NUR 265 Exam 1 Review 50 Questions and100% Correct Answers
Latest 2025/2026 Update - Galen College of Nursing.
1. The nurse is caring for a client who has chronic kidney disease (CKD) and has developed uremia.
Which of the following findings are consistent with this condition?
• Flank pain
• Cloudy urine.
• Hypotension.
• Muscle cramps.
page 157 Key features of Uremia include muscle cramps, metallic taste in the mouth, uremic frost
on skin, itching, anorexia, and n/v.
2. The nurse working on the telemetry unit is reviewing the laboratory results of a client who has chronic
kidney disease (CKD) and notes that the serum potassium level is 6.1 mEq/L. Which of the following
actions should the nurse take first?
• Administer prescribed lactulose to the client.
• Review the client’s electrocardiogram (EKG).
• Withhold the client’s next scheduled dose of spironolactone.
• Notify the primary health care provider (PHCP).
Patients with potassium of 6.1 are at risk of fatal dysrhythmias. Cardiac monitoring is the first
action needed.
3. The nurse working on a surgical unit is assessing clients for their risk of developing heparin-induced
thrombocytopenia (HIT). The nurse should identify at greatest risk the client who is a
• 72-year-old female who has had an anaphylactic reaction following a transfusion of packed red
blood cells (PRBCs)
• 59-year-old female who has been receiving heparin 5,000 units SQ BID for the past 10 days.
• 27-year-old African American male who has received cryoprecipitate for the treatment of
hemophilia.
• 45-year-old male who is taking prescribed enoxaparin for the treatment of a deep vein thrombosis
(DVT).
Page 897. HIT can occur in patients receiving any type of heparin but is more common after
unfractionated heparin, duration longer than 10 days, and being female. Thrombocytopenia after
heparin exposure is the hallmark sign. Manifestations of HIT include DVT and PE.
NUR 265 Exam 1
,Question 4
The nurse is teaching a client who was recently diagnosed with thrombocytopenia. Which instruction does
the nurse include in this client’s discharge teaching?
“Avoid blowing your nose.”
“Use a soft-bristled toothbrush.”
“Drink at least 3 liters of fluid each day.”
“Use only aspirin when having pain.”
page 889 best practice for patients with thrombocytopenia includes avoiding mouth trauma. Do not floss,
avoid dental work and hard foods. Use a soft-bristled toothbrush.
Question 5
The nurse is preparing a client for a prescribed peritoneal dialysis treatment. What action by the nurse is
necessary?
Ask the client to turn toward the left side.
Assess the dialysis access for bruit and thrill.
Insert an indwelling urinary catheter.
Warm the dialysis solution in a warmer.
Page 1567 Care of patients with PD. Cold dialysate causes discomfort. Warm the bags in a warming
chamber or with a heating pad. DO NOT heat in microwave.
Question 6
A newly-hired nurse is providing care to assigned clients. I t would require follow up by the nurse preceptor
if the newly-hired nurse
questions whether a prescribed antihypertensive should be given before hemodialysis.
administers prescribed fresh frozen plasma (FFP) to a client over a period of 30 minutes.
applies a pressure dressing on a client’s arteriovenous (AV) fistula between hemodialysis treatments.
anticipates administering anticoagulation therapy to a client who has developed heparin-induced
thrombocytopenia (HIT).
Repeated compression of an AV fistula or graft results in loss of vascular access. This would require
follow up by the preceptor
NUR 265 Exam 1
, Question 7
The nurse is caring for a client who is in the pre-renal stage of acute kidney injury (AKI). The nurse should
recognize that a cause of this condition is
acute glomerular nephritis.
anaphylaxis.
renal calculi.
renal artery thrombosis.
page 1539 causes of prerenal AKI include anaphylaxis, sepsis, HF, PE, shock, and pericardial tamponade
Question 8
The nurse is developing a plan of care for a client who is at risk for developing acute kidney injury (AKI).
Which of the following interventions would be most important for the nurse to take in order to maintain
renal function for the client?
Determine if the client has been exposed to contrast dye.
Document the client’s intake and output.
Prevent the client from experiencing volume depletion.
Monitor the client’s potassium level.
Page 1541 critical rescue box notes preventing volume depletion is priority as it’s most common cause of
AKI.
Question 9
The nurse is admitting a client who is in the diuretic phase of acute kidney injury (AKI). Which of the
following prescriptions would be essential for the nurse to question?
Gentamycin 80 mg IVPB every eight hours.
0.9% NaCl IV 500 mL over one hour.
Regular diet.
Ambulate as tolerated.
Gentamycin is nephrotoxic. The nurse should question the order if nephrotoxic meds are prescribed to a
patient with AKI.
