N201 FINAL WCU Prep Questions With
Correct Answers
leading cause of chronic kidney failure - ANSWER diabetes and hypertension
as GFR levels decrease, BUN and creatinine levels - ANSWER increase
the most accurate indicator of kidney function - ANSWER serum creatinine
clearance
potassium in kidney disease causes - ANSWER fatal dysrhythmias have been
reported when serum potassium levels reach 7 - 8 mEq/L
potassium imbalance in kidney disease results from - ANSWER decreased
secretion of potassium by the kidneys (hyperkalemia), the breakdown of cellular
protein, bleeding, and metabolic acidosis
sodium in kidney disease - ANSWER impaired sodium excretion, sodium and
water are retained. sodium retention can contribute to edema, hypertension,
and heart failure
metabolic acidosis results from - ANSWER the kidneys' impaired ability to
excrete acid, and from defective reabsorption and regeneration of bicarbonate
most common cause of death in patients with chronic kidney disease - ANSWER
cardiovascular diseases such as: MI, ischemic heart disease, peripheral artery
disease, heart failure, cardiomyopathy, and stroke
in severe acidosis the respiratory system may attempt to compensate with -
ANSWER kussmaul breathing which results with increased CO2 removal by
exhalation
Chronic kidney disease mineral and bone disorder (CKD-MBD) develops as -
ANSWER a systemic disorder of mineral and bone metabolism caused by
progressive deterioration in kidney function
the usual first indication of kidney damage - ANSWER proteiunria
screening for chronic kidney disease involves - ANSWER a dipstick evaluation of
protein in the urine or evaluation for microalbuminuria
urinalysis can detect - ANSWER RBCs, WBCs, protein, casts and glucose
, ultrasound of the kidneys can detect - ANSWER obstruction and the size of the
kidneys
equations to estimate GFR are - ANSWER Crockcroft-Gault formula and
modification of diet in renal disease study equation
what is end stage renal disease (ESRD) - ANSWER when the GRF is less than 15
mL/min; dialysis or transplantation is required to maintain life
a nurse is caring for a client who has nephrotic syndrome and has been taking
prednisone for 3 days. what adverse effect should the nurse monitor for and
report to the provider? - ANSWER sore throat: glucocorticoids depress the
natural immune system and increase the client's risk for infection, a sore throat
can indicate an infection
a nurse is caring for a hospitalized client who received hemodialysis 1 hr ago.
when evaluating the client's status after dialysis, which information should the
nurse assess for first? - ANSWER vital signs: when using the ABC approach to
client care, the nurse should determine that the priority information to assess
the client's vs
a nurse is planning care for a client who has acute glomerulonephritis. the nurse
should plan to provide which intervention? - ANSWER weigh the client daily: the
nurse can monitor fluid retention by weighing the client daily
a nurse is reviewing the laboratory reports of a client who has acute kidney
injury. Which findings should the nurse expect - ANSWER BUN 30 mg/dL
urine output of 40 mL in the past 3 hrs
hematocrit 30%
BUN is expected to be elevated with AKI
Oliguria with urine output 100-400 ml per 24 hrs is expected
hematocrit level being decreased is expected
a nurse is caring for a client who has acute kidney injury. which laboratory
findings should the nurse report to the provider? - ANSWER serum creatinine
4.0 mg/dL
the nurse should report the client's serum creatinine level to the provider. this
finding is outside the expected reference range
a nurse is providing teaching for a client who has chronic kidney disease. which
client statement indicates an understanding of the teaching? - ANSWER "i will
weigh my self each morning"
the client who has CKD should monitor his weight every morning at the same
time to provide an accurate assessment of fluid balance
Correct Answers
leading cause of chronic kidney failure - ANSWER diabetes and hypertension
as GFR levels decrease, BUN and creatinine levels - ANSWER increase
the most accurate indicator of kidney function - ANSWER serum creatinine
clearance
potassium in kidney disease causes - ANSWER fatal dysrhythmias have been
reported when serum potassium levels reach 7 - 8 mEq/L
potassium imbalance in kidney disease results from - ANSWER decreased
secretion of potassium by the kidneys (hyperkalemia), the breakdown of cellular
protein, bleeding, and metabolic acidosis
sodium in kidney disease - ANSWER impaired sodium excretion, sodium and
water are retained. sodium retention can contribute to edema, hypertension,
and heart failure
metabolic acidosis results from - ANSWER the kidneys' impaired ability to
excrete acid, and from defective reabsorption and regeneration of bicarbonate
most common cause of death in patients with chronic kidney disease - ANSWER
cardiovascular diseases such as: MI, ischemic heart disease, peripheral artery
disease, heart failure, cardiomyopathy, and stroke
in severe acidosis the respiratory system may attempt to compensate with -
ANSWER kussmaul breathing which results with increased CO2 removal by
exhalation
Chronic kidney disease mineral and bone disorder (CKD-MBD) develops as -
ANSWER a systemic disorder of mineral and bone metabolism caused by
progressive deterioration in kidney function
the usual first indication of kidney damage - ANSWER proteiunria
screening for chronic kidney disease involves - ANSWER a dipstick evaluation of
protein in the urine or evaluation for microalbuminuria
urinalysis can detect - ANSWER RBCs, WBCs, protein, casts and glucose
, ultrasound of the kidneys can detect - ANSWER obstruction and the size of the
kidneys
equations to estimate GFR are - ANSWER Crockcroft-Gault formula and
modification of diet in renal disease study equation
what is end stage renal disease (ESRD) - ANSWER when the GRF is less than 15
mL/min; dialysis or transplantation is required to maintain life
a nurse is caring for a client who has nephrotic syndrome and has been taking
prednisone for 3 days. what adverse effect should the nurse monitor for and
report to the provider? - ANSWER sore throat: glucocorticoids depress the
natural immune system and increase the client's risk for infection, a sore throat
can indicate an infection
a nurse is caring for a hospitalized client who received hemodialysis 1 hr ago.
when evaluating the client's status after dialysis, which information should the
nurse assess for first? - ANSWER vital signs: when using the ABC approach to
client care, the nurse should determine that the priority information to assess
the client's vs
a nurse is planning care for a client who has acute glomerulonephritis. the nurse
should plan to provide which intervention? - ANSWER weigh the client daily: the
nurse can monitor fluid retention by weighing the client daily
a nurse is reviewing the laboratory reports of a client who has acute kidney
injury. Which findings should the nurse expect - ANSWER BUN 30 mg/dL
urine output of 40 mL in the past 3 hrs
hematocrit 30%
BUN is expected to be elevated with AKI
Oliguria with urine output 100-400 ml per 24 hrs is expected
hematocrit level being decreased is expected
a nurse is caring for a client who has acute kidney injury. which laboratory
findings should the nurse report to the provider? - ANSWER serum creatinine
4.0 mg/dL
the nurse should report the client's serum creatinine level to the provider. this
finding is outside the expected reference range
a nurse is providing teaching for a client who has chronic kidney disease. which
client statement indicates an understanding of the teaching? - ANSWER "i will
weigh my self each morning"
the client who has CKD should monitor his weight every morning at the same
time to provide an accurate assessment of fluid balance
