GALEN ADVANCED MEDSURG NUR265
EXAM 1 QUESTIONS AND ANSWERS |
NUR 265 MED SURG EXAM 1 PRACTICE
QUESTIONS| NUR 265 EXAM 1| WITH
EXAM QUESTIONS AND CORRECT
ANSWERS WITH REVIEW/ NUR 265
EXAM 1 PREP 2026 (GALEN)
AKI S/S - ANSWER✅✅ -oliguria;decreased urine output; azotomia;
fluid overload signs- crackles, edema, confusion, low spO2 (88), tachycardia; Map
below 65
AKI in xray dx - ANSWER✅✅ -infiltration (fluid in lungs)
AKI ABG results may read - ANSWER✅✅ -respiratory alkalosis (spao2 below
88%)
example of pre renal AKI - ANSWER✅✅ -dehydration, blood loss, decreased
cardiac output, heart failure; infection; NG suction, sepsis, V/D
Example of intra renal AKI - ANSWER✅✅ -myoglobinuria,BPH, tubular
necrosis, nephrotoxocity; acute polynephtiits, contrast
,Example of post renal AKI - ANSWER✅✅ -bladder neck obstruction, bladder
cancer; calculi; tumor
Duiretic phase (3rd phase) of AKI - ANSWER✅✅ -Nurse should give 3L-6L per
day; place Foley
Asses I and O (output=1000-2000mL/day)
replace fluids and monitor electrolyes
dialysis may be required
Best Lab indicator of Kindey function (AKI and CKD) - ANSWER✅✅ -creatine
(Normal 0.6-1.2)
AKI increased 1-2 every 24-48hrs
Normal urine output per hour - ANSWER✅✅ -30 mL/hr
normal potassium levels - ANSWER✅✅ -3.5-5.0 mEq/L
Normal Sodium levels - ANSWER✅✅ -135-145 mEq/L
Diet for AKI patients - ANSWER✅✅ -mod protein
high carb
Complication of AKI - ANSWER✅✅ -Preicarditis
,Nephrotoxic agents include - ANSWER✅✅ -contrast
mycin antibitics (peak and trough)
NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon)
Diet : AKI patient w/ dialysis - ANSWER✅✅ -protein 40 g/day
diet:AKI patient without dialysis - ANSWER✅✅ -protein 1-1.5g/kg
Na 60-90 mEq/kg
K restriction 60-70 mEq/kg
Define oliguria - ANSWER✅✅ -decreased urine production
400mL/day or less
How many stages of Kidney failure are there? - ANSWER✅✅ -5 stages ( defined
by GFR)
stage 1 (GFR 90 and up)
Stage 5 (GFR 15 or less)
signs of Chronic Kidney Disease - ANSWER✅✅ -oliguria, anemia, azotomia,
hyperkalemia
Diet for Chronic kidney disease - ANSWER✅✅ -restrict K, restrict NA, low
protein
best food apples
, treatment for chronic kidney disease - ANSWER✅✅ -hemodialysis and peritoneal
dialysis
complication during hemodialysis - ANSWER✅✅ -Disequilibruim syndrome
S/S of disequilibium syndrome
medical emergency tell hcp - ANSWER✅✅ -headache
restless
confused
N/V
seizure
fatigue
complication of peritoneal dialysis - ANSWER✅✅ -peritonitis (board like
abdomen)
hemodialysis contraindicated for - ANSWER✅✅ -severe cardiac disease, vascular
disease, bleeding disorders
peritoneal dialysis contraindicated for - ANSWER✅✅ -fibrosis, active
inflammatory GI disease, diverticulitis, ascites, central obesity, peritoneal
adhesions, recent abd surgery
Arteriovenous Fistula care - ANSWER✅✅ -Do not sleep on arm
feel thrill & hear bruit every 4 hours
NO bp on av access arm
EXAM 1 QUESTIONS AND ANSWERS |
NUR 265 MED SURG EXAM 1 PRACTICE
QUESTIONS| NUR 265 EXAM 1| WITH
EXAM QUESTIONS AND CORRECT
ANSWERS WITH REVIEW/ NUR 265
EXAM 1 PREP 2026 (GALEN)
AKI S/S - ANSWER✅✅ -oliguria;decreased urine output; azotomia;
fluid overload signs- crackles, edema, confusion, low spO2 (88), tachycardia; Map
below 65
AKI in xray dx - ANSWER✅✅ -infiltration (fluid in lungs)
AKI ABG results may read - ANSWER✅✅ -respiratory alkalosis (spao2 below
88%)
example of pre renal AKI - ANSWER✅✅ -dehydration, blood loss, decreased
cardiac output, heart failure; infection; NG suction, sepsis, V/D
Example of intra renal AKI - ANSWER✅✅ -myoglobinuria,BPH, tubular
necrosis, nephrotoxocity; acute polynephtiits, contrast
,Example of post renal AKI - ANSWER✅✅ -bladder neck obstruction, bladder
cancer; calculi; tumor
Duiretic phase (3rd phase) of AKI - ANSWER✅✅ -Nurse should give 3L-6L per
day; place Foley
Asses I and O (output=1000-2000mL/day)
replace fluids and monitor electrolyes
dialysis may be required
Best Lab indicator of Kindey function (AKI and CKD) - ANSWER✅✅ -creatine
(Normal 0.6-1.2)
AKI increased 1-2 every 24-48hrs
Normal urine output per hour - ANSWER✅✅ -30 mL/hr
normal potassium levels - ANSWER✅✅ -3.5-5.0 mEq/L
Normal Sodium levels - ANSWER✅✅ -135-145 mEq/L
Diet for AKI patients - ANSWER✅✅ -mod protein
high carb
Complication of AKI - ANSWER✅✅ -Preicarditis
,Nephrotoxic agents include - ANSWER✅✅ -contrast
mycin antibitics (peak and trough)
NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon)
Diet : AKI patient w/ dialysis - ANSWER✅✅ -protein 40 g/day
diet:AKI patient without dialysis - ANSWER✅✅ -protein 1-1.5g/kg
Na 60-90 mEq/kg
K restriction 60-70 mEq/kg
Define oliguria - ANSWER✅✅ -decreased urine production
400mL/day or less
How many stages of Kidney failure are there? - ANSWER✅✅ -5 stages ( defined
by GFR)
stage 1 (GFR 90 and up)
Stage 5 (GFR 15 or less)
signs of Chronic Kidney Disease - ANSWER✅✅ -oliguria, anemia, azotomia,
hyperkalemia
Diet for Chronic kidney disease - ANSWER✅✅ -restrict K, restrict NA, low
protein
best food apples
, treatment for chronic kidney disease - ANSWER✅✅ -hemodialysis and peritoneal
dialysis
complication during hemodialysis - ANSWER✅✅ -Disequilibruim syndrome
S/S of disequilibium syndrome
medical emergency tell hcp - ANSWER✅✅ -headache
restless
confused
N/V
seizure
fatigue
complication of peritoneal dialysis - ANSWER✅✅ -peritonitis (board like
abdomen)
hemodialysis contraindicated for - ANSWER✅✅ -severe cardiac disease, vascular
disease, bleeding disorders
peritoneal dialysis contraindicated for - ANSWER✅✅ -fibrosis, active
inflammatory GI disease, diverticulitis, ascites, central obesity, peritoneal
adhesions, recent abd surgery
Arteriovenous Fistula care - ANSWER✅✅ -Do not sleep on arm
feel thrill & hear bruit every 4 hours
NO bp on av access arm