NUR 265 Exam 1
Latest 2025/2026 Update - Galen College of Nursing.
1. The nurse is caring for a client who has chronic kidney disease (CKD) and has developed uremia.
Which of the following findings are consistent with this condition?
• Flank pain
• Cloudy urine.
• Hypotension.
• Muscle cramps.
page 157 Key features of Uremia include muscle cramps, metallic taste in the mouth, uremic frost
on skin, itching, anorexia, and n/v.
2. The nurse working on the telemetry unit is reviewing the laboratory results of a client who has chronic
kidney disease (CKD) and notes that the serum potassium level is 6.1 mEq/L. Which of the following
actions should the nurse take first?
• Administer prescribed lactulose to the client.
• Review the client’s electrocardiogram (EKG).
• Withhold the client’s next scheduled dose of spironolactone.
• Notify the primary health care provider (PHCP).
Patients with potassium of 6.1 are at risk of fatal dysrhythmias. Cardiac monitoring is the first
action needed.
3. The nurse working on a surgical unit is assessing clients for their risk of developing heparin-induced
thrombocytopenia (HIT). The nurse should identify at greatest risk the client who is a
• 72-year-old female who has had an anaphylactic reaction following a transfusion of packed red
blood cells (PRBCs)
• 59-year-old female who has been receiving heparin 5,000 units SQ BID for the past 10 days.
• 27-year-old African American male who has received cryoprecipitate for the treatment of
hemophilia.
• 45-year-old male who is taking prescribed enoxaparin for the treatment of a deep vein thrombosis
(DVT).
Page 897. HIT can occur in patients receiving any type of heparin but is more common after
unfractionated heparin, duration longer than 10 days, and being female. Thrombocytopenia after
heparin exposure is the hallmark sign. Manifestations of HIT include DVT and PE.
NUR 265 Exam 1
,Question 4
The nurse is teaching a client who was recently diagnosed with thrombocytopenia. Which instruction does
the nurse include in this client’s discharge teaching?
“Avoid blowing your nose.”
“Use a soft-bristled toothbrush.”
“Drink at least 3 liters of fluid each day.”
“Use only aspirin when having pain.”
page 889 best practice for patients with thrombocytopenia includes avoiding mouth trauma. Do not floss,
avoid dental work and hard foods. Use a soft-bristled toothbrush.
Question 5
The nurse is preparing a client for a prescribed peritoneal dialysis treatment. What action by the nurse is
necessary?
Ask the client to turn toward the left side.
Assess the dialysis access for bruit and thrill.
Insert an indwelling urinary catheter.
Warm the dialysis solution in a warmer.
Page 1567 Care of patients with PD. Cold dialysate causes discomfort. Warm the bags in a warming
chamber or with a heating pad. DO NOT heat in microwave.
Question 6
A newly-hired nurse is providing care to assigned clients. I t would require follow up by the nurse preceptor
if the newly-hired nurse
questions whether a prescribed antihypertensive should be given before hemodialysis.
administers prescribed fresh frozen plasma (FFP) to a client over a period of 30 minutes.
applies a pressure dressing on a client’s arteriovenous (AV) fistula between hemodialysis treatments.
anticipates administering anticoagulation therapy to a client who has developed heparin-induced
thrombocytopenia (HIT).
Repeated compression of an AV fistula or graft results in loss of vascular access. This would require
follow up by the preceptor
NUR 265 Exam 1
, Question 7
The nurse is caring for a client who is in the pre-renal stage of acute kidney injury (AKI). The nurse should
recognize that a cause of this condition is
acute glomerular nephritis.
anaphylaxis.
renal calculi.
renal artery thrombosis.
page 1539 causes of prerenal AKI include anaphylaxis, sepsis, HF, PE, shock, and pericardial tamponade
Question 8
The nurse is developing a plan of care for a client who is at risk for developing acute kidney injury (AKI).
Which of the following interventions would be most important for the nurse to take in order to maintain
renal function for the client?
Determine if the client has been exposed to contrast dye.
Document the client’s intake and output.
Prevent the client from experiencing volume depletion.
Monitor the client’s potassium level.
Page 1541 critical rescue box notes preventing volume depletion is priority as it’s most common cause of
AKI.
Question 9
The nurse is admitting a client who is in the diuretic phase of acute kidney injury (AKI). Which of the
following prescriptions would be essential for the nurse to question?
Gentamycin 80 mg IVPB every eight hours.
0.9% NaCl IV 500 mL over one hour.
Regular diet.
Ambulate as tolerated.
Gentamycin is nephrotoxic. The nurse should question the order if nephrotoxic meds are prescribed to a
patient with AKI.
NUR 265 Exam 1
