ATI LPN
NCLEX Questions on Renal System Questions
Question 1 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 2 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 3 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 4 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 5 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.