RN Final Exam 2026 | Practice Questions & Answers
with Rationales | Complete Nursing Study Guide
RESOURCE FEATURES
• Fresenius RN Final Exam practice questions
• Answers for self-assessment
• Detailed rationales and explanations
• Clinical scenario-based questions
• Nursing prioritization practice
• Patient-safety review
• NCLEX-style clinical judgment
• Comprehensive 2026 exam preparation
, Fresenius RN Final Exam 2026 | Practice
Questions & Answers with Rationales |
Complete Nursing Study Guide
1. Which of the following is NOT a risk factor for infection in chronic
kidney disease patients?
A. Frequent hospitalizations
B. Socioeconomic status
C. Repeated invasive procedures
D. Immunocompromised due to comorbidities
Correct Answer: B
Rationale: Socioeconomic status is not a direct risk factor for infection in
CKD patients. The primary risk factors include frequent hospitalizations (A),
repeated invasive procedures (C), and immunocompromised status due to
comorbidities (D). CKD patients are at increased risk for infections due to
impaired immune function, frequent exposure to healthcare settings, and
the need for vascular access procedures.
2. Which of the following hepatitis B statements is CORRECT?
A. Shields worn in the isolation room should be used when caring for the
general population
B. Hep B susceptible patients should sit in the buffer zone
C. Supplies can be removed from the isolation room if labeled properly
,D. Staff members who care for HBsAG positive patients should also care for
immune patients
Correct Answer: D
Rationale: Staff members who care for HBsAG positive (Hepatitis B antigen
positive) patients should also care for immune patients to minimize the
number of staff exposed to the virus. This is a standard infection control
practice to limit the spread of hepatitis B. Shields used in isolation rooms
should not be used for the general population (A). Susceptible patients
should not sit in the buffer zone (B). Supplies cannot be removed from
isolation rooms even if labeled (C).
3. Dialysis functions include which of the following?
A. Restoring kidney function
B. Lowering cholesterol levels
C. Preventing the spread of bacteria
D. Removal of excess fluid and waste from the blood
Correct Answer: D
Rationale: The primary functions of dialysis are the removal of excess fluid
and waste products from the blood. Dialysis does not restore kidney
function (A) - it is a replacement therapy. It does not lower cholesterol
levels (B) or prevent the spread of bacteria (C), though infection control
practices are important in dialysis settings.
4. What is the most COMMON cause of CKD?
, A. Infection
B. Diabetes
C. Obesity
D. Alcohol abuse
Correct Answer: B
Rationale: Diabetes mellitus is the most common cause of chronic kidney
disease (CKD), accounting for approximately 40-50% of cases. Hypertension
is the second most common cause. While infection (A) can cause kidney
disease (e.g., glomerulonephritis), it is not the most common cause. Obesity
(C) is a risk factor but not the leading cause. Alcohol abuse (D) can
contribute to liver disease but is not a primary cause of CKD.
5. Which of the following is included in a dialysis prescription?
A. Venous pressure
B. Transmembrane pressure (TMP)
C. Blood flow rate
D. Arterial pressure
Correct Answer: C
Rationale: Blood flow rate (BFR) is a key component of the dialysis
prescription that is set by the physician based on the patient's needs and
access type. Venous pressure (A), transmembrane pressure (B), and arterial
pressure (D) are monitored parameters during treatment but are not part of
the prescription itself - they are used to monitor the treatment and detect
problems.