NSG 4100 EXAM 1 (GALEN) NEWEST 2026 ACTUAL
EXAM TEST BANK| NSG4100 NURSING PRACTICE -
ADULT HEALTH III EXAM 1 REVIEW WITH 220 REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
The nurse is assessing a client suspected of having developed acute
glomerulonephritis. The nurse should expect to address what clinical
manifestation that is characteristic of this health problem?
A. Hematuria
B. Precipitous decrease in serum creatinine levels
C. Hypotension unresolved by fluid administration
D. Glucosuria - ANSWER---A. Hematuria
The nurse is caring for an acutely ill client. What assessment finding should
prompt the nurse to inform the health care provider that the client may be
exhibiting signs of acute kidney injury (AKI)?
A. An inability to initiate voiding for 2 days.
B. The urine is cloudy and has visible sediment with a foul odor.
C. Average urine output has been 10 mL/hr for several hours.
D. Client reports left-sided flank pain. - ANSWER---C. Average urine output has
been 10 mL/hr for several hours.
The nurse is caring for a client with a history of systemic lupus erythematosus
who has been recently diagnosed with end-stage kidney disease (ESKD). The client
has an elevated phosphorus level and has been prescribed calcium acetate to
bind the phosphorus. The nurse should teach the client to take the prescribed
medication at what time?
, NSG 4100 EXAM 1 (GALEN) NEWEST 2026 ACTUAL
EXAM TEST BANK| NSG4100 NURSING PRACTICE -
ADULT HEALTH III EXAM 1 REVIEW WITH 220 REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
A. Only when needed
B. Daily at bedtime
C. First thing in the morning
D. With each meal - ANSWER---D. With each meal
The nurse is working on the renal transplant unit. To reduce the risk of infection in
a client with a transplanted kidney, it is imperative for the nurse to take what
action?
A. Wash hands carefully and frequently.
B. Ensure immediate function of the donated kidney.
C. Instruct the client to wear a face mask.
D. Bar visitors from the client's room. - ANSWER---A. Wash hands carefully and
frequently.
The nurse is caring for a client receiving hemodialysis three times weekly. The
client has had surgery to form an arteriovenous fistula. What is most important
for the nurse to be aware of when providing care for this client?
A. Using a stethoscope for auscultating the fistula is contraindicated
B. The client feels best immediately after the dialysis treatment
C. Taking a BP reading on the affected arm can damage the fistula
, NSG 4100 EXAM 1 (GALEN) NEWEST 2026 ACTUAL
EXAM TEST BANK| NSG4100 NURSING PRACTICE -
ADULT HEALTH III EXAM 1 REVIEW WITH 220 REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
D. The client should not feel pain during initiation of dialysis - ANSWER---C. Taking
a BP reading on the affected arm can damage the fistula
A client has a glomerular filtration rate (GFR) of 43 mL/min/1.73 m?. Based on this
GFR, the nurse interprets that the client's chronic kidney disease is at what stage?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4 - ANSWER---C. Stage 3
An inpatient client with acute kidney injury (AKI) has moderate edema to both
legs.
What resulting skin conditions would increase the client's likelihood of skin
breakdown? Select all that apply.
A. Atopic dermatitis
B. Pruritus
C. Psoriasis
D. Urticaria
E. Excoriation - ANSWER---B. Pruritus
E. Excoriation
, NSG 4100 EXAM 1 (GALEN) NEWEST 2026 ACTUAL
EXAM TEST BANK| NSG4100 NURSING PRACTICE -
ADULT HEALTH III EXAM 1 REVIEW WITH 220 REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
A client admitted with nephrotic syndrome is being cared for on the medical unit.
When writing this client's care plan, based on the major clinical manifestation of
nephrotic syndrome, what nursing diagnosis should the nurse include?
A. Constipation related to immobility
B. Risk for injury related to altered thought processes
C. Hyperthermia related to the inflammatory process
D. Excess fluid volume related to generalized edema - ANSWER---D. Excess fluid
volume related to generalized edema
The nurse coming on shift on the medical unit is taking a report on four clients.
What client does the nurse know is at the greatest risk of developing ESKD?
A. A client with a history of polycystic kidney disease
B. A client with diabetes mellitus and poorly controlled hypertension
C. A client who is morbidly obese with a history of vascular disorders
D. A client with severe chronic obstructive pulmonary disease - ANSWER---B. A
client with diabetes mellitus and poorly controlled hypertension
The nurse is caring for a client postoperative day 4 following a kidney transplant.
