Renal NCLEX EXAM 2026
1. A male client has a history of urinary tract infections Assist the client to stand for
due to urinary retention. Which intervention should voiding
the nurse implement to decrease the risk of infection?
2. The nurse is assisting a client who is new to a Lima Beans
low-potassium diet to select food items from the
menu. Which food item is lowest in potassium and
should be recommended to the client on this dietary
restriction?
3. A client diagnosed with chronic kidney disease is be- Ambulate in the home
ing treated at home with continuous ambulatory peri-
toneal dialysis. The client notes that there is a decrease
in the catheter outflow following the prescribed 6-hour
dwell time and calls the nurse to report this occur-
rence. The nurse should reinforce instructing the client
to take which action?
4. A client is diagnosed with polycystic kidney disease, Sodium restriction
and the nurse provides information to the client about
the treatment plan. The nurse determines that the
client needs further teaching if the client states that
which component is part of the treatment plan?
5. The nurse is reinforcing dietary instructions to a client Spinach, milk and a ba-
with renal calculi who must learn to eat an alkaline-ash nana
diet. The nurse determines that the client has proper-
ly understood the information presented if the client
chooses which selection from a diet menu?
6. A client with chronic kidney disease has been on dial- Aluminum intoxication
ysis for 3 years. The client is receiving the usual com-
bination of medications for the disease, including alu-
, Renal NCLEX EXAM 2026
minum hydroxide as a phosphate-binding agent. The
client now has mental cloudiness, dementia, and com-
plaints of bone pain. Which does this data indicate?
7. A client who has a cold is seen in the emergency de- Decongestants
partment with an inability to void. Because the client
has a history of benign prostatic hyperplasia (BPH), the
nurse questions the client about use of which medica-
tion?
8. A client's kidneys are retaining greater amounts of Chloride and bicarbonate
sodium. The nurse anticipates that the kidneys are also
retaining greater amounts of which other substances?
9. The nurse has a prescription to collect a 24-hour urine Asks the client to void, save
specimen from a client. The unlicensed assistive per- the specimen, and note
sonnel (UAP) has been instructed on the collection the start time
technique. Which action by the UAP demonstrates the
UAP needs further teaching?
10. Aluminum hydroxide is prescribed for the client with with meals
chronic kidney disease (CKD). When should the nurse
instruct the client to take this medication?
11. The nurse is assigned to care for a client who has just vomiting and headaches
returned to the nursing unit after having hemodialysis
for the first time. The nurse monitors the client care-
fully for which signs and symptoms of disequilibrium
syndrome?
12. The nurse notes that a client's urinalysis report con- Diabetes mellitus
tains a notation of positive red blood cells (RBCs). The
, Renal NCLEX EXAM 2026
nurse interprets that this finding is unrelated to which
item that is part of the client's medical record?
13. The nurse is assigned to care for a client who has hourly urine output
returned to the nursing unit following a left nephrec-
tomy. The nurse places the highest priority on moni-
toring which data?
14. The nurse is preparing a client scheduled for an intra- ask about allergies to io-
venous pyelogram (IVP). The nurse should take which dine or shellfish
important action before the test?
15. A client arrives at the ambulatory care clinic with Blow or trauma to the
low abdominal pain. A routine urine specimen reveals bladder or abdomen
hematuria. The client does not have a fever. The nurse
should next ask the client about a history of which
condition?
16. A long-term care nurse notes that a female client has Stress incontinence
leakage of urine when sneezing, coughing, or laugh-
ing. The nurse reports that this client has which type
of incontinence?
17. After a renal biopsy, the client complains of pain at Bleeding
the biopsy site, which radiates to the front of the ab-
domen. Which would this indicate?
18. A client with acute glomerulonephritis had a urinalysis consistent with glomeru-
sent to the laboratory. The report reveals that there lonephritis
is hematuria and proteinuria in the urine. The nurse
interprets that these results are which?
