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Renal NCLEX Exam – Questions & Correct Answers
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Renal NCLEX Exam – Questions & CorrectAnswers
A client with glomerulonephritis is at risk of developing acute renal failure.
The nurse monitors the client for which sign of this complication?
a) bradycardia
b) hypertension
c) decreased cardiac output
d) decreased central venous pressure ✔️Ans - B
- Acute renal failure caused by glomerulonephritis is classified as intrinsic
or intrarenal failure. This form of acute renal failure is commonly
manifested by hypertension, tachycardia, oliguria, lethargy, edema, and
other signs of fluid overload. Acute renal failure from prerenal causes is
characterized by decreased blood pressure or a recent history of the same,
tachycardia, and decreased cardiac output and central venous pressure.
Bradycardia is not part of the clinical picture for renal failure.
A nurse provides home care instructions to a client hospitalized for a
transurethral resection of the prostate (TURP). Which statement by the
client indicates a need for further instructions?
a) I need to avoid strenuous activity for 4 to 6 weeks
b) I need to maintain a daily intake of 6 to 8 glasses of water daily
c) I need to avoid lifting items greater than 30 pounds
d) I need to include prune juice in my diet ✔️Ans - C
- The client needs to be advised to avoid strenuous activity for 4 to 6 weeks
and to avoid lifting items weighing greater than 20 pounds. The client
needs to consume an intake of at least 6 to 8 glasses daily of nonalcoholic
fluids to minimize clot formation. Straining during defecation for at least 6
weeks after surgery is avoided to prevent bleeding. Prune juice is a
satisfactory bowel stimulant.
A nurse is caring for a client who has just returned to the nursing unit after
an intravenous pyelogram (IVP). The nurse determines that which of the
following is important in the postprocedure care of this client?
a) encouraging increased intake of oral fluids
, b) ambulating the client in the hallway
c) encouraging the client to try to avoid frequently
d) maintaining the client on bedrest ✔️Ans - A
- Following an IVP, the client should take in increased fluids to aid in the
clearance of the dye used for the procedure. It is unnecessary to void
frequently after the procedure. The client is usually allowed activity as
tolerated without any specific activity guidelines.
A nurse has collected nutritional data from a client with a diagnosis of
cystitis. The nurse determines that which beverage needs to be eliminated
from the client's diet to minimize the recurrence of cystitis?
a) fruit juice
b) tea
c) water
d) lemonade ✔️Ans - B
- Caffeine and alcohol can irritate the bladder. Therefore, alcohol and
caffeine-containing beverages such as coffee, tea, and cocoa are avoided to
minimize the risk. Water helps flush bacteria out of the bladder, and an
intake of six to eight glasses per day is encouraged. Lemonade and fruit
juice are acceptable items to drink.
A client with pyelonephritis is being discharged from the hospital, and the
nurse provides instructions to the client to prevent recurrence. The nurse
determines that the cleint understands the information that was given if
hte client states an intention to:
a) increase fluids for 2 days if signs and symptoms of a urinary tract
infection develop
b) take the prescribed antibiotics until all symptoms subside
c) return to the physician's office for scheduled follow-up urine cultures
d) decrease fluid intake if frequent urination occurs ✔️Ans - C
- The client with pyelonephritis should take the full course of antibiotic
therapy that has been prescribed and return to the physician's office for
follow-up urine cultures if so instructed. The client should learn the signs
and symptoms of a urinary tract infection, and report them immediately if
they occur. The client should also drink 3 L of fluid per day.
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