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NCLEX RN· RN Urinary · NCLEX RN Questions Urinary System

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a client with nephrotic syndrome. Which of the following assessment findings would be expected? Select all that apply.

A. Proteinuria
B. Hypoalbuminemia
C. Edema
D. Hyperglycemia
E. Jaundice

Expert Explanatory Rationale

Correct Answer:

Question 2 of 5

The nurse is caring for a client who was newly prescribed warfarin. Which medication on the client's medication list requires follow-up with the primary healthcare provider (PHCP)?

A. Loratadine
B. Saw Palmetto
C. Furosemide
D. Pantoprazole

Expert Explanatory Rationale

Correct Answer: Saw Palmetto

Question 3 of 5

The nurse is assessing a client receiving peritoneal dialysis. Which laboratory result should immediately be reported to the primary healthcare provider (PHCP)?

A. WBC 19,000 mm3 [5,000-10,000 mm3]
B. Hemoglobin 9 g/dL [Male: 14-18 g/dL (140-180 g/L) Female: 12-16 g/dL (120-160 g/L)]
C. Calcium 8.6 mg/dL [9.0-10.5 mg/dL]
D. Serum pH 7.33 [7.35-7.45]

Expert Explanatory Rationale

Correct Answer: WBC 19,000 mm3 [5,000-10,000 mm3]

Question 4 of 5

The nurse is caring for a client who has fluid volume deficit receiving intravenous fluids. Which of the following would indicate the client is achieving the treatment goals?

A. urine output 20 mL/hr
B. BUN 15 mg/dL (5.355 mmol/L) [10-20 mg/dL (3.6-7.1 mmol/L)]
C. urine specific gravity 1.039 [1.005-1.030]
D. flattened jugular veins

Expert Explanatory Rationale

Correct Answer: BUN 15 mg/dL (5.355 mmol/L) [10-20 mg/dL (3.6-7.1 mmol/L)]

Question 5 of 5

The nurse has taught a client about a scheduled intravenous (IV) urography (pyelogram). Which of the following statements by the client would indicate a correct understanding of the teaching?

A. I should expect a temporary urinary catheter inserted during the procedure.
B. I will take a laxative the night before to clear my bowels.
C. I must fill my bladder with water immediately before the procedure.
D. I may experience blood in my urine for a few days after this procedure.

Expert Explanatory Rationale

Correct Answer: I will take a laxative the night before to clear my bowels.

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