CNUR 305 FINAL EXAM 2025/2026 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|BRAND NEW
VERSION!!|GUARANTEED PASS
A patient with severe heart failure develops elevated blood urea nitrogen (BUN) and creatinine
levels. The nurse knows that which of the following interventions would be most effective in
preventing acute kidney injury.
a. Administering beta blokers.
b. Treating hypertension.
c. Maintaining cardiac output.
d. Initiating fluid restrictions.
c. Maintaining cardiac output.
The nurse is reviewing the chart on a client with an acute kidney injury secondary to
dehydration. The nurse knows to report which of the following to the health care provider?
a. Urine output over an 8-hour period is 2500 mL.
b. The glomerular filtration rate is <30 mL/min/1.73m2. (ref range 60 mL/min/1.73m2).
c. The creatinine level is 186 umol/L. (ref range 49-93 umol/L).
d. Blood urea nitrogen (BUN) level is 23.1 mmol/L. (ref range 2.1-8 mmol/L).
a. Urine output over an 8-hour period is 2500 mL.
Pre-renal failure, regardless of the specific cause, has a single common etiologic factor which is:
a. Narrowing of the afferent arterioles.
b. Reduction in renal perfusion.
c. Decreased effect of aldosterone and antidiuretic hormone.
d. Inactivation of the renal auto-regulatory mechanisms.
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,b. Reduction in renal perfusion.
Which of the following assessments should the nurse complete before administering sodium
polystyrene sulphonate (Kayexolate) to a client with hyperkalemia?
a. Blood urea nitrogen (BUN) and creatinine.
b. Client's bowel sounds.
c. Level of consciousness (LOC).
d. Blood glucose level.
b. Client's bowel sounds.
A client hospitalized with chronic renal failure is experiencing hypotension, cold and clamy skin
and dysrhythmias. An arterial blood gas is drawn with orders to notify the physician if abnormal.
Based on the following results, the nurse should notify the physician to report the client is
experiencing.
pH 7.20 (ref range: 7.35-7.45)
pCO2 32 (ref range: 35-45 mmHg)
HCO3 14 (ref range: 22-26 mmol/L)
Base Excess -3 (ref range: +/- 2)
PO2 80 (ref range: 80-100 mmHg)
a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis
a. Metabolic acidosis
A nurse plans to grade a client's kidney injury according to RIFLE criteria. The nurse knows that
all of the folloe EXCEPT which are used in the RIFLE criteria?
a. Serum creatinine
b. Serum sodium
c. Urine output
d. Clomerular filtration trends
b. Serum sodium
Three phases of kidney injury include which of the following. (Select all that apply)
a. Risk phase
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, b. Recovery phase
c. Maintenance phase
d. Initiation phase
e. Failure phase
b. Recovery phase
c. Maintenance phase
d. Initiation phase
Which of the following nursing interventions should be a priority for a nurse to implement when
caring for a client with uremia?
a. Encourage fluid intake.
b. Weight the client before meals.
c. Leave the side rail up at all times.
d. Encourage independence in activitites of faily living.
c. Leave the side rail up at all times. (Keeping them safe - LOC confusion).
The charge nurse is observing a new staff nurse who is assessing a patient with a possible spinal
cord lesion for sensation. Which action by the new nurse indicates a need for further teaching
about neurological assessment?
a. Uses an irregular pattern to test for intact touch.
b. Tests for light touch before testing for pain.
c. Has the patient close the eyes during testing.
d. Tells the patient, "You may feel a pinprick now".
d. Tells the patient, "You may feel a pinprick now".
The nurse is admitting a client with a spinal cird injury. Which of the following collaborative and
nursing actions should the nurse do immediately? (Select all that apply).
a. Insert nasogsdtric (NG) tube.
b. Stabilize spine with cervical collar.
c. Insert urinary catheter.
d. Apply warming blankets.
e. Ensure patency of airway.
f. Complete ASIA screening tool.
