ACUTE KIDNEY INJURY NCLEX 2026 FINAL
REVIEW PACK COMPLETE QUESTION SET AND
CORE CONCEPT SUMMARY
◉ The nurse is assisting a client who is new to a low-potassium diet
to select food items from the menu. Which food item is lowest in
potassium and should be recommended to the client on this dietary
restriction? Answer: Lima Beans
◉ A client diagnosed with chronic kidney disease is being treated at
home with continuous ambulatory peritoneal dialysis. The client
notes that there is a decrease in the catheter outflow following the
prescribed 6-hour dwell time and calls the nurse to report this
occurrence. The nurse should reinforce instructing the client to take
which action? Answer: Ambulate in the home
◉ A client is diagnosed with polycystic kidney disease, and the nurse
provides information to the client about the treatment plan. The
nurse determines that the client needs further teaching if the client
states that which component is part of the treatment plan? Answer:
Sodium restriction
◉ The nurse is reinforcing dietary instructions to a client with renal
calculi who must learn to eat an alkaline-ash diet. The nurse
determines that the client has properly understood the information
,presented if the client chooses which selection from a diet menu?
Answer: Spinach, milk and a banana
◉ A client with chronic kidney disease has been on dialysis for 3
years. The client is receiving the usual combination of medications
for the disease, including aluminum hydroxide as a phosphate-
binding agent. The client now has mental cloudiness, dementia, and
complaints of bone pain. Which does this data indicate? Answer:
Aluminum intoxication
◉ A client who has a cold is seen in the emergency department with
an inability to void. Because the client has a history of benign
prostatic hyperplasia (BPH), the nurse questions the client about
use of which medication? Answer: Decongestants
◉ A client's kidneys are retaining greater amounts of sodium. The
nurse anticipates that the kidneys are also retaining greater
amounts of which other substances? Answer: Chloride and
bicarbonate
◉ The nurse has a prescription to collect a 24-hour urine specimen
from a client. The unlicensed assistive personnel (UAP) has been
instructed on the collection technique. Which action by the UAP
demonstrates the UAP needs further teaching? Answer: Asks the
client to void, save the specimen, and note the start time
, ◉ Aluminum hydroxide is prescribed for the client with chronic
kidney disease (CKD). When should the nurse instruct the client to
take this medication? Answer: with meals
◉ The nurse is assigned to care for a client who has just returned to
the nursing unit after having hemodialysis for the first time. The
nurse monitors the client carefully for which signs and symptoms of
disequilibrium syndrome? Answer: vomiting and headaches
◉ The nurse notes that a client's urinalysis report contains a
notation of positive red blood cells (RBCs). The nurse interprets that
this finding is unrelated to which item that is part of the client's
medical record? Answer: Diabetes mellitus
◉ The nurse is assigned to care for a client who has returned to the
nursing unit following a left nephrectomy. The nurse places the
highest priority on monitoring which data? Answer: hourly urine
output
◉ The nurse is preparing a client scheduled for an intravenous
pyelogram (IVP). The nurse should take which important action
before the test? Answer: ask about allergies to iodine or shellfish
◉ A client arrives at the ambulatory care clinic with low abdominal
pain. A routine urine specimen reveals hematuria. The client does
not have a fever. The nurse should next ask the client about a history
REVIEW PACK COMPLETE QUESTION SET AND
CORE CONCEPT SUMMARY
◉ The nurse is assisting a client who is new to a low-potassium diet
to select food items from the menu. Which food item is lowest in
potassium and should be recommended to the client on this dietary
restriction? Answer: Lima Beans
◉ A client diagnosed with chronic kidney disease is being treated at
home with continuous ambulatory peritoneal dialysis. The client
notes that there is a decrease in the catheter outflow following the
prescribed 6-hour dwell time and calls the nurse to report this
occurrence. The nurse should reinforce instructing the client to take
which action? Answer: Ambulate in the home
◉ A client is diagnosed with polycystic kidney disease, and the nurse
provides information to the client about the treatment plan. The
nurse determines that the client needs further teaching if the client
states that which component is part of the treatment plan? Answer:
Sodium restriction
◉ The nurse is reinforcing dietary instructions to a client with renal
calculi who must learn to eat an alkaline-ash diet. The nurse
determines that the client has properly understood the information
,presented if the client chooses which selection from a diet menu?
Answer: Spinach, milk and a banana
◉ A client with chronic kidney disease has been on dialysis for 3
years. The client is receiving the usual combination of medications
for the disease, including aluminum hydroxide as a phosphate-
binding agent. The client now has mental cloudiness, dementia, and
complaints of bone pain. Which does this data indicate? Answer:
Aluminum intoxication
◉ A client who has a cold is seen in the emergency department with
an inability to void. Because the client has a history of benign
prostatic hyperplasia (BPH), the nurse questions the client about
use of which medication? Answer: Decongestants
◉ A client's kidneys are retaining greater amounts of sodium. The
nurse anticipates that the kidneys are also retaining greater
amounts of which other substances? Answer: Chloride and
bicarbonate
◉ The nurse has a prescription to collect a 24-hour urine specimen
from a client. The unlicensed assistive personnel (UAP) has been
instructed on the collection technique. Which action by the UAP
demonstrates the UAP needs further teaching? Answer: Asks the
client to void, save the specimen, and note the start time
, ◉ Aluminum hydroxide is prescribed for the client with chronic
kidney disease (CKD). When should the nurse instruct the client to
take this medication? Answer: with meals
◉ The nurse is assigned to care for a client who has just returned to
the nursing unit after having hemodialysis for the first time. The
nurse monitors the client carefully for which signs and symptoms of
disequilibrium syndrome? Answer: vomiting and headaches
◉ The nurse notes that a client's urinalysis report contains a
notation of positive red blood cells (RBCs). The nurse interprets that
this finding is unrelated to which item that is part of the client's
medical record? Answer: Diabetes mellitus
◉ The nurse is assigned to care for a client who has returned to the
nursing unit following a left nephrectomy. The nurse places the
highest priority on monitoring which data? Answer: hourly urine
output
◉ The nurse is preparing a client scheduled for an intravenous
pyelogram (IVP). The nurse should take which important action
before the test? Answer: ask about allergies to iodine or shellfish
◉ A client arrives at the ambulatory care clinic with low abdominal
pain. A routine urine specimen reveals hematuria. The client does
not have a fever. The nurse should next ask the client about a history
