GNRS 558 ACTUAL EXAM 3 |265 COMPLETE AND GRADED
QUESTIONS AND ANSWERS 2026 LATEST UPDATED | 100% GRADED
CORRECT | 100% GUARANTEED TO PASS | GET A+
The nurse is caring for four clients with chronic kidney disease (CKD). Which client would the
nurse assess first upon initial rounding?
a. Client with a blood pressure of 158/90 mm Hg
b. Client with Kussmaul respirations
c. Client with skin itching from head to toe
d. Client with halitosis and stomatitis - (answer)b. Client with Kussmaul respirations
The nurse is assessing a client with a diagnosis of prerenal acute kidney injury (AKI). Which
condition would the nurse expect to find in the patient's recent history?
a. Pyelonephritis
b. Dehydration
c. Bladder cancer
d. Kidney stones - (answer)b. Dehydration
A marathon runner comes into the clinic and states "I have not urinated very much in the last
few days." The nurse notes a heart rate of 110 beats/min and a blood pressure of 86/58 mm
,Hg. Which action by the nurse is most appropriate?
a. Give the client a bottle of water immediately.
b. Start an intravenous line for fluids.
c. Teach the patient to drink 2 to 3 L of water daily.
d. Perform an electrocardiogram - (answer)a. Give the client a bottle of water immediately
A client comes into the emergency department with a serum creatinine of 2.2 mg/dL (1944
mcmol/L) and a blood urea nitrogen (BUN) of 24 mL/dL (8.57 mmol/L). What question
would the nurse ask first when taking this client's history?
a. "Have you been taking any aspirin, ibuprofen, or naproxen recently?"
b. "Do you have anyone in your family with renal failure?"
c. "Have you had a diet that is low in protein recently?"
d. "Has a relative had a kidney transplant lately?" - (answer)a. "Have you been taking any
aspirin, ibuprofen, or naproxen recently?"
A client is admitted with acute kidney injury (AKI) and a urine output of 2000 mL/day. What
is the major concern of the nurse regarding this patient's care?
a. Edema and pain
b. Cardiac and respiratory status
,c. Electrolyte and fluid imbalance
d. Mental health status - (answer)c. Electrolyte and fluid imbalance
A client with acute kidney injury (AKI) has a blood pressure of 76/55 mm Hg. The primary
health care provider prescribed 1000 mL of normal saline to be infused over 1 hour to
maintain perfusion. The client starts to develop shortness of breath. What is the nurse's
priority action?
a. Calculate the mean arterial pressure (MAP).
b. Ask for insertion of a pulmonary artery catheter.
c. Take the client's pulse.
d. Decrease the rate of the IV infusion. - (answer)d. Decrease the rate of the IV infusion.
A client has a serum potassium level of 6.5 mEq/L (6.5 mmol/L), a serum creatinine level of 2
mg/dL (176 mcmol/L), and a urine output of 350 mL/day. What is the best action by the
nurse?
a. Place the client on a cardiac monitor immediately.
b. Teach the client to limit high-potassium foods.
c. Continue to monitor the client's intake and output.
, d. Ask to have the laboratory redraw the blood specimen. - (answer)a. Place the client on a
cardiac monitor immediately.
A client with diabetes mellitus type 2 has been well controlled with metformin. The client is
scheduled for magnetic resonance imaging (MRI) scan with contrast. What priority would the
nurse take at this time?
a. Teach the client about the purpose of the MRI.
b. Assess the client's blood urea nitrogen and creatinine.
c. Tell the client to withhold metformin for 24 hours before the MRI.
d. Ask the client if he or she is taking antibiotics. - (answer)c. Tell the client to withhold
metformin for 24 hours before the MRI.
