AH1 RENAL HESI NCLEX Questions

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AH1 RENAL HESI NCLEX Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A client with chronic kidney disease is prescribed a low-protein diet. What is the primary reason for this restriction?

• To reduce blood glucose levels

✔✔B. To decrease nitrogenous waste accumulation

• To improve calcium absorption
• To prevent constipation

Which electrolyte imbalance is most commonly seen in clients with end-stage renal disease?

• Hypocalcemia

✔✔B. Hyperkalemia

• Hyponatremia
• Hypokalemia

A nurse is caring for a patient on hemodialysis who complains of muscle cramping. What is the best initial intervention? 1 / 4

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✔✔A. Slow the dialysis rate and assess vital signs

• Give a high-potassium snack
• Administer IV insulin
• Encourage deep breathing

Which assessment finding in a client with acute kidney injury indicates the oliguric phase?

• Urine output of 1500 mL/day

✔✔B. Urine output of less than 400 mL/day

• Urine specific gravity of 1.010
• Hematocrit increased

A client with renal failure is prescribed epoetin alfa. Which lab value should the nurse monitor?

• Sodium levels

✔✔B. Hemoglobin and hematocrit

• Potassium levels
• Serum calcium
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A patient with peritoneal dialysis reports cloudy effluent drainage. What is the nurse’s priority action?✔✔A. Notify the healthcare provider immediately

• Flush the catheter with normal saline
• Reassure the patient this is expected
• Clamp the tubing for 2 hours

Which symptom should alert the nurse to possible uremic encephalopathy in a client with renal failure?

• Constipation

✔✔B. Confusion and decreased alertness

• Increased appetite
• Increased urine output

A client with nephrotic syndrome is at greatest risk for developing which complication?✔✔A. Severe edema

• Bradycardia
• Hypotension 3 / 4

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• Polyuria

A client undergoing hemodialysis suddenly develops shortness of breath and chest pain. What complication should the nurse suspect?

• Hypocalcemia

✔✔B. Air embolism

• Fluid deficit
• Peritonitis

Which food choice should be avoided by a client with chronic renal failure on a low-potassium diet?

• White rice

✔✔B. Bananas

• Apples
• Green beans

The nurse is reviewing lab values for a patient with chronic kidney disease. Which finding requires immediate attention?✔✔A. Potassium 6.2 mEq/L

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