NURS 251 EXAM QUESTIONS WITH VERIFIED ANSWERS
Which of the following interventions would be appropriate for a person with
excess fluid volume related to chronic glomerulonephritis?
Daily weighs.
Excess fluid volume resulting in oedema is the most common manifestation of
glomerular disorders. Accurate daily weights are the best indicator of approximate fluid
balance.
A person with acute kidney injury (AKI) is prescribed frusemide. Why is this
medication helpful?
It will reduce oedema.
Frusemide is a loop diuretic. In AKI the kidneys are unable to excrete adequate urine to
maintain a normal extracellular fluid balance. Oedema results from fluid retention and
heart failure can develop.
A person who is recovering from acute renal injury is being discharged. Which of
the following should the nurse include in the discharge instructions?
Avoid alcohol.
During recovery nephrons remain vulnerable to damage by nephrotoxins. Alcohol
increases the nephrotoxicity of some materials so it is discouraged.
The most common cause of kidney damage is:
Blunt trauma.
Injury ranges from small contusion to haematomas to fragmentation or shattering of the
kidney that causes significant blood loss and urine extravasation. Tearing of renal
vessels may cause rapid haemorrhage and death.
A person diagnosed with only 45% of the normal glomerular filtration rate is
experiencing which of the following:
Renal insufficiency.
, Renal insufficiency is the broad term describing any condition in which kidneys are
unable to remove accumulated metabolites from the blood, leading to altered fluid,
electrolytes and acid-base balance.
A patient undergoing haemodialysis must have their vascular access site
assessed for pulsation or vibration and an audible bruit?
True.
Infection & thrombus formation are the most common problems affecting the access site
in haemodialysis. Always alert staff to the extremity with the vascular access so it is not
used for any procedures, this can damage vessels and lead to failure of the
arteriovenous fistula
Stage 4 kidney disease is also known as end stage kidney disease?
False.
Stage 5 is also known as end stage kidney disease is the terminal phase of CKD,
kidney replacement therapy is needed to sustain life.
Module 3
The postoperative instruction is to ambulate the patient gradually. You are aware
the patient is feeling weak from inadequate fluid pre and intra operatively. How
can you implement these instructions?
Assist the person to move into different positions in stages.
The person with fluid volume deficit is at risk of injury because of dizziness and loss of
balance resulting from decreased cerebral perfusion secondary to hypovolaemia. Teach
ways to reduce orthostatic hypotension - go slowly.
A person is prescribed 40mEq potassium replacement. How should this be
administered?
Mixed in the prescribed intravenous fluid.
Potassium should always be diluted and administered using an electronic infusion
Which of the following interventions would be appropriate for a person with
excess fluid volume related to chronic glomerulonephritis?
Daily weighs.
Excess fluid volume resulting in oedema is the most common manifestation of
glomerular disorders. Accurate daily weights are the best indicator of approximate fluid
balance.
A person with acute kidney injury (AKI) is prescribed frusemide. Why is this
medication helpful?
It will reduce oedema.
Frusemide is a loop diuretic. In AKI the kidneys are unable to excrete adequate urine to
maintain a normal extracellular fluid balance. Oedema results from fluid retention and
heart failure can develop.
A person who is recovering from acute renal injury is being discharged. Which of
the following should the nurse include in the discharge instructions?
Avoid alcohol.
During recovery nephrons remain vulnerable to damage by nephrotoxins. Alcohol
increases the nephrotoxicity of some materials so it is discouraged.
The most common cause of kidney damage is:
Blunt trauma.
Injury ranges from small contusion to haematomas to fragmentation or shattering of the
kidney that causes significant blood loss and urine extravasation. Tearing of renal
vessels may cause rapid haemorrhage and death.
A person diagnosed with only 45% of the normal glomerular filtration rate is
experiencing which of the following:
Renal insufficiency.
, Renal insufficiency is the broad term describing any condition in which kidneys are
unable to remove accumulated metabolites from the blood, leading to altered fluid,
electrolytes and acid-base balance.
A patient undergoing haemodialysis must have their vascular access site
assessed for pulsation or vibration and an audible bruit?
True.
Infection & thrombus formation are the most common problems affecting the access site
in haemodialysis. Always alert staff to the extremity with the vascular access so it is not
used for any procedures, this can damage vessels and lead to failure of the
arteriovenous fistula
Stage 4 kidney disease is also known as end stage kidney disease?
False.
Stage 5 is also known as end stage kidney disease is the terminal phase of CKD,
kidney replacement therapy is needed to sustain life.
Module 3
The postoperative instruction is to ambulate the patient gradually. You are aware
the patient is feeling weak from inadequate fluid pre and intra operatively. How
can you implement these instructions?
Assist the person to move into different positions in stages.
The person with fluid volume deficit is at risk of injury because of dizziness and loss of
balance resulting from decreased cerebral perfusion secondary to hypovolaemia. Teach
ways to reduce orthostatic hypotension - go slowly.
A person is prescribed 40mEq potassium replacement. How should this be
administered?
Mixed in the prescribed intravenous fluid.
Potassium should always be diluted and administered using an electronic infusion
