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CCI Final Exam Flashcards EXAM 2025 QUESTIONS AND CORRECT ANSWER
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CCI Final Exam Flashcards EXAM 2025 QUESTIONS AND CORRECT ANSWER
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CCI Final Exam Flashcards EXAM 2025 QUESTIONS ANDCORRECT ANSWER
A patient is admitted to the hospital with severe renal colic. The nurse's first priority in
management of the patient is to
a. administer opioids as prescribed.
b. obtain supplies for straining all urine.
c. encourage fluid intake of 3 to 4 L/day.
d. keep the patient NPO in preparation for surgery. - answer>>>a. administer opioids as
prescribed.
The nurse recommends genetic counseling for the children of a patient with
a. nephrotic syndrome.
b. chronic pyelonephritis.
c. malignant nephrosclerosis.
d. adult-onset polycystic kidney disease. - answer>>>d. adult-onset polycystic kidney disease.
The nurse identifies a risk factor for kidney and bladder cancer in a patient who relates a history
of
a. aspirin use.
b. tobacco use.
c. chronic alcohol abuse.
d. use of artificial sweeteners. - answer>>>b. tobacco use.
In planning nursing interventions to increase bladder control in the patient with urinary
incontinence, the nurse includes
a. teaching the patient to use Kegel exercises.
b. clamping and releasing a catheter to increase bladder tone.
c. teaching the patient biofeedback mechanisms to suppress the urge to void.
,d. counseling the patient concerning choice of incontinence containment device. - answer>>>a.
teaching the patient to use Kegel exercises.
A patient with a ureterolithotomy returns from surgery with a nephrostomy tube in place.
Postoperative nursing care of the patient includes
a. encouraging the patient to drink fruit juices and milk.
b. encouraging fluids of at least 2 to 3 L/day after nausea has subsided.
c. irrigating the nephrostomy tube with 10 mL of normal saline solution as needed.
d. notifying the physician if nephrostomy tube drainage is more than 30 mL/hr. - answer>>>b.
encouraging fluids of at least 2 to 3 L/day after nausea has subsided.
A patient has had a cystectomy and ileal conduit diversion performed. Four days
postoperatively, mucous shreds are seen in the drainage bag. The nurse should
a. notify the physician.
b. notify the charge nurse.
c. irrigate the drainage tube.
d. document it as a normal observation. - answer>>>d. document it as a normal observation.
Which descriptions characterize acute kidney injury (select all that apply)?
a. Primary cause of death is infection.
b. It almost always affects older people.
c. Disease course is potentially reversible.
d. Most common cause is diabetic nephropathy.
e. Cardiovascular disease is most common cause of death. - answer>>>a. Primary cause of
death is infection.
c. Disease course is potentially reversible.
RIFLE defines three stages of AKI based on changes in
a. blood pressure and urine osmolality.
,b. fractional excretion of urinary sodium.
c. estimation of GFR with the MDRD equation.
d. serum creatinine or urine output from baseline. - answer>>>d. serum creatinine or urine
output from baseline.
During the oliguric phase of AKI, the nurse monitors the patient for (select all that apply)
a. hypotension.
b. ECG changes.
c. hypernatremia.
d. pulmonary edema.
e. urine with high specific gravity. - answer>>>b. ECG changes.
d. pulmonary edema.
If a patient is in the diuretic phase of AKI, the nurse must monitor for which serum electrolyte
imbalances?
a. Hyperkalemia and hyponatremia
b. Hyperkalemia and hypernatremia
c. Hypokalemia and hyponatremia
d. Hypokalemia and hypernatremia - answer>>>c. Hypokalemia and hyponatremia
A patient is admitted to the hospital with chronic kidney disease. The nurse understands that
this condition is characterized by
a. progressive irreversible destruction of the kidneys.
b. a rapid decrease in urine output with an elevated BUN.
c. an increasing creatinine clearance with a decrease in urine output.
d. prostration, somnolence, and confusion with coma and imminent death. - answer>>>a.
progressive irreversible destruction of the kidneys.
, Nurses must teach patients at risk for developing chronic kidney disease. Individuals considered
to be at increased risk include (select all that apply)
a. older African Americans.
b. patients more than 60 years old.
c. those with a history of pancreatitis.
d. those with a history of hypertension.
e. those with a history of type 2 diabetes. - answer>>>a. older African Americans.
b. patients more than 60 years old.
d. those with a history of hypertension.
e. those with a history of type 2 diabetes.
Patients with chronic kidney disease experience an increased incidence of cardiovascular
disease related to (select all that apply)
a. hypertension.
b. vascular calcifications.
c. a genetic predisposition.
d. hyperinsulinemia causing dyslipidemia.
e. increased high-density lipoprotein levels. - answer>>>a. hypertension.
b. vascular calcifications.
d. hyperinsulinemia causing dyslipidemia.
Nutritional support and management are essential across the entire continuum of chronic
kidney disease. Which statements would be considered true related to nutritional therapy
(select all that apply)?
a. Fluid is not usually restricted for patients receiving peritoneal dialysis.
b. Sodium and potassium may be restricted in someone with advanced CKD.
c. Decreased fluid intake and a low-potassium diet are hallmarks of the diet for a patient
receiving hemodialysis.
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