EXAM STUDY MATERIALS 8/7/2024 11:29 AM
Renal EAQ Exam Questions With
Correct Answers.
A - potassium increases with AKI because the ability to excrete it is impaired, so insulin acts by
pushing potassium back into cells
Dialysis may not be necessary for a patient with AKI, and it can improve insulin and glucose
levels but not necessary make them normal
Glucose will not restore metabolic activity
Glucose will not promote renal absorption of sodium, and insulin does not prevent hyponatremia
- answer✔✔Which rationale explains why IV insulin and IV glucose are prescribed for a patient
with AKI?
A. To treat hyperkalemia with insulin and prevent hypoglyemia with glucose
B. To improve insulin and glucose metabolism to normal values after the patient starts dialysis
C. To prevent metabolic acidosis with insulin and restore metabolic activity with glucose
D. To promote renal absorption of sodium with glucose and prevent hyponatremia with insulin
C - giving gadolinium may cause contrast-induced nephropathy - answer✔✔What would the
nurse question for a patient with DM who takes metformin and is scheduled for a diagnostic test
with contrast media?
A. Administer fluids prior to the test
B. Hold metformin for 48 hours before
C. Use contrast media gadolinium
D. Obtain blood specimens after to determine kidney function
D
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
The patient should be weighed once a day
A patient with AKI will have fluid excess and Na/K retention, so they should be restricted
Adequate, not low protein should be given - answer✔✔The nurse will make which intervention
when caring for a patient during the oliguric phase of AKI?
A. Weight the patient three times in a week
B. Increase dietary Na and K
C. Provide low protein and high carb foods
D. Restrict fluids according to previous daily loss
D - answer✔✔What amount of urinary output corresponds with nonoliguric AKI?
A. 150 mL/day
B. 250 mL/day
C. 350 mL/day
D. 450 mL/day
C - if the medication is given to a patient with hypoactive bowel sounds, bowel necrosis can
occur
The other symptoms indicate hyperkalemia and are not relevant in determining if the med should
be given - answer✔✔What finding is a priority concern regarding safe administration of sodium
polystyrene sulfonate for treatment of hyperkalemia in a patient with AKI?
A. Nausea
B. Apical pulse of 55
C. Hypoactive bowel sounds
D. Patient report of palpitations
D - the graft connects the artery and vein for access for hemodialysis, when listening over the
graft a bruit should be heard which means the graft is patent
Renal EAQ Exam Questions With
Correct Answers.
A - potassium increases with AKI because the ability to excrete it is impaired, so insulin acts by
pushing potassium back into cells
Dialysis may not be necessary for a patient with AKI, and it can improve insulin and glucose
levels but not necessary make them normal
Glucose will not restore metabolic activity
Glucose will not promote renal absorption of sodium, and insulin does not prevent hyponatremia
- answer✔✔Which rationale explains why IV insulin and IV glucose are prescribed for a patient
with AKI?
A. To treat hyperkalemia with insulin and prevent hypoglyemia with glucose
B. To improve insulin and glucose metabolism to normal values after the patient starts dialysis
C. To prevent metabolic acidosis with insulin and restore metabolic activity with glucose
D. To promote renal absorption of sodium with glucose and prevent hyponatremia with insulin
C - giving gadolinium may cause contrast-induced nephropathy - answer✔✔What would the
nurse question for a patient with DM who takes metformin and is scheduled for a diagnostic test
with contrast media?
A. Administer fluids prior to the test
B. Hold metformin for 48 hours before
C. Use contrast media gadolinium
D. Obtain blood specimens after to determine kidney function
D
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
The patient should be weighed once a day
A patient with AKI will have fluid excess and Na/K retention, so they should be restricted
Adequate, not low protein should be given - answer✔✔The nurse will make which intervention
when caring for a patient during the oliguric phase of AKI?
A. Weight the patient three times in a week
B. Increase dietary Na and K
C. Provide low protein and high carb foods
D. Restrict fluids according to previous daily loss
D - answer✔✔What amount of urinary output corresponds with nonoliguric AKI?
A. 150 mL/day
B. 250 mL/day
C. 350 mL/day
D. 450 mL/day
C - if the medication is given to a patient with hypoactive bowel sounds, bowel necrosis can
occur
The other symptoms indicate hyperkalemia and are not relevant in determining if the med should
be given - answer✔✔What finding is a priority concern regarding safe administration of sodium
polystyrene sulfonate for treatment of hyperkalemia in a patient with AKI?
A. Nausea
B. Apical pulse of 55
C. Hypoactive bowel sounds
D. Patient report of palpitations
D - the graft connects the artery and vein for access for hemodialysis, when listening over the
graft a bruit should be heard which means the graft is patent
