NCLEX Acute Kidney Injury Exam 4 Questions &
Answers
1.a
c: Which descriptions characterize AKI? Select all that apply
a.primary cause of death is infection
b.it almost always affects older people
c.disease course is potentially reversible
d.most common cause is diabetic nephropathy
e.cardiovascular disease is most common cause of death
2.b
d: During the oliguric phase of AKI, the nurse monitors the patient for Select all that apply
a.hypotension
b.ECG changes
c.hypernatremia
d.pulmonary edema e.urine with high specific gravity
3.c: If a patient is in the diuretic phase of AKI, the nurse must monitor for which serum electrolyte imbalances?
a.hyperkalemia and hyponatremia
b.hyperkalemia and hypernatremia
c.hypokalemia and hyponatremia
d.hypokalemia and hypernatremia
4.b: The nurse is caring for a 68-yr-old man who had coronary artery bypass surgery 3 weeks ago. During the oliguric phase of acute kidney disease, which action would be appropriate to include in the plan of care?
a.Provide foods high in potassium.
b.Restrict fluids based on urine output.
c.Monitor output from peritoneal dialysis.
d.Offer high-protein snacks between meals.
5.d: When caring for a patient during the oliguric phase of acute kidney injury (AKI), which nursing action is appropriate? a.Weigh patient three times weekly.
b.Increase dietary sodium and potassium.
c.Provide a low-protein, high-carbohydrate diet.
d.Restrict fluids according to previous daily loss
Answers
1.a
c: Which descriptions characterize AKI? Select all that apply
a.primary cause of death is infection
b.it almost always affects older people
c.disease course is potentially reversible
d.most common cause is diabetic nephropathy
e.cardiovascular disease is most common cause of death
2.b
d: During the oliguric phase of AKI, the nurse monitors the patient for Select all that apply
a.hypotension
b.ECG changes
c.hypernatremia
d.pulmonary edema e.urine with high specific gravity
3.c: If a patient is in the diuretic phase of AKI, the nurse must monitor for which serum electrolyte imbalances?
a.hyperkalemia and hyponatremia
b.hyperkalemia and hypernatremia
c.hypokalemia and hyponatremia
d.hypokalemia and hypernatremia
4.b: The nurse is caring for a 68-yr-old man who had coronary artery bypass surgery 3 weeks ago. During the oliguric phase of acute kidney disease, which action would be appropriate to include in the plan of care?
a.Provide foods high in potassium.
b.Restrict fluids based on urine output.
c.Monitor output from peritoneal dialysis.
d.Offer high-protein snacks between meals.
5.d: When caring for a patient during the oliguric phase of acute kidney injury (AKI), which nursing action is appropriate? a.Weigh patient three times weekly.
b.Increase dietary sodium and potassium.
c.Provide a low-protein, high-carbohydrate diet.
d.Restrict fluids according to previous daily loss
