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CHRONIC KIDNEY DISEASE EXAM 2025 PREP KIT WITH QUESTIONS AND CORRECT ANSWERS RATED A+
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CHRONIC KIDNEY DISEASE EXAM 2025 PREP KIT WITH QUESTIONS AND CORRECT ANSWERS RATED A+
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CHRONIC KIDNEY DISEASE EXAM 2025PREP KIT WITH QUESTIONS AND CORRECT
ANSWERS RATED A+
The nurse caring for a client diagnosed with CKD writes a client
problem of "noncompliance with dietary restrictions." Which
intervention should be included in the plan of care?
1. Teach the client the proper diet to eat while undergoing
dialysis.
2. Refer the client and significant other to the dietitian.
3. Explain the importance of eating the proper foods.
4. Determine the reason for the client not adhering to the diet.
Correct Answer 4. Determine the reason for the client not
adhering to the diet.
Rationale: Noncompliance is a choice the client has a right to
make, but the nurse should determine the reason for the
noncompliance and then take appropriate actions based on the
client's rationale. For example, if the client has financial
difficulties, the nurse may suggest how the client can afford the
proper foods along with medications, or the nurse may be able to
refer the client to a social worker.
The client diagnosed with CKD is receiving peritoneal dialysis.
Which assessment data warrant immediate intervention by the
nurse?
1. Inability to auscultate a bruit over the fistula.
2. The client's abdomen is soft, is nontender, and has bowel
sounds.
3. The dialysate being removed from the client's abdomen is
clear.
,4. The dialysate instilled was 1500 mL and removed was 1500
mL. Correct Answer 4. The dialysate instilled was 1500 mL and
removed was 1500 mL.
Rationale: Because the client is in ESRD, fluid must be removed
from the body, so the output should be more than the amount
instilled. These assessment data require intervention by the
nurse.
The nurse is caring for the client diagnosed with chronic kidney
disease (CKD) who is experiencing metabolic acidosis. Which
statement best describes the scientific rationale for metabolic
acidosis in this client?
1. There is an increased excretion of phosphates and organic
acids, which leads to an increase in arterial blood pH.
2. A shorted life span of red blood cells because of damage
secondary to dialysis treatments in turn leads to metabolic
acidosis.
3. The kidney cannot excrete increased levels of acid because
they cannot excrete ammonia or cannot reabsorb sodium
bicarbonate.
4. An increase in nausea and vomiting causes a loss of
hydrochloric acid and the respiratory system cannot compensate
adequately. Correct Answer 3. The kidney cannot excrete
increased levels of acid because they cannot excrete ammonia or
cannot reabsorb sodium bicarbonate.
Rationale: This is the correct scientific rationale for metabolic
acidosis occurring in the client with CKD.
The nurse in the dialysis center is initiating the morning dialysis
run. Which client should the nurse assess first?
,1. The client who has hemoglobin of 9.8 g/dL and hematocrit of
30%.
2. The client who does not have a palpable thrill or auscultated
bruit.
3. The client who is complaining of being exhausted and is
sleeping.
4. The client who did not take antihypertensive medication this
morning. Correct Answer 2. The client who does not have a
palpable thrill or auscultated bruit.
Rationale: This client's dialysis access is compromised and he or
she should be assessed first.
The male client diagnosed with CKD has received the initial dose
of erythropoietin, a biologic response modifier, 1 week ago. Which
complaint by the client indicates the need to notify the HCP?
1. The client complains of flu-like symptoms.
2. The client complains of being tired all the time.
3. The client reports an elevation in his blood pressure.
4. The client reports discomfort in his legs and back. Correct
Answer 3. The client reports an elevation in his blood pressure.
Rationale: After initial administration of erythropoietin, a client's
antihypertensive medications may need to be adjusted.
Therefore, this complaint requires notification of the HCP.
Erythropoietin therapy is contraindicated in clients with
uncontrolled hypertension.
The nurse is developing a nursing care plan for the client
diagnosed with CKD. Which nursing problem is priority for the
client?
1. Low self-esteem
2. Knowledge deficit
, 3. Activity intolerance
4. Excess fluid volume Correct Answer 4. Excess fluid volume
Rationale: Excess fluid volume is priority because of the stress
placed on the heart and vessels, which could lead to heart failure,
pulmonary edema, and death.
The client with CKD is placed on a fluid restriction of 1500
mL/day. On the 0700 to 1900 shift the client drank an eight ounce
cup of coffee, 4 ounces of juice, 12 ounces of tea, and 2 ounces
of water with medications. What amount of fluid can the nurse
give to the client? Correct Answer 720 mL
The nurse must add up how many mL of fluid the client drank on
the shift then subtract that number from 1500 mL. One ounce is
equal to 30 mL.
The client diagnosed with CKD has a new arteriovenous fistula in
the left forearm. Which intervention should the nurse implement?
1. Teach the client to carry heavy objects with the right arm.
2. Perform all laboratory blood tests on the left arm.
3. Instruct the client to lie on the left arm during the night.
4. Discuss the importance of not performing any hand exercises
Correct Answer 1. Teach the client to carry heavy objects with the
right arm.
Rationale: Carry heavy objects in the left arm could cause the
fistula to clot by putting undue stress on the site, so the client
should carry objects with the right arm.
The male client diagnosed with CKD secondary to diabetes has
been receiving dialysis for 12 years. The client is notified he will
not be placed on the kidney transplant list. The client tells the
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