front 1 The nurse is teaching about the process involved in hemodialysis. Arrange the correct steps of hemodialysis chronologically.The blood moves through an artificial semipermeable membrane.
| back 1 no data |
front 2 A patient reports frequent fevers, chills, vomiting, and a burning sensation with urination. Urine analysis reports are positive for infection, and the histological examination of renal tissue is negative for inflammation of the renal cells. Which treatment method may reduce the risk of pyelonephritis? 1.Antibiotics 2.Corticosteroids 3.Urinary analgesics 4.Antipyretic medications | back 2 1.Antibiotics |
front 3 How is a grade 2 renal trauma described? 1.Superficial lacerations 2.Laceration of the renal artery 3.Hematuria and contusions 4.Renal lacerations above 1 cm in depth | back 3 1.Superficial lacerations |
front 4 Which assessment finding would be most consistent with the diagnosis of acute kidney injury (AKI)? 1.Anemia 2.Uremia 3.Calcium deficiency 4.Fluid retention | back 4 4.Fluid retention |
front 5 Which cause of acute kidney injury (AKI) would be classified as prerenal? 1.Massive hemorrhage 2.Ischemia to the kidney 3.Contrast dye medication 4.Renal tumor | back 5 1.Massive hemorrhage |
front 6 The nurse cares for a patient in the emergency department. Which actions should the nurse take? Select all that apply. 1.Observe for respiratory distress. 2.Obtain a clean-catch urine for culture. 3.Prepare to administer an oral antibiotic. 4.Monitor for irregular heartbeat and rhythm. 5.Monitor urine output closely. 6.Report changes in level of consciousness. | back 6 1.Observe for respiratory distress. 2.Obtain a clean-catch urine for culture. 4.Monitor for irregular heartbeat and rhythm. 5.Monitor urine output closely. 6.Report changes in level of consciousness. |
front 7 The nurse is caring for a patient with an injury to the renal system. Which is the priority nursing intervention? 1.Promoting urinary drainage 2.Encouraging the patient to rest 3.Administering IV fluids 4.Determining the extent of damage | back 7 3.Administering IV fluids |
front 8 A patient is receiving treatment for glomerulonephritis. Which laboratory parameter should be monitored to determine the degree of renal functioning in the patient? Select all that apply. 1.Creatinine 2.Blood urea nitrogen 3.Red blood cell count 4.Protein levels in the urine 5.White blood cell count | back 8 1.Creatinine 2.Blood urea nitrogen |
front 9 Which characteristic would be indicative of nephritic syndrome? 1.Presence of hypoalbuminemia and edema 2.Treatment includes use of immunomodulators 3.Massive proteinuria occurs with this disorder 4.Diabetes mellitus is a common cause | back 9 2.Treatment includes use of immunomodulators |
front 10 The nurse is providing instructions to a patient regarding diet management. The patient is in the oliguric phase of an acute kidney injury. Which statement indicates effective learning? 1.“I should reduce salt in my diet.” 2.“I should consume more protein.” 3.“I should increase my intake of water.” 4.“I should increase the intake of phosphorus in my diet.” | back 10 1.“I should reduce salt in my diet.” |
front 11 When the laboratory report of a patient diagnosed with chronic kidney disease shows a glomerular filtration rate (GFR) of 50 mL/minute, which stage would the nurse document? 1.G1 2.G2 3.G3a 4.G3b | back 11 3.G3a |
front 12 Which assessment should be performed to prevent intrarenal damage from postrenal causes in a patient with acute kidney injury? 1.Examination of prostate gland 2.Measurement of blood volume 3.Measurement of cardiac output 4.Identification of nephrotoxins | back 12 1.Examination of prostate gland |
front 13 The nurse is caring for a patient diagnosed with acute kidney injury (AKI). The nurse notes the patient only urinated 150 mL during the 12-hour shift. In which phase of AKI would the nurse suspect the patient to be? 1.Initiating 2.Oliguric 3.Diuretic 4.Recovery | back 13 2.Oliguric |
front 14 Which electrolyte abnormality noted in a patient diagnosed with acute kidney injury would be most concerning to the nurse? 1.Serum calcium 10.4 mg/dL 2.Serum sodium 146 mEq/L 3.Serum phosphate 2.4 mg/dL 4.Serum potassium 6.3 mEq/L | back 14 4.Serum potassium 6.3 mEq/L |
front 15 Which intervention may be beneficial for a patient with extrarenal metastasis of renal cancer to the bones? 1.Chemotherapy 2.Radiation therapy 3.Partial nephrectomy 4.Radical nephrectomyNext | back 15 no data |
front 16 The nurse is assessing the laboratory reports of four patients. Which patient’s report indicates renal failure? 1.Mary 2.Joe 3.Kim 4.Sam | back 16 4.Sam |
front 17 A patient is diagnosed with glomerulonephritis caused by vasculitis. Which medication is likely to be prescribed? 1.Diuretics 2.Antibiotics 3.Corticosteroids 4.Antihypertensives | back 17 3.Corticosteroids |
front 18 Which intervention for the treatment of anemia in patients with chronic kidney disease requires the addition of stool softeners? 1.Blood transfusions 2.Erythropoietin therapy 3.Oral iron supplementation 4.Folic acid supplementation | back 18 3.Oral iron supplementation |
