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NURS 440 Exam 4 – Complete Questions and Verified Answers with Solutions (2025/2026)

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This study set includes fully solved questions and answers for NURS 440 Exam 4, covering acute kidney injury (AKI), chronic kidney disease (CKD), electrolyte imbalances, dialysis methods, kidney transplant education, and complications. It also reviews ICU care and delirium prevention, transitional care nursing, and the roles of interprofessional care team members. Each answer is explained with reasoning, making this resource highly reliable for exam preparation and clinical application.

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8/26/25, 8:28
AM

NURS 440 NEW CONTENT EXAM 4 QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED GRADED A+ 2025/2026

Terms in this set (64)



What category of AKI a. pre-renal
pathology would a Pre-renal is an impact of perfusion.
patient experiencing
shock best fit?
a. Pre-renal
b. Inter-renal
c. Intra-renal
d. Post-renal
What category of AKI a. pre-renal
pathology would a Pre-renal is an impact of perfusion.
patient experiencing
atherosclerosis best
fit?
a. Pre-renal
b. Inter-renal
c. Intra-renal
d. Post-renal
What category of AKI d. Post-renal
pathology would a Post-renal is due to a blockage.
patient experiencing
benign prostatic
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,8/26/25, 8:28
AM
hyperplasia best fit?
a. Pre-renal
b. Inter-renal
c. Intra-renal
d. Post-renal
What category of AKI c. Intra-renal
pathology would a Intra-renal is due to damage of tissue.
patient experiencing a
lupus flare up best fit?
a. Pre-renal
b. Inter-renal
c. Intra-renal
d. Post-renal




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,8/26/25, 8:28
AM



Your patient who c. Intra-renal
normally takes Intra-renal is due to damage of tissue. Metformin is
metformin is not taking nephrotoxic.
metformin for 48
hours post contrast
dye. What
pathophysiology of AKI
is this preventing?
a. Pre-renal
b. Inter-renal
c. Intra-renal
d. Post-renal
What labs would you a. increased BUN
expect to see with b. increased creatinine
acute kidney injury? c. increased
SATA potassium
a. increased BUN Calcium is
b. increased creatinine low
c. increased potassium pH would be low (acidosis, kidneys are unable to
d. increased calcium remove acid from blood)

e. increased pH
Your patient with AKI has b. oliguria phase
an increased BUN and normal daily UO is 800mL so
creatinine and has a 350mL/day is very low. Lasts
urinary output of max 14 days, worse
350mL/day. What prognosis if lasts longer.
phase of AKI is this?


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, 8/26/25, 8:28
AM
a. initiation phase
b. oliguria phase
c. diuresis phase
d. recovery phase
Your patient with AKI has d. recovery phase
a normal GFR and
electrolyte levels. What
phase of AKI is this?
a. initiation phase
b. oliguria phase
c. diuresis phase
d. recovery phase
Your patient with AKI a. initiation phase
has a urinary output of From start of event to hours/days.
700mL/day and an
elevated urine specific
gravity. What phase of
AKI is this?
a. initiation phase
b. oliguria phase
c. diuresis phase
d. recovery phase
Your patient with AKI c. diuresis phase
has a urinary output of Pt is peeing out their electrolytes, low levels expected.
2000mL/day with low
sodium and chloride.
What phase of AKI is
this?

4/31

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Written in
2025/2026
Type
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