GALEN ADVANCED MEDSURG NUR265
EXAM 1|ATI NUR265 QUESTIONS WITH
VERIFIED DETAILED CORRECT
ANSWERS GRADED A+
AKI S/S - CORRECT ANSWE✅✅ - oliguria;decreased urine output; azotomia;
fluid overload signs- crackles, edema, confusion, low spO2 (88), tachycardia; Map
below 65
AKI in xray dx - CORRECT ANSWE✅✅ - infiltration (fluid in lungs)
AKI ABG results may read - CORRECT ANSWE✅✅ - respiratory alkalosis
(spao2 below 88%)
example of pre renal AKI - CORRECT ANSWE✅✅ - dehydration, blood loss,
decreased cardiac output, heart failure; infection; NG suction, sepsis, V/D
Example of intra renal AKI - CORRECT ANSWE✅✅ - myoglobinuria,BPH,
tubular necrosis, nephrotoxocity; acute polynephtiits, contrast
Example of post renal AKI - CORRECT ANSWE✅✅ - bladder neck obstruction,
bladder cancer; calculi; tumor
Duiretic phase (3rd phase) of AKI - CORRECT ANSWE✅✅ - Nurse should give
3L-6L per day; place Foley
,Asses I and O (output=1000-2000mL/day)
replace fluids and monitor electrolyes
dialysis may be required
Best Lab indicator of Kindey function (AKI and CKD) - CORRECT ANSWE✅✅
- creatine (Normal 0.6-1.2)
AKI increased 1-2 every 24-48hrs
Normal urine output per hour - CORRECT ANSWE✅✅ - 30 mL/hr
normal potassium levels - CORRECT ANSWE✅✅ - 3.5-5.0 mEq/L
Normal Sodium levels - CORRECT ANSWE✅✅ - 135-145 mEq/L
Diet for AKI patients - CORRECT ANSWE✅✅ - mod protein
high carb
Complication of AKI - CORRECT ANSWE✅✅ - Preicarditis
Nephrotoxic agents include - CORRECT ANSWE✅✅ - contrast
mycin antibitics (peak and trough)
NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon)
Diet : AKI patient w/ dialysis - CORRECT ANSWE✅✅ - protein 40 g/day
,diet:AKI patient without dialysis - CORRECT ANSWE✅✅ - protein 1-1.5g/kg
Na 60-90 mEq/kg
K restriction 60-70 mEq/kg
Define oliguria - CORRECT ANSWE✅✅ - decreased urine production
400mL/day or less
How many stages of Kidney failure are there? - CORRECT ANSWE✅✅ - 5
stages ( defined by GFR)
stage 1 (GFR 90 and up)
Stage 5 (GFR 15 or less)
signs of Chronic Kidney Disease - CORRECT ANSWE✅✅ - oliguria, anemia,
azotomia, hyperkalemia
Diet for Chronic kidney disease - CORRECT ANSWE✅✅ - restrict K, restrict
NA, low protein
best food apples
treatment for chronic kidney disease - CORRECT ANSWE✅✅ - hemodialysis
and peritoneal dialysis
complication during hemodialysis - CORRECT ANSWE✅✅ - Disequilibruim
syndrome
, S/S of disequilibium syndrome
medical emergency tell hcp - CORRECT ANSWE✅✅ - headache
restless
confused
N/V
seizure
fatigue
complication of peritoneal dialysis - CORRECT ANSWE✅✅ - peritonitis (board
like abdomen)
hemodialysis contraindicated for - CORRECT ANSWE✅✅ - severe cardiac
disease, vascular disease, bleeding disorders
peritoneal dialysis contraindicated for - CORRECT ANSWE✅✅ - fibrosis, active
inflammatory GI disease, diverticulitis, ascites, central obesity, peritoneal
adhesions, recent abd surgery
Arteriovenous Fistula care - CORRECT ANSWE✅✅ - Do not sleep on arm
feel thrill & hear bruit every 4 hours
NO bp on av access arm
no venipuncture on av access arm
assess distal pulses
patient undergoing hemodialysis - CORRECT ANSWE✅✅ - weight before and
