Urinary System

Renal Calculi and Management Practice Questions

20 free Renal Calculi and Management practice questions for the NCLEX Exam, each with the correct answer and a detailed explanation. Open any question below, or take the full set as an interactive quiz.

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All Renal Calculi and Management questions

20 questions
  1. Q1. In a patient presenting with sudden, severe flank pain radiating to the groin, hematuria, and nausea, what is the likely diagnosis based on nursing assessment?
  2. Q2. In a patient with a history of calcium oxalate stones, which dietary advice is most appropriate for prevention?
  3. Q3. In the case of a 5 mm ureteral stone diagnosis, what might the nurse anticipate as part of 'medical expulsive therapy'?
  4. Q4. What is the most important nursing intervention post-extracorporeal shock wave lithotripsy (ESWL)?
  5. Q5. For a patient with a large renal calculus >20 mm in the lower pole of the kidney, current guidelines recommend which procedure as most appropriate?
  6. Q6. Which statement is correct regarding nursing priority when caring for a patient in renal colic?
  7. Q7. For a patient with uric acid stones, which dietary recommendation is correct for prevention?
  8. Q8. In a patient diagnosed with struvite stones (infection stones), what is the most relevant nursing teaching point?
  9. Q9. When reviewing lab results post-stone episode, which 24-hour urine result would prompt further evaluation?
  10. Q10. When teaching a patient with a calcium-oxalate stone, which statement is accurate regarding calcium intake?
  11. Q11. Why is ambulation recommended for a patient with a small renal stone waiting to pass it?
  12. Q12. What is the most critical nursing assessment post-percutaneous nephrolithotomy (PCNL)?
  13. Q13. If a patient asks about the importance of high fluid intake to prevent stones, what is the most accurate explanation?
  14. Q14. How does management differ between stones <10 mm and >20 mm in size?
  15. Q15. In a patient with a fluid restriction due to heart failure developing a kidney stone, what is the best nursing response?
  16. Q16. Which guideline for pain management in renal colic is correct?
  17. Q17. For a patient with a recurrent calcium phosphate stone, which factor is most likely to be addressed in prevention?
  18. Q18. When is a urologic stent typically placed in stone management?
  19. Q19. To reduce kidney stone recurrence, what evidence-based response should be provided to the patient?
  20. Q20. In caring for a patient with a nephrostomy tube after stone removal, what is the nurse's key responsibility?