ESTUDYR
NCLEX-RN Case Study: Acute Kidney Injury
(AKI)
Client Scenario
0900 Nurses' Notes:
An 82-year-old female is admitted from a long-term care facility with a 3-day history of
severe diarrhea, poor oral intake, and generalized weakness. Her medical history includes
heart failure and osteoarthritis (treated with daily NSAIDs). The nursing home staff reports
she has not voided in the last 12 hours.
Physical Assessment:
General: Lethargic but rousable to voice. Dry mucous membranes and poor skin
turgor.
Vital Signs: T 99.1°F, HR 108, BP 92/58, RR 20, SpO2 95% on room air.
Cardiovascular: Weak, thready peripheral pulses.
Item 1 of 6: Recognizing Cues
Question: Click to highlight the findings that indicate the client is experiencing Prerenal
Acute Kidney Injury.
Nurses' Note: > 3-day history of severe diarrhea; poor oral intake; daily NSAIDs; not voided
in the last 12 hours; Dry mucous membranes; BP 92/58; HR 108.
Correct Selections:
✅Severe diarrhea / Poor oral intake (Causes volume depletion)
✅Daily NSAIDs (Causes afferent arteriole vasoconstriction, reducing renal blood
flow)
NCLEX-RN Case Study: Acute Kidney Injury
(AKI)
Client Scenario
0900 Nurses' Notes:
An 82-year-old female is admitted from a long-term care facility with a 3-day history of
severe diarrhea, poor oral intake, and generalized weakness. Her medical history includes
heart failure and osteoarthritis (treated with daily NSAIDs). The nursing home staff reports
she has not voided in the last 12 hours.
Physical Assessment:
General: Lethargic but rousable to voice. Dry mucous membranes and poor skin
turgor.
Vital Signs: T 99.1°F, HR 108, BP 92/58, RR 20, SpO2 95% on room air.
Cardiovascular: Weak, thready peripheral pulses.
Item 1 of 6: Recognizing Cues
Question: Click to highlight the findings that indicate the client is experiencing Prerenal
Acute Kidney Injury.
Nurses' Note: > 3-day history of severe diarrhea; poor oral intake; daily NSAIDs; not voided
in the last 12 hours; Dry mucous membranes; BP 92/58; HR 108.
Correct Selections:
✅Severe diarrhea / Poor oral intake (Causes volume depletion)
✅Daily NSAIDs (Causes afferent arteriole vasoconstriction, reducing renal blood
flow)
