MED SURG SUCCESS RENAL QUESTIONS AND ANSWERS 2025
4. Clients with acute bacterial prostatitis
will frequently experience a sudden
onset of fever and chills. Clients with
chronic prostatitis have milder
symptoms. - (ANSWER)Which data support to the nurse the client's diagnosis of acute bacterial
prostatitis?
1. Terminal dribbling.
2. Urinary frequency.
3. Stress incontinence.
4. Sudden fever and chills.
4. Excess fluid volume is priority
because of the stress placed on the
heart and vessels, which could lead
to heart failure, pulmonary edema,
and death - (ANSWER)The nurse is developing a nursing care plan for the client diagnosed with CKD.
Which nursing problem is priority for the client?
1. Low self-esteem.
2. Knowledge deficit.
3. Activity intolerance.
4. Excess fluid volume
4. This is a potentially life-threatening
problem. - (ANSWER)Which nursing diagnosis is priority for the client who has undergone a TURP?
1. Potential for sexual dysfunction.
2. Potential for an altered body image.
3. Potential for chronic infection.
4. Potential for hemorrhage.
,MED SURG SUCCESS RENAL QUESTIONS AND ANSWERS 2025
3. This is an example of restating, a
therapeutic technique used to clarify
the client's feelings and encourage a
discussion of those feelings. - (ANSWER)The client diagnosed with cancer of the bladder states, "I have
young children. I am
too young to die." Which statement is the nurse's best response?
1. "This cancer is treatable and you should not give up."
2. "Cancer occurs at any age. It is just one of those things."
3. "You are afraid of dying and what will happen to your children."
4. "Have you talked to your children about your dying?"
2,000 mL has been lost.
First, determine how many pounds the
client has lost:
180 −175.6 = 4.4 pounds lost
Then, based on the fact that 1 liter of fluid
weighs 2.2 pounds, determine how many
liters of fluid have been lost:
4.4 ÷ 2.2 = 2 liters lost
Then, because the question asks for the
answer in milliliters, convert 2 liters into
milliliters:
2 × 1,000 = 2,000 mL - (ANSWER)The client diagnosed with diabetes insipidus weighed 180 pounds when
the daily
weight was taken yesterday. This morning's weight is 175.6 pounds. One liter of fluid
weighs approximately 2.2 pounds. How much fluid has the client lost? _______
,MED SURG SUCCESS RENAL QUESTIONS AND ANSWERS 2025
1. Urine is acidic, and the abdominal wall
tissue is not designed to tolerate acidic
environments. The stoma is pouched
so urine will not touch the skin. - (ANSWER)The nurse is planning the care of a postoperative client with
an ileal conduit. Which
intervention should be included in the plan of care?
1. Provide meticulous skin care and pouching.
2. Apply sterile drainage bags daily.
3. Monitor the pH of the urine weekly.
4. Assess the stoma site every day.
3. A long-term complication of
glomerulonephritis is it can become
chronic if unresponsive to treatment,
and this can lead to end-stage renal
disease. Maintaining renal function is
an appropriate long-term goal. - (ANSWER)The nurse is preparing a plan of care for the client diagnosed
with acute
glomerulonephritis. Which statement is an appropriate long-term goal?
1. The client will have a blood pressure within normal limits.
2. The client will show no protein in the urine.
3. The client will maintain normal renal function.
4. The client will have clear lung sounds.
2. Bladder spasms are common, but being
relieved with medication indicates the
condition is improving. - (ANSWER)The nurse is caring for a client with a TURP. Which expected outcome
indicates the
client's condition is improving?
, MED SURG SUCCESS RENAL QUESTIONS AND ANSWERS 2025
1. The client is using the maximum amount allowed by the PCA pump.
2. The client's bladder spasms are relieved by medication.
3. The client's scrotum is swollen and tender with movement.
4. The client has passed a large, hard, brown stool this morning.
1. Blood urea nitrogen (BUN) levels reflect
the balance between the production and
excretion of urea from the kidneys.
Creatinine is a by-product of the metabolism of the muscles and is excreted by
the kidneys. Creatinine is the ideal substance for determining renal clearance
because it is relatively constant in the
body and is the laboratory value most
significant in diagnosing renal failure. - (ANSWER)The nurse is caring for a client diagnosed with ARF.
Which laboratory values are most
significant for diagnosing ARF?
1. BUN and creatinine.
2. WBC and hemoglobin.
3. Potassium and sodium.
4. Bilirubin and ammonia level.
3. The nurse cannot delegate teaching. - (ANSWER)The nurse and an unlicensed assistive personnel
(UAP) are caring for a group of
clients. Which nursing intervention should the nurse perform?
