Med Surge Exam 3 Test Questions and Answers Graded A+
which abnormal finding would the nurse monitor for dur-
ing the oliguric phase of AKI?
a. hypothermia
b. hyperkalemia
b. hyperkalemia
c. hypocalcemia
d. hypernatremia
which information would the nurse include in response to
a clients questioning a protein restricted dietary change
required for AKI?
a. a high protein intake ensures an adequate daily supply
of amino acids to compensate for losses
b. essential and nonessential amino acids are necessary c. this diet supplies only essential amino acids, reducing
in the diet to supply material for tissue protein synthesis the amount of metabolic waster products, this decreasing
c. this diet supplies only essential amino acids, reducing stress on the kidneys
the amount of metabolic waster products, this decreasing
stress on the kidneys
d. currently you body is unable to synthesize amino acids,
so the nitrogen for amino acid synthesis must come from
the dietary protein
when a client in the emergency department has a BP of
90/60, weak radial pulse of 108 beats/min, and reports
working outside for several hours on a hot day, which
prescribed action would the nurse take first?
b. start infusion of normal saline 500 mL
a. complete a head to toe assessment
b. start infusion of normal saline 500 mL
c. ask the client about current medications
d. obtain blood samples for lab testing
which process would the nurse consider when formu-
lating a response to a pt with AKI who states "why am
I experiencing twitching and tingling of my fingers and
,Med Surge Exam 3 Test Questions and Answers Graded A+
toes?"
a. acidosis
b. calcium depletion b. calcium depletion
c. potassium retention
d. sodium chloride depletion
a pt with AKI is moved into the diuretic phase after 1 week
of therapy. during this phase, which clinical indicators
would the nurse assess? select all
a. skin rash b. dehydration
b. dehydration c. hypovolemia
c. hypovolemia
d. hyperkalemia
e. metabolic acidosis
which action would the nurse take after reviewing lab-
oratory results and noting that a client with AKI has a
potassium level of 6.2?
a. alert the cardiac arrest team c. notify HCP
b. call the lab to repeat the test
c. notify HCP
d. obtain an antiarrhythmic med
which complications would the nurse monitor a client
hospitalized with end-stage kidney disease? select all
a. anemia
a. anemia
b. dyspnea
b. dyspnea
c. jaundice
d. hyperexcitability
e. hypophosphatemia
which condition can be prevented when a client with
chronic kidney disease receives medication to manage
anemia?
, a. uremic frost
b. chronic fatigue
b. chronic fatigue
c. tubular necrosis
d. dependent edema
which clinical response will the nurse assess to determine
kidney damage in a client who develops a transfusion
reaction?
a. glycosuria c. decrease urinary output
b. blood in urine
c. decrease urinary output
d. acute pain over the kidney
where is the BP cutt placed on a client with dialysis access
fistula in the right arm?
a. on the left arm
a. on the left arm
b. over the fistula
c. below the fistula
d. above the fistula
which assessment finding in a hospitalized client with a hx
of CKD would alert the nurse to suspect kidney insuflcien-
cy?
a. facial flushing b. edema and pruritus
b. edema and pruritus
c. dribbling after voiding
d. diminished force of urination
which assessment is necessary for the nurse to complete
in a client with CKD receiving loop diuretics?
a. hemoglobin levels
d. intake and output measurement
b. occurrence of nausea
c. presence of constipation
d. intake and output measurement
, which element would the nurse teach the client with CKD
to limit as an intervention to control uremia associated
with end-stage renal disease?
a. fluid b. protein
b. protein
c. sodium
d. potassium
which rationale supports the nurses instruction that a
client with CKD is to avoid salt substitutes?
a. a persons body tends to retain fluid when salt substitute
is included in the diet
b. limiting salt substitutes in the diet prevents buildup of c. salt substitutes contain potassium, which must be limit-
waste products in the blood ed to prevent abnormal heart beats
c. salt substitutes contain potassium, which must be lim-
ited to prevent abnormal heart beats
d. the salt substitutes substances interfere with capillary
membrane transfer resulting in anasarca
which statement indicates the nurse has a correct under-
standing of kidney ultrasonography?
a. kidney ultrasonography primarily makes use of iodinat-
ed contrast
b. kidney ultrasonography is preformed on the client with c. kidney ultrasonography makes use of sound waves and
an empty bladder has minimal risk
c. kidney ultrasonography makes use of sound waves and
has minimal risk
d. kidney ultrasonography provides three dimensional in-
formation regarding the kidneys
which substance is released in response to low serum
levels of calcium?