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ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|BRAND NEW
VERSION!!|GUARANTEED PASS
A patient with severe heart failure develops elevated blood urea nitrogen (BUN) and creatinine
levels. The nurse knows that which of the following interventions would be most effective in
preventing acute kidney injury.
a. Administering beta blokers.
b. Treating hypertension.
c. Maintaining cardiac output.
d. Initiating fluid restrictions.
c. Maintaining cardiac output.
The nurse is reviewing the chart on a client with an acute kidney injury secondary to
dehydration. The nurse knows to report which of the following to the health care provider?
a. Urine output over an 8-hour period is 2500 mL.
b. The glomerular filtration rate is <30 mL/min/1.73m2. (ref range 60 mL/min/1.73m2).
c. The creatinine level is 186 umol/L. (ref range 49-93 umol/L).
d. Blood urea nitrogen (BUN) level is 23.1 mmol/L. (ref range 2.1-8 mmol/L).
a. Urine output over an 8-hour period is 2500 mL.
Pre-renal failure, regardless of the specific cause, has a single common etiologic factor which is:
a. Narrowing of the afferent arterioles.
b. Reduction in renal perfusion.
c. Decreased effect of aldosterone and antidiuretic hormone.
d. Inactivation of the renal auto-regulatory mechanisms.
1|Page
,b. Reduction in renal perfusion.
Which of the following assessments should the nurse complete before administering sodium
polystyrene sulphonate (Kayexolate) to a client with hyperkalemia?
a. Blood urea nitrogen (BUN) and creatinine.
b. Client's bowel sounds.
c. Level of consciousness (LOC).
d. Blood glucose level.
b. Client's bowel sounds.
A client hospitalized with chronic renal failure is experiencing hypotension, cold and clamy skin
and dysrhythmias. An arterial blood gas is drawn with orders to notify the physician if abnormal.
Based on the following results, the nurse should notify the physician to report the client is
experiencing.
pH 7.20 (ref range: 7.35-7.45)
pCO2 32 (ref range: 35-45 mmHg)
HCO3 14 (ref range: 22-26 mmol/L)
Base Excess -3 (ref range: +/- 2)
PO2 80 (ref range: 80-100 mmHg)
a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis
a. Metabolic acidosis
A nurse plans to grade a client's kidney injury according to RIFLE criteria. The nurse knows that
all of the folloe EXCEPT which are used in the RIFLE criteria?
a. Serum creatinine
b. Serum sodium
c. Urine output
d. Clomerular filtration trends
b. Serum sodium
Three phases of kidney injury include which of the following. (Select all that apply)
a. Risk phase
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, b. Recovery phase
c. Maintenance phase
d. Initiation phase
e. Failure phase
b. Recovery phase
c. Maintenance phase
d. Initiation phase
Which of the following nursing interventions should be a priority for a nurse to implement when
caring for a client with uremia?
a. Encourage fluid intake.
b. Weight the client before meals.
c. Leave the side rail up at all times.
d. Encourage independence in activitites of faily living.
c. Leave the side rail up at all times. (Keeping them safe - LOC confusion).
The charge nurse is observing a new staff nurse who is assessing a patient with a possible spinal
cord lesion for sensation. Which action by the new nurse indicates a need for further teaching
about neurological assessment?
a. Uses an irregular pattern to test for intact touch.
b. Tests for light touch before testing for pain.
c. Has the patient close the eyes during testing.
d. Tells the patient, "You may feel a pinprick now".
d. Tells the patient, "You may feel a pinprick now".
The nurse is admitting a client with a spinal cird injury. Which of the following collaborative and
nursing actions should the nurse do immediately? (Select all that apply).
a. Insert nasogsdtric (NG) tube.
b. Stabilize spine with cervical collar.
c. Insert urinary catheter.
d. Apply warming blankets.
e. Ensure patency of airway.
f. Complete ASIA screening tool.
3|Page
