Nurs 3210: Final Exam 2025/2026 All
Questions Answered Correct.
When does discharge planning start? - Answer Admission
Who is involved with discharge planning? - Answer Patient, family, nurse, case manager,
physician, PT/OT
What is the goal of discharge planning? - Answer Educate, keep patient out of hospital
What do you assess in regards to discharge? - Answer Stability, ability to understand
instructions, equipment needed at home, transport
What factors affect the discharge plan? - Answer Dx, patient, environment
Who is responsible for patient and family education? - Answer Nurse
What is the purpose of patient education? - Answer informed decisions, medical regimen
adherence, cost
True or False: Health education is an independent function of nursing and is a primary nursing
responsibility - Answer True
What factors impact patient education? - Answer Demographic, support system, medical dx,
timing of education, environment
Nursing process of teaching plan: Assess - Answer Readiness for learning, disabilities, cultural
assessment
Nursing process of teaching plan: Planning - Answer Priorities, goals, strategies
What is the best strategy for patient learning? - Answer Having the patient say what they are
doing while performing a task
Nursing process of teaching plan: Implementation - Answer Nurse implements when patient
is ready to learn
,Make sure patient verbalizes understanding and modify if necessary
Nursing process of teaching plan: Evaluation - Answer Don't assume that teaching was
always successful, evaluate goals/outcomes (modify if not met)
A nurse identifies that a patient is unable to identify the correct number of oral medication to
take each morning. Which step of the nursing process does this problem involve? - Answer
Assessment
Acute Kidney Injury - Answer Pre-renal
Intra-renal
Post-renal
Pre-renal assessment - Answer Fluid volume deficit, decreased CO, hypotension, decreased
CVP
Increased: Specific gravity, BUN, creatinine, K+
Decreased: UO
Low urinary Na+
Urinary sediment normal
Intra-renal assessment - Answer Fluid volume excess, oliguria/anuria
Increased: BUN, creatinine, CPK, K+, urine osmolarity
Decreased: H&H, UO, specific gravity
High urinary Na+
Post-renal assessment - Answer Signs of obstruction (prostate/stones)
Decreased: UO (sometimes none)
BUN/creatinine= normal (elevated in later stages)
AKI stages - Answer Oliguric/anuric phase
Diuretic phase
Recovery phase
, Oliguric/Anuric phase - Answer 24H to 1 week
Urine output less than 400 mL/24H
Duration: 1 day to 8 weeks (usually 8-15 days)
Major problem: hyperkalemia, build up of waste products
Diuretic phase - Answer 2-6 weeks after oliguric stage
BUN/creatinine improve, but renal function is impaired
Increase in UO (up to 10L/day)
Major problem: dehydration (FVD), hypo Na+/K+
Recovery phase - Answer Begins when lab values stabilize
Renal function has improved
Ends when patient can return to normal activity
Can take up to 1 year
AKI treatment: Pre-renal azotemia - Answer Optimize renal perfusion
fluid bolus, lasix, fluid volume expanders (lactated ringers/albumin--pulls fluid from tissues),
dopamine (renal dilation)
AKI treatment: Intra-renal - Answer Supportive therapy
IV fluids, stop damaging medications
AKI treatment: Post-renal azotemia - Answer Alleviate the obstruction
remove obstruction, flomax, break stones
AKI treatment: Oliguric phase - Answer Fluid restriction
Hyperkalemia
Dialysis
Questions Answered Correct.
When does discharge planning start? - Answer Admission
Who is involved with discharge planning? - Answer Patient, family, nurse, case manager,
physician, PT/OT
What is the goal of discharge planning? - Answer Educate, keep patient out of hospital
What do you assess in regards to discharge? - Answer Stability, ability to understand
instructions, equipment needed at home, transport
What factors affect the discharge plan? - Answer Dx, patient, environment
Who is responsible for patient and family education? - Answer Nurse
What is the purpose of patient education? - Answer informed decisions, medical regimen
adherence, cost
True or False: Health education is an independent function of nursing and is a primary nursing
responsibility - Answer True
What factors impact patient education? - Answer Demographic, support system, medical dx,
timing of education, environment
Nursing process of teaching plan: Assess - Answer Readiness for learning, disabilities, cultural
assessment
Nursing process of teaching plan: Planning - Answer Priorities, goals, strategies
What is the best strategy for patient learning? - Answer Having the patient say what they are
doing while performing a task
Nursing process of teaching plan: Implementation - Answer Nurse implements when patient
is ready to learn
,Make sure patient verbalizes understanding and modify if necessary
Nursing process of teaching plan: Evaluation - Answer Don't assume that teaching was
always successful, evaluate goals/outcomes (modify if not met)
A nurse identifies that a patient is unable to identify the correct number of oral medication to
take each morning. Which step of the nursing process does this problem involve? - Answer
Assessment
Acute Kidney Injury - Answer Pre-renal
Intra-renal
Post-renal
Pre-renal assessment - Answer Fluid volume deficit, decreased CO, hypotension, decreased
CVP
Increased: Specific gravity, BUN, creatinine, K+
Decreased: UO
Low urinary Na+
Urinary sediment normal
Intra-renal assessment - Answer Fluid volume excess, oliguria/anuria
Increased: BUN, creatinine, CPK, K+, urine osmolarity
Decreased: H&H, UO, specific gravity
High urinary Na+
Post-renal assessment - Answer Signs of obstruction (prostate/stones)
Decreased: UO (sometimes none)
BUN/creatinine= normal (elevated in later stages)
AKI stages - Answer Oliguric/anuric phase
Diuretic phase
Recovery phase
, Oliguric/Anuric phase - Answer 24H to 1 week
Urine output less than 400 mL/24H
Duration: 1 day to 8 weeks (usually 8-15 days)
Major problem: hyperkalemia, build up of waste products
Diuretic phase - Answer 2-6 weeks after oliguric stage
BUN/creatinine improve, but renal function is impaired
Increase in UO (up to 10L/day)
Major problem: dehydration (FVD), hypo Na+/K+
Recovery phase - Answer Begins when lab values stabilize
Renal function has improved
Ends when patient can return to normal activity
Can take up to 1 year
AKI treatment: Pre-renal azotemia - Answer Optimize renal perfusion
fluid bolus, lasix, fluid volume expanders (lactated ringers/albumin--pulls fluid from tissues),
dopamine (renal dilation)
AKI treatment: Intra-renal - Answer Supportive therapy
IV fluids, stop damaging medications
AKI treatment: Post-renal azotemia - Answer Alleviate the obstruction
remove obstruction, flomax, break stones
AKI treatment: Oliguric phase - Answer Fluid restriction
Hyperkalemia
Dialysis
