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NURS 455 MED Surg Questions and
Answers
A nurse is assessing a client who is 2 weeks postoperative
following a kidney transplant. Which of the following
manifestations should the nurse identify as possible organ
rejection?
A. Temperature 36.1° C (97.0° F)
B. Insomnia
C. Oliguria
D. Weight loss
Ans: C. Oliguria Feedback: The nurse should identify little to no urine
output as possible manifestations of kidney rejection.
A nurse is teaching a client who has acute kidney injury about the
oliguric phase. Which of the following information should the
nurse include in the teaching?
A. Renal function is reestablished.
B. BUN and creatinine levels decrease.
C. Urine output is less than 400 mL per 24 hr.
D. The glomerular filtration rate (GFR) recovers.
Ans: C. Urine output is less than 400 mL per 24 hr.
Feedback: Inadequate urinary output is associated with the oliguric
phase of acute kidney injury. The minimum amount of urine needed to
rid the body of metabolic waste products is 400 mL. Therefore, a client
who is producing less than 400 mL of output in 24 hr is manifesting
acute kidney injury.
A nurse is preparing a client for a kidney biopsy. Which of the
following client conditions should the nurse identify as a
contraindication for this diagnostic test?
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A. Elevated creatinine level
B. Flank pain
C. Urinary retention
D. Bleeding tendencies
Ans: D. Bleeding tendencies Feedback: One of the risks of a kidney
biopsy is bleeding from the biopsy site. Therefore, a history of bleeding
tendencies or coagulation disorders is a contraindication for a kidney
biopsy.
A nurse is caring for a client who has polycystic kidney disease
(PKD). Which of the following findings should the nurse expect?
A. Flank pain
B. Hypotension
C. Confusion
D. Urinary retention
Ans: A. Flank pain Feedback: Flank pain is a finding associated with PKD.
A nurse is assessing a client who has chronic kidney disease for
fluid volume increase. Which of the following provides a reliable
measure of fluid retention?
A. Daily weight
B. Sodium level
C. Tissue turgor
D. Intake and output
Ans: A. Daily weight Feedback: Obtaining a client's daily weight and
comparing it to previous weights is a reliable method for measuring a
client's fluid volume over time.
A nurse is reviewing the medication record for a client who has
chronic kidney disease. Which of the following medications should
the nurse identify as having the potential to cause nephrotoxicity?
A. Diphenhydramine
B. Ondansetron
C. Vancomycin
© 2025 All rights reserved
NURS 455 MED Surg Questions and
Answers
A nurse is assessing a client who is 2 weeks postoperative
following a kidney transplant. Which of the following
manifestations should the nurse identify as possible organ
rejection?
A. Temperature 36.1° C (97.0° F)
B. Insomnia
C. Oliguria
D. Weight loss
Ans: C. Oliguria Feedback: The nurse should identify little to no urine
output as possible manifestations of kidney rejection.
A nurse is teaching a client who has acute kidney injury about the
oliguric phase. Which of the following information should the
nurse include in the teaching?
A. Renal function is reestablished.
B. BUN and creatinine levels decrease.
C. Urine output is less than 400 mL per 24 hr.
D. The glomerular filtration rate (GFR) recovers.
Ans: C. Urine output is less than 400 mL per 24 hr.
Feedback: Inadequate urinary output is associated with the oliguric
phase of acute kidney injury. The minimum amount of urine needed to
rid the body of metabolic waste products is 400 mL. Therefore, a client
who is producing less than 400 mL of output in 24 hr is manifesting
acute kidney injury.
A nurse is preparing a client for a kidney biopsy. Which of the
following client conditions should the nurse identify as a
contraindication for this diagnostic test?
© 2025 All rights reserved
, 2 | Page
A. Elevated creatinine level
B. Flank pain
C. Urinary retention
D. Bleeding tendencies
Ans: D. Bleeding tendencies Feedback: One of the risks of a kidney
biopsy is bleeding from the biopsy site. Therefore, a history of bleeding
tendencies or coagulation disorders is a contraindication for a kidney
biopsy.
A nurse is caring for a client who has polycystic kidney disease
(PKD). Which of the following findings should the nurse expect?
A. Flank pain
B. Hypotension
C. Confusion
D. Urinary retention
Ans: A. Flank pain Feedback: Flank pain is a finding associated with PKD.
A nurse is assessing a client who has chronic kidney disease for
fluid volume increase. Which of the following provides a reliable
measure of fluid retention?
A. Daily weight
B. Sodium level
C. Tissue turgor
D. Intake and output
Ans: A. Daily weight Feedback: Obtaining a client's daily weight and
comparing it to previous weights is a reliable method for measuring a
client's fluid volume over time.
A nurse is reviewing the medication record for a client who has
chronic kidney disease. Which of the following medications should
the nurse identify as having the potential to cause nephrotoxicity?
A. Diphenhydramine
B. Ondansetron
C. Vancomycin
© 2025 All rights reserved
