NSG 4100 Exam 1: CH 48(TB)
2026 Exam Questions and
Answers | A+ Score Assured
The nurse is assessing a client suspected of having developed acute
glomerulonephritis. The nurse should expect to address what clinical
manifestation that is characteristic of this health problem?
A. Hematuria
B. Precipitous decrease in serum creatinine levels
C. Hypotension unresolved by fluid administration
,D. Glucosuria - ANSWER ✔✔A. Hematuria
The nurse is caring for an acutely ill client. What assessment finding
should prompt the nurse to inform the health care provider that the client
may be exhibiting signs of acute kidney injury (AKI)?
A. An inability to initiate voiding for 2 days.
B. The urine is cloudy and has visible sediment with a foul odor.
C. Average urine output has been 10 mL/hr for several hours.
D. Client reports left-sided flank pain. - ANSWER ✔✔C. Average
urine output has been 10 mL/hr for several hours.
The nurse is caring for a client with a history of systemic lupus
erythematosus who has been recently diagnosed with end-stage kidney
disease (ESKD). The client has an elevated phosphorus level and has
been prescribed calcium acetate to bind the phosphorus. The nurse
should teach the client to take the prescribed medication at what time?
A. Only when needed
B. Daily at bedtime
C. First thing in the morning
, D. With each meal - ANSWER ✔✔D. With each meal
The nurse is working on the renal transplant unit. To reduce the risk of
infection in a client with a transplanted kidney, it is imperative for the
nurse to take what action?
A. Wash hands carefully and frequently.
B. Ensure immediate function of the donated kidney.
C. Instruct the client to wear a face mask.
D. Bar visitors from the client's room. - ANSWER ✔✔A. Wash hands
carefully and frequently.
The nurse is caring for a client receiving hemodialysis three times
weekly. The client has had surgery to form an arteriovenous fistula. What
is most important for the nurse to be aware of when providing care for
this client?
A. Using a stethoscope for auscultating the fistula is contraindicated
B. The client feels best immediately after the dialysis treatment
C. Taking a BP reading on the affected arm can damage the fistula
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
2026 Exam Questions and
Answers | A+ Score Assured
The nurse is assessing a client suspected of having developed acute
glomerulonephritis. The nurse should expect to address what clinical
manifestation that is characteristic of this health problem?
A. Hematuria
B. Precipitous decrease in serum creatinine levels
C. Hypotension unresolved by fluid administration
,D. Glucosuria - ANSWER ✔✔A. Hematuria
The nurse is caring for an acutely ill client. What assessment finding
should prompt the nurse to inform the health care provider that the client
may be exhibiting signs of acute kidney injury (AKI)?
A. An inability to initiate voiding for 2 days.
B. The urine is cloudy and has visible sediment with a foul odor.
C. Average urine output has been 10 mL/hr for several hours.
D. Client reports left-sided flank pain. - ANSWER ✔✔C. Average
urine output has been 10 mL/hr for several hours.
The nurse is caring for a client with a history of systemic lupus
erythematosus who has been recently diagnosed with end-stage kidney
disease (ESKD). The client has an elevated phosphorus level and has
been prescribed calcium acetate to bind the phosphorus. The nurse
should teach the client to take the prescribed medication at what time?
A. Only when needed
B. Daily at bedtime
C. First thing in the morning
, D. With each meal - ANSWER ✔✔D. With each meal
The nurse is working on the renal transplant unit. To reduce the risk of
infection in a client with a transplanted kidney, it is imperative for the
nurse to take what action?
A. Wash hands carefully and frequently.
B. Ensure immediate function of the donated kidney.
C. Instruct the client to wear a face mask.
D. Bar visitors from the client's room. - ANSWER ✔✔A. Wash hands
carefully and frequently.
The nurse is caring for a client receiving hemodialysis three times
weekly. The client has had surgery to form an arteriovenous fistula. What
is most important for the nurse to be aware of when providing care for
this client?
A. Using a stethoscope for auscultating the fistula is contraindicated
B. The client feels best immediately after the dialysis treatment
C. Taking a BP reading on the affected arm can damage the fistula
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
