National League for Nursing (NLN PAX) Practice Exam

The kidneys play a crucial role in maintaining homeostasis within the body, and their primary function is to excrete waste products. They effectively filter blood, removing metabolic waste substances such as urea, creatinine, and excess ions, which are expelled from the body in the form of urine. This process is essential for regulating the body's fluid balance and electrolyte levels. By excreting waste, the kidneys help to prevent the accumulation of harmful substances in the bloodstream, which is vital for overall health and well-being.

While the kidneys do produce hormones, such as erythropoietin, which regulates red blood cell production and renin, which is involved in blood pressure regulation, these functions are secondary to their primary role of waste excretion. Additionally, the kidneys do not play a direct role in regulating body temperature nor in generating energy, as those functions are managed by other systems in the body. Therefore, the focus on waste excretion highlights the kidneys' fundamental importance in maintaining the body's internal environment.