1. Measure the client's output from the indwelling catheter.
2. Record the client's intake and output on the I & O sheet.
3. Instruct the client on appropriate fluid restrictions.
4. Provide water for a client diagnosed with diabetes insipidus.
4. Clients with acute bacterial prostatitis
will frequently experience a sudden
onset of fever and chills. Clients with
chronic prostatitis have milder
symptoms. - (ANSWER)Which data support to the nurse the client's diagnosis of acute bacterial
prostatitis?
1. Terminal dribbling.
2. Urinary frequency.
3. Stress incontinence.
4. Sudden fever and chills.
4. Excess fluid volume is priority
because of the stress placed on the
heart and vessels, which could lead
to heart failure, pulmonary edema,
and death - (ANSWER)The nurse is developing a nursing care plan for the client diagnosed with CKD.
Which nursing problem is priority for the client?
1. Low self-esteem.
2. Knowledge deficit.
3. Activity intolerance.
4. Excess fluid volume
4. This is a potentially life-threatening
problem. - (ANSWER)Which nursing diagnosis is priority for the client who has undergone a TURP?
1. Potential for sexual dysfunction.
2. Potential for an altered body image.
3. Potential for chronic infection.
4. Potential for hemorrhage.
,MED SURG SUCCESS RENAL QUESTIONS AND ANSWERS 2025
3. This is an example of restating, a
therapeutic technique used to clarify
the client's feelings and encourage a
discussion of those feelings. - (ANSWER)The client diagnosed with cancer of the bladder states, "I have
young children. I am
too young to die." Which statement is the nurse's best response?
1. "This cancer is treatable and you should not give up."
2. "Cancer occurs at any age. It is just one of those things."
3. "You are afraid of dying and what will happen to your children."
4. "Have you talked to your children about your dying?"
2,000 mL has been lost.
First, determine how many pounds the
client has lost:
180 −175.6 = 4.4 pounds lost
Then, based on the fact that 1 liter of fluid
weighs 2.2 pounds, determine how many
liters of fluid have been lost:
4.4 ÷ 2.2 = 2 liters lost
Then, because the question asks for the
answer in milliliters, convert 2 liters into
milliliters:
2 × 1,000 = 2,000 mL - (ANSWER)The client diagnosed with diabetes insipidus weighed 180 pounds when
the daily
weight was taken yesterday. This morning's weight is 175.6 pounds. One liter of fluid
weighs approximately 2.2 pounds. How much fluid has the client lost? _______
,MED SURG SUCCESS RENAL QUESTIONS AND ANSWERS 2025
1. Urine is acidic, and the abdominal wall
tissue is not designed to tolerate acidic
environments. The stoma is pouched
so urine will not touch the skin. - (ANSWER)The nurse is planning the care of a postoperative client with
an ileal conduit. Which
intervention should be included in the plan of care?
1. Provide meticulous skin care and pouching.
2. Apply sterile drainage bags daily.
3. Monitor the pH of the urine weekly.
4. Assess the stoma site every day.
3. A long-term complication of
glomerulonephritis is it can become
chronic if unresponsive to treatment,
and this can lead to end-stage renal
disease. Maintaining renal function is
an appropriate long-term goal. - (ANSWER)The nurse is preparing a plan of care for the client diagnosed
with acute
glomerulonephritis. Which statement is an appropriate long-term goal?
1. The client will have a blood pressure within normal limits.
2. The client will show no protein in the urine.
3. The client will maintain normal renal function.
4. The client will have clear lung sounds.
2. Bladder spasms are common, but being
relieved with medication indicates the
condition is improving. - (ANSWER)The nurse is caring for a client with a TURP. Which expected outcome
indicates the
client's condition is improving?
, MED SURG SUCCESS RENAL QUESTIONS AND ANSWERS 2025
1. The client is using the maximum amount allowed by the PCA pump.
2. The client's bladder spasms are relieved by medication.
3. The client's scrotum is swollen and tender with movement.
4. The client has passed a large, hard, brown stool this morning.
1. Blood urea nitrogen (BUN) levels reflect
the balance between the production and
excretion of urea from the kidneys.
Creatinine is a by-product of the metabolism of the muscles and is excreted by
the kidneys. Creatinine is the ideal substance for determining renal clearance
because it is relatively constant in the
body and is the laboratory value most
significant in diagnosing renal failure. - (ANSWER)The nurse is caring for a client diagnosed with ARF.
Which laboratory values are most
significant for diagnosing ARF?
1. BUN and creatinine.
2. WBC and hemoglobin.
3. Potassium and sodium.
4. Bilirubin and ammonia level.
3. The nurse cannot delegate teaching. - (ANSWER)The nurse and an unlicensed assistive personnel
(UAP) are caring for a group of
clients. Which nursing intervention should the nurse perform?
1. Measure the client's output from the indwelling catheter.
2. Record the client's intake and output on the I & O sheet.
3. Instruct the client on appropriate fluid restrictions.
4. Provide water for a client diagnosed with diabetes insipidus.
