NUR 421 NCLEX EXAM PREP CANVAS LATEST

• | P a g e

pg. 1

NUR 421 NCLEX EXAM PREP – CANVAS LATEST

2025 EXAM 1| COMPLETE EXAM| QUESTIONS

WITH CORRECT VERIFIED ANSWERS/

ALREADY GRADED A+

A patient has renal failure with a Hemoglobin of 7.1 What is the cause? - ANSWER - Lack of Erythropoietin

What do you immediately check for with Kidney Transplant? - ANSWER - 1. Urine Output

2. WBC

• BUN/Cr
• Electrolytes

What do you check for later with a Kidney Transplant? - ANSWER - 1.Infection

• Rejection

Education for post-Renal biopsy - ANSWER - 1. Watch the site for bleeding

• Position supine for 6-8 hours

Questions to ask before a renal biopsy - ANSWER - 1. Ask if on Anticoagulants and last time taken

• Check Cog Studies 1 / 3

• | P a g e

pg. 2 Labs for Renal Failure - ANSWER - 1. LOW Sodium

• HIGH Potassium
• LOW Calcium
• HIGH Phosphorus
• HIGH BUN/Cr

What disease is common linked with renal problems? - ANSWER - Diabetes

Assessment for Renal Failure - ANSWER - 1. BUN/Cr

• Electrolytes
• Anemia
• Metabolic Acidosis

Educations for Peritoneal Dialysis - ANSWER - 1. Check level of drainage bag

• Reposition to side AFTER
• Check tubing is free of kinks
• Dialysate is clear

What does Dialysate look like with an infection? - ANSWER - Cloudy/Yellowish

• / 3

• | P a g e

pg. 3 What is the treatment for urinary meatus spasms related to a bladder infection? - ANSWER - Phenazopyridine

What is the first symptoms of Benign Prostatic Hyperplasia? - ANSWER - Decreased force of the urine stream

What are some drugs for Benign Prostatic Hyperplasia (BPH)? - ANSWER - 1. Tamsulosin

• 5-Alpha Reductase Inhibitor (Finasteride)

A patient 2 hours after a TURP procedure asks about bleeding, how should the nurse respond? - ANSWER - Expect SOME bleeding, Blood clots in the Foley bag are common 24-48 hours after surgery

What is a Suprapubic Catheter? - ANSWER - urinary drainage tube inserted surgically into the bladder through the abdominal wall above the symphysis pubis

What are signs/symptoms of a Bladder Infection - ANSWER - -Onset Confusion (older adults) -Burning/pain when urinating -Frequency

What is a main sign/symptom to diagnose Pyelonephritis? - ANSWER - Costovertebral Tenderness -Flank Pain

• / 3