NUR 265 – EXAM 1 |50-QUESTION NCLEX-STYLE
MOCK| 2026 UPDATE | 100% CORRECT ANSWERS
ADVANCED MED-SURG | HIGH DIFFICULTY
RENAL / ELIMINATION
Q1
A patient with acute kidney injury is being closely monitored. Which finding suggests
worsening renal function?
A. Increased urine output
B. Decreasing creatinine
C. Rising BUN and potassium
D. Mild fatigue
Answer: C
Q2
Which assessment finding in AKI requires immediate intervention?
A. Oliguria
B. Metabolic acidosis
C. Hyperkalemia with peaked T waves
D. Elevated creatinine
Answer: C
Q3
A trauma patient with AKI begins producing large amounts of urine after 48 hours of oliguria.
How should the nurse interpret this?
A. Acute worsening
B. Expected recovery phase
,C. Fluid overload
D. Onset of chronic kidney disease
Answer: B
Q4
Which electrolyte imbalance places a patient with renal failure at the highest risk for cardiac
dysrhythmias?
A. Hyponatremia
B. Hyperkalemia
C. Hypocalcemia
D. Hyperphosphatemia
Answer: B
Q5
Which nursing intervention is appropriate for a patient with chronic kidney disease?
A. High-protein diet
B. Salt substitute use
C. Moderate protein intake
D. Potassium supplementation
Answer: C
Q6
A patient with CKD reports muscle weakness and palpitations. Which lab result does the nurse
anticipate?
A. Sodium 150 mEq/L
B. Potassium 6.1 mEq/L
C. Calcium 11.2 mg/dL
D. Hemoglobin 16 g/dL
Answer: B
, DIALYSIS
Q7
Which finding during hemodialysis indicates disequilibrium syndrome?
A. Hypertension
B. Confusion and dizziness
C. Bradycardia
D. Hyperglycemia
Answer: B
Q8
Which nursing action is contraindicated in a patient with an AV fistula?
A. Assessing thrill
B. Auscultating bruit
C. Blood pressure on fistula arm
D. Monitoring access site
Answer: C
Q9
Which finding in peritoneal dialysis suggests peritonitis?
A. Warm dialysate
B. Clear effluent
C. Cloudy drainage
D. Abdominal fullness
Answer: C
Q10
MOCK| 2026 UPDATE | 100% CORRECT ANSWERS
ADVANCED MED-SURG | HIGH DIFFICULTY
RENAL / ELIMINATION
Q1
A patient with acute kidney injury is being closely monitored. Which finding suggests
worsening renal function?
A. Increased urine output
B. Decreasing creatinine
C. Rising BUN and potassium
D. Mild fatigue
Answer: C
Q2
Which assessment finding in AKI requires immediate intervention?
A. Oliguria
B. Metabolic acidosis
C. Hyperkalemia with peaked T waves
D. Elevated creatinine
Answer: C
Q3
A trauma patient with AKI begins producing large amounts of urine after 48 hours of oliguria.
How should the nurse interpret this?
A. Acute worsening
B. Expected recovery phase
,C. Fluid overload
D. Onset of chronic kidney disease
Answer: B
Q4
Which electrolyte imbalance places a patient with renal failure at the highest risk for cardiac
dysrhythmias?
A. Hyponatremia
B. Hyperkalemia
C. Hypocalcemia
D. Hyperphosphatemia
Answer: B
Q5
Which nursing intervention is appropriate for a patient with chronic kidney disease?
A. High-protein diet
B. Salt substitute use
C. Moderate protein intake
D. Potassium supplementation
Answer: C
Q6
A patient with CKD reports muscle weakness and palpitations. Which lab result does the nurse
anticipate?
A. Sodium 150 mEq/L
B. Potassium 6.1 mEq/L
C. Calcium 11.2 mg/dL
D. Hemoglobin 16 g/dL
Answer: B
, DIALYSIS
Q7
Which finding during hemodialysis indicates disequilibrium syndrome?
A. Hypertension
B. Confusion and dizziness
C. Bradycardia
D. Hyperglycemia
Answer: B
Q8
Which nursing action is contraindicated in a patient with an AV fistula?
A. Assessing thrill
B. Auscultating bruit
C. Blood pressure on fistula arm
D. Monitoring access site
Answer: C
Q9
Which finding in peritoneal dialysis suggests peritonitis?
A. Warm dialysate
B. Clear effluent
C. Cloudy drainage
D. Abdominal fullness
Answer: C
Q10
