Nurse Moose
    Sign In
    Review ModeExam ModePractice Mode

    Exam Review

    1. A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?
      A)The leukocyte count
      B)The platelet count
      C)The hematocrit (Hct)
      D)The erythrocyte sedimentation rate (ESR)
    2. After teaching a client with hypertension secondary to renal disease, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?
      A)"It is important that I take my antihypertensive medications as directed."
      B)"I can prevent more damage to my kidneys by managing my blood pressure."
      C)"I need to see the registered dietitian to discuss limiting my protein intake."
      D)"I have increased urination at night; I need to drink less fluid during the day."
    3. A nurse is caring for a 68-kg (150-lb) client who has dehydration. Which of the following manifestations is an indication of effective treatment?
      A)Urine specific gravity 1.038 (1.005 to 1.03)
      B)Urine output 75 ml. in 1 hr
      C)Lightheadedness
      D)Decreased pulse pressure
    4. A client is having a peritoneal dialysis treatment. The nurse notes an opaque color to the effluent. What is the priority action by the nurse?
      A)Warm the dialysate solution in a microwave before instillation
      B)Flush the tubing with normal saline to maintain patency of the catheter.
      C)Obtain a sample of the effluent and send to the laboratory.
      D)Check the peritoneal catheter for kinking and curling.
    Page 1 of 5

    Exam Review

    1. A nurse is assessing a client who has end-stage kidney disease and is receiving hemodialysis. Which of the following findings should the nurse identify as an indication the client is experiencing fluid overload?
      A)Oxygen saturation 93%
      B)Return of skin to previous position when the client's shin is palpated
      C)The client has a 5 lb weight gain since yesterday.
      D)Flattened neck veins
    2. A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?
      A)Urine output is less than 400 mL per 24 hr.
      B)Renal function is reestablished.
      C)The glomerular filtration rate (GFR) recovers.
      D)BUN and creatinine levels decrease.
    3. A nurse is providing discharge teaching for a client who is to perform peritoneal dialysis at home. Which of the following information should the nurse include?
      A)"You should expect redness at the catheter exit site."
      B)"You should anticipate pain the first week during the inflow of dialysate."
      C)"You should avoid foods high in fiber."
      D)"You should warm the dialysate in a microwave oven before instillation."
    4. A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse should instruct the client to increase dietary intake of which of the following substances?
      A)Iron
      B)Sodium
      C)Protein
      D)Potassium
    Page 2 of 5

    Exam Review

    1. The charge nurse is orienting a new nurse about care for an assigned client with an arteriovenous (AV) fistula for hemodialysis in her left arm. Which action by the float nurse would be considered unsafe?
      A)Checking distal pulses in the left arm
      B)Using the right arm for a blood pressure reading
      C)Palpating the access site for a bruit or thrill
      D)Administering intravenous fluids through the AV fistula
    2. The nurse is admitting a client who has acute glomerulonephritis caused by beta streptococcus. What drug therapy would the nurse expect to be prescribed for this client?
      A)Antihypertensives
      B)Anti-lipids
      C)Antidepressants
      D)Antibiotics
    3. A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease. The nurse should expect which of the following findings?
      A)BUN 45 mg/dL and creatinine 8 mg/dL
      B)BUN 8 mg/dL and creatinine 0.7 mg/dL
      C)BUN 10 mg/dL and creatinine 0.3 mg/dl.
      D)BUN 23 mg/dL and creatinine 1.0 mg/dL.
    4. The community health nurse is designing programs to reduce kidney problems and kidney injury among the general public. In order to do so, the nurse target health promotion and compliance with therapy for people with which condition?
      A)Frequent episode of sexually transmitted disease
      B)Osteoporosis and other bone diseases
      C)Gastroenteritis and poor eating habits
      D)Diabetes mellitus and hypertension
    Page 3 of 5

    Exam Review

    1. The nurse is assessing a client with a diagnosis of prerenal acute kidney injury (AKI). Which condition would the nurse expect to find in the patient's recent history?
      A)Pyelonephritis
      B)Kidney stones
      C)Dehydration
      D)Bladder cancer
    2. The nurse is caring for a patient with an arteriovenous fistula. What instructions are given to unlicensed assistive personnel regarding the care of this patient?
      A)Check for bleeding at needle insertion sites.
      B)Assess the patient's distal pulses and circulation.
      C)Palpate for thrills and auscultate for bruits every 4 hours.
      D)Avoid taking blood pressure readings in the arm with the fistula.
    3. A nurse evaluates a client with acute glomerulonephritis (GN). Which assessment finding would the nurse recognize as a positive response to the prescribed treatment?
      A)The client's blood pressure is 152/88 mm Hg.
      B)The client lost 11 lb (5 kg) in the past 10 days.
      C)No blood is observed in the client's urine.
      D)The client's urine specific gravity is 1.048.
    4. A nurse is providing teaching to a client who has nephrotic syndrome. The nurse should recognize that which of the following client statements indicates a need for further teaching?
      A)"I should expect my provider to prescribe a kidney biopsy.
      B)"I can expect to have swelling in my face."
      C)"I will lose protein in my urine."
      D)"I should increase my sodium intake."
    Page 4 of 5

    Exam Review

    1. A nurse is caring for a client who has progressing chronic kidney disease (CKD). Which of the following laboratory results would the nurse expect to find in the client's electronic health record?
      A)Urine albumin increasing
      B)Creatinine decreasing
      C)Glomerular filtration rate (GFR) increasing
      D)Proteinuria decreasing, or decreased protein in the urine
    2. The nurse is caring for four clients with chronic kidney disease (CKD). Which client would the nurse assess first upon initial rounding?
      A)Client with skin Itching from head to toe
      B)Client with a blood pressure of 158/90 mm Hg
      C)Client with halitosis and stomatitis
      D)Client with Kussmaul respirations
    3. A nurse is teaching a client who has chronic kidney failure about planning a low-protein diet. The client states, "Why do I have to be concerned about protein?" Which of the following responses should the nurse make?
      A)"A low-protein diet will reduce the risk for hyperkalemia."
      B)"A low-protein diet reduces the risk for edema."
      C)"A low-protein diet reduces the risk for uremia."
      D)"A low-protein diet will increase the nitrogenous wastes in the blood."
    4. A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?
      A)Smokey brown urine
      B)Hypertension
      C)Facial edema
      D)Polyuria
    Page 5 of 5