NURS 1344 EXAM 5| NURS1344 EXAM 5 QUESTIONS
AND ANSWERS LATEST 2025 STUDY GUIDE
Chapter 51: Acute Kidney Injury and Chronic Kidney Disease
1. After an arteriovenous graft is inserted in a patient‘s right forearm, the patient
reports pain and coldness in the right fingers. Which action would the nurse take?
a. Remind the patient to take a daily low-dose aspirin tablet.
b. Report the patient‘s symptoms to the health care provider.
c. Elevate the patient‘s arm on pillows above the heart level.
d. Teach the patient about normal arteriovenous graft function. ANS:
B
2. Which assessment finding would the nurse expect when a patient with acute
kidney injury (AKI) has an arterial blood pH of 7.30?
a. Persistent skin tenting
b. Rapid, deep respirations
c. Hot, flushed face and neck
d. Bounding peripheral pulses
ANS: B
3. The nurse is planning care for a patient with severe heart failure who has
developed increased blood urea nitrogen (BUN) and creatinine levels. Which aim
will be the primary treatment goal?
a. Augmenting fluid volume
b. Maintaining cardiac output
c. Diluting nephrotoxic substances
d. Preventing systemic hypertension
ANS: B
4. A patient who has acute glomerulonephritis is hospitalized with
hyperkalemia. Which information will the nurse monitor to evaluate the
effectiveness of the prescribed calcium gluconate IV?
a. Urine volume
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, b. Calcium level
c. Cardiac rhythm
d. Neurologic status
ANS: C
5. Which statement by a patient with stage 5 chronic kidney disease (CKD)
indicates that the nurse‘s teaching about management of CKD has been effective?
a. “I need to get most of my protein from low-fat dairy products.”
b. “I will increase my intake of fruits and vegetables to 5 per day.”
c. “I will measure my output each day to help calculate the amount I can drink.”
d. “I need erythropoietin injections to boost my immunity and prevent
infection.”
ANS: C
6. Which information will the nurse monitor to determine the effectiveness of
prescribed calcium carbonate (Caltrate) for a patient with chronic kidney disease
(CKD)?
a. Blood pressure
b. Phosphate level
c. Neurologic status
d. Creatinine clearance
ANS: B
7. Sodium polystyrene sulfonate (Kayexalate) is prescribed to be given via
nasogastric tube for a patient with hyperkalemia. Which assessment would the
nurse make before administering the medication?
a. Bowel sounds
b. Blood glucose
c. Blood urea nitrogen (BUN)
d. Level of consciousness (LOC)
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, ANS: A
8. Which menu choice by the patient who is receiving hemodialysis indicates that
the nurse‘s teaching has been successful?
a. Split-pea soup, English muffin, and nonfat milk
b. Poached eggs, whole-wheat toast, and apple juice
c. Oatmeal with cream, half a banana, and herbal tea
d. Cheese sandwich, tomato soup, and cranberry juice
ANS: B
9. Which laboratory result would the nurse check before administering
calcium carbonate to a patient with chronic kidney disease?
a. Serum potassium
b. Serum phosphate
c. Serum creatinine
d. Serum cholesterol
ANS: B
10. A patient is hospitalized with acute kidney injury (AKI). Which information
will be most useful to the nurse in evaluating improvement in kidney function?
a. Urine volume
b. Creatinine level
c. Glomerular filtration rate (GFR)
d. Blood urea nitrogen (BUN) level
ANS: C
11. A patient will need vascular access for hemodialysis. Which statement by the
nurse accurately describes an advantage of a fistula over a graft?
a. A fistula is much less likely to clot.
b. A fistula increases patient mobility.
c. A fistula can be used sooner after surgery.
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, d. A fistula can accommodate larger needles.
ANS: A
12. Which action will the nurse include in the plan of care to maintain the
patency of a patient‘s left arm arteriovenous fistula?
a. Auscultate for a bruit at the fistula site.
b. Assess the quality of the left radial pulse.
c. Irrigate the fistula with saline every 8 to 12 hours.
d. Compare blood pressures in the left and right arms.
ANS: A
13. A patient who has had progressive chronic kidney disease (CKD) for several
years has just begun regular hemodialysis. Which information about diet will the
nurse include in patient teaching?
a. Increased calories are needed because glucose is lost during
hemodialysis.
b. More protein is allowed because urea and creatinine are removed by
dialysis.
c. Dietary potassium is not restricted because the level is normalized by
dialysis.
d. Unlimited fluids are allowed because retained fluid is removed during
dialysis.
ANS: B
14. Which action by a patient who is using peritoneal dialysis (PD) indicates that
the nurse should provide more teaching about PD?
a. The patient leaves the catheter exit site without a dressing.
b. The patient plans 30 to 60 minutes for a dialysate exchange.
c. The patient cleans the catheter while in the bathtub each day.
d. The patient slows the inflow rate when experiencing abdominal pain. ANS:
C
15. Which information in a patient‘s history indicates to the nurse that the patient
is not an appropriate candidate for kidney transplantation?
