Renal
1. A nurse is providing teaching to a client who has renal failure and an elevated phosphorous level. The provider
instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following adverse
effects should the nurse inform the client?
A. Constipation
B. Metallic taste
C. Headache
D. Muscle spasms
2. A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the
following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?
A. The leukocyte count
B. The platelet count
C. The hematocrit (Hct)
D. The erythrocyte sedimentation rate (ESR)
3. A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus (SLE). Which of the
following values should give the nurse the best indication of the client's renal function?
A. Serum creatinine
B. Blood urea nitrogen (BUN)
C. Serum sodium
D. Urine-specific gravity
4. A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse
notify the provider?
A. Urine output of175 mL in the past 8 hr
B. Urine output of 2,200 mL in the past 24 hr
C. First-voided urine in the morning has a strong odor
D. Urine is cloudy after sitting in the urinal for 6 hr
Created on:03/25/2019 Page 1
, Renal
5. A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the
following should the nurse identify as a contraindication for this treatment?
A. Breast cancer survivor for 8 years
B. Pacemaker
C. 65-years of age
D. Alcohol use disorder
6. A nurse is discussing laboratory values associated with the renal system with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates an understanding of the values?
A. Potassium levels are increased in clients who have polyuria.
B. Specific gravity is decreased in clients who have hypovolemia.
C. BUN is decreased in clients who have dehydration.
D. Creatinine levels are increased in clients who have acute kidney injury.
7. A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected
findings? (Select all that apply).
A. Slurred speech
B. Bone pain
C. Bradypnea.
D. Pruritus
E. Hypotension
8. A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of
the following electrolyte imbalances should the nurse expect?
A. Hyperkalemia
B. Hypernatremia
C. Hypercalcemia
D. Hypophosphatemia
Created on:03/25/2019 Page 2
1. A nurse is providing teaching to a client who has renal failure and an elevated phosphorous level. The provider
instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following adverse
effects should the nurse inform the client?
A. Constipation
B. Metallic taste
C. Headache
D. Muscle spasms
2. A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the
following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?
A. The leukocyte count
B. The platelet count
C. The hematocrit (Hct)
D. The erythrocyte sedimentation rate (ESR)
3. A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus (SLE). Which of the
following values should give the nurse the best indication of the client's renal function?
A. Serum creatinine
B. Blood urea nitrogen (BUN)
C. Serum sodium
D. Urine-specific gravity
4. A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse
notify the provider?
A. Urine output of175 mL in the past 8 hr
B. Urine output of 2,200 mL in the past 24 hr
C. First-voided urine in the morning has a strong odor
D. Urine is cloudy after sitting in the urinal for 6 hr
Created on:03/25/2019 Page 1
, Renal
5. A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the
following should the nurse identify as a contraindication for this treatment?
A. Breast cancer survivor for 8 years
B. Pacemaker
C. 65-years of age
D. Alcohol use disorder
6. A nurse is discussing laboratory values associated with the renal system with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates an understanding of the values?
A. Potassium levels are increased in clients who have polyuria.
B. Specific gravity is decreased in clients who have hypovolemia.
C. BUN is decreased in clients who have dehydration.
D. Creatinine levels are increased in clients who have acute kidney injury.
7. A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected
findings? (Select all that apply).
A. Slurred speech
B. Bone pain
C. Bradypnea.
D. Pruritus
E. Hypotension
8. A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of
the following electrolyte imbalances should the nurse expect?
A. Hyperkalemia
B. Hypernatremia
C. Hypercalcemia
D. Hypophosphatemia
Created on:03/25/2019 Page 2
