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NUR 213 ( LATEST 2024 / 2025 ) EXAM 4 | QUESTIONS AND ANSWERS INCLUDED
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NUR 213 ( LATEST 2024 / 2025 ) EXAM 4 | QUESTIONS AND ANSWERS INCLUDED
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NUR 213 Exam 41. A nurse is assessing a client who experienced a rapid loss of renal function and is determined
to be in the prerenal stage of AKI. Which of the following should the nurse expect (SATA)?
A. reduced BUN level
B. elevated cardiac enzymes
C. reduced urine output
D. elevated serum creatinine level
E. increased sodium in the urine
Answer
C. reduced urine output
D. elevated serum creatinine level
2. A nurse is reviewing the lab results of a client with stage 4 CKD. Which of the following
findings should the nurse expect?
A. BUN 15
B. GFR 20
C. Creatinine 1.1
D. Potassium 5.0
Answer
B. GFR 20
3. A nurse is planning care for a client on hemodialysis. Which of the following should the nurse
include in the plan of care (SATA)?
A. monitor the client's weight daily
B. encourage the client to comply with fluid restrictions
C. evaluate intake and output
D. instruct the client about restricting calories from carbs
E. monitor the client for elevated potassium levels
Answer
A. monitor the client's weight daily
B. encourage the client to comply with fluid restrictions
C. evaluate intake and output
E. monitor the client for elevated potassium levels
4. Which of the following ECG findings indicate hyperkalemia?
A. prominent delta waves
B. peaked T wave
C. prominent U wave
D. osbourne J wave
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,Answer
B. peaked T wave
5. The nurse understands that which of the following is the primary indication for hemodialysis
in a client with chronic renal failure?
A. ascites
B. alkalosis
C. hypotension
D. serum creatinine greater than 8
Answer
D. serum creatinine greater than 8
6. a nurse at a hemodialysis center is caring for a client who has a new order for erythropoietin
to be administered subcutaneously. which of the following
side effects should the nurse advise the client to report to the HCP?
a. anuria
b. pruritus
c. nausea
d. severe headache
Answer
d. severe headache
7. A physician orders sodium polystyrene sulfonate (Kayexalate) to be given to a patient in
acute renal failure whose serum potassium level is 6.9 mEq/L.
The nurse recognizes that the expected effect of the Kayexalate is
a. increasing the release of insulin, which promotes movement of potassium into body cells.
b. promoting loss of body potassium by promoting the excretion of potassium in alkaline urine.
c. promotion of the exchange of potassium ions for sodium ions in the GI system, increasing
potassium elimination.
d. an increase in blood pH, resulting in movement of potassium from the extracellular fluid
into the cells in exchange for hydrogen ions.
Answer
c. promotion of the exchange of potassium ions for sodium ions in the GI system, increasing
potassium elimination.
8. Which of the following is a possible etiology of post-renal acute kidney injury (AKI)?
a. The patient who received a contrast dye agent.
b. The patient who has malignant prostate cancer.
c. The patient who experienced cardiogenic shock.
d. The patient who has renal artery stenosis.
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, Answer
b. The patient who has malignant prostate cancer.
9. In the oliguric phase of acute kidney injury (AKI) which changes in labora- tory data are
anticipated?
a. Serum BUN and creatinine return to baseline
b. Serum BUN, creatinine, and potassium levels increase.
c. Serum BUN and creatinine fall and potassium levels rise.
d. Serum BUN and creatinine rise and patient develops metabolic alkalosis
Answer
b. Serum BUN, creatinine, and potassium levels increase.
10. One of the major disadvantages of peritoneal dialysis is that
Answer
a. hypotension is a constant problem because of continuous fluid removal.
b. blood loss can be extensive because of the use of heparin to keep the catheter patent.
c. solutes are removed more rapidly from the blood than from the CNS.
d. high glucose concentrations of the dialysate causes carbohydrate and lipid
abnormalities.
Answer
d. high glucose concentrations of the dialysate causes carbohy- drate and lipid abnormalities.
11. A patient with Acute Kidney Injury (AKI) has the following lab results. Which one is
indicative of improvement in his condition?
a. Hematocrit of 32%
b. Sodium of 121 mEq/L
c. Ammonia level 85 mcgN/dL
d. creatinine of 1.2 mg/dL
Answer
d. creatinine of 1.2 mg/dL
12. A patient undergoes hemodialysis, to effectively evaluate the outcome of this treatment the
nurse should expect
Answer
a. Weight Loss
b. International Normalized Ratio (INR) of 3.5
c. Decreases in pH
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