NURS 7950 ATI RENAL MC COMPREHENSIVE
EXAM SCRIPT 2026 SOLVED QUESTIONS FULL
SOLUTION
◉ Renal Diagnostic Procedure
Renal Scan. Answer: Assess renal blood flow and estimates GFR after
IV injection of radioactive material for kidney scans
Assess BP if given captopril during procedure; Ortho hypo;
Encourage liquids; material not nephrotoxic
◉ Renal Diagnostic Procedure
Excretory urography. Answer: Obstruction and parenchymal mass;
size of kidneys; IV contrast media (iodine based)
Increased fluids; Enema/laxative; Allergies (iodine, eggs, milk,
seafood, chocolate) asthma; Withhold metformin --> check BUN and
creatinine before resuming
◉ Function of Dialysis. Answer: rids body of excess fluid and
electrolytes; achieve acid-base balance; eliminates waste products;
restores internal homeostasis by osmosis, diffusion, and
ultrafiltration
, ◉ Hemodialysis. Answer: shunts blood from body through dialyzer
and back into circulation; requires vascular access; based on
manifestations not on GFR
Preprocedure- assess patency (listen for bruit, thrill, etc); Don't do
anything into arm with access site; Assess vitals, BUN/creatinine,
electrolytes, Hct and weight; Withhold meds until after
Intra- monitor for complications (bleeding, v, hypotension); heparin
(protamin sulfate)
Post-Vitals and lab values; compare weight 1 L = 1 kg; assess for
complications (above; disequilibrium syndrome, hypovolemia
(hypotension, dizziness, tachy); Eat folate and protein
Complications- Clotting/infection; Disequilibrium syndrome (too
rapid a decrease in BUN and volume--> cerebral edema and ICP -->
N/V, LOC, seizures, agitation); Hypotension, Anemia, Infection
Disease
◉ Peritoneal Dialysis. Answer: instillation of hypertonic dialysate
solution into the peritoneal cavity, dwell times, drain; 1st choice for
older adults (no anticoagulants, vascular access, have chronic
infections/disease)
Pre-Assess weight, vitals, electrolytes, creatinine, BUN, glucose;
Sterile technique
Continuous ambulatory peritoneal dialysis (can do normal activities
Continuous- cycle peritoneal dialysis - 24 hour dialysis; exchange at
night
EXAM SCRIPT 2026 SOLVED QUESTIONS FULL
SOLUTION
◉ Renal Diagnostic Procedure
Renal Scan. Answer: Assess renal blood flow and estimates GFR after
IV injection of radioactive material for kidney scans
Assess BP if given captopril during procedure; Ortho hypo;
Encourage liquids; material not nephrotoxic
◉ Renal Diagnostic Procedure
Excretory urography. Answer: Obstruction and parenchymal mass;
size of kidneys; IV contrast media (iodine based)
Increased fluids; Enema/laxative; Allergies (iodine, eggs, milk,
seafood, chocolate) asthma; Withhold metformin --> check BUN and
creatinine before resuming
◉ Function of Dialysis. Answer: rids body of excess fluid and
electrolytes; achieve acid-base balance; eliminates waste products;
restores internal homeostasis by osmosis, diffusion, and
ultrafiltration
, ◉ Hemodialysis. Answer: shunts blood from body through dialyzer
and back into circulation; requires vascular access; based on
manifestations not on GFR
Preprocedure- assess patency (listen for bruit, thrill, etc); Don't do
anything into arm with access site; Assess vitals, BUN/creatinine,
electrolytes, Hct and weight; Withhold meds until after
Intra- monitor for complications (bleeding, v, hypotension); heparin
(protamin sulfate)
Post-Vitals and lab values; compare weight 1 L = 1 kg; assess for
complications (above; disequilibrium syndrome, hypovolemia
(hypotension, dizziness, tachy); Eat folate and protein
Complications- Clotting/infection; Disequilibrium syndrome (too
rapid a decrease in BUN and volume--> cerebral edema and ICP -->
N/V, LOC, seizures, agitation); Hypotension, Anemia, Infection
Disease
◉ Peritoneal Dialysis. Answer: instillation of hypertonic dialysate
solution into the peritoneal cavity, dwell times, drain; 1st choice for
older adults (no anticoagulants, vascular access, have chronic
infections/disease)
Pre-Assess weight, vitals, electrolytes, creatinine, BUN, glucose;
Sterile technique
Continuous ambulatory peritoneal dialysis (can do normal activities
Continuous- cycle peritoneal dialysis - 24 hour dialysis; exchange at
night
