NSG 233 Module 9 P& D
Chronic Kidney Disease EXAM
QUESTIONS AND VERIFIED
CORRECT ANSWERS LATEST
2026-2027
Ms. J is a 63-year-old Hispanic woman who is being admitted directly to the medical unit after
visiting her health care provider (HCP) because of shortness of breath and increased swelling in
her ankles and calves. She is being admitted with a diagnosis of chronic kidney disease (CKD).
Ms. J status that her symptoms have become worse over the past 2 to 3 months and that she
uses the bathroom less often and urinates in small amounts. Her medical history includes
hypertension (30 years), coronary artery disease (18 years), type 2 diabetes (14 years), an
appendectomy at age 28, catatact surgery to the left eye 2 years ago and right eye 1 year ago,
and four pregnancies with healthy births. She also has gastroesophageal reflux disease (GERD),
which is controlled with over-the-counter (OTC) famotidine 20 mg as needed.
Ms. J's vital sign values on admission were as follows:
Blood Pressure162/96 mm HgHeart rate88 beats/minO2 - CORRECT ANSWER-B. Notify the
team leader RN and record the finding.
Rational:
An oxygen saturation of 93% on 2 L/min is acceptable, and the best action is to notify the team
lead and record the value.
, Which task associated with the patient's 24-hour urine collection is appropriate for the nurse to
delegate to the AP?
A. Instructing Ms. J to collect all urine with each voiding .
B. Teaching Ms. J the purpose of collecting urine for 24 hours .
C. Assessing Ms. J's urine for color, odor, and sediment
D. Ensuring that all of Ms. J's urine collected for the test is kept on ice . - CORRECT ANSWER-D.
Ensuring that all of Ms. J's urine collected for the test is kept on ice .
Rational:
Teaching, instructing, and assessing are all functions that require additional education and
preparation appropriate to the scope of practice for professional nurses. Providing the patient
with ice for the urine collection and reminding the patient to collect her urine fit the scope of
practice of the AP. Remember that the AP can remind a patient about anything that has already
been taught.
The results of Ms. J's 24-hour urine collection reveal a creatinine clearance of 65 mL/min (1.09
mL/sec). How does the nurse best interpret this finding?
A. Creatinine clearance is within normal range.
B. Creatinine clearance function.
C. Creatinine clearance is lower than normal.
D. Creatinine clearance is higher than normal. - CORRECT ANSWER-C. Creatinine clearance is
lower than normal.
Rational:
The normal creatinine clearance is 107 to 139 mL/min for men (1.78 to 2.32 mL/sec) and 87 to
107 mL/min (1.45 to 1.78 mL/sec) for women tested with a 24-hour urine collection. A low
result indicates that the kidneys are functioning at a lower than expected level. The patient has
CKD.
Based on Ms. J's history, which risk factors in Ms. J's history indicate increased risk for CKD?
1. Long-term use of OTC ranitidine
2. Hypertension
Chronic Kidney Disease EXAM
QUESTIONS AND VERIFIED
CORRECT ANSWERS LATEST
2026-2027
Ms. J is a 63-year-old Hispanic woman who is being admitted directly to the medical unit after
visiting her health care provider (HCP) because of shortness of breath and increased swelling in
her ankles and calves. She is being admitted with a diagnosis of chronic kidney disease (CKD).
Ms. J status that her symptoms have become worse over the past 2 to 3 months and that she
uses the bathroom less often and urinates in small amounts. Her medical history includes
hypertension (30 years), coronary artery disease (18 years), type 2 diabetes (14 years), an
appendectomy at age 28, catatact surgery to the left eye 2 years ago and right eye 1 year ago,
and four pregnancies with healthy births. She also has gastroesophageal reflux disease (GERD),
which is controlled with over-the-counter (OTC) famotidine 20 mg as needed.
Ms. J's vital sign values on admission were as follows:
Blood Pressure162/96 mm HgHeart rate88 beats/minO2 - CORRECT ANSWER-B. Notify the
team leader RN and record the finding.
Rational:
An oxygen saturation of 93% on 2 L/min is acceptable, and the best action is to notify the team
lead and record the value.
, Which task associated with the patient's 24-hour urine collection is appropriate for the nurse to
delegate to the AP?
A. Instructing Ms. J to collect all urine with each voiding .
B. Teaching Ms. J the purpose of collecting urine for 24 hours .
C. Assessing Ms. J's urine for color, odor, and sediment
D. Ensuring that all of Ms. J's urine collected for the test is kept on ice . - CORRECT ANSWER-D.
Ensuring that all of Ms. J's urine collected for the test is kept on ice .
Rational:
Teaching, instructing, and assessing are all functions that require additional education and
preparation appropriate to the scope of practice for professional nurses. Providing the patient
with ice for the urine collection and reminding the patient to collect her urine fit the scope of
practice of the AP. Remember that the AP can remind a patient about anything that has already
been taught.
The results of Ms. J's 24-hour urine collection reveal a creatinine clearance of 65 mL/min (1.09
mL/sec). How does the nurse best interpret this finding?
A. Creatinine clearance is within normal range.
B. Creatinine clearance function.
C. Creatinine clearance is lower than normal.
D. Creatinine clearance is higher than normal. - CORRECT ANSWER-C. Creatinine clearance is
lower than normal.
Rational:
The normal creatinine clearance is 107 to 139 mL/min for men (1.78 to 2.32 mL/sec) and 87 to
107 mL/min (1.45 to 1.78 mL/sec) for women tested with a 24-hour urine collection. A low
result indicates that the kidneys are functioning at a lower than expected level. The patient has
CKD.
Based on Ms. J's history, which risk factors in Ms. J's history indicate increased risk for CKD?
1. Long-term use of OTC ranitidine
2. Hypertension
