Renal and GU Problems NCLEX-like Critical Thinking Questions

The telemetry nurse is caring for a client with a calcium level of 13.5 mg/dl.  Which of the following findings should the nurse anticipate? Select all that apply.

The client receives chemotherapy due to a large gastric tumor.  The client has developed hyperphosphatemia and hyperuricemia.  The nurse teaches the client how to minimize renal dysfunction.   Which statement indicates that the client has understood?

The critical care nurse is caring for a 76-year-old client in septic shock due to severe aspiration pneumonia.  The client has a blood pressure of 78/45 and a heart rate of 125 bpm.  The client’s urine output has decreased over the last 4 hours.  Which of the following conditions is the client most likely at risk for?

The emergency room nurse admits a client with renal failure with suspected hyperkalemia.  Which of the following interventions should the nurse perform FIRST?

The nurse is developing a teaching plan for a client who received a renal transplant and will be discharge  on the immunosuppressant cyclosporine.  Which of the following points should the nurse include in the teaching plan?

The nurse is working at a kidney transplant clinic.  Which of the following clients is most likely experiencing acute renal rejection?

The nurse is providing education to a diabetic and hypertensive client who has just started hemodialysis due to chronic renal failure.  Which of the following points should the nurse include in the teaching plan?

A 75-year-old chronic renal failure client has missed several dialysis treatment and has been admitted to the hospital with the diagnosis of uremia.  Which of the following signs and symptoms does the nurse anticipate? Select all that apply.

The ICU nurse is preparing to administer Vancomycin 1 gram to a critically ill client with sepsis.  Which of the following safety indicators should the nurse monitor?

The nurse is caring for a client who was admitted for physical neglect and dehydration.  Based on the following labs, which of the following should be the nurse’s primary concern?

• Sodium 146 mEq/L
• Potassium 5.8 mE/L
• BUN 30 mg/dl
• Creatinine 1.4 mg/dl
• Calcium 8.4 mg/dl
• phosphorus 3.3 mg/dl
• Glucose 286 mg/dl

Which of the following clients is most likely to develop acute renal failure?

The nurse is caring  for a chronic renal failure client on hemodialysis who has a fistula on his left arm.  Which intervention is most appropriate for this client?

The nurse is teaching a client with a urinary tract infection who will be taking Phenazopyrdine hydrochloride (Pyridium). Which of the following teaching points should the nurse include?

The client with chronic renal failure is having hemodialysis today.  The client is due to take metoprolol. The nurse should plan to administer this medication:

During dialysis, the nurse notices large amounts of air in the dialysis tubing. The client is experiencing shortness of breath and chest pain.  What should the nurse do first?

The client is having an Intravenous Pyelogram to look for problems with the kidneys and ureters.  Which of the following is the priority intervention?

The nurse is developing a teaching plan for a client on hemodialysis. Which of the following teaching points should the nurse include in the teaching plan?  Select all that apply.

The client has been diagnosed with chronic prostatitis and asks the nurse about interventions used to treat it? Which of the following are possible responses by the nurse? Select all that apply.

The client has been diagnose with bacterial prostatitis.  Which of the following symptoms should the nurse anticipate? Select all that apply

The nurse is caring for a client who had a TURP (Transurethral Resection of the Prostate) today.  The nurse suspects TURP syndrome.  Which of the following signs and symptoms supports the diagnosis of TURP syndrome? Select all that apply.

The nurse is providing education to a client with renal calculi.  Which of the following statements by the client requires follow up?

The nurse is caring for an End-Stage Renal Disease client.  Which of the following medications does the nurse anticipate that the client will be on?  Select all that apply.

The nurse is caring for a client with acute renal failure.  Which of the following foods can the nurse offer to the client?

Which of the following diet recommendations should the nurse provide to a client with chronic kidney disease? Select all that apply.

The nurse is teaching a client how to perform peritoneal dialysis.  Which of the following should the nurse include in the teaching plan? Select all that apply.

The nurse is caring for a febrile client admitted with peritonitis as evidenced by very cloudy peritoneal fluid.  Which of the following doctor’s order should the nurse anticipate? Select all that apply.

The nurse recognizes that peritonitis is the most common complication with peritoneal dialysis.  Which of the following suggests that the client may have peritonitis?  Select all that apply.

The nurse is inserting a foley catheter to a male client and as the nurse inflates the balloon the client screams in pain.  What is the priority action by the nurse?

The nurse is developing a teaching plan for a client with urge incontinence.  Which of the following teaching points should the nurse include in the teaching plan? Select all that apply?

The nurse is caring for a client with a foley catheter.  Which of the following interventions should the nurse implement?

The nurse is caring for a client with pyelonephritis.  Which of the following signs and symptoms should the nurse anticipate?