19. on return from dialysis
1. A male client has a history of urinary tract infections Assist the client to stand for
due to urinary retention. Which intervention should voiding
the nurse implement to decrease the risk of infection?
2. The nurse is assisting a client who is new to a Lima Beans
low-potassium diet to select food items from the
menu. Which food item is lowest in potassium and
should be recommended to the client on this dietary
restriction?
3. A client diagnosed with chronic kidney disease is be- Ambulate in the home
ing treated at home with continuous ambulatory peri-
toneal dialysis. The client notes that there is a decrease
in the catheter outflow following the prescribed 6-hour
dwell time and calls the nurse to report this occur-
rence. The nurse should reinforce instructing the client
to take which action?
4. A client is diagnosed with polycystic kidney disease, Sodium restriction
and the nurse provides information to the client about
the treatment plan. The nurse determines that the
client needs further teaching if the client states that
which component is part of the treatment plan?
5. The nurse is reinforcing dietary instructions to a client Spinach, milk and a ba-
with renal calculi who must learn to eat an alkaline-ash nana
diet. The nurse determines that the client has proper-
ly understood the information presented if the client
chooses which selection from a diet menu?
6. A client with chronic kidney disease has been on dial- Aluminum intoxication
ysis for 3 years. The client is receiving the usual com-
bination of medications for the disease, including alu-
, Renal NCLEX EXAM 2026
minum hydroxide as a phosphate-binding agent. The
client now has mental cloudiness, dementia, and com-
plaints of bone pain. Which does this data indicate?
7. A client who has a cold is seen in the emergency de- Decongestants
partment with an inability to void. Because the client
has a history of benign prostatic hyperplasia (BPH), the
nurse questions the client about use of which medica-
tion?
8. A client's kidneys are retaining greater amounts of Chloride and bicarbonate
sodium. The nurse anticipates that the kidneys are also
retaining greater amounts of which other substances?
9. The nurse has a prescription to collect a 24-hour urine Asks the client to void, save
specimen from a client. The unlicensed assistive per- the specimen, and note
sonnel (UAP) has been instructed on the collection the start time
technique. Which action by the UAP demonstrates the
UAP needs further teaching?
10. Aluminum hydroxide is prescribed for the client with with meals
chronic kidney disease (CKD). When should the nurse
instruct the client to take this medication?
11. The nurse is assigned to care for a client who has just vomiting and headaches
returned to the nursing unit after having hemodialysis
for the first time. The nurse monitors the client care-
fully for which signs and symptoms of disequilibrium
syndrome?
12. The nurse notes that a client's urinalysis report con- Diabetes mellitus
tains a notation of positive red blood cells (RBCs). The
, Renal NCLEX EXAM 2026
nurse interprets that this finding is unrelated to which
item that is part of the client's medical record?
13. The nurse is assigned to care for a client who has hourly urine output
returned to the nursing unit following a left nephrec-
tomy. The nurse places the highest priority on moni-
toring which data?
14. The nurse is preparing a client scheduled for an intra- ask about allergies to io-
venous pyelogram (IVP). The nurse should take which dine or shellfish
important action before the test?
15. A client arrives at the ambulatory care clinic with Blow or trauma to the
low abdominal pain. A routine urine specimen reveals bladder or abdomen
hematuria. The client does not have a fever. The nurse
should next ask the client about a history of which
condition?
16. A long-term care nurse notes that a female client has Stress incontinence
leakage of urine when sneezing, coughing, or laugh-
ing. The nurse reports that this client has which type
of incontinence?
17. After a renal biopsy, the client complains of pain at Bleeding
the biopsy site, which radiates to the front of the ab-
domen. Which would this indicate?
18. A client with acute glomerulonephritis had a urinalysis consistent with glomeru-
sent to the laboratory. The report reveals that there lonephritis
is hematuria and proteinuria in the urine. The nurse
interprets that these results are which?
19. on return from dialysis
