Galen: Advanced Concepts Of Medical-Surgical Nursing (NUR 265) Exam 1
1. What is the defining criteria for Chronic Kidney Disease (CKD)?
A. GFR < 30 mL/min for 6 months
B. GFR < 15 mL/min for 1 year
C. GFR < 60 mL/min for 3 months or longer
D. GFR < 90 mL/min for 1 month
Correct Answer: C. GFR < 60 mL/min for 3 months or longer
2. A patient with CKD reports a "metallic taste." The nurse recognizes this as:
A. A symptom of hypercalcemia
B. A key feature of Chronic Kidney Disease
C. A side effect of diuretics
D. A sign of resolving infection
Correct Answer: B. A key feature of Chronic Kidney Disease
3. Which assessment finding is a key feature of CKD?
A. Muscle weakness and cramping
B. Dark, concentrated urine
C. Increased appetite and weight gain
D. Hypertension and polyuria
Correct Answer: A. Muscle weakness and cramping
4. When monitoring a patient with CKD and abnormal potassium levels, what is the
priority intervention?
A. Encouraging a high-protein diet
B. Measuring urine specific gravity
C. Obtaining an EKG
D. Administering oral fluids
Correct Answer: C. Obtaining an EKG
5. A nurse is monitoring a patient for peritonitis during peritoneal dialysis. Which finding
should be reported immediately?
A. Blood pressure of 130/80
B. Clear straw-colored drainage
C. Feeling of fullness
D. Cloudy dialysate drainage
Correct Answer: D. Cloudy dialysate drainage
6. Which of the following is a sign of peritonitis in a dialysis patient?
A. Rebound abdominal tenderness
, B. Decreased white blood cell count
C. Bradycardia
D. Hypotension
Correct Answer: A. Rebound abdominal tenderness
7. What is a primary nursing intervention for an extremity with an Arteriovenous (AV)
Fistula?
A. Applying a blood pressure cuff to the arm hourly
B. Massaging the site daily to increase flow
C. Ensuring no blood pressures or IV lines are placed in that extremity
D. Using the arm for routine blood draws
Correct Answer: C. Ensuring no blood pressures or IV lines are placed in that extremity
8. How does a nurse check the patency of an AV Fistula?
A. Measuring the circumference of the arm
B. Checking for a peripheral pulse distal to the site
C. Assessing for capillary refill in the fingers
D. Palpating a “thrill” or auscultating a “bruit”
Correct Answer: D. Palpating a “thrill” or auscultating a “bruit”
9. Which of the following is a "pre-renal" cause of Acute Kidney Injury (AKI)?
A. Heart failure (decreased cardiac output)
B. Kidney stones
C. Glomerulonephritis
D. Aminoglycoside toxicity
Correct Answer: A. Heart failure (decreased cardiac output)
10. During the diuretic phase of AKI, what indicates that damaged nephrons are
recovering?
A. Decreased serum creatinine
B. Excessive urine output
C. Sudden oliguria
D. Stabilized BUN levels
Correct Answer: B. Excessive urine output
11. Which medication class should be avoided during the diuretic phase of AKI due to
nephrotoxicity?
A. Anticoagulants
B. Beta blockers
C. Aminoglycosides (e.g., Gentamycin)
1. What is the defining criteria for Chronic Kidney Disease (CKD)?
A. GFR < 30 mL/min for 6 months
B. GFR < 15 mL/min for 1 year
C. GFR < 60 mL/min for 3 months or longer
D. GFR < 90 mL/min for 1 month
Correct Answer: C. GFR < 60 mL/min for 3 months or longer
2. A patient with CKD reports a "metallic taste." The nurse recognizes this as:
A. A symptom of hypercalcemia
B. A key feature of Chronic Kidney Disease
C. A side effect of diuretics
D. A sign of resolving infection
Correct Answer: B. A key feature of Chronic Kidney Disease
3. Which assessment finding is a key feature of CKD?
A. Muscle weakness and cramping
B. Dark, concentrated urine
C. Increased appetite and weight gain
D. Hypertension and polyuria
Correct Answer: A. Muscle weakness and cramping
4. When monitoring a patient with CKD and abnormal potassium levels, what is the
priority intervention?
A. Encouraging a high-protein diet
B. Measuring urine specific gravity
C. Obtaining an EKG
D. Administering oral fluids
Correct Answer: C. Obtaining an EKG
5. A nurse is monitoring a patient for peritonitis during peritoneal dialysis. Which finding
should be reported immediately?
A. Blood pressure of 130/80
B. Clear straw-colored drainage
C. Feeling of fullness
D. Cloudy dialysate drainage
Correct Answer: D. Cloudy dialysate drainage
6. Which of the following is a sign of peritonitis in a dialysis patient?
A. Rebound abdominal tenderness
, B. Decreased white blood cell count
C. Bradycardia
D. Hypotension
Correct Answer: A. Rebound abdominal tenderness
7. What is a primary nursing intervention for an extremity with an Arteriovenous (AV)
Fistula?
A. Applying a blood pressure cuff to the arm hourly
B. Massaging the site daily to increase flow
C. Ensuring no blood pressures or IV lines are placed in that extremity
D. Using the arm for routine blood draws
Correct Answer: C. Ensuring no blood pressures or IV lines are placed in that extremity
8. How does a nurse check the patency of an AV Fistula?
A. Measuring the circumference of the arm
B. Checking for a peripheral pulse distal to the site
C. Assessing for capillary refill in the fingers
D. Palpating a “thrill” or auscultating a “bruit”
Correct Answer: D. Palpating a “thrill” or auscultating a “bruit”
9. Which of the following is a "pre-renal" cause of Acute Kidney Injury (AKI)?
A. Heart failure (decreased cardiac output)
B. Kidney stones
C. Glomerulonephritis
D. Aminoglycoside toxicity
Correct Answer: A. Heart failure (decreased cardiac output)
10. During the diuretic phase of AKI, what indicates that damaged nephrons are
recovering?
A. Decreased serum creatinine
B. Excessive urine output
C. Sudden oliguria
D. Stabilized BUN levels
Correct Answer: B. Excessive urine output
11. Which medication class should be avoided during the diuretic phase of AKI due to
nephrotoxicity?
A. Anticoagulants
B. Beta blockers
C. Aminoglycosides (e.g., Gentamycin)
