CHRONIC KIDNEY FAILURE NCLEX EXAM QUESTIONS WITH ALL CORRECT SOLUTIONS
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Course
CHRONIC KIDNEY FAILURE NCLEX
Institution
CHRONIC KIDNEY FAILURE NCLEX
CHRONIC KIDNEY FAILURE NCLEX EXAM QUESTIONS WITH ALL CORRECT SOLUTIONS
Nurse Faith is preparing to teach the patient with CKF about dietary modifications. Which of the following aspects of the patient is most important for the nurse evaluate before teaching begins?
A) Family Hx
B) Attention spa...
CHRONIC KIDNEY FAILURE NCLEX
EXAM QUESTIONS WITH ALL
CORRECT SOLUTIONS
Nurse Faith is preparing to teach the patient with CKF about dietary modifications.
Which of the following aspects of the patient is most important for the nurse evaluate
before teaching begins?
A) Family Hx
B) Attention span
C) Uric Acid level
D) Support system - Answer-Answer: B. Because CKF often affects and limits the
attention span and ability to concentrate, it is important for the nurse to assess this
before beginning teaching. Often teaching will need to be done in increments of 10-15
minute periods
You are working at a dialysis center and are taking care of Ms. Hector. She has a
history of diabetes, CKF, and HTN. She says "I hate having to come here all the time.
Can't I just do this stuff at home?" What is the nurse's best response?
A) "Yes, home hemodialysis is an option for you. In fact, we can start setting you up
within the next week"
B) "In order to have hemodialysis you need to have friends or family to help you. Do you
even have any friends?"
C) "Home hemodialysis is a possibility but it will be necessary to inspect your home"
D) "Because of your preexisting conditions, you would not be a good candidate for
home dialysis" - Answer-Answer: C. Home dialysis is an option for some people, but
requires extensive training, home inspection, and support system. It would not be
feasible to set up Ms. Hector with home hemodialysis within the next week. Although
she does have preexisting conditions, none of the ones listed would be a barrier to her
performing home hemodialysis. Asking her if she has any friends is just plain mean.
The nurse is performing peritoneal dialysis exchange on the patient with CKF. This is
the first peritoneal dialysis treatment. The nurse inspects the drainage. Which should
the nurse report to the physician immediately?
A) Bloody drainage
B) More than 2 L of drainage
C) Cloudy drainage
D) Glucose in drainage - Answer-Answer: C. Cloudy drainage is abnormal as the
drainage after peritoneal dialysis should be clear and colorless. Having bloody drainage
after the insertion of a new catheter is normal and is expected on the first few
exchanges. Having more than 2 L of drainage and have glucose in the drainage is to be
expected.
, The nurse is performing peritoneal dialysis and infuses 2 L of fluid into the patient. The
drainage is measured to be only 1800 ml. What is the nurse's priority action?
A) Raise the head of the bed
B) Administer 02
C) Call the doctor
D) Infuse 200 ml - Answer-Answer: A. Repositioning the patient, often by sitting the
client up, can help facilitate draining. The nurse can also turn the patient from side to
side. The patency of the catheter should be inspected by looking for kinks, closed
clamps, or an air lock. If none of these methods help pull off the extra fluid the doctor
should be notified. Administering O2 is not needed unless the patient shows signs of
difficulty breathing. Infusing extra fluid would make the situation worse
The patient undergoing peritoneal dialysis complains of abdominal pain. The nurse
notes the drainage to be cloudy. She also palpates rebound tenderness. Which
complication does the nurse suspect?
A) Leakage around catheter
B) Internal Bleeding
C) Hypertriglycerdemia
D) Peritonitis - Answer-Answer: D. Peritonitis is the most serious complication of PD. It's
symtpoms include rebound tendernece, cloudy drainage, low grade fever, abdominal
pain, and rebound tenderness.
The patient with ESRD arrives to the clinic ready for his peritoneal dialysis. He says "I
am not very happy about being here today" This patient has a history of severe
hypertension, heart failure, pulmonary edema, diabetes, A-fib, hyperlipidemia, CAD and
has recently been diagnosed with osteoporosis. His vitals today are BP 145/70, HR 99,
T 99.7 O2 94%. Which piece of patient data does the nurse need to pay most attention
to right before beginning dialysis?
A) The patient's anxiety
B) Hx of diabetes
C) BP 145/70
D) Hx of A-fib - Answer-Answer: B. It is important for the nurse to closely monitor the
patient's glucose level because peritoneal dialysis uses solutions containing glucose.
Insulin will probably need to be administered
You are teaching the patient with chronic kidney disease about what symptoms to report
to the doctor when outside of the hospital. Which statement, if made by the patient,
indicates correct understanding?
A) "I should call my doctor if my stomach starts feeling sick or my breath smells funny
like pea"
B) "Muscle weakness and abdominal cramps are a sign of worsening condition and I
should report this to my doctor"
C) "My doctor wants me to call him if I feel a vibrating or buzzing sensation over my
hemodialysis graft.
D) "I should call immediately if I see swelling at my dialysis port" - Answer-Answer: C.
The patient should be taught to call the doctor if he/she does NOT find a thrill over this
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