N201 FINAL WCU PREP EXAM
QUESTIONS & ACCURATE
COMPLETE PASSED SOLUTIONS
leading cause of chronic kidney failure - Correct Answer ✔✔ diabetes and hypertension
as GFR levels decrease, BUN and creatinine levels - Correct Answer ✔✔ increase
the most accurate indicator of kidney function - Correct Answer ✔✔ serum creatinine
clearance
potassium in kidney disease causes - Correct Answer ✔✔ fatal dysrhythmias have been
reported when serum potassium levels reach 7 - 8 mEq/L
potassium imbalance in kidney disease results from - Correct Answer ✔✔ decreased
secretion of potassium by the kidneys (hyperkalemia), the breakdown of cellular protein,
bleeding, and metabolic acidosis
sodium in kidney disease - Correct Answer ✔✔ impaired sodium excretion, sodium and
water are retained. sodium retention can contribute to edema, hypertension, and heart
failure
metabolic acidosis results from - Correct 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 - Correct 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 - Correct
Answer ✔✔ kussmaul breathing which results with increased CO2 removal by
exhalation
Chronic kidney disease mineral and bone disorder (CKD-MBD) develops as - Correct
Answer ✔✔ a systemic disorder of mineral and bone metabolism caused by progressive
deterioration in kidney function
the usual first indication of kidney damage - Correct Answer ✔✔ proteiunria
screening for chronic kidney disease involves - Correct Answer ✔✔ a dipstick
evaluation of protein in the urine or evaluation for microalbuminuria
, urinalysis can detect - Correct Answer ✔✔ RBCs, WBCs, protein, casts and glucose
ultrasound of the kidneys can detect - Correct Answer ✔✔ obstruction and the size of
the kidneys
equations to estimate GFR are - Correct Answer ✔✔ Crockcroft-Gault formula and
modification of diet in renal disease study equation
what is end stage renal disease (ESRD) - Correct 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? - Correct 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? - Correct 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? - Correct 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 - Correct 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? - Correct 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? - Correct 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
QUESTIONS & ACCURATE
COMPLETE PASSED SOLUTIONS
leading cause of chronic kidney failure - Correct Answer ✔✔ diabetes and hypertension
as GFR levels decrease, BUN and creatinine levels - Correct Answer ✔✔ increase
the most accurate indicator of kidney function - Correct Answer ✔✔ serum creatinine
clearance
potassium in kidney disease causes - Correct Answer ✔✔ fatal dysrhythmias have been
reported when serum potassium levels reach 7 - 8 mEq/L
potassium imbalance in kidney disease results from - Correct Answer ✔✔ decreased
secretion of potassium by the kidneys (hyperkalemia), the breakdown of cellular protein,
bleeding, and metabolic acidosis
sodium in kidney disease - Correct Answer ✔✔ impaired sodium excretion, sodium and
water are retained. sodium retention can contribute to edema, hypertension, and heart
failure
metabolic acidosis results from - Correct 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 - Correct 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 - Correct
Answer ✔✔ kussmaul breathing which results with increased CO2 removal by
exhalation
Chronic kidney disease mineral and bone disorder (CKD-MBD) develops as - Correct
Answer ✔✔ a systemic disorder of mineral and bone metabolism caused by progressive
deterioration in kidney function
the usual first indication of kidney damage - Correct Answer ✔✔ proteiunria
screening for chronic kidney disease involves - Correct Answer ✔✔ a dipstick
evaluation of protein in the urine or evaluation for microalbuminuria
, urinalysis can detect - Correct Answer ✔✔ RBCs, WBCs, protein, casts and glucose
ultrasound of the kidneys can detect - Correct Answer ✔✔ obstruction and the size of
the kidneys
equations to estimate GFR are - Correct Answer ✔✔ Crockcroft-Gault formula and
modification of diet in renal disease study equation
what is end stage renal disease (ESRD) - Correct 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? - Correct 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? - Correct 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? - Correct 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 - Correct 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? - Correct 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? - Correct 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
