Exam 2)NUR 426 Exam 2: Practice Questions & Answers
What is the purpose of dialysis? SELECT ALL THAT APPLY
A. Dialysis corrects fluid and electrolyte imbalances
B. Dialysis can be used to treat drug overdoses
C. Dialysis cures kidney disease
D. Dialysis removes waste products - ANSWER:Answer: A, B, D
Which of the following is true about Continuous Renal Replacement (CRRT). SELECT ALL THAT APPLY.
A. A trained ICU nurse can run it.
B. Hypotension is common
C. It is indicated for hemodynamically unstable patients
D. Anticoagulation is needed to prevent clotting. - ANSWER:Answer: all
The nurse is caring for a patient undergoing peritoneal dialysis. What finding should the nurse report to
the primary health care provider that would indicate peritonitis?
A. Oliguria
B. Hyponatremia
C. Abdominal pain
D. Hyperkalemia - ANSWER:Answer: C
A patient with chronic kidney disease is prescribed regular peritoneal dialysis (PD). What should the
nurse inform the patient while teaching about PD?
A. Avoid a high protein diet
B. Avoid protein drinks
C. Take potassium supplements
D. Restrict fluid intake - ANSWER:Answer: C
,A patient with chronic kidney disease is advised to undergo peritoneal dialysis (PD). What advantages of
PD over hemodialysis should the nurse explain to the patient? Select all that apply.
A.It can be performed at home
B. The equipment setup is simple
C. There is no risk for infection
D. The procedure is simple
E. A special water system is required - ANSWER:Answer: A, B, D
Which of the following is a contraindication for using CRRT on a patient?
A. If the patient has life threatening manifestations of uremia
B. If the patient is unable to tolerate a rapid removal of fluid
C. If the patient has any type of acid base balance.
D. If the patient has a large amount of uremia toxins and hypervolemia - ANSWER:Answer: A
Before beginning hemodialysis, the nurse weighs the patient and then compares this weight to the
patient's last postdialysis weight. What is the purpose of this assessment?
A. To determine the amount of fluid to remove from the patient
B. There is no particular purpose for this assessment.
C. To ensure the patient is drinking enough water
D. To ensure that the patient eating a proper diet - ANSWER:Answer: A
Which of the following is true regarding arteriovenous fistulas (AVF)?
A. If a bruit is heard at the arteriovenous fistulas (AVF) site, it is no longer functional.
B. It is created with in the arm as an anastomosis of an artery and a vein
C. The arteriovenous fistulas (AVF) may be used the same day it is placed.
D. It is made by attaching a synthetic material to form a bridge between the artery and vein -
ANSWER:Answer: B
, A patient has end-stage kidney disease and is receiving hemodialysis. During dialysis the patient
complains of nausea and a headache and appears confused. On examination, the nurse finds that the
blood pressure is very low. What is the priority action by the nurse?
A. Infuse hypertonic glucose solution
B. Transfuse blood
C. Infuse 0.9% saline solution
D. Avoid excess coagulation - ANSWER:Answer: C
The dialysis nurse is administering hemodialysis to a patient with chronic kidney failure. For what
common complication should the nurse carefully monitor in this patient?
A. Hypotension
B. Lower back pain
C. Hernia
D. Pneumonia - ANSWER:Answer: A
Column Matching
A. acyclovir
B. Amphotericin B is hard on what?
C. Metronidazole
D. Why the lack of compliance with TB drugs?
E. Drugs causing liver toxicity
F. Drugs causing renal toxicity
G. Treats tinea infections
H. Ketoconazole
I. Vitamin B 6
J. Rifampin
1. Can stain contact lenses
2. Ampho B, acyclovir
3. ketoconazole
What is the purpose of dialysis? SELECT ALL THAT APPLY
A. Dialysis corrects fluid and electrolyte imbalances
B. Dialysis can be used to treat drug overdoses
C. Dialysis cures kidney disease
D. Dialysis removes waste products - ANSWER:Answer: A, B, D
Which of the following is true about Continuous Renal Replacement (CRRT). SELECT ALL THAT APPLY.
A. A trained ICU nurse can run it.
B. Hypotension is common
C. It is indicated for hemodynamically unstable patients
D. Anticoagulation is needed to prevent clotting. - ANSWER:Answer: all
The nurse is caring for a patient undergoing peritoneal dialysis. What finding should the nurse report to
the primary health care provider that would indicate peritonitis?
A. Oliguria
B. Hyponatremia
C. Abdominal pain
D. Hyperkalemia - ANSWER:Answer: C
A patient with chronic kidney disease is prescribed regular peritoneal dialysis (PD). What should the
nurse inform the patient while teaching about PD?
A. Avoid a high protein diet
B. Avoid protein drinks
C. Take potassium supplements
D. Restrict fluid intake - ANSWER:Answer: C
,A patient with chronic kidney disease is advised to undergo peritoneal dialysis (PD). What advantages of
PD over hemodialysis should the nurse explain to the patient? Select all that apply.
A.It can be performed at home
B. The equipment setup is simple
C. There is no risk for infection
D. The procedure is simple
E. A special water system is required - ANSWER:Answer: A, B, D
Which of the following is a contraindication for using CRRT on a patient?
A. If the patient has life threatening manifestations of uremia
B. If the patient is unable to tolerate a rapid removal of fluid
C. If the patient has any type of acid base balance.
D. If the patient has a large amount of uremia toxins and hypervolemia - ANSWER:Answer: A
Before beginning hemodialysis, the nurse weighs the patient and then compares this weight to the
patient's last postdialysis weight. What is the purpose of this assessment?
A. To determine the amount of fluid to remove from the patient
B. There is no particular purpose for this assessment.
C. To ensure the patient is drinking enough water
D. To ensure that the patient eating a proper diet - ANSWER:Answer: A
Which of the following is true regarding arteriovenous fistulas (AVF)?
A. If a bruit is heard at the arteriovenous fistulas (AVF) site, it is no longer functional.
B. It is created with in the arm as an anastomosis of an artery and a vein
C. The arteriovenous fistulas (AVF) may be used the same day it is placed.
D. It is made by attaching a synthetic material to form a bridge between the artery and vein -
ANSWER:Answer: B
, A patient has end-stage kidney disease and is receiving hemodialysis. During dialysis the patient
complains of nausea and a headache and appears confused. On examination, the nurse finds that the
blood pressure is very low. What is the priority action by the nurse?
A. Infuse hypertonic glucose solution
B. Transfuse blood
C. Infuse 0.9% saline solution
D. Avoid excess coagulation - ANSWER:Answer: C
The dialysis nurse is administering hemodialysis to a patient with chronic kidney failure. For what
common complication should the nurse carefully monitor in this patient?
A. Hypotension
B. Lower back pain
C. Hernia
D. Pneumonia - ANSWER:Answer: A
Column Matching
A. acyclovir
B. Amphotericin B is hard on what?
C. Metronidazole
D. Why the lack of compliance with TB drugs?
E. Drugs causing liver toxicity
F. Drugs causing renal toxicity
G. Treats tinea infections
H. Ketoconazole
I. Vitamin B 6
J. Rifampin
1. Can stain contact lenses
2. Ampho B, acyclovir
3. ketoconazole
