©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NURS 422 Exam 5 Practice Questions
and Answers Updated 2024
1. The nurse is assessing a client with a diagnosis of pre-renal acute kidney injury (AKI). Which condition
would the nurse expect to find in the clients recent history?
a. Pyelonephritis
b. Myocardial infarction
c. Bladder cancer
d. Kidney stones - Ans:✔✔-b
2. A marathon runner comes into the clinic and states I have not urinated very much in the last few days.
The nurse notes a heart rate of 110 beats/min and a blood pressure of 86/58 mm Hg. Which action by
the nurse is the priority?
a. Give the client a bottle of water immediately.
b. Start an intravenous line for fluids.
c. Teach the client to drink 2 to 3 liters of water daily.
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d. Perform an electrocardiogram. - Ans:✔✔-a
3. A male client comes into the emergency department with a serum creatinine of 2.2 mg/dL and a
blood urea nitrogen (BUN) of 24 mL/dL. What question should the nurse ask first when taking this clients
history?
a. Have you been taking any aspirin, ibuprofen, or naproxen recently?
b. Do you have anyone in your family with renal failure?
c. Have you had a diet that is low in protein recently?
d. Has a relative had a kidney transplant lately? - Ans:✔✔-a
4. A client is admitted with acute kidney injury (AKI) and a urine output of 2000 mL/day. What is the
major concern of the nurse regarding this clients care?
a. Edema and pain
b. Electrolyte and fluid imbalance
c. Cardiac and respiratory status
d. Mental health status - Ans:✔✔-b
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5. A client with acute kidney injury has a blood pressure of 76/55 mm Hg. The health care provider
ordered 1000 mL of normal saline to be infused over 1 hour to maintain perfusion. The client is starting
to develop shortness of breath. What is the nurses priority action?
a. Calculate the mean arterial pressure (MAP).
b. Ask for insertion of a pulmonary artery catheter.
c. Take the clients pulse.
d. Slow down the normal saline infusion. - Ans:✔✔-d
6. A client has a serum potassium level of 6.5 mmol/L, a serum creatinine level of 2 mg/dL, and a urine
output of 350 mL/day. What is the best action by the nurse?
a. Place the client on a cardiac monitor immediately.
b. Teach the client to limit high-potassium foods.
c. Continue to monitor the clients intake and output.
d. Ask to have the laboratory redraw the blood specimen. - Ans:✔✔-a
7. A client has just had a central line catheter placed that is specific for hemodialysis. What is the most
appropriate action by the nurse?
a. Use the catheter for the next laboratory blood draw.
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FIRST PUBLISH OCTOBER 2024
b. Monitor the central venous pressure through this line.
c. Access the line for the next intravenous medication.
d. Place a heparin or heparin/saline dwell after hemodialysis. - Ans:✔✔-a
8. A client in the intensive care unit is started on continuous venovenous hemofiltration (CVVH). Which
finding is the cause of immediate action by the nurse?
a. Blood pressure of 76/58 mm Hg
b. Sodium level of 138 mEq/L
c. Potassium level of 5.5 mEq/L
d. Pulse rate of 90 beats/min - Ans:✔✔-a
9. The nurse is caring for four clients with chronic kidney disease. Which client should the nurse assess
first upon initial rounding?
a. Woman with a blood pressure of 158/90 mm Hg
b. Client with Kussmaul respirations
c. Man with skin itching from head to toe
d. Client with halitosis and stomatitis - Ans:✔✔-b
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FIRST PUBLISH OCTOBER 2024
NURS 422 Exam 5 Practice Questions
and Answers Updated 2024
1. The nurse is assessing a client with a diagnosis of pre-renal acute kidney injury (AKI). Which condition
would the nurse expect to find in the clients recent history?
a. Pyelonephritis
b. Myocardial infarction
c. Bladder cancer
d. Kidney stones - Ans:✔✔-b
2. A marathon runner comes into the clinic and states I have not urinated very much in the last few days.
The nurse notes a heart rate of 110 beats/min and a blood pressure of 86/58 mm Hg. Which action by
the nurse is the priority?
a. Give the client a bottle of water immediately.
b. Start an intravenous line for fluids.
c. Teach the client to drink 2 to 3 liters of water daily.
Page 1/53
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
d. Perform an electrocardiogram. - Ans:✔✔-a
3. A male client comes into the emergency department with a serum creatinine of 2.2 mg/dL and a
blood urea nitrogen (BUN) of 24 mL/dL. What question should the nurse ask first when taking this clients
history?
a. Have you been taking any aspirin, ibuprofen, or naproxen recently?
b. Do you have anyone in your family with renal failure?
c. Have you had a diet that is low in protein recently?
d. Has a relative had a kidney transplant lately? - Ans:✔✔-a
4. A client is admitted with acute kidney injury (AKI) and a urine output of 2000 mL/day. What is the
major concern of the nurse regarding this clients care?
a. Edema and pain
b. Electrolyte and fluid imbalance
c. Cardiac and respiratory status
d. Mental health status - Ans:✔✔-b
Page 2/53
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
5. A client with acute kidney injury has a blood pressure of 76/55 mm Hg. The health care provider
ordered 1000 mL of normal saline to be infused over 1 hour to maintain perfusion. The client is starting
to develop shortness of breath. What is the nurses priority action?
a. Calculate the mean arterial pressure (MAP).
b. Ask for insertion of a pulmonary artery catheter.
c. Take the clients pulse.
d. Slow down the normal saline infusion. - Ans:✔✔-d
6. A client has a serum potassium level of 6.5 mmol/L, a serum creatinine level of 2 mg/dL, and a urine
output of 350 mL/day. What is the best action by the nurse?
a. Place the client on a cardiac monitor immediately.
b. Teach the client to limit high-potassium foods.
c. Continue to monitor the clients intake and output.
d. Ask to have the laboratory redraw the blood specimen. - Ans:✔✔-a
7. A client has just had a central line catheter placed that is specific for hemodialysis. What is the most
appropriate action by the nurse?
a. Use the catheter for the next laboratory blood draw.
Page 3/53
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
b. Monitor the central venous pressure through this line.
c. Access the line for the next intravenous medication.
d. Place a heparin or heparin/saline dwell after hemodialysis. - Ans:✔✔-a
8. A client in the intensive care unit is started on continuous venovenous hemofiltration (CVVH). Which
finding is the cause of immediate action by the nurse?
a. Blood pressure of 76/58 mm Hg
b. Sodium level of 138 mEq/L
c. Potassium level of 5.5 mEq/L
d. Pulse rate of 90 beats/min - Ans:✔✔-a
9. The nurse is caring for four clients with chronic kidney disease. Which client should the nurse assess
first upon initial rounding?
a. Woman with a blood pressure of 158/90 mm Hg
b. Client with Kussmaul respirations
c. Man with skin itching from head to toe
d. Client with halitosis and stomatitis - Ans:✔✔-b
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