NURS 440 Exam 2 – Questions With Right Solutions

Nurs 440 Exam 4 – Questions With Step By Step Solutions

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What category of AKI pathology would a a. pre-renal
patient experiencing shock best fit? Pre-renal is an impact of perfusion.
a. Pre-renal
b. Inter-renal
c. Intra-renal
d. Post-renal


What category of AKI pathology would a a. pre-renal
patient experiencing atherosclerosis best Pre-renal is an impact of perfusion.
fit?
a. Pre-renal
b. Inter-renal
c. Intra-renal
d. Post-renal


What category of AKI pathology would a d. Post-renal
patient experiencing benign prostatic Post-renal is due to a blockage.
hyperplasia best fit?
a. Pre-renal
b. Inter-renal
c. Intra-renal
d. Post-renal


What category of AKI pathology would a c. Intra-renal
patient experiencing a lupus flare up best Intra-renal is due to damage of tissue.
fit?
a. Pre-renal
b. Inter-renal
c. Intra-renal
d. Post-renal


Your patient who normally takes metformin c. Intra-renal
is not taking metformin for 48 hours post Intra-renal is due to damage of tissue. Metformin is
contrast dye. What pathophysiology of AKI nephrotoxic.
is this preventing?
a. Pre-renal
b. Inter-renal
c. Intra-renal
d. Post-renal

, What labs would you expect to see with a. increased BUN
acute kidney injury? SATA b. increased creatinine
a. increased BUN c. increased potassium
b. increased creatinine Calcium is low
c. increased potassium pH would be low (acidosis, kidneys are unable to remove acid
d. increased calcium from blood)
e. increased pH


Your patient with AKI has an increased BUN b. oliguria phase
and creatinine and has a urinary output of normal daily UO is 800mL so 350mL/day is very low.
350mL/day. What phase of AKI is this? Lasts max 14 days, worse prognosis if lasts longer.
a. initiation phase
b. oliguria phase
c. diuresis phase
d. recovery phase


Your patient with AKI has a normal GFR and d. recovery phase
electrolyte levels. What phase of AKI is this?
a. initiation phase
b. oliguria phase
c. diuresis phase
d. recovery phase


Your patient with AKI has a urinary output of a. initiation phase
700mL/day and an elevated urine specific From start of event to hours/days.
gravity. What phase of AKI is this?
a. initiation phase
b. oliguria phase
c. diuresis phase
d. recovery phase


Your patient with AKI has a urinary output of c. diuresis phase
2000mL/day with low sodium and chloride. Pt is peeing out their electrolytes, low levels expected.
What phase of AKI is this?
a. initiation phase
b. oliguria phase
c. diuresis phase
d. recovery phase


Flip flashcard to see Urine Specific Gravity What is the urine specific gravity of this strip? (top box)
test. Scroll down to see answer. a. 1.010
- b. 1.015
- c. 1.020
- d. 1.025
- e. 1.030
-
-
-
d. 1.025 (probably depends on screen
brightness, difficult to tell)


Match the complication of AKI to its cause: a. Confusion f. decreased sodium, acidosis
a. Confusion b. Dysrhythmia d. decreased magnesium, increased potassium
b. Dysrhythmia c. Metabolic acidosis e. loss of bicarb, impaired excretion of
c. Metabolic acidosis acid


d. decreased magnesium, increased
potassium
e. loss of bicarb, impaired excretion of acid
f. decreased sodium, acidosis