When assessing for potential signs and symptoms of rejection, what assessment
should the nurse prioritize?
EXAM TEST BANK| NSG4100 NURSING PRACTICE -
ADULT HEALTH III EXAM 1 REVIEW WITH 220 REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
The nurse is assessing a client suspected of having developed acute
glomerulonephritis. The nurse should expect to address what clinical
manifestation that is characteristic of this health problem?
A. Hematuria
B. Precipitous decrease in serum creatinine levels
C. Hypotension unresolved by fluid administration
D. Glucosuria - ANSWER---A. Hematuria
The nurse is caring for an acutely ill client. What assessment finding should
prompt the nurse to inform the health care provider that the client may be
exhibiting signs of acute kidney injury (AKI)?
A. An inability to initiate voiding for 2 days.
B. The urine is cloudy and has visible sediment with a foul odor.
C. Average urine output has been 10 mL/hr for several hours.
D. Client reports left-sided flank pain. - ANSWER---C. Average urine output has
been 10 mL/hr for several hours.
The nurse is caring for a client with a history of systemic lupus erythematosus
who has been recently diagnosed with end-stage kidney disease (ESKD). The client
has an elevated phosphorus level and has been prescribed calcium acetate to
bind the phosphorus. The nurse should teach the client to take the prescribed
medication at what time?
, NSG 4100 EXAM 1 (GALEN) NEWEST 2026 ACTUAL
EXAM TEST BANK| NSG4100 NURSING PRACTICE -
ADULT HEALTH III EXAM 1 REVIEW WITH 220 REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
A. Only when needed
B. Daily at bedtime
C. First thing in the morning
D. With each meal - ANSWER---D. With each meal
The nurse is working on the renal transplant unit. To reduce the risk of infection in
a client with a transplanted kidney, it is imperative for the nurse to take what
action?
A. Wash hands carefully and frequently.
B. Ensure immediate function of the donated kidney.
C. Instruct the client to wear a face mask.
D. Bar visitors from the client's room. - ANSWER---A. Wash hands carefully and
frequently.
The nurse is caring for a client receiving hemodialysis three times weekly. The
client has had surgery to form an arteriovenous fistula. What is most important
for the nurse to be aware of when providing care for this client?
A. Using a stethoscope for auscultating the fistula is contraindicated
B. The client feels best immediately after the dialysis treatment
C. Taking a BP reading on the affected arm can damage the fistula
, NSG 4100 EXAM 1 (GALEN) NEWEST 2026 ACTUAL
EXAM TEST BANK| NSG4100 NURSING PRACTICE -
ADULT HEALTH III EXAM 1 REVIEW WITH 220 REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
D. The client should not feel pain during initiation of dialysis - ANSWER---C. Taking
a BP reading on the affected arm can damage the fistula
A client has a glomerular filtration rate (GFR) of 43 mL/min/1.73 m?. Based on this
GFR, the nurse interprets that the client's chronic kidney disease is at what stage?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4 - ANSWER---C. Stage 3
An inpatient client with acute kidney injury (AKI) has moderate edema to both
legs.
What resulting skin conditions would increase the client's likelihood of skin
breakdown? Select all that apply.
A. Atopic dermatitis
B. Pruritus
C. Psoriasis
D. Urticaria
E. Excoriation - ANSWER---B. Pruritus
E. Excoriation
, NSG 4100 EXAM 1 (GALEN) NEWEST 2026 ACTUAL
EXAM TEST BANK| NSG4100 NURSING PRACTICE -
ADULT HEALTH III EXAM 1 REVIEW WITH 220 REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
A client admitted with nephrotic syndrome is being cared for on the medical unit.
When writing this client's care plan, based on the major clinical manifestation of
nephrotic syndrome, what nursing diagnosis should the nurse include?
A. Constipation related to immobility
B. Risk for injury related to altered thought processes
C. Hyperthermia related to the inflammatory process
D. Excess fluid volume related to generalized edema - ANSWER---D. Excess fluid
volume related to generalized edema
The nurse coming on shift on the medical unit is taking a report on four clients.
What client does the nurse know is at the greatest risk of developing ESKD?
A. A client with a history of polycystic kidney disease
B. A client with diabetes mellitus and poorly controlled hypertension
C. A client who is morbidly obese with a history of vascular disorders
D. A client with severe chronic obstructive pulmonary disease - ANSWER---B. A
client with diabetes mellitus and poorly controlled hypertension
The nurse is caring for a client postoperative day 4 following a kidney transplant.
When assessing for potential signs and symptoms of rejection, what assessment
should the nurse prioritize?
