RENAL NURSING | KIDNEY CARE REVIEW
RENAL
NURSING FULL EXAM
100 ORIGINAL QUESTIONS | ANSWERS + RATIONALES
Five sections of 20 | Print-friendly practice exam
PROTECT KIDNEY FUNCTION. SUPPORT SAFE, PERSON-CENTRED CARE.
Independent educational practice | Not an official exam
,Exam Instructions
Suggested time: 120 minutes. Select the single best answer. Complete all five sections before reviewing the answer key and
rationales.
Coverage: acute and chronic kidney disease, electrolyte and fluid balance, hemodialysis, peritoneal dialysis, transplant care,
medication safety, nutrition, diagnostics, and renal emergencies.
This is independently written educational practice material, not an official licensing exam or publisher test bank. Use current clinical guidance and
individualized renal-team plans.
CONTENTS
Section 1: Questions 1-20
Section 2: Questions 21-40
Section 3: Questions 41-60
Section 4: Questions 61-80
Section 5: Questions 81-100
Answer Key and Rationales: Questions 1-100
RENAL NURSING | FULL PRACTICE EXAM 2
, SECTION 1 | QUESTIONS 1-20
AKI 1. A client with vomiting has falling urine output and rising creatinine. What should the nurse assess first?
A. Volume status, perfusion, intake and output, and possible causes
B. Restrict all fluids without an order
C. Give a potassium supplement
D. Wait for the next monthly lab
Answer: ______
AKI 2. Which finding in a client with AKI needs urgent escalation?
A. New pulmonary edema and hypoxia
B. Stable chronic edema
C. A single missed meal
D. Mild thirst
Answer: ______
AKI 3. A client with AKI has potassium 6.4 mmol/L and peaked T waves. Priority?
A. Offer a high-potassium snack
B. Delay until morning labs
C. Encourage ambulation
D. Urgent hyperkalemia treatment and cardiac monitoring
Answer: ______
AKI 4. A client with AKI asks why NSAIDs should be avoided unless approved.
A. They always improve renal blood flow
B. They prevent all inflammation safely
C. They replace prescribed diuretics
D. They can worsen kidney injury in some people
Answer: ______
AKI 5. A client has oliguria after surgery. What is the best first nursing step?
A. Verify the measurement and assess perfusion, bladder, and catheter patency
B. Assume renal failure
C. Give a diuretic without an order
D. Remove the catheter without assessment
Answer: ______
AKI 6. A client with AKI develops confusion and asterixis. What should the nurse do?
A. Encourage high-protein supplements immediately
B. Reassure that this is expected
C. Promptly assess neurologic status and notify the clinician
D. Delay reporting until dialysis
Answer: ______
RENAL NURSING | FULL PRACTICE EXAM 3
RENAL
NURSING FULL EXAM
100 ORIGINAL QUESTIONS | ANSWERS + RATIONALES
Five sections of 20 | Print-friendly practice exam
PROTECT KIDNEY FUNCTION. SUPPORT SAFE, PERSON-CENTRED CARE.
Independent educational practice | Not an official exam
,Exam Instructions
Suggested time: 120 minutes. Select the single best answer. Complete all five sections before reviewing the answer key and
rationales.
Coverage: acute and chronic kidney disease, electrolyte and fluid balance, hemodialysis, peritoneal dialysis, transplant care,
medication safety, nutrition, diagnostics, and renal emergencies.
This is independently written educational practice material, not an official licensing exam or publisher test bank. Use current clinical guidance and
individualized renal-team plans.
CONTENTS
Section 1: Questions 1-20
Section 2: Questions 21-40
Section 3: Questions 41-60
Section 4: Questions 61-80
Section 5: Questions 81-100
Answer Key and Rationales: Questions 1-100
RENAL NURSING | FULL PRACTICE EXAM 2
, SECTION 1 | QUESTIONS 1-20
AKI 1. A client with vomiting has falling urine output and rising creatinine. What should the nurse assess first?
A. Volume status, perfusion, intake and output, and possible causes
B. Restrict all fluids without an order
C. Give a potassium supplement
D. Wait for the next monthly lab
Answer: ______
AKI 2. Which finding in a client with AKI needs urgent escalation?
A. New pulmonary edema and hypoxia
B. Stable chronic edema
C. A single missed meal
D. Mild thirst
Answer: ______
AKI 3. A client with AKI has potassium 6.4 mmol/L and peaked T waves. Priority?
A. Offer a high-potassium snack
B. Delay until morning labs
C. Encourage ambulation
D. Urgent hyperkalemia treatment and cardiac monitoring
Answer: ______
AKI 4. A client with AKI asks why NSAIDs should be avoided unless approved.
A. They always improve renal blood flow
B. They prevent all inflammation safely
C. They replace prescribed diuretics
D. They can worsen kidney injury in some people
Answer: ______
AKI 5. A client has oliguria after surgery. What is the best first nursing step?
A. Verify the measurement and assess perfusion, bladder, and catheter patency
B. Assume renal failure
C. Give a diuretic without an order
D. Remove the catheter without assessment
Answer: ______
AKI 6. A client with AKI develops confusion and asterixis. What should the nurse do?
A. Encourage high-protein supplements immediately
B. Reassure that this is expected
C. Promptly assess neurologic status and notify the clinician
D. Delay reporting until dialysis
Answer: ______
RENAL NURSING | FULL PRACTICE EXAM 3
