of 24 mL/dL. What question should the nurse ask first when taking this client's history?
Correct Answer: A
Rationale: NSAIDs are nephrotoxic and could explain elevated creatinine; it's the priority question.
Question 4 of 5
A client is having a peritoneal dialysis treatment. The nurse notes an opaque color to the effluent. What is the priority action by the nurse?
Correct Answer: B
Rationale: Opaque effluent signals peritonitis; sampling for culture is the priority.
Question 5 of 5
Which nursing action is essential for a patient immediately after a renal biopsy?
Correct Answer: D
Rationale: Pressure and positioning post-biopsy prevent bleeding at the site.