front 19 The nurse is caring for a patient with acute kidney injury who has a serum potassium level of 6.2 mmol/L. Which changes are noted in this electrocardiogram (ECG) rhythm as a result? 1.Prolonged PR interval 2.Wide QRS complex 3.Peaked T wave 4.Elevated ST segment | back 19 3.Peaked T wave |
front 20 Which nursing intervention would be most appropriate for a patient diagnosed with polycystic kidney disease (PKD)? 1.Encourage dietary protein intake 2.Make sure the patient drinks at least 2 liters of water daily 3.Administer antihypertensive medications as ordered 4.Obtain weekly weights | back 20 3.Administer antihypertensive medications as ordered |
front 21 The nurse is teaching a nursing student about assessing older adult patients with urinary tract infections and delirium. Which statement made by the nursing student indicates successful teaching? Select all that apply. 1.“I should consider the presence of neurological deficits.” 2.“I should assume the delirium is caused by a urinary tract infection unless there is evidence to the contrary.” 3.“I should assess the patient’s baseline cognitive function.” 4.“I should assess for symptoms of dysuria and urinary frequency.” 5.“I should administer antibiotics before sampling for laboratory tests.” | back 21 1.“I should consider the presence of neurological deficits.” 3.“I should assess the patient’s baseline cognitive function.” 4.“I should assess for symptoms of dysuria and urinary frequency.” |
front 22 The nurse is instructing a patient with polycystic kidney disease regarding safety precautions. Which statement made by the patient indicates successful teaching? 1.“I should increase my fluid intake.” 2.“I should eat a high-protein diet.” 3.“I should immediately report if my temperature is high.” 4.“I should expect changes in my urinary pattern.” | back 22 3.“I should immediately report if my temperature is high.” |
front 23 Which phase of acute kidney injury involves an increase in creatinine levels? 1.Oliguric phase 2.Diuretic phase 3.Initiating phase 4.Recovery phase | back 23 1.Oliguric phase |
front 24 The laboratory report of a patient with kidney disease indicates an increase in the blood urea nitrogen (BUN) level. Which is the most likely cause of this condition? 1.Decreased erythropoietin production 2.Decreased gastrointestinal absorption 3.Increased protein intake and breakdown 4.Increased production of nonvolatile acids | back 24 3.Increased protein intake and breakdown |
front 25 The nurse is assessing the clinical manifestation reports of four patients. Which patient is most likely to have renal trauma? 1.Patient A 2.Patient B 3.Patient C 4.Patient D | back 25 4.Patient D |
front 26 Which laboratory abnormality may lead to a disturbed thought process in a patient with end-stage renal disorder? 1.Anemia 2.Uremic toxins 3.Fluid retention 4.Electrolyte imbalances | back 26 2.Uremic toxins |
front 27 A pregnant woman reports fever, chills, urinary frequency, and painful urination. Upon assessment, flank pain and costovertebral tenderness are observed. A histological examination of renal tissue reveals inflammation of the renal cells. Which intervention may be contraindicated in the patient? 1.Antipyretics 2.Fluoroquinolones 3.Aminoglycosides 4.Narcotic analgesics | back 27 2.Fluoroquinolones |
front 28 The nurse is caring for a patient who just underwent a kidney transplant 48 hours prior and is showing signs of organ rejection. Which type of rejection would the nurse suspect? 1.Acute rejection 2.Hyperacute rejection 3.Chronic rejection 4.Accelerated rejection | back 28 4.Accelerated rejection |
front 29 Which statement would the nurse include when teaching the patient about the prevention of urinary tract infections? 1.“You can stop taking antibiotics once your symptoms clear up.” 2.“Be sure to urinate every six hours during the day.” 3.“Empty the bladder completely before and after sexual intercourse.” 4.“Limit your intake of fluid so that you are not urinating as often.” | back 29 3.“Empty the bladder completely before and after sexual intercourse.” |
front 30 A patient reports anorexia along with cloudy and foul-smelling urine. Which condition should the nurse suspect? 1.Renal cancer 2.Renal trauma 3.Pyelonephritis 4.Glomerulonephritis | back 30 3.Pyelonephritis |
front 31 The nurse is teaching about this type of dialysis in patients with end-stage renal disease. Which statement indicates successful teaching? Select all that apply. 1.“Patients can opt for this kind of dialysis treatment at home.” 2“The metabolic clearance of wastes occurs quickly in this type of dialysis.” 3.“This kind of dialysis requires very strict dietary restrictions by the patient.” 4.“Longer training sessions are required to teach the patient and their family members about this kind of dialysis.” 5.“This type of dialysis is suggested for patients who respond poorly to hemodialysis.” | back 31 1.“Patients can opt for this kind of dialysis treatment at home.” 5.“This type of dialysis is suggested for patients who respond poorly to hemodialysis.” |