NCLEX Renal Questions (6-10)

6. NCLEX Renal Questions about a nurse who is reviewing a urinalysis report for a client with acute renal failure and notes that the results are highly positive for proteinuria. The nurse interprets that this client has which of the following types of renal failure?

a) postrenal failure

b) prerenal failure

c) intrarenal failure

d) atypical failure


7. A client with acute renal failure is prescribed to be on a fluid restriction of 1500 mL per day. The nurse does which of the following as the helpful way to assist the client to stay within the daily fluid allotment?

a) encourage the client to drink fluids after supper

b) remove the water pitcher from the bedside

c) discourage beverages that contain sugar

d) use of mouthwash with alcohol for mouth care


8. NCLEX Renal Questions a nurse who taught a client with acute renal failure to include in the diet proteins that are considered high quality. The nurse determines that the client needs further instructions if the client selects which food that is a low-quality protein source?


a) chicken

b) fish

c) eggs

d) sweet potatoes


9. A client with acute renal failure has an order for sodium polystrene sulfonate (Kayexalate). The nurse interprets that this medication has been ordered to correct which abnormal laboratory result?


a) phosphorus 3.9 mg/dL

b) calcium 9.8 mg/dL

c) potassium 5.9 mEq/L

d) sodium 144 mEq/L


10. A nurse is admitting a client with chronic renal failure to the nursing unit. The nurse anticipates that the client will exhibit which frequent cardiovascular sign associated with chronic renal failure?


a) pulse 110 beats per minute

b) pulse 56 beats per minute

c) blood pressure 168/94 mm Hg

d) blood pressure 96/54 mm Hg



NCLEX Renal Questions:

Answers and Rationale


6) C

- Intrarenal failure is caused by damage to the kidney tissues and structures and includes tubular necrosis, nephrotoxicity, and alterations in renal blood flow. With intrarenal renal failure, there is a fixed specific gravity and the urine tests positive for proteinuria. Postrenal failure is generally caused by obstruction of urinary flow between the kidney and urethral meatus. In postrenal failure, there is a fixed specific gravity and little or no proteinuria. Prerenal failure is caused by intravascular volume depletion, decreased cardiac output, and vascular failure secondary to vasodilation or obstruction. In prerenal failure, the specific gravity is high, and there is very little or no proteinuria. There is no such classification as atypical renal failure.


7) B

- The water pitcher should be removed from the bedside to aid in compliance with the fluid restriction. The client is not asked to drink most of the fluids after supper. Beverages that the client prefers are provided, and are not restricted on the basis of sugar content. The nurse should also provide mouth care, but alcohol-based products should be avoided because they dry the mucous membranes. The use of ice chips and lip ointments are other interventions that may be helpful to the client on a fluid restriction.


8) C

- NCLEX Renal Questions rationale: High-quality proteins come from animal sources and include such foods as eggs, chicken, meat, and fish. Low-quality proteins derive from plant sources and include vegetables and foods made from grains. Because the renal diet is limited in protein, it is important that the proteins ingested are of high quality.


9) C
- Of all of the electrolyte imbalances that accompany renal failure, hyperkalemia is the most serious because it can lead to cardiac dysrhythmias and death. If the potassium level rises too high, Kayexalate may be given to cause excretion of potassium through the gastrointestinal (GI) tract. Each of the electrolyte levels noted in the options falls within the normal reference range for that electrolyte with the exception of the potassium.


10) C
- Hypertension is commonly associated with chronic renal failure. This results from a number of mechanisms, including volume overload, renin-angiotensin system stimulation, vasoconstriction from sympathetic stimulation, and the absence of prostaglandins. Hypertension may also be the cause of the renal failure. It is an important item to assess because hypertension can lead to heart failure in the chronic renal failure client as a result of increased cardiac workload in conjunction with fluid overload. Options A, B, and D are not specifically associated with chronic renal failure.


If you want to answer more questions about renal failure, go to this link: More NCLEX Renal Questions



Typical percentages of questions on the NCLEX RN exam are as follows: 13-19% management of care, 8-14% safety and infection control, 6-12% health promotion and maintenance, 6-12% psychosocial integrity, 6-12% basic care and comfort, 13-19% pharmacological and parenteral therapies, 13-19% reduction of risk potential, and 11-17% physiological adaptations. To address these questions, we accumulate different questions from different nclex books for you to practice. You can find these questions at the end of this page.


Students have different learning styles to acquire knowledge, that is why we also include Flashcards like our page: Nursing Mnemonics to  benefit you because according to some studies; retention of information is greater if our eyes see the pictures of the said information. But of course, it is up to you to take advantage of such method.


Some students always ask, "How can I pass the NCLEX Exam?"

Passing the said exam is not easy task. Although we cannot do that for you but we can give some advice to grab that dream of yours. Here is the answer. It is not ours to begin with, we read it in an online article in the internet but we are touched by the student answer after passing the NCLEX exam. She said "ACT LIKE STUDYING IS YOUR JOB." That's it, she passed the exam after doing this method even though according to her, she is not a bright student during her college years.


I hope that after you finished these questions and read the rationale behind the correct answers, you can somehow be ready to use critical thinking in answering your future actual NCLEX Nursing Licensing Exam.


But before Online Nursing CEUS releases you, we also include some very useful links that you can visit to further help you in preparing for the NCLEX nursing licensing exam. Visit the links below for some NCLEX practice test: