NUR 265 Exam 1: (Latest 2026/2027 Update)
NCLEX-Style Questions | AKI, CKD, Pancreatitis,
Cirrhosis, Cardiac Disorders
Q&A | Grade A | 100% Correct (Verified Answers) – Nursing Program
SUBJECT COURSE FORMAT
Medical-Surgical Nursing - NUR 265 Exam 1 Q&A Guide with Rationale
NCLEX-Style Review Questions
Question 1
The nurse has provided discharge instructions to a client who is newly diagnosed with nephrotic
syndrome. Which of the following client statements indicates a correct understanding of the teaching?
A. I must protect myself from developing an infection
B. I should increase my sodium intake to 5g daily
C. I can stop my medications once my swelling goes down
D. I only need to restrict fluids
CORRECT ANSWER
A. I must protect myself from developing an infection
CLINICAL RATIONALE
• Nephrotic syndrome causes loss of immunoglobulins in urine, increasing infection risk.
• Patients should avoid crowds, practice good hand hygiene, and report signs of infection.
, Question 2
The nurse is reviewing the laboratory results of an assigned client; it is a priority for the nurse to
follow up with the PCP if the client had a AAA repair 2 days ago and has a creatinine that has
increased from 0.9 to 2.5 mg/dL. Which of the following should the nurse report?
A. BUN of 15 mg/dL
B. Creatinine increased from 0.9 to 2.5 mg/dL
C. Potassium of 4.0 mEq/L
D. Hemoglobin of 12 g/dL
CORRECT ANSWER
B. Creatinine increased from 0.9 to 2.5 mg/dL
CLINICAL RATIONALE
• Acute kidney injury (AKI) is indicated by a rapid rise in creatinine (≥0.3 mg/dL in 48 hours or ≥1.5x baseline).
• Post-AAA repair, renal hypoperfusion or emboli can cause AKI requiring immediate intervention.
Question 3
The nurse is caring for a client who has been hospitalized for 8 days with AKI caused by dehydration.
Which of the following should the nurse report immediately to the PCP?
A. A rhythm strip reading that has tall, peaked T waves
B. Heart rate of 88 bpm
C. Urine output of 60 mL/hour
D. Potassium level of 4.2 mEq/L
CORRECT ANSWER
A. A rhythm strip reading that has tall, peaked T waves
CLINICAL RATIONALE
• Tall, peaked T waves are an ECG sign of hyperkalemia, which is life-threatening.
• Hyperkalemia in AKI requires immediate treatment (calcium gluconate, insulin/dextrose, albuterol).
NCLEX-Style Questions | AKI, CKD, Pancreatitis,
Cirrhosis, Cardiac Disorders
Q&A | Grade A | 100% Correct (Verified Answers) – Nursing Program
SUBJECT COURSE FORMAT
Medical-Surgical Nursing - NUR 265 Exam 1 Q&A Guide with Rationale
NCLEX-Style Review Questions
Question 1
The nurse has provided discharge instructions to a client who is newly diagnosed with nephrotic
syndrome. Which of the following client statements indicates a correct understanding of the teaching?
A. I must protect myself from developing an infection
B. I should increase my sodium intake to 5g daily
C. I can stop my medications once my swelling goes down
D. I only need to restrict fluids
CORRECT ANSWER
A. I must protect myself from developing an infection
CLINICAL RATIONALE
• Nephrotic syndrome causes loss of immunoglobulins in urine, increasing infection risk.
• Patients should avoid crowds, practice good hand hygiene, and report signs of infection.
, Question 2
The nurse is reviewing the laboratory results of an assigned client; it is a priority for the nurse to
follow up with the PCP if the client had a AAA repair 2 days ago and has a creatinine that has
increased from 0.9 to 2.5 mg/dL. Which of the following should the nurse report?
A. BUN of 15 mg/dL
B. Creatinine increased from 0.9 to 2.5 mg/dL
C. Potassium of 4.0 mEq/L
D. Hemoglobin of 12 g/dL
CORRECT ANSWER
B. Creatinine increased from 0.9 to 2.5 mg/dL
CLINICAL RATIONALE
• Acute kidney injury (AKI) is indicated by a rapid rise in creatinine (≥0.3 mg/dL in 48 hours or ≥1.5x baseline).
• Post-AAA repair, renal hypoperfusion or emboli can cause AKI requiring immediate intervention.
Question 3
The nurse is caring for a client who has been hospitalized for 8 days with AKI caused by dehydration.
Which of the following should the nurse report immediately to the PCP?
A. A rhythm strip reading that has tall, peaked T waves
B. Heart rate of 88 bpm
C. Urine output of 60 mL/hour
D. Potassium level of 4.2 mEq/L
CORRECT ANSWER
A. A rhythm strip reading that has tall, peaked T waves
CLINICAL RATIONALE
• Tall, peaked T waves are an ECG sign of hyperkalemia, which is life-threatening.
• Hyperkalemia in AKI requires immediate treatment (calcium gluconate, insulin/dextrose, albuterol).
