CKD NGN Sherpath Exam Questions and
Answers
Client is an older adult woman brought to the emergency department (ED) by her daughter because
of reports of increasing shortness of breath and an excruciating headache. Client has a history of
obesity, diabetes mellitus, hyperlipidemia, and hypertension. The client is alert and oriented but
extremely drowsy. The client states a 10-pound weight gain over the past 3 days, despite a poor
appetite from nausea and several episodes of vomiting. The client reports increased swelling in her
feet and hands, low urinary output, and dry, itchy skin. The daughter reports that the client has been
sleeping all the time and barely leaves her room. The client stopped taking her medications of
hydrochlorothiazide, regular insulin, and metformin 2 weeks ago stating that she could not afford to
refill her prescriptions.
...
Complete the diagram by dragging from the choices area to specify which condition the client is most
likely experiencing, two actions the nurse should take the address that condition, and two parameters
the nurse should monitor to assess the client's progress.
Potential Conditions:
- Chronic kidney disease
Actions to take:
- Prepare the client for hemodialysis
- Request a prescription for calcium acetate
Parameters to monitor:
- Urinary output
- Muscle weakness
Male client here for general 6-month follow-up. Reports not feeling much different from the last
appointment other than increasing fatigue and being "cold all the time." Spouse reports that client
wants the heat turned on even if it is 80°F outside. Current vital signs include heart rate (HR) 60
beats/min; blood pressure (BP) 140/78 mm Hg; respiratory rate (RR) 18 breaths/min; oxygen
saturation 96% on room air. Pale color and cool extremities are noted. Client states that when he was
here the last time, the healthcare provider prescribed laboratory studies, so he had those drawn
several days ago at an outpatient laboratory. Results are located in the Laboratory Results section of
the electronic health record.
The nurse reviews the recent bloodwork and urinalysis that performed to identify relevant cues
related to current client presentation.
Click to high the laboratory results that require immediate follow up by the nurse.
- BUN: 170 mg/dL
- Potassium: 5.6 mmol/L
Drag from Word Choices to complete the sentences.
The client is at high risk for developing ________, __________, and ___________.
- syncope
- uremia
- end-stage renal failure
The nurse considers priority hypotheses based on admission data and laboratory results.
Answers
Client is an older adult woman brought to the emergency department (ED) by her daughter because
of reports of increasing shortness of breath and an excruciating headache. Client has a history of
obesity, diabetes mellitus, hyperlipidemia, and hypertension. The client is alert and oriented but
extremely drowsy. The client states a 10-pound weight gain over the past 3 days, despite a poor
appetite from nausea and several episodes of vomiting. The client reports increased swelling in her
feet and hands, low urinary output, and dry, itchy skin. The daughter reports that the client has been
sleeping all the time and barely leaves her room. The client stopped taking her medications of
hydrochlorothiazide, regular insulin, and metformin 2 weeks ago stating that she could not afford to
refill her prescriptions.
...
Complete the diagram by dragging from the choices area to specify which condition the client is most
likely experiencing, two actions the nurse should take the address that condition, and two parameters
the nurse should monitor to assess the client's progress.
Potential Conditions:
- Chronic kidney disease
Actions to take:
- Prepare the client for hemodialysis
- Request a prescription for calcium acetate
Parameters to monitor:
- Urinary output
- Muscle weakness
Male client here for general 6-month follow-up. Reports not feeling much different from the last
appointment other than increasing fatigue and being "cold all the time." Spouse reports that client
wants the heat turned on even if it is 80°F outside. Current vital signs include heart rate (HR) 60
beats/min; blood pressure (BP) 140/78 mm Hg; respiratory rate (RR) 18 breaths/min; oxygen
saturation 96% on room air. Pale color and cool extremities are noted. Client states that when he was
here the last time, the healthcare provider prescribed laboratory studies, so he had those drawn
several days ago at an outpatient laboratory. Results are located in the Laboratory Results section of
the electronic health record.
The nurse reviews the recent bloodwork and urinalysis that performed to identify relevant cues
related to current client presentation.
Click to high the laboratory results that require immediate follow up by the nurse.
- BUN: 170 mg/dL
- Potassium: 5.6 mmol/L
Drag from Word Choices to complete the sentences.
The client is at high risk for developing ________, __________, and ___________.
- syncope
- uremia
- end-stage renal failure
The nurse considers priority hypotheses based on admission data and laboratory results.