c. parathyroid hormone
a. renin
b. erythropoietin
which abnormal finding would the nurse monitor for dur-
ing the oliguric phase of AKI?
a. hypothermia
b. hyperkalemia
b. hyperkalemia
c. hypocalcemia
d. hypernatremia
which information would the nurse include in response to
a clients questioning a protein restricted dietary change
required for AKI?
a. a high protein intake ensures an adequate daily supply
of amino acids to compensate for losses
b. essential and nonessential amino acids are necessary c. this diet supplies only essential amino acids, reducing
in the diet to supply material for tissue protein synthesis the amount of metabolic waster products, this decreasing
c. this diet supplies only essential amino acids, reducing stress on the kidneys
the amount of metabolic waster products, this decreasing
stress on the kidneys
d. currently you body is unable to synthesize amino acids,
so the nitrogen for amino acid synthesis must come from
the dietary protein
when a client in the emergency department has a BP of
90/60, weak radial pulse of 108 beats/min, and reports
working outside for several hours on a hot day, which
prescribed action would the nurse take first?
b. start infusion of normal saline 500 mL
a. complete a head to toe assessment
b. start infusion of normal saline 500 mL
c. ask the client about current medications
d. obtain blood samples for lab testing
which process would the nurse consider when formu-
lating a response to a pt with AKI who states "why am
I experiencing twitching and tingling of my fingers and
,Med Surge Exam 3 Test Questions and Answers Graded A+
toes?"
a. acidosis
b. calcium depletion b. calcium depletion
c. potassium retention
d. sodium chloride depletion
a pt with AKI is moved into the diuretic phase after 1 week
of therapy. during this phase, which clinical indicators
would the nurse assess? select all
a. skin rash b. dehydration
b. dehydration c. hypovolemia
c. hypovolemia
d. hyperkalemia
e. metabolic acidosis
which action would the nurse take after reviewing lab-
oratory results and noting that a client with AKI has a
potassium level of 6.2?
a. alert the cardiac arrest team c. notify HCP
b. call the lab to repeat the test
c. notify HCP
d. obtain an antiarrhythmic med
which complications would the nurse monitor a client
hospitalized with end-stage kidney disease? select all
a. anemia
a. anemia
b. dyspnea
b. dyspnea
c. jaundice
d. hyperexcitability
e. hypophosphatemia
which condition can be prevented when a client with
chronic kidney disease receives medication to manage
anemia?
, a. uremic frost
b. chronic fatigue
b. chronic fatigue
c. tubular necrosis
d. dependent edema
which clinical response will the nurse assess to determine
kidney damage in a client who develops a transfusion
reaction?
a. glycosuria c. decrease urinary output
b. blood in urine
c. decrease urinary output
d. acute pain over the kidney
where is the BP cutt placed on a client with dialysis access
fistula in the right arm?
a. on the left arm
a. on the left arm
b. over the fistula
c. below the fistula
d. above the fistula
which assessment finding in a hospitalized client with a hx
of CKD would alert the nurse to suspect kidney insuflcien-
cy?
a. facial flushing b. edema and pruritus
b. edema and pruritus
c. dribbling after voiding
d. diminished force of urination
which assessment is necessary for the nurse to complete
in a client with CKD receiving loop diuretics?
a. hemoglobin levels
d. intake and output measurement
b. occurrence of nausea
c. presence of constipation
d. intake and output measurement
, which element would the nurse teach the client with CKD
to limit as an intervention to control uremia associated
with end-stage renal disease?
a. fluid b. protein
b. protein
c. sodium
d. potassium
which rationale supports the nurses instruction that a
client with CKD is to avoid salt substitutes?
a. a persons body tends to retain fluid when salt substitute
is included in the diet
b. limiting salt substitutes in the diet prevents buildup of c. salt substitutes contain potassium, which must be limit-
waste products in the blood ed to prevent abnormal heart beats
c. salt substitutes contain potassium, which must be lim-
ited to prevent abnormal heart beats
d. the salt substitutes substances interfere with capillary
membrane transfer resulting in anasarca
which statement indicates the nurse has a correct under-
standing of kidney ultrasonography?
a. kidney ultrasonography primarily makes use of iodinat-
ed contrast
b. kidney ultrasonography is preformed on the client with c. kidney ultrasonography makes use of sound waves and
an empty bladder has minimal risk
c. kidney ultrasonography makes use of sound waves and
has minimal risk
d. kidney ultrasonography provides three dimensional in-
formation regarding the kidneys
which substance is released in response to low serum
levels of calcium?
c. parathyroid hormone
a. renin
b. erythropoietin
