8/21/25, 8:51
AM
N300 EXAM 2: CHRONIC RENAL FAILURE EXAM
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED UPDATE 2025/2026
The client diagnosed 1. There is a decrease in the excretion of
with end-stage renal phosphates and organic acids, not an
disease (ESRD) is increase.
experiencing metabolic 2. The red blood cell destruction does not affect the
acidosis. Which arterial blood gases pH.
statement best ***3. This is the correct scientific rationale for
describes the scientific metabolic acidosis occurring in the client with
rationale for metabolic ESRD.
acidosis in this client? 4. This is the compensatory mechanism that
occurs to maintain an arterial blood pH
1. There is an between 7.35 and 7.45, but it does not
increased excretion of occur as a result of ESRD.
phosphates and organic
acids, which leads to an TEST-TAKING HINT: In option "1" the test taker should
increase in arterial note that it is "increased
blood pH. excretion"; ESRD would not have any type of
2. A shortened life increase in excretion so the test taker could
span of red blood cells eliminate the "1" option. Option "4" does not
because of damage even mention the renal system
secondary to dialysis and a loss of hydrochloric acid would result in a
treatments. This, in turn, metabolic alkalosis, not acidosis, so the test
leads to metabolic taker can eliminate this option.
acidosis.
3. The kidney cannot
1/
12
, 8/21/25, 8:51
AM
excrete increased
levels of acid because
the kidneys cannot
excrete ammonia or
cannot reabsorb
sodium bicarbonate.
4. An increase in
nausea and vomiting
causes a loss of
hydrochloric acid and
the respiratory
system cannot
compensate
adequately.
2/
12
AM
N300 EXAM 2: CHRONIC RENAL FAILURE EXAM
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED UPDATE 2025/2026
The client diagnosed 1. There is a decrease in the excretion of
with end-stage renal phosphates and organic acids, not an
disease (ESRD) is increase.
experiencing metabolic 2. The red blood cell destruction does not affect the
acidosis. Which arterial blood gases pH.
statement best ***3. This is the correct scientific rationale for
describes the scientific metabolic acidosis occurring in the client with
rationale for metabolic ESRD.
acidosis in this client? 4. This is the compensatory mechanism that
occurs to maintain an arterial blood pH
1. There is an between 7.35 and 7.45, but it does not
increased excretion of occur as a result of ESRD.
phosphates and organic
acids, which leads to an TEST-TAKING HINT: In option "1" the test taker should
increase in arterial note that it is "increased
blood pH. excretion"; ESRD would not have any type of
2. A shortened life increase in excretion so the test taker could
span of red blood cells eliminate the "1" option. Option "4" does not
because of damage even mention the renal system
secondary to dialysis and a loss of hydrochloric acid would result in a
treatments. This, in turn, metabolic alkalosis, not acidosis, so the test
leads to metabolic taker can eliminate this option.
acidosis.
3. The kidney cannot
1/
12
, 8/21/25, 8:51
AM
excrete increased
levels of acid because
the kidneys cannot
excrete ammonia or
cannot reabsorb
sodium bicarbonate.
4. An increase in
nausea and vomiting
causes a loss of
hydrochloric acid and
the respiratory
system cannot
compensate
adequately.
2/
12
