EXAM 4: ACUTE KIDNEY INJURY NCLEX QUESTIONS AND
ANSWERS WITH COMPLETE VERIFIED SOLUTIONS
a
c
Which descriptions characterize AKI? Select all that apply
a. primary cause of death is infection
b. it almost always affects older people
c. disease course is potentially reversible
d. most common cause is diabetic nephropathy
e. cardiovascular disease is most common cause of death
b
d
During the oliguric phase of AKI, the nurse monitors the patient for Select all that
apply
a. hypotension
b. ECG changes
c. hypernatremia
d. pulmonary edema
e. urine with high specific gravity
c
If a patient is in the diuretic phase of AKI, the nurse must monitor for which serum
electrolyte imbalances?
a. hyperkalemia and hyponatremia
b. hyperkalemia and hypernatremia
c. hypokalemia and hyponatremia
d. hypokalemia and hypernatremia
b
, The nurse is caring for a 68-yr-old man who had coronary artery bypass surgery 3
weeks ago. During the oliguric phase of acute kidney disease, which action would be
appropriate to include in the plan of care?
a. Provide foods high in potassium.
b. Restrict fluids based on urine output.
c. Monitor output from peritoneal dialysis.
d. Offer high-protein snacks between meals.
d
When caring for a patient during the oliguric phase of acute kidney injury (AKI), which
nursing action is appropriate?
a. Weigh patient three times weekly.
b. Increase dietary sodium and potassium.
c. Provide a low-protein, high-carbohydrate diet.
d. Restrict fluids according to previous daily loss
d
Which patient diagnosis or treatment is most consistent with prerenal acute kidney
injury (AKI)?
a. IV tobramycin
b. Incompatible blood transfusion
c. Poststreptococcal glomerulonephritis
d. Dissecting abdominal aortic aneurysm
a
The patient has rapidly progressing glomerular inflammation. Weight has increased and
urine output is steadily declining. What is the priority nursing intervention?
a. Monitor the patient's cardiac status.
b. Teach the patient about hand washing.
c. Obtain a serum specimen for electrolytes.
d. Increase direct observation of the patient.
ANSWERS WITH COMPLETE VERIFIED SOLUTIONS
a
c
Which descriptions characterize AKI? Select all that apply
a. primary cause of death is infection
b. it almost always affects older people
c. disease course is potentially reversible
d. most common cause is diabetic nephropathy
e. cardiovascular disease is most common cause of death
b
d
During the oliguric phase of AKI, the nurse monitors the patient for Select all that
apply
a. hypotension
b. ECG changes
c. hypernatremia
d. pulmonary edema
e. urine with high specific gravity
c
If a patient is in the diuretic phase of AKI, the nurse must monitor for which serum
electrolyte imbalances?
a. hyperkalemia and hyponatremia
b. hyperkalemia and hypernatremia
c. hypokalemia and hyponatremia
d. hypokalemia and hypernatremia
b
, The nurse is caring for a 68-yr-old man who had coronary artery bypass surgery 3
weeks ago. During the oliguric phase of acute kidney disease, which action would be
appropriate to include in the plan of care?
a. Provide foods high in potassium.
b. Restrict fluids based on urine output.
c. Monitor output from peritoneal dialysis.
d. Offer high-protein snacks between meals.
d
When caring for a patient during the oliguric phase of acute kidney injury (AKI), which
nursing action is appropriate?
a. Weigh patient three times weekly.
b. Increase dietary sodium and potassium.
c. Provide a low-protein, high-carbohydrate diet.
d. Restrict fluids according to previous daily loss
d
Which patient diagnosis or treatment is most consistent with prerenal acute kidney
injury (AKI)?
a. IV tobramycin
b. Incompatible blood transfusion
c. Poststreptococcal glomerulonephritis
d. Dissecting abdominal aortic aneurysm
a
The patient has rapidly progressing glomerular inflammation. Weight has increased and
urine output is steadily declining. What is the priority nursing intervention?
a. Monitor the patient's cardiac status.
b. Teach the patient about hand washing.
c. Obtain a serum specimen for electrolytes.
d. Increase direct observation of the patient.
