ATI Renal Exam 1 Practice Questions
A 55 year old male patient is diagnosed with chronic kidney disease. The patient's
recent GFR was 25 mL/min. What stage of chronic kidney disease is this known as?
A. Stage 1
B. Stage 3
C. Stage 4
D. Stage 5 - C. Stage 4
A patient with CKD has a low erythropoietin (EPO) level. The patient is at risk for?
A. Hypercalcemia
B. Anemia
C. Blood clots
D. Hyperkalemia - B. Anemia
A 65 year old male patient has a glomerular filtration rate of 55 mL/min. The patient has
a history of uncontrolled hypertension and coronary artery disease. You're assessing
the new medication orders received for this patient. Which medication ordered by the
physician will help treat the patient's hypertension along with providing a protective
mechanism to the kidneys?
A. Lisinopril
B. Metoprolol
C. Amlodipine
D. Verapamil - A. Lisinopril
Which patient below is NOT at risk for developing chronic kidney disease?
A. A 58 year old female with uncontrolled hypertension.
B. A 69 year old male with diabetes mellitus.
C. A 45 year old female with polycystic ovarian disease.
D. A 78 year old female with an intrarenal injury. - C. A 45 year old female with
polycystic ovarian disease.
A patient with Stage 5 CKD is experiencing extreme pruritus and has several areas of
crystallized white deposits on the skin. As the nurse, you know this is due to excessive
amounts of what substance found in the blood?
A. Calcium
B. Urea
C. Phosphate
D. Erythropoietin - B. Urea
Your patient with chronic kidney disease is scheduled for dialysis in the morning. While
examining the patient's telemetry strip, you note tall peaked T-waves. You notify the
physician who orders a STAT basic metabolic panel (BMP). What result from the BMP
confirms the EKG abnormality?
A. Phosphate 3.2 mg/dL
, B. Calcium 9.3 mg/dL
C. Magnesium 2.2 mg/dL
D. Potassium 7.1 mEq/L - D. Potassium 7.1 mEq/L
You are providing education to a patient with CKD about calcium acetate. Which
statement by the patient demonstrates they understood your teaching about this
medication? Select-all-that-apply:
A. "This medication will help keep my calcium level normal."
B. "I will take this medication with meals or immediately after."
C. "It is important I consume high amounts of oatmeal, poultry, fish, and dairy products
while taking this medication."
D. "This medication will help prevent my phosphate level from increasing." - B. "I will
take this medication with meals or immediately after."
D. "This medication will help prevent my phosphate level from increasing."
While assessing morning labs on your patient with CKD. You note the patient's
phosphate level is 6.2 mg/dL. As the nurse, you expect to find the calcium level to be?
A. Elevated
B. Low
C. Normal
D. Same as the phosphate level - B. Low
A patient with stage 4 chronic kidney disease asks what type of diet they should follow.
You explain the patient should follow a:
A. Low protein, low sodium, low potassium, low phosphate diet
B. High protein, low sodium, low potassium, high phosphate diet
C. Low protein, high sodium, high potassium, high phosphate diet
D. Low protein, low sodium, low potassium, high phosphate diet - A. Low protein, low
sodium, low potassium, low phosphate diet
The kidneys are responsible for performing all the following functions EXCEPT?
A. Activating Vitamin D
B. Secreting Renin
C. Secreting Erythropoietin
D. Maintaining cortisol production - D. Maintaining cortisol production
______________ is solely filtered from the bloodstream via the glomerulus and is NOT
reabsorbed back into the bloodstream but is excreted through the urine.
A. Urea
B. Creatinine
C. Potassium
D. Magnesium - B. Creatinine
A patient with acute renal injury has a GFR (glomerular filtration rate) of 40 mL/min.
Which signs and symptoms below may this patient present with? Select all that apply:
A. Hypervolemia
A 55 year old male patient is diagnosed with chronic kidney disease. The patient's
recent GFR was 25 mL/min. What stage of chronic kidney disease is this known as?
A. Stage 1
B. Stage 3
C. Stage 4
D. Stage 5 - C. Stage 4
A patient with CKD has a low erythropoietin (EPO) level. The patient is at risk for?
A. Hypercalcemia
B. Anemia
C. Blood clots
D. Hyperkalemia - B. Anemia
A 65 year old male patient has a glomerular filtration rate of 55 mL/min. The patient has
a history of uncontrolled hypertension and coronary artery disease. You're assessing
the new medication orders received for this patient. Which medication ordered by the
physician will help treat the patient's hypertension along with providing a protective
mechanism to the kidneys?
A. Lisinopril
B. Metoprolol
C. Amlodipine
D. Verapamil - A. Lisinopril
Which patient below is NOT at risk for developing chronic kidney disease?
A. A 58 year old female with uncontrolled hypertension.
B. A 69 year old male with diabetes mellitus.
C. A 45 year old female with polycystic ovarian disease.
D. A 78 year old female with an intrarenal injury. - C. A 45 year old female with
polycystic ovarian disease.
A patient with Stage 5 CKD is experiencing extreme pruritus and has several areas of
crystallized white deposits on the skin. As the nurse, you know this is due to excessive
amounts of what substance found in the blood?
A. Calcium
B. Urea
C. Phosphate
D. Erythropoietin - B. Urea
Your patient with chronic kidney disease is scheduled for dialysis in the morning. While
examining the patient's telemetry strip, you note tall peaked T-waves. You notify the
physician who orders a STAT basic metabolic panel (BMP). What result from the BMP
confirms the EKG abnormality?
A. Phosphate 3.2 mg/dL
, B. Calcium 9.3 mg/dL
C. Magnesium 2.2 mg/dL
D. Potassium 7.1 mEq/L - D. Potassium 7.1 mEq/L
You are providing education to a patient with CKD about calcium acetate. Which
statement by the patient demonstrates they understood your teaching about this
medication? Select-all-that-apply:
A. "This medication will help keep my calcium level normal."
B. "I will take this medication with meals or immediately after."
C. "It is important I consume high amounts of oatmeal, poultry, fish, and dairy products
while taking this medication."
D. "This medication will help prevent my phosphate level from increasing." - B. "I will
take this medication with meals or immediately after."
D. "This medication will help prevent my phosphate level from increasing."
While assessing morning labs on your patient with CKD. You note the patient's
phosphate level is 6.2 mg/dL. As the nurse, you expect to find the calcium level to be?
A. Elevated
B. Low
C. Normal
D. Same as the phosphate level - B. Low
A patient with stage 4 chronic kidney disease asks what type of diet they should follow.
You explain the patient should follow a:
A. Low protein, low sodium, low potassium, low phosphate diet
B. High protein, low sodium, low potassium, high phosphate diet
C. Low protein, high sodium, high potassium, high phosphate diet
D. Low protein, low sodium, low potassium, high phosphate diet - A. Low protein, low
sodium, low potassium, low phosphate diet
The kidneys are responsible for performing all the following functions EXCEPT?
A. Activating Vitamin D
B. Secreting Renin
C. Secreting Erythropoietin
D. Maintaining cortisol production - D. Maintaining cortisol production
______________ is solely filtered from the bloodstream via the glomerulus and is NOT
reabsorbed back into the bloodstream but is excreted through the urine.
A. Urea
B. Creatinine
C. Potassium
D. Magnesium - B. Creatinine
A patient with acute renal injury has a GFR (glomerular filtration rate) of 40 mL/min.
Which signs and symptoms below may this patient present with? Select all that apply:
A. Hypervolemia
