NCLEX-RN Renal Failure Exam Pack | 75 Questions with
Rationales | AKI, CKD & Dialysis | HESI ATI Nursing Exit Exam
Study Guide
NCLEX-RN Renal Failure Question Bank with 75 high-yield questions and detailed rationales
covering AKI, CKD, and Dialysis. Perfect for NCLEX, HESI, ATI, and Nursing Exit Exam
preparation.
Showing 75 questions (same pool and cap as a student attempt). Correct options are pre-
selected and highlighted as on the results page.
Bank category: Nursing Exit Exam Topics (HESI / NCLEX) 3
Question pool uses the same RN / PN selector as the tutor dashboard (Manage quizzes). Set it to mirror a
student's nursing track.
,1 Question 1
A client on hemodialysis is prescribed vitamin supplements. The nurse explains
that these are mainly needed to replace:
☐ A. Fat-soluble vitamins lost during dialysis
☑ B. Water-soluble vitamins lost during dialysis
☐ C. Large amounts of calcium lost daily
☐ D. High protein losses from every dialysis session
RATIONALE
Dialysis removes water-soluble vitamins such as B-complex vitamins and vitamin C. These
vitamins must be replaced to prevent deficiency and support healing and metabolism.
,2 Question 2
A client with acute kidney injury is currently in the oliguric phase and has a urine
output significantly below normal. Which complication should the nurse prioritize
monitoring for during this phase?
☐ A. Hypokalemia
☐ B. Metabolic alkalosis
☐ C. Fluid volume deficit
☑ D. Hyperkalemia
RATIONALE
During the oliguric phase of AKI, urine output is reduced, causing retention of potassium, fluids,
and metabolic waste products. Hyperkalemia is especially dangerous because it can cause life-
threatening cardiac dysrhythmias and requires close monitoring.
, 3 Question 3
A client with AKI is receiving a low-dose dopamine infusion. The nurse
understands that the purpose of this treatment is to:
☐ A. Increase blood pressure immediately during shock
☑ B. Improve renal perfusion and support kidney blood flow
☐ C. Reduce cardiac workload in heart failure
☐ D. Promote rapid diuresis regardless of kidney function
RATIONALE
Low-dose dopamine has historically been used to improve renal blood flow and perfusion,
although its use is less common now. The goal is to support kidney circulation and help preserve
renal function.
Rationales | AKI, CKD & Dialysis | HESI ATI Nursing Exit Exam
Study Guide
NCLEX-RN Renal Failure Question Bank with 75 high-yield questions and detailed rationales
covering AKI, CKD, and Dialysis. Perfect for NCLEX, HESI, ATI, and Nursing Exit Exam
preparation.
Showing 75 questions (same pool and cap as a student attempt). Correct options are pre-
selected and highlighted as on the results page.
Bank category: Nursing Exit Exam Topics (HESI / NCLEX) 3
Question pool uses the same RN / PN selector as the tutor dashboard (Manage quizzes). Set it to mirror a
student's nursing track.
,1 Question 1
A client on hemodialysis is prescribed vitamin supplements. The nurse explains
that these are mainly needed to replace:
☐ A. Fat-soluble vitamins lost during dialysis
☑ B. Water-soluble vitamins lost during dialysis
☐ C. Large amounts of calcium lost daily
☐ D. High protein losses from every dialysis session
RATIONALE
Dialysis removes water-soluble vitamins such as B-complex vitamins and vitamin C. These
vitamins must be replaced to prevent deficiency and support healing and metabolism.
,2 Question 2
A client with acute kidney injury is currently in the oliguric phase and has a urine
output significantly below normal. Which complication should the nurse prioritize
monitoring for during this phase?
☐ A. Hypokalemia
☐ B. Metabolic alkalosis
☐ C. Fluid volume deficit
☑ D. Hyperkalemia
RATIONALE
During the oliguric phase of AKI, urine output is reduced, causing retention of potassium, fluids,
and metabolic waste products. Hyperkalemia is especially dangerous because it can cause life-
threatening cardiac dysrhythmias and requires close monitoring.
, 3 Question 3
A client with AKI is receiving a low-dose dopamine infusion. The nurse
understands that the purpose of this treatment is to:
☐ A. Increase blood pressure immediately during shock
☑ B. Improve renal perfusion and support kidney blood flow
☐ C. Reduce cardiac workload in heart failure
☐ D. Promote rapid diuresis regardless of kidney function
RATIONALE
Low-dose dopamine has historically been used to improve renal blood flow and perfusion,
although its use is less common now. The goal is to support kidney circulation and help preserve
renal function.
