NURS 642 Exam 3 UPDATED ACTUAL
Exam Questions and CORRECT Answers
Symptoms of Interstitial Nephritis - CORRECT ANSWER - Fever, Rash, WBC casts
AKI Workup - CORRECT ANSWER - Urinalysis
Urine Microscopy Urine Protein
CMP
Renal US
AKI Managment - CORRECT ANSWER - Daily Weights
Strict I&O
Volume Status
Electrolyte monitoring
Medication adjustment
Avoidance of nephrotoxic agents
Low-Potassium Diet
Meds to avoid for AKI - CORRECT ANSWER - NSAIDs
Diuretics
ACE-I
ARBS
AKI Diagnosis - CORRECT ANSWER - Rapid rise in increase serum creatinine
Inability to maintain acid-base balance
Inability to maintain fluid balance
,Inability to maintain electrolyte imbalance
Inability to excrete nitrogenous waste
AKI S&S - CORRECT ANSWER - Nausea, Vomiting
Malaise
Hypertension
Pericardial Friction Rub
Pericardial Effusion
Cardiac Tamponade
Arrhythmias
Abdominal Pain/Ileus
Bleeding d/t platelet dysfunction
Encephalopathy, altered sensorium, asterixis, seizure
oliguria defined as UOP <500mL/D or <20mL/hr (0.5mL/kg/hr)
Prerenal AKI DDx - CORRECT ANSWER - Dehydration
Hemmorhage
Heart Failure
Renal Artery Stenosis
, NSAIDs, ACEIs, ARBs
Postrenal AKI DDx - CORRECT ANSWER - Obstruction (BPH, Bladder Tumor)
Intrinsic Renal Disease DDx - CORRECT ANSWER - ATN: NSAIDS, Antibiotics,
Contrast, Rhabdo, Chemo, Multiple myeloma, hemolysis , hyperuricemia, cyclosporine
Acute Glomerulonephritis: Immune complex, SLE, Endocarditis, AntiGBM, Good pasture
syndrome
AKI Lab Findings - CORRECT ANSWER - Elevated Serum BUN/CREAT
Hyperkalemia
Hyperphosphatemia
hypocalcemia
increased anion gap
acidosis
FENa: <1% prerenal, >1% ATN
BUN:CREAT >20:1- prerenal, postrenal, acute glomerulonephritis
<20:1 ATN, AIN
AKI Imaging - CORRECT ANSWER - Renal US: obst, anatominc abnormalities
Exam Questions and CORRECT Answers
Symptoms of Interstitial Nephritis - CORRECT ANSWER - Fever, Rash, WBC casts
AKI Workup - CORRECT ANSWER - Urinalysis
Urine Microscopy Urine Protein
CMP
Renal US
AKI Managment - CORRECT ANSWER - Daily Weights
Strict I&O
Volume Status
Electrolyte monitoring
Medication adjustment
Avoidance of nephrotoxic agents
Low-Potassium Diet
Meds to avoid for AKI - CORRECT ANSWER - NSAIDs
Diuretics
ACE-I
ARBS
AKI Diagnosis - CORRECT ANSWER - Rapid rise in increase serum creatinine
Inability to maintain acid-base balance
Inability to maintain fluid balance
,Inability to maintain electrolyte imbalance
Inability to excrete nitrogenous waste
AKI S&S - CORRECT ANSWER - Nausea, Vomiting
Malaise
Hypertension
Pericardial Friction Rub
Pericardial Effusion
Cardiac Tamponade
Arrhythmias
Abdominal Pain/Ileus
Bleeding d/t platelet dysfunction
Encephalopathy, altered sensorium, asterixis, seizure
oliguria defined as UOP <500mL/D or <20mL/hr (0.5mL/kg/hr)
Prerenal AKI DDx - CORRECT ANSWER - Dehydration
Hemmorhage
Heart Failure
Renal Artery Stenosis
, NSAIDs, ACEIs, ARBs
Postrenal AKI DDx - CORRECT ANSWER - Obstruction (BPH, Bladder Tumor)
Intrinsic Renal Disease DDx - CORRECT ANSWER - ATN: NSAIDS, Antibiotics,
Contrast, Rhabdo, Chemo, Multiple myeloma, hemolysis , hyperuricemia, cyclosporine
Acute Glomerulonephritis: Immune complex, SLE, Endocarditis, AntiGBM, Good pasture
syndrome
AKI Lab Findings - CORRECT ANSWER - Elevated Serum BUN/CREAT
Hyperkalemia
Hyperphosphatemia
hypocalcemia
increased anion gap
acidosis
FENa: <1% prerenal, >1% ATN
BUN:CREAT >20:1- prerenal, postrenal, acute glomerulonephritis
<20:1 ATN, AIN
AKI Imaging - CORRECT ANSWER - Renal US: obst, anatominc abnormalities