after
EXAM 1|ATI NUR265 QUESTIONS WITH
VERIFIED DETAILED CORRECT
ANSWERS GRADED A+
AKI S/S - CORRECT ANSWE✅✅ - oliguria;decreased urine output; azotomia;
fluid overload signs- crackles, edema, confusion, low spO2 (88), tachycardia; Map
below 65
AKI in xray dx - CORRECT ANSWE✅✅ - infiltration (fluid in lungs)
AKI ABG results may read - CORRECT ANSWE✅✅ - respiratory alkalosis
(spao2 below 88%)
example of pre renal AKI - CORRECT ANSWE✅✅ - dehydration, blood loss,
decreased cardiac output, heart failure; infection; NG suction, sepsis, V/D
Example of intra renal AKI - CORRECT ANSWE✅✅ - myoglobinuria,BPH,
tubular necrosis, nephrotoxocity; acute polynephtiits, contrast
Example of post renal AKI - CORRECT ANSWE✅✅ - bladder neck obstruction,
bladder cancer; calculi; tumor
Duiretic phase (3rd phase) of AKI - CORRECT ANSWE✅✅ - Nurse should give
3L-6L per day; place Foley
,Asses I and O (output=1000-2000mL/day)
replace fluids and monitor electrolyes
dialysis may be required
Best Lab indicator of Kindey function (AKI and CKD) - CORRECT ANSWE✅✅
- creatine (Normal 0.6-1.2)
AKI increased 1-2 every 24-48hrs
Normal urine output per hour - CORRECT ANSWE✅✅ - 30 mL/hr
normal potassium levels - CORRECT ANSWE✅✅ - 3.5-5.0 mEq/L
Normal Sodium levels - CORRECT ANSWE✅✅ - 135-145 mEq/L
Diet for AKI patients - CORRECT ANSWE✅✅ - mod protein
high carb
Complication of AKI - CORRECT ANSWE✅✅ - Preicarditis
Nephrotoxic agents include - CORRECT ANSWE✅✅ - contrast
mycin antibitics (peak and trough)
NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon)
Diet : AKI patient w/ dialysis - CORRECT ANSWE✅✅ - protein 40 g/day
,diet:AKI patient without dialysis - CORRECT ANSWE✅✅ - protein 1-1.5g/kg
Na 60-90 mEq/kg
K restriction 60-70 mEq/kg
Define oliguria - CORRECT ANSWE✅✅ - decreased urine production
400mL/day or less
How many stages of Kidney failure are there? - CORRECT ANSWE✅✅ - 5
stages ( defined by GFR)
stage 1 (GFR 90 and up)
Stage 5 (GFR 15 or less)
signs of Chronic Kidney Disease - CORRECT ANSWE✅✅ - oliguria, anemia,
azotomia, hyperkalemia
Diet for Chronic kidney disease - CORRECT ANSWE✅✅ - restrict K, restrict
NA, low protein
best food apples
treatment for chronic kidney disease - CORRECT ANSWE✅✅ - hemodialysis
and peritoneal dialysis
complication during hemodialysis - CORRECT ANSWE✅✅ - Disequilibruim
syndrome
, S/S of disequilibium syndrome
medical emergency tell hcp - CORRECT ANSWE✅✅ - headache
restless
confused
N/V
seizure
fatigue
complication of peritoneal dialysis - CORRECT ANSWE✅✅ - peritonitis (board
like abdomen)
hemodialysis contraindicated for - CORRECT ANSWE✅✅ - severe cardiac
disease, vascular disease, bleeding disorders
peritoneal dialysis contraindicated for - CORRECT ANSWE✅✅ - fibrosis, active
inflammatory GI disease, diverticulitis, ascites, central obesity, peritoneal
adhesions, recent abd surgery
Arteriovenous Fistula care - CORRECT ANSWE✅✅ - Do not sleep on arm
feel thrill & hear bruit every 4 hours
NO bp on av access arm
no venipuncture on av access arm
assess distal pulses
patient undergoing hemodialysis - CORRECT ANSWE✅✅ - weight before and
after
