NUR 265 EXAM 1 QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT (GRADED
A+)
Question: A nurse is delivering comprehensive discharge education to a patient
recently diagnosed with nephrotic syndrome. Which statement by the patient
confirms they have accurately understood the necessary home management
guidelines?
Answer: ✔✔ "I must protect myself from developing an infection."
(Rationale: Nephrotic syndrome involves significant protein loss through urine,
which depletes immunoglobulins and raises infection risk. This risk is further
compounded if the patient is prescribed immunosuppressive agents like
corticosteroids.)
Question: The nurse is evaluating the clinical laboratory trends for a group of
assigned patients. Which patient scenario demands the most immediate, priority
notification to the primary care provider?
Answer: ✔✔ A patient who underwent an abdominal aortic aneurysm (AAA)
repair 2 days ago and whose serum creatinine has surged from 0.9 mg/dL to 2.5
mg/dL.
(Rationale: This dramatic spike in creatinine within 48 hours signifies severe
Acute Kidney Injury, potentially caused by intraoperative renal artery clamping or
hypoperfusion, requiring urgent evaluation.)
Question: A nurse is monitoring a patient who has been hospitalized for 8 days
due to an Acute Kidney Injury (AKI) secondary to profound dehydration. Which
new diagnostic finding requires an immediate emergency report to the healthcare
provider?
Answer: ✔✔ An electrocardiogram (ECG) telemetry strip displaying tall, tented,
or peaked T waves.
, (Rationale: Tall, peaked T waves are a classic early sign of dangerous
hyperkalemia. As kidneys fail to excrete potassium, elevated levels can lead to
lethal cardiac arrhythmias like Ventricular Fibrillation.)
Question: A patient receiving intravenous Gentamicin for a severe systemic
infection suddenly exhibits oliguria (decreased urine output) and an elevated blood
pressure. Which action must the nurse perform as their absolute first priority?
Answer: ✔✔ Obtain an immediate prescription from the provider to draw
Gentamicin peak and trough blood levels.
(Rationale: Gentamicin is highly nephrotoxic. A sudden drop in urine output
indicates renal damage, making it critical to measure the trough level to verify if
the drug is accumulating to toxic concentrations in the body.)
Check the client's most recent serum electrolyte levels -ANSWER ✔✔The nurse is
caring for a client with CKD, the client is reporting muscle weakness diarrhea, and
tingling in the hands. Which action should the nurse take first
I try and limit my intake of dietary sodium to 5g a day -ANSWER ✔✔The nurse is
talking with a client who has CKD and has been receiving hemodialysis 3x week.
Which of the following client statements is a priority follow-up by the nurse
If I develop and fatigue or weakness I should report it to my doctor -ANSWER
✔✔The nurse is teaching a client who is in the late stage of CKD. Which of the
following client statements indicates a correct understanding of the teaching
Developed a bp of 90/58mmhg -ANSWER ✔✔The nurse is caring for a client who
has returned from receiving hemodialysis treatment. It requires immediate follow
up by the nurse if the client has
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT (GRADED
A+)
Question: A nurse is delivering comprehensive discharge education to a patient
recently diagnosed with nephrotic syndrome. Which statement by the patient
confirms they have accurately understood the necessary home management
guidelines?
Answer: ✔✔ "I must protect myself from developing an infection."
(Rationale: Nephrotic syndrome involves significant protein loss through urine,
which depletes immunoglobulins and raises infection risk. This risk is further
compounded if the patient is prescribed immunosuppressive agents like
corticosteroids.)
Question: The nurse is evaluating the clinical laboratory trends for a group of
assigned patients. Which patient scenario demands the most immediate, priority
notification to the primary care provider?
Answer: ✔✔ A patient who underwent an abdominal aortic aneurysm (AAA)
repair 2 days ago and whose serum creatinine has surged from 0.9 mg/dL to 2.5
mg/dL.
(Rationale: This dramatic spike in creatinine within 48 hours signifies severe
Acute Kidney Injury, potentially caused by intraoperative renal artery clamping or
hypoperfusion, requiring urgent evaluation.)
Question: A nurse is monitoring a patient who has been hospitalized for 8 days
due to an Acute Kidney Injury (AKI) secondary to profound dehydration. Which
new diagnostic finding requires an immediate emergency report to the healthcare
provider?
Answer: ✔✔ An electrocardiogram (ECG) telemetry strip displaying tall, tented,
or peaked T waves.
, (Rationale: Tall, peaked T waves are a classic early sign of dangerous
hyperkalemia. As kidneys fail to excrete potassium, elevated levels can lead to
lethal cardiac arrhythmias like Ventricular Fibrillation.)
Question: A patient receiving intravenous Gentamicin for a severe systemic
infection suddenly exhibits oliguria (decreased urine output) and an elevated blood
pressure. Which action must the nurse perform as their absolute first priority?
Answer: ✔✔ Obtain an immediate prescription from the provider to draw
Gentamicin peak and trough blood levels.
(Rationale: Gentamicin is highly nephrotoxic. A sudden drop in urine output
indicates renal damage, making it critical to measure the trough level to verify if
the drug is accumulating to toxic concentrations in the body.)
Check the client's most recent serum electrolyte levels -ANSWER ✔✔The nurse is
caring for a client with CKD, the client is reporting muscle weakness diarrhea, and
tingling in the hands. Which action should the nurse take first
I try and limit my intake of dietary sodium to 5g a day -ANSWER ✔✔The nurse is
talking with a client who has CKD and has been receiving hemodialysis 3x week.
Which of the following client statements is a priority follow-up by the nurse
If I develop and fatigue or weakness I should report it to my doctor -ANSWER
✔✔The nurse is teaching a client who is in the late stage of CKD. Which of the
following client statements indicates a correct understanding of the teaching
Developed a bp of 90/58mmhg -ANSWER ✔✔The nurse is caring for a client who
has returned from receiving hemodialysis treatment. It requires immediate follow
up by the nurse if the client has