A client is started on continuous venovenous hemofiltration (CVVH). Which finding would
require immediate action by the nurse?
a. Potassium level of 5.5 mEq/L (5.5 mmol/L)
b. Sodium level of 138 mEq/L (138 mmol/L)
c. Blood pressure of 76/58 mm Hg
d. Pulse rate of 88 beats/min - (answer)c. Blood pressure of 76/58 mm Hg
QUESTIONS AND ANSWERS 2026 LATEST UPDATED | 100% GRADED
CORRECT | 100% GUARANTEED TO PASS | GET A+
The nurse is caring for four clients with chronic kidney disease (CKD). Which client would the
nurse assess first upon initial rounding?
a. Client with a blood pressure of 158/90 mm Hg
b. Client with Kussmaul respirations
c. Client with skin itching from head to toe
d. Client with halitosis and stomatitis - (answer)b. Client with Kussmaul respirations
The nurse is assessing a client with a diagnosis of prerenal acute kidney injury (AKI). Which
condition would the nurse expect to find in the patient's recent history?
a. Pyelonephritis
b. Dehydration
c. Bladder cancer
d. Kidney stones - (answer)b. Dehydration
A marathon runner comes into the clinic and states "I have not urinated very much in the last
few days." The nurse notes a heart rate of 110 beats/min and a blood pressure of 86/58 mm
,Hg. Which action by the nurse is most appropriate?
a. Give the client a bottle of water immediately.
b. Start an intravenous line for fluids.
c. Teach the patient to drink 2 to 3 L of water daily.
d. Perform an electrocardiogram - (answer)a. Give the client a bottle of water immediately
A client comes into the emergency department with a serum creatinine of 2.2 mg/dL (1944
mcmol/L) and a blood urea nitrogen (BUN) of 24 mL/dL (8.57 mmol/L). What question
would the nurse ask first when taking this client's history?
a. "Have you been taking any aspirin, ibuprofen, or naproxen recently?"
b. "Do you have anyone in your family with renal failure?"
c. "Have you had a diet that is low in protein recently?"
d. "Has a relative had a kidney transplant lately?" - (answer)a. "Have you been taking any
aspirin, ibuprofen, or naproxen recently?"
A client is admitted with acute kidney injury (AKI) and a urine output of 2000 mL/day. What
is the major concern of the nurse regarding this patient's care?
a. Edema and pain
b. Cardiac and respiratory status
,c. Electrolyte and fluid imbalance
d. Mental health status - (answer)c. Electrolyte and fluid imbalance
A client with acute kidney injury (AKI) has a blood pressure of 76/55 mm Hg. The primary
health care provider prescribed 1000 mL of normal saline to be infused over 1 hour to
maintain perfusion. The client starts to develop shortness of breath. What is the nurse's
priority action?
a. Calculate the mean arterial pressure (MAP).
b. Ask for insertion of a pulmonary artery catheter.
c. Take the client's pulse.
d. Decrease the rate of the IV infusion. - (answer)d. Decrease the rate of the IV infusion.
A client has a serum potassium level of 6.5 mEq/L (6.5 mmol/L), a serum creatinine level of 2
mg/dL (176 mcmol/L), and a urine output of 350 mL/day. What is the best action by the
nurse?
a. Place the client on a cardiac monitor immediately.
b. Teach the client to limit high-potassium foods.
c. Continue to monitor the client's intake and output.
, d. Ask to have the laboratory redraw the blood specimen. - (answer)a. Place the client on a
cardiac monitor immediately.
A client with diabetes mellitus type 2 has been well controlled with metformin. The client is
scheduled for magnetic resonance imaging (MRI) scan with contrast. What priority would the
nurse take at this time?
a. Teach the client about the purpose of the MRI.
b. Assess the client's blood urea nitrogen and creatinine.
c. Tell the client to withhold metformin for 24 hours before the MRI.
d. Ask the client if he or she is taking antibiotics. - (answer)c. Tell the client to withhold
metformin for 24 hours before the MRI.
A client is started on continuous venovenous hemofiltration (CVVH). Which finding would
require immediate action by the nurse?
a. Potassium level of 5.5 mEq/L (5.5 mmol/L)
b. Sodium level of 138 mEq/L (138 mmol/L)
c. Blood pressure of 76/58 mm Hg
d. Pulse rate of 88 beats/min - (answer)c. Blood pressure of 76/58 mm Hg
