POST TEST- RENAL FABS
1. A female client is admitted for treatment of chronic renal failure (CRF). Nurse Julian
knows that this disorder increases the client’s risk of:
A. water and sodium retention secondary to a severe decrease in the glomerular filtration
rate.
B. a decreased serum phosphate level secondary to kidney failure.
C. an increased serum calcium level secondary to kidney failure.
D. metabolic alkalosis secondary to retention of hydrogen ions.
2. For a male client in the oliguric phase of acute renal failure (ARF), which nursing
intervention is most important?
A. Encouraging coughing and deep breathing
B. Promoting carbohydrate intake
C. Limiting fluid intake
D. Providing pain-relief measures
3. Which of the following disorders would lead to pre-renal failure?
A. Nephritis
B. Renal calculi
C. Dehydration
D. Bladder cancer
Correct answer
C. Dehydration
4. A male client with chronic renal failure has a serum potassium level of 6.8 mEq/L.
What should nurse Olivia assess first?
A. Blood pressure
B. Respirations
C. Temperature
D. Heart Rate
5. The client was diagnosed with benign prostatic hyperplasia. Which of the following
types/cause of renal failure would the client most likely acquire?
A. Pre-renal failure
B. Intra renal failure
C. Post renal failure
D. Chronic renal failure
6. A male client who has been treated for chronic renal failure (CRF) is ready for
discharge. The nurse should reinforce which dietary instruction?
A. “Be sure to eat meat at every meal.”
B. “Monitor your fruit intake and eat plenty of bananas.”
C. “Increase your carbohydrate intake.”
D. “Drink plenty of fluids, and use a salt substitute.”
7. Which of the following signs/symptoms will a client experience in the onset phase of
renal failure?
A. No symptoms
, B. Increased BUN
C. Increased urine output
D. Decreased urine output
Correct answer
A. No symptoms
8. A 30 y.o. female patient is undergoing hemodialysis with an internal arteriovenous
fistula in place. What do you do to prevent complications associated with this device?
A. Insert I.V. lines above the fistula.
B. Avoid taking blood pressures in the arm with the fistula.
C. Palpate pulses above the fistula.
D. Report a bruit or thrill over the fistula to the doctor.
9. Which cause of hypertension is the most common in acute renal failure?
A. Pulmonary edema
B. Hypervolemia
C. Hypovolemia
D. Anemia
Correct answer
B. Hypervolemia
10. Polystyrene sulfonate (Kayexalate) is used in renal failure to:
A. Correct acidosis
B. Reduce serum phosphate levels
C. Exchange potassium for sodium
D. Prevent constipation from sorbitol use
11. A patient is admitted in the hospital due to having lower than normal potassium
level in her bloodstream. Her medical history reveals vomiting and diarrhea prior to
hospitalization. Which foods should the nurse instruct the client to increase?
A. Whole grains and nuts
B. Milk products and green, leafy vegetables
C. Pork products and canned vegetables
D. Orange juice and bananas
Correct answer
D. Orange juice and bananas
12. Lab tests revealed that patient’s [Na+] is 170 mEq/L. Which clinical manifestation
would nurse Natty expect to assess?
A. Thirst and confusion
B. Muscle twitching and tetany
C. Fruity breath and Kussmaul’s respirations
D. Muscle weakness and paresthesia
13. A client with very dry mouth, skin and mucous membranes is diagnosed of having
dehydration. Which intervention should the nurse perform when caring for a client
diagnosed with fluid volume deficit?
A. Assessing urinary intake and output
1. A female client is admitted for treatment of chronic renal failure (CRF). Nurse Julian
knows that this disorder increases the client’s risk of:
A. water and sodium retention secondary to a severe decrease in the glomerular filtration
rate.
B. a decreased serum phosphate level secondary to kidney failure.
C. an increased serum calcium level secondary to kidney failure.
D. metabolic alkalosis secondary to retention of hydrogen ions.
2. For a male client in the oliguric phase of acute renal failure (ARF), which nursing
intervention is most important?
A. Encouraging coughing and deep breathing
B. Promoting carbohydrate intake
C. Limiting fluid intake
D. Providing pain-relief measures
3. Which of the following disorders would lead to pre-renal failure?
A. Nephritis
B. Renal calculi
C. Dehydration
D. Bladder cancer
Correct answer
C. Dehydration
4. A male client with chronic renal failure has a serum potassium level of 6.8 mEq/L.
What should nurse Olivia assess first?
A. Blood pressure
B. Respirations
C. Temperature
D. Heart Rate
5. The client was diagnosed with benign prostatic hyperplasia. Which of the following
types/cause of renal failure would the client most likely acquire?
A. Pre-renal failure
B. Intra renal failure
C. Post renal failure
D. Chronic renal failure
6. A male client who has been treated for chronic renal failure (CRF) is ready for
discharge. The nurse should reinforce which dietary instruction?
A. “Be sure to eat meat at every meal.”
B. “Monitor your fruit intake and eat plenty of bananas.”
C. “Increase your carbohydrate intake.”
D. “Drink plenty of fluids, and use a salt substitute.”
7. Which of the following signs/symptoms will a client experience in the onset phase of
renal failure?
A. No symptoms
, B. Increased BUN
C. Increased urine output
D. Decreased urine output
Correct answer
A. No symptoms
8. A 30 y.o. female patient is undergoing hemodialysis with an internal arteriovenous
fistula in place. What do you do to prevent complications associated with this device?
A. Insert I.V. lines above the fistula.
B. Avoid taking blood pressures in the arm with the fistula.
C. Palpate pulses above the fistula.
D. Report a bruit or thrill over the fistula to the doctor.
9. Which cause of hypertension is the most common in acute renal failure?
A. Pulmonary edema
B. Hypervolemia
C. Hypovolemia
D. Anemia
Correct answer
B. Hypervolemia
10. Polystyrene sulfonate (Kayexalate) is used in renal failure to:
A. Correct acidosis
B. Reduce serum phosphate levels
C. Exchange potassium for sodium
D. Prevent constipation from sorbitol use
11. A patient is admitted in the hospital due to having lower than normal potassium
level in her bloodstream. Her medical history reveals vomiting and diarrhea prior to
hospitalization. Which foods should the nurse instruct the client to increase?
A. Whole grains and nuts
B. Milk products and green, leafy vegetables
C. Pork products and canned vegetables
D. Orange juice and bananas
Correct answer
D. Orange juice and bananas
12. Lab tests revealed that patient’s [Na+] is 170 mEq/L. Which clinical manifestation
would nurse Natty expect to assess?
A. Thirst and confusion
B. Muscle twitching and tetany
C. Fruity breath and Kussmaul’s respirations
D. Muscle weakness and paresthesia
13. A client with very dry mouth, skin and mucous membranes is diagnosed of having
dehydration. Which intervention should the nurse perform when caring for a client
diagnosed with fluid volume deficit?
A. Assessing urinary intake and output
