Nclex Nursing Review

1. The nurse is teaching a client with recurrent cystitis regarding ways to decrease bladder infection. The nurse should tell the client to:

Increase her intake of milk and dairy products

Avoid taking bubble baths

Use underware made from nylon

Drink orage juice for breakfast

2. Which medication is indicated for the client with hyperkalemia due to chronic glomerulonephritis:

Kayexalate(sodium polystyrene sulfonate)

K-Dur(potassium chloride)

Cephulac(lactulose)

Phos-Lo(calcium acetate)

3. The nurs is preparing to administer Sandimmune(cyclosporine) oral solution. The nurse should avoid mixing the medication with:

Chocolate milk

Grapefruit juice

Orange juice

Milk

4. The nurse is collecting a 24 hour urine sampling for creatinine clearance on a client hospitalized with acute glomerulonephritis. Whiile making rounds, the nurse learns that the client discarded the 2am voiding. The nurse should:

Continue the collection as ordered by the physician

Discard the collected urine, obtain a new bottle, and begin the collection agaain

Record the information in the client's chart and continue the collection

Extend the collection time to replace the last voiding

5. A client with hydroureteronephrosis has been scheduled for a nrphrostomy. When caring for the client with a nephrostomy, the nurse should.

Clamp the tubing for 15 minutes every hour

Irrigate the tubing with normal saline to remove clots

Avoid clamping or kinking the tubing

Suspend the tubing above the level of the abdomen

6. The physician has ordered fluid restriction for a client with acute glomerulonephritis. The nurse knows that the client's oral intake will be limited to the amount of urinary output plus:

100ml

300ml

500ml

700ml

7. Which meal selection is suitable for the client hospitalized with nephrotic syndrome?

Tuna sandwich, pickle spear, potato chips, and iced tea

Ham slice,tossed salad with dressing, gelatin and coffee

Tomato soup, cracker, peanut butter sandwich and milk

Hamburger steak,baked potato,lima beans and milk

8. A client with end stage reanl failure has received a renal transplant. Which statement describes hyperacute graft rejection in the client with a renal transplant?

Hyperacute graft rejection is due to chronic inflammation and scaring.

Hyperacute graft rejection is a cellular response that occurs one to three weeks after transplantation.

Hyperacute graft rejection is more likely in clients who have received multiple blood transfusions.

Hyperacute graft rejection is managed by use of immunosuppressive medications

9. The nurse is assessing an infant with polycystic kidney disease. Which structural anomaly is typical in the infant with polycystic kidney disease?

Webbed neck

High arched palate

Scaphoid abdomen

Low-set ears

10. The physiciann has ordered several diagnostic measures for a client with suspected reanl calculi. Which diagnostic measure has the highest sensitivity for detecting renal calculi?

Magnetic resonance imaging

Ultrasonography

Noncontrast helical computerized tomography

O-ray of the kidneys, ureter, and bladder

NCLEX Nursing Review