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NURS 275- Exam 1 Questions And Correct Answers
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NURS 275- Exam 1 Questions And Correct Answers______________ is filtered only from the blood through the glomerulus and is NOT
returned to the blood through reabsorption, rather excreted in the urine.
A. Urea
B. Creatinine
C. Potassium
D. Magnesium Answer B
The client has an acute renal injury and has a GFR of 40 mL/min. Which of the following
manifestations might this patient show? (Select all that apply.)
A. Hypervolemia
B. Hypokalemia
C. Elevated BUN level
D. Decreased Creatinine level - Answer A, C
You are reviewing morning lab results on a female client who is being treated for an
acute myocardial infarction. The following lab result is the one for which you would need
to call the physician?
A. Potassium level 4.2 mEq/L
B. Creatinine clearance 35 mL/min
C. BUN 20 mg/dL
D. Blood pH 7.40 - Answer B
,A 55 year old male patient is admitted with a massive GI bleed. The patient is at risk for
what type of acute kidney injury?
A. Post-renal
B. Intra-renal
C. Pre-renal
D. Intrinsic renal - Answer C
Select all the patients below that are at risk for acute intra-renal injury?
A. A 45 year old male with a renal calculus.
B. A 65 year old male with benign prostatic hyperplasia.
C. A 25 year old female receiving chemotherapy.
D. A 36 year old female with renal artery stenosis.
E. A 6 year old male with acute glomerulonephritis.
F. An 87 year old male who is taking an aminoglycoside medication for an infection. -
Answer C, E, F
A patient with acute kidney injury has the following labs: GFR 92 mL/min, BUN 17 mg/dL,
potassium 4.9 mEq/L, and creatinine 1 mg/dL. The patient's 24 hour urinary output is
1.75 Liters. Based on these findings what stage of AKI is this patient in?
A. Initiation
B. Diuresis
C. Oliguric
D. Recovery - Answer D
A 36 year old male patient is diagnosed with acute kidney injury. The patient is voiding 4
L/day of urine. What complication can arise based on the stage of AKI this patient is in?
, Select all that apply:
A. Water intoxication
B. Hypotension
C. Low urine specific gravity
D. Hypokalemia
E. Normal GFR - Answer B, C, D
True or False: All patients with acute renal injury will progress through the oliguric stage
of AKI but not all patients will progress through the diuresis stage. - Answer B
Which patient below with acute kidney injury is in the oliguric stage of AKI:
A. A 56 year old male who has metabolic acidosis, decreased GFR, increased
BUN/Creatinine, hyperkalemia, edema, and urinary output 350 mL/day.
B. A 45-year-old female with metabolic alkalosis, hypokalemia, normal GFR, increased
BUN/creatinine, edema, and a urinary output of 600 mL/day.
C. A 39-year-old male with metabolic acidosis, hyperkalemia, improving GFR, resolving
edema, and a urinary output of 4 L/day.
D. A 78-year-old female with respiratory acidosis, improved GFR, decreased
BUN/creatinine, hypokalemia, and a urine output of 550 mL/day. - Answer A
You are developing a nursing care plan for a client who is in the diuresis stage of AKI.
Which of the following would you include in the nursing diagnosis of the care plan?
A. Excess fluid volume
B. Risk for electrolyte imbalance
C. Urinary retention
D. Acute pain - Answer B
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