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NURS 275- EXAM 1 QUESTIONS WITH 100 % VERIFIED ANSWERS
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NURS 275- EXAM 1 QUESTIONS WITH 100 %VERIFIED ANSWERS
______________ is solely filtered from the bloodstream via the glomerulus and is
NOT reabsorbed back into the bloodstream but is excreted through the urine.
A. Urea
B. Creatinine
C. Potassium
D. Magnesium - ANSWER B
A patient with acute renal injury has a GFR (glomerular filtration rate) of 40
mL/min. Which signs and symptoms below may this patient present with? Select
all that apply:
A. Hypervolemia
B. Hypokalemia
C. Increased BUN level
D. Decreased Creatinine level - ANSWER A, C
You're assessing morning lab values on a female patient who is recovering from a
myocardial infarction. Which lab value below requires you to notify 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 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 urinary output 600 mL/day.
C. A 39 year old male with metabolic acidosis, hyperkalemia, improving GFR,
resolving edema, and urinary output 4 L/day.
D. A 78 year old female with respiratory acidosis, increased GFR, decreased
BUN/creatinine, hypokalemia, and urinary output 550 mL/day. - ANSWER A
You're developing a nursing care plan for a patient in the diuresis stage of AKI.
What nursing diagnosis would you include in the care plan?
A. Excess fluid volume
B. Risk for electrolyte imbalance
C. Urinary retention
D. Acute pain - ANSWER B
While educating a group of nursing students about the stages of acute kidney
injury, a student asks how long the oliguric stage lasts. You explain to the student
this stage can last?
A. 1-2 weeks
B. 1-3 days
C. Few hours to 2 weeks
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