Page 1 of 238
SAUNDERS NCLEX-RN 7TH 2026 STUDY
GUIDE (RENAL) COMPLETE (286) CURRENT
TESTING QUESTIONS AND DETAILED
CORRECT ANSWERS|GUARANTEED PASS.
SAUNDERS
Ace your preparation with this Saunders NCLEX-RN 7th Study
guide focused on renal content. It covers kidney anatomy and
physiology, fluid and electrolyte balance, renal disorders,
diagnostic testing, and evidence-based nursing interventions.
The material strengthens clinical reasoning and NCLEX-style
test preparation. Suitable for nursing students preparing for the
NCLEX-RN exam.
A client with an arteriovenous fistula in the left arm who is
undergoing hemodialysis is at risk for infection. Which
should the nurse formulate as the best outcome goal for this
client problem?
1. The client washes hands at least once per day.
2. The client's temperature remains lower than 101°F
(38.3°C).
, Page 2 of 238
3. The client avoids blood pressure (BP) measurement in the
left arm.
4. The client's white blood cell (WBC) count remains within
normal limits. ✓ ✓ ...... ANSWER ....... 4
R: WBC is the BEST indicator of infection out of all the
options.
The nurse is giving general instructions to a client receiving
hemodialysis. Which statement would be most appropriate
for the nurse to include?
1. "It is acceptable to eat whatever you want on the day
before hemodialysis."
2. "It is acceptable to exceed the fluid restriction on the day
before hemodialysis."
3. "Medications should be double-dosed on the morning of
hemodialysis because of potential loss."
4. "Several types of medications should be withheld on the
day of dialysis until after the procedure." ✓ ✓ ...... ANSWER
....... 4
, Page 3 of 238
R: It's impossible to tell how much medication will be
dialyzed, so don't double dose. Don't disregard diet/fluid
restrictions either.
A client with chronic kidney disease (CKD) has been on
dialysis for 3 years. The client is receiving the usual
combination of medications for the disease, including
aluminum hydroxide as a phosphate-binding agent. The
client now presents with mental cloudiness, dementia, and
complaints of bone pain. The nurse determines that these
assessment data are compatible with which condition?
1. Advancing uremia
2. Phosphate overdose
3. Folic acid deficiency
4. Aluminum intoxication ✓ ✓ ...... ANSWER ....... 4
R: Aluminum toxicity involves mental cloudiness, dementia,
and bone pain from infiltration of the bone with aluminum. It
can be treated with aluminum-chelating agents, which make
aluminum available to be dialyzed from the body. It can be
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prevented by avoiding or limiting the use of phosphate-
binding agents that contain aluminum.
A client undergoing hemodialysis is at risk for bleeding from
the heparin used during the hemodialysis treatment. The
nurse assesses for this occurrence by periodically checking
the results of which laboratory test?
1. Bleeding time
2. Thrombin time
3. Prothrombin time (PT)
4. Partial thromboplastin time (PTT) ✓ ✓ ...... ANSWER .......
4
R: aPTT/PTT = heparin, PT/INR=warfarin
The nurse is monitoring the fluid balance of an assigned
client. The nurse determines that the client has proper fluid
balance if which 24-hour intake and output totals are noted?
1. Intake 1500 mL, output 800 mL
SAUNDERS NCLEX-RN 7TH 2026 STUDY
GUIDE (RENAL) COMPLETE (286) CURRENT
TESTING QUESTIONS AND DETAILED
CORRECT ANSWERS|GUARANTEED PASS.
SAUNDERS
Ace your preparation with this Saunders NCLEX-RN 7th Study
guide focused on renal content. It covers kidney anatomy and
physiology, fluid and electrolyte balance, renal disorders,
diagnostic testing, and evidence-based nursing interventions.
The material strengthens clinical reasoning and NCLEX-style
test preparation. Suitable for nursing students preparing for the
NCLEX-RN exam.
A client with an arteriovenous fistula in the left arm who is
undergoing hemodialysis is at risk for infection. Which
should the nurse formulate as the best outcome goal for this
client problem?
1. The client washes hands at least once per day.
2. The client's temperature remains lower than 101°F
(38.3°C).
, Page 2 of 238
3. The client avoids blood pressure (BP) measurement in the
left arm.
4. The client's white blood cell (WBC) count remains within
normal limits. ✓ ✓ ...... ANSWER ....... 4
R: WBC is the BEST indicator of infection out of all the
options.
The nurse is giving general instructions to a client receiving
hemodialysis. Which statement would be most appropriate
for the nurse to include?
1. "It is acceptable to eat whatever you want on the day
before hemodialysis."
2. "It is acceptable to exceed the fluid restriction on the day
before hemodialysis."
3. "Medications should be double-dosed on the morning of
hemodialysis because of potential loss."
4. "Several types of medications should be withheld on the
day of dialysis until after the procedure." ✓ ✓ ...... ANSWER
....... 4
, Page 3 of 238
R: It's impossible to tell how much medication will be
dialyzed, so don't double dose. Don't disregard diet/fluid
restrictions either.
A client with chronic kidney disease (CKD) has been on
dialysis for 3 years. The client is receiving the usual
combination of medications for the disease, including
aluminum hydroxide as a phosphate-binding agent. The
client now presents with mental cloudiness, dementia, and
complaints of bone pain. The nurse determines that these
assessment data are compatible with which condition?
1. Advancing uremia
2. Phosphate overdose
3. Folic acid deficiency
4. Aluminum intoxication ✓ ✓ ...... ANSWER ....... 4
R: Aluminum toxicity involves mental cloudiness, dementia,
and bone pain from infiltration of the bone with aluminum. It
can be treated with aluminum-chelating agents, which make
aluminum available to be dialyzed from the body. It can be
, Page 4 of 238
prevented by avoiding or limiting the use of phosphate-
binding agents that contain aluminum.
A client undergoing hemodialysis is at risk for bleeding from
the heparin used during the hemodialysis treatment. The
nurse assesses for this occurrence by periodically checking
the results of which laboratory test?
1. Bleeding time
2. Thrombin time
3. Prothrombin time (PT)
4. Partial thromboplastin time (PTT) ✓ ✓ ...... ANSWER .......
4
R: aPTT/PTT = heparin, PT/INR=warfarin
The nurse is monitoring the fluid balance of an assigned
client. The nurse determines that the client has proper fluid
balance if which 24-hour intake and output totals are noted?
1. Intake 1500 mL, output 800 mL
