CNUR 305 FINAL EXAM 2025/2026 BANK
CURRENTLY TESTING COMPLETE
ACTUAL QUESTIONS WITH DETAILED
VERIFIED ANSWERS EXPERTLY
VERIFIED NEW EXAM
/ALREADY GRADED A+
The nurse is caring for a client with diabetes who has been
admitted with pneumonia and is prescribed gentamicin 60
mg IV q12h. The nurse knows that aminoglycosides are
nephrotoxic and knows that which of the following results
will indicate kidney damage.
a. Elevated sodium levels.
b. Decreased serum potassium.
c. Increased estimated glomerular filtration rate.
d. Elevated creatinine level. - ....ANSWER...d. Elevated
creatinine level.
The nurse is caring for a client with acute kidney injury
who is dehydrated with symptoms of oliguria, anemia, and
hyperkalemia. Which of the following presccribed actions
should the nurse take first?
1
,a. Give sodium polystyrene sulfonate.
b. Insert a urinary retention catheter.
c. Administration an erythropoiesis-stimulating agent
(ESA).
d. Place the client on a cardiac monitor. - ....ANSWER...d.
Place the client on a cardiac monitor.
A patient with severe heart failure develops elevated blood
urea nitrogen (BUN) and creatinine levels. The nurse
knows that which of the following interventions would be
most effective in preventing acute kidney injury.
a. Administering beta blokers.
b. Treating hypertension.
c. Maintaining cardiac output.
d. Initiating fluid restrictions. - ....ANSWER...c.
Maintaining cardiac output.
The nurse is reviewing the chart on a client with an acute
kidney injury secondary to dehydration. The nurse knows
to report which of the following to the health care
provider?
2
,a. Urine output over an 8-hour period is 2500 mL.
b. The glomerular filtration rate is <30 mL/min/1.73m2.
(ref range 60 mL/min/1.73m2).
c. The creatinine level is 186 umol/L. (ref range 49-93
umol/L).
d. Blood urea nitrogen (BUN) level is 23.1 mmol/L. (ref
range 2.1-8 mmol/L). - ....ANSWER...a. Urine output over
an 8-hour period is 2500 mL.
Pre-renal failure, regardless of the specific cause, has a
single common etiologic factor which is:
a. Narrowing of the afferent arterioles.
b. Reduction in renal perfusion.
c. Decreased effect of aldosterone and antidiuretic
hormone.
d. Inactivation of the renal auto-regulatory mechanisms. -
....ANSWER...b. Reduction in renal perfusion.
Which of the following assessments should the nurse
complete before administering sodium polystyrene
sulphonate (Kayexolate) to a client with hyperkalemia?
3
, a. Blood urea nitrogen (BUN) and creatinine.
b. Client's bowel sounds.
c. Level of consciousness (LOC).
d. Blood glucose level. - ....ANSWER...b. Client's bowel
sounds.
A client hospitalized with chronic renal failure is
experiencing hypotension, cold and clamy skin and
dysrhythmias. An arterial blood gas is drawn with orders
to notify the physician if abnormal. Based on the following
results, the nurse should notify the physician to report the
client is experiencing.
pH 7.20 (ref range: 7.35-7.45)
pCO2 32 (ref range: 35-45 mmHg)
HCO3 14 (ref range: 22-26 mmol/L)
Base Excess -3 (ref range: +/- 2)
PO2 80 (ref range: 80-100 mmHg)
a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
4
CURRENTLY TESTING COMPLETE
ACTUAL QUESTIONS WITH DETAILED
VERIFIED ANSWERS EXPERTLY
VERIFIED NEW EXAM
/ALREADY GRADED A+
The nurse is caring for a client with diabetes who has been
admitted with pneumonia and is prescribed gentamicin 60
mg IV q12h. The nurse knows that aminoglycosides are
nephrotoxic and knows that which of the following results
will indicate kidney damage.
a. Elevated sodium levels.
b. Decreased serum potassium.
c. Increased estimated glomerular filtration rate.
d. Elevated creatinine level. - ....ANSWER...d. Elevated
creatinine level.
The nurse is caring for a client with acute kidney injury
who is dehydrated with symptoms of oliguria, anemia, and
hyperkalemia. Which of the following presccribed actions
should the nurse take first?
1
,a. Give sodium polystyrene sulfonate.
b. Insert a urinary retention catheter.
c. Administration an erythropoiesis-stimulating agent
(ESA).
d. Place the client on a cardiac monitor. - ....ANSWER...d.
Place the client on a cardiac monitor.
A patient with severe heart failure develops elevated blood
urea nitrogen (BUN) and creatinine levels. The nurse
knows that which of the following interventions would be
most effective in preventing acute kidney injury.
a. Administering beta blokers.
b. Treating hypertension.
c. Maintaining cardiac output.
d. Initiating fluid restrictions. - ....ANSWER...c.
Maintaining cardiac output.
The nurse is reviewing the chart on a client with an acute
kidney injury secondary to dehydration. The nurse knows
to report which of the following to the health care
provider?
2
,a. Urine output over an 8-hour period is 2500 mL.
b. The glomerular filtration rate is <30 mL/min/1.73m2.
(ref range 60 mL/min/1.73m2).
c. The creatinine level is 186 umol/L. (ref range 49-93
umol/L).
d. Blood urea nitrogen (BUN) level is 23.1 mmol/L. (ref
range 2.1-8 mmol/L). - ....ANSWER...a. Urine output over
an 8-hour period is 2500 mL.
Pre-renal failure, regardless of the specific cause, has a
single common etiologic factor which is:
a. Narrowing of the afferent arterioles.
b. Reduction in renal perfusion.
c. Decreased effect of aldosterone and antidiuretic
hormone.
d. Inactivation of the renal auto-regulatory mechanisms. -
....ANSWER...b. Reduction in renal perfusion.
Which of the following assessments should the nurse
complete before administering sodium polystyrene
sulphonate (Kayexolate) to a client with hyperkalemia?
3
, a. Blood urea nitrogen (BUN) and creatinine.
b. Client's bowel sounds.
c. Level of consciousness (LOC).
d. Blood glucose level. - ....ANSWER...b. Client's bowel
sounds.
A client hospitalized with chronic renal failure is
experiencing hypotension, cold and clamy skin and
dysrhythmias. An arterial blood gas is drawn with orders
to notify the physician if abnormal. Based on the following
results, the nurse should notify the physician to report the
client is experiencing.
pH 7.20 (ref range: 7.35-7.45)
pCO2 32 (ref range: 35-45 mmHg)
HCO3 14 (ref range: 22-26 mmol/L)
Base Excess -3 (ref range: +/- 2)
PO2 80 (ref range: 80-100 mmHg)
a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
4
