ATI LPN
NCLEX Questions on the Renal System Questions
Question 1 of 5
Which assessment finding for a patient who has had a cystectomy with an ileal conduit the previous day is most important for the nurse to communicate to the physician?
Correct Answer: C
Rationale: Tachycardia (102 beats/min, C) may signal infection or hemorrhage post-cystectomy, requiring urgent reporting. Cloudy urine (A) and drainage (D) are normal, and hypotonic sounds (B) are expected, making C most critical.
Question 2 of 5
The nurse is collecting data for a patient who has kidney disease. How much urine will the nurse need to collect for a urinalysis?
Correct Answer: B
Rationale: At least 10 mL (B) is required for urinalysis to ensure adequate testing volume. 5 mL (A) is insufficient, while 20 mL (C) and 50 mL (D) exceed the minimum, making B the standard amount.
Question 3 of 5
The nurse is reinforcing 24-hour fluid intake teaching for a patient to prevent further urinary tract infections. Which of the following amounts if stated by the client would indicate a correct understanding of the teaching?
Correct Answer: D
Rationale: To prevent urinary tract infections drink up to 3,000 mL of fluid a day if there are no fluid restrictions.
Question 4 of 5
A nurse is caring for a patient with impaired renal function. A creatinine clearance measurement has been ordered. The nurse should facilitate collection of what samples?
Correct Answer: B
Rationale: Creatinine clearance requires a 24-hour urine sample and a midway serum creatinine level (B) to assess GFR. Potassium (A), repeated BUN/creatinine (C), or electrolytes (D) don't measure clearance, making B the correct collection method.
Question 5 of 5
The nurse is caring for a patient scheduled for renal angiography following a motor vehicle accident. What patient preparation should the nurse most likely provide before this test?
Correct Answer: B
Rationale: A laxative (B) clears the colon for unobstructed renal angiography x-rays. Potassium (A), Gastrografin (C), and urine tests (D) aren't prep steps, making B the likely preparation.