NUR 265 – Exam 1
REWRITTEN NCLEX-Style Practice Questions
1
Which statement made by a client newly diagnosed with nephrotic syndrome indicates that
further teaching is not required?
A. “I will monitor myself closely for signs of infection.”
B. “I should avoid foods high in potassium.”
C. “I need to complete all antibiotic prescriptions.”
D. “I can use salt substitutes freely.”
2
Which postoperative client finding requires immediate follow-up by the nurse?
A. Mechanical valve replacement client with INR of 3.2
B. Cardiac surgery client on enoxaparin with platelets 175,000
C. Client 48 hours post-AAA repair with creatinine increased to 2.5
D. Client on digoxin with BUN of 19
3
A client hospitalized with acute kidney injury has several abnormal findings. Which finding
should the nurse report first?
A. ECG showing tall, peaked T waves
B. BUN of 67 mg/dL
C. Creatinine of 3.0 mg/dL
D. Decreased GFR
4
Downloaded by harun mburu ()
,A client receiving IV gentamicin develops oliguria and elevated blood pressure. What is the
nurse’s priority action?
A. Insert an indwelling urinary catheter
B. Elevate the head of the bed
C. Obtain urine specific gravity
D. Request gentamicin peak and trough levels
5
A client with chronic kidney disease reports tingling in the hands, muscle weakness, and
diarrhea. What should the nurse do first?
A. Contact the provider
B. Review dialysis schedule
C. Check recent electrolyte values
D. Measure urine output
6
Which statement by a hemodialysis client requires follow-up teaching?
A. “My breath sometimes smells unpleasant.”
B. “My skin sometimes looks powdery.”
C. “I limit sodium intake to 5 grams per day.”
D. “I eat at least 50 grams of protein daily.”
7
Which statement indicates a correct understanding of teaching for late-stage CKD?
A. “Dialysis will give me more energy immediately.”
B. “I should get most protein from dairy.”
C. “I should report fatigue or weakness promptly.”
D. “Dialysis is done twice weekly.”
8
Downloaded by harun mburu ()
, A client returns from hemodialysis. Which finding requires immediate nursing action?
A. Blood pressure 90/58 mm Hg
B. Potassium decreased from 6.1 to 5.1
C. Fatigue and decreased appetite
D. Temperature 99.4°F (37.4°C)
9
Which nursing action is appropriate during peritoneal dialysis?
A. Assisting the client to ambulate during infusion
B. Wearing a mask during PD exchanges
C. Applying pressure to the AV fistula site
D. Drawing blood from the fistula
10
Which action demonstrates correct peritoneal dialysis technique?
A. Administering an enema before dialysis
B. Positioning the client in high-Fowler’s
C. Warming dialysate in the microwave
D. Starting infusion before site care
11
Which assessment finding is expected in a client with acute pancreatitis?
A. Spider angiomas
B. Hypertension
C. Bradycardia
D. Referred shoulder pain
12
Which laboratory results are expected in acute pancreatitis?
(Select the best combination.)
Downloaded by harun mburu ()
REWRITTEN NCLEX-Style Practice Questions
1
Which statement made by a client newly diagnosed with nephrotic syndrome indicates that
further teaching is not required?
A. “I will monitor myself closely for signs of infection.”
B. “I should avoid foods high in potassium.”
C. “I need to complete all antibiotic prescriptions.”
D. “I can use salt substitutes freely.”
2
Which postoperative client finding requires immediate follow-up by the nurse?
A. Mechanical valve replacement client with INR of 3.2
B. Cardiac surgery client on enoxaparin with platelets 175,000
C. Client 48 hours post-AAA repair with creatinine increased to 2.5
D. Client on digoxin with BUN of 19
3
A client hospitalized with acute kidney injury has several abnormal findings. Which finding
should the nurse report first?
A. ECG showing tall, peaked T waves
B. BUN of 67 mg/dL
C. Creatinine of 3.0 mg/dL
D. Decreased GFR
4
Downloaded by harun mburu ()
,A client receiving IV gentamicin develops oliguria and elevated blood pressure. What is the
nurse’s priority action?
A. Insert an indwelling urinary catheter
B. Elevate the head of the bed
C. Obtain urine specific gravity
D. Request gentamicin peak and trough levels
5
A client with chronic kidney disease reports tingling in the hands, muscle weakness, and
diarrhea. What should the nurse do first?
A. Contact the provider
B. Review dialysis schedule
C. Check recent electrolyte values
D. Measure urine output
6
Which statement by a hemodialysis client requires follow-up teaching?
A. “My breath sometimes smells unpleasant.”
B. “My skin sometimes looks powdery.”
C. “I limit sodium intake to 5 grams per day.”
D. “I eat at least 50 grams of protein daily.”
7
Which statement indicates a correct understanding of teaching for late-stage CKD?
A. “Dialysis will give me more energy immediately.”
B. “I should get most protein from dairy.”
C. “I should report fatigue or weakness promptly.”
D. “Dialysis is done twice weekly.”
8
Downloaded by harun mburu ()
, A client returns from hemodialysis. Which finding requires immediate nursing action?
A. Blood pressure 90/58 mm Hg
B. Potassium decreased from 6.1 to 5.1
C. Fatigue and decreased appetite
D. Temperature 99.4°F (37.4°C)
9
Which nursing action is appropriate during peritoneal dialysis?
A. Assisting the client to ambulate during infusion
B. Wearing a mask during PD exchanges
C. Applying pressure to the AV fistula site
D. Drawing blood from the fistula
10
Which action demonstrates correct peritoneal dialysis technique?
A. Administering an enema before dialysis
B. Positioning the client in high-Fowler’s
C. Warming dialysate in the microwave
D. Starting infusion before site care
11
Which assessment finding is expected in a client with acute pancreatitis?
A. Spider angiomas
B. Hypertension
C. Bradycardia
D. Referred shoulder pain
12
Which laboratory results are expected in acute pancreatitis?
(Select the best combination.)
Downloaded by harun mburu ()
