NUR 265 Exam 1 Readiness Mock Test 50 NCLEX-Style Questions 2026

NUR 265 – EXAM 1 FULL 50-QUESTION NCLEX-STYLE MOCK Advanced Med-Surg | High Difficulty RENAL / ELIMINATION Q1 A patient with acute kidney injury is being closely monitored. Which finding suggests worsening renal function? A. Increased urine output B. Decreasing creatinine C. Rising BUN and potassium D. Mild fatigue Answer: C Q2 Which assessment finding in AKI requires immediate intervention? A. Oliguria B. Metabolic acidosis C. Hyperkalemia with peaked T waves D. Elevated creatinine Answer: C Q3 A trauma patient with AKI begins producing large amounts of urine after 48 hours of oliguria. How should the nurse interpret this? A. Acute worsening B. Expected recovery phase C. Fluid overload D. Onset of chronic kidney disease Answer: B Q4 Which electrolyte imbalance places a patient with renal failure at the highest risk for cardiac dysrhythmias? A. Hyponatremia B. Hyperkalemia C. Hypocalcemia D. Hyperphosphatemia Answer: B Q5 Which nursing intervention is appropriate for a patient with chronic kidney disease? A. High-protein diet B. Salt substitute use C. Moderate protein intake D. Potassium supplementation Answer: C Q6 A patient with CKD reports muscle weakness and palpitations. Which lab result does the nurse anticipate? A. Sodium 150 mEq/L B. Potassium 6.1 mEq/L C. Calcium 11.2 mg/dL D. Hemoglobin 16 g/dL Answer: B