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Page
AND ANSWERS LATEST 2025 STUDY GUIDE
Chapter 51: Acute Kidney Injury and Chronic Kidney Disease
1. After an arteriovenous graft is inserted in a patient‘s right forearm, the patient
reports pain and coldness in the right fingers. Which action would the nurse take?
a. Remind the patient to take a daily low-dose aspirin tablet.
b. Report the patient‘s symptoms to the health care provider.
c. Elevate the patient‘s arm on pillows above the heart level.
d. Teach the patient about normal arteriovenous graft function. ANS:
B
2. Which assessment finding would the nurse expect when a patient with acute
kidney injury (AKI) has an arterial blood pH of 7.30?
a. Persistent skin tenting
b. Rapid, deep respirations
c. Hot, flushed face and neck
d. Bounding peripheral pulses
ANS: B
3. The nurse is planning care for a patient with severe heart failure who has
developed increased blood urea nitrogen (BUN) and creatinine levels. Which aim
will be the primary treatment goal?
a. Augmenting fluid volume
b. Maintaining cardiac output
c. Diluting nephrotoxic substances
d. Preventing systemic hypertension
ANS: B
4. A patient who has acute glomerulonephritis is hospitalized with
hyperkalemia. Which information will the nurse monitor to evaluate the
effectiveness of the prescribed calcium gluconate IV?
a. Urine volume
1
Page
, b. Calcium level
c. Cardiac rhythm
d. Neurologic status
ANS: C
5. Which statement by a patient with stage 5 chronic kidney disease (CKD)
indicates that the nurse‘s teaching about management of CKD has been effective?
a. “I need to get most of my protein from low-fat dairy products.”
b. “I will increase my intake of fruits and vegetables to 5 per day.”
c. “I will measure my output each day to help calculate the amount I can drink.”
d. “I need erythropoietin injections to boost my immunity and prevent
infection.”
ANS: C
6. Which information will the nurse monitor to determine the effectiveness of
prescribed calcium carbonate (Caltrate) for a patient with chronic kidney disease
(CKD)?
a. Blood pressure
b. Phosphate level
c. Neurologic status
d. Creatinine clearance
ANS: B
7. Sodium polystyrene sulfonate (Kayexalate) is prescribed to be given via
nasogastric tube for a patient with hyperkalemia. Which assessment would the
nurse make before administering the medication?
a. Bowel sounds
b. Blood glucose
c. Blood urea nitrogen (BUN)
d. Level of consciousness (LOC)
2
Page
, ANS: A
8. Which menu choice by the patient who is receiving hemodialysis indicates that
the nurse‘s teaching has been successful?
a. Split-pea soup, English muffin, and nonfat milk
b. Poached eggs, whole-wheat toast, and apple juice
c. Oatmeal with cream, half a banana, and herbal tea
d. Cheese sandwich, tomato soup, and cranberry juice
ANS: B
9. Which laboratory result would the nurse check before administering
calcium carbonate to a patient with chronic kidney disease?
a. Serum potassium
b. Serum phosphate
c. Serum creatinine
d. Serum cholesterol
ANS: B
10. A patient is hospitalized with acute kidney injury (AKI). Which information
will be most useful to the nurse in evaluating improvement in kidney function?
a. Urine volume
b. Creatinine level
c. Glomerular filtration rate (GFR)
d. Blood urea nitrogen (BUN) level
ANS: C
11. A patient will need vascular access for hemodialysis. Which statement by the
nurse accurately describes an advantage of a fistula over a graft?
a. A fistula is much less likely to clot.
b. A fistula increases patient mobility.
c. A fistula can be used sooner after surgery.
3
Page
, d. A fistula can accommodate larger needles.
ANS: A
12. Which action will the nurse include in the plan of care to maintain the
patency of a patient‘s left arm arteriovenous fistula?
a. Auscultate for a bruit at the fistula site.
b. Assess the quality of the left radial pulse.
c. Irrigate the fistula with saline every 8 to 12 hours.
d. Compare blood pressures in the left and right arms.
ANS: A
13. A patient who has had progressive chronic kidney disease (CKD) for several
years has just begun regular hemodialysis. Which information about diet will the
nurse include in patient teaching?
a. Increased calories are needed because glucose is lost during
hemodialysis.
b. More protein is allowed because urea and creatinine are removed by
dialysis.
c. Dietary potassium is not restricted because the level is normalized by
dialysis.
d. Unlimited fluids are allowed because retained fluid is removed during
dialysis.
ANS: B
14. Which action by a patient who is using peritoneal dialysis (PD) indicates that
the nurse should provide more teaching about PD?
a. The patient leaves the catheter exit site without a dressing.
b. The patient plans 30 to 60 minutes for a dialysate exchange.
c. The patient cleans the catheter while in the bathtub each day.
d. The patient slows the inflow rate when experiencing abdominal pain. ANS:
C
15. Which information in a patient‘s history indicates to the nurse that the patient
is not an appropriate candidate for kidney transplantation?
4
Page
