Real Life 4.0 ATI Chronic Kidney Disease
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A client with chronic kidney disease reports metallic taste in their mouth. What dietary change
can help reduce this symptom?
✔✔ Using plastic utensils and avoiding metal cookware can help reduce metallic taste.
What lab value should a nurse monitor closely in a client with chronic kidney disease receiving
calcium carbonate?
✔✔ Phosphate levels should be monitored to assess the effectiveness of phosphate binders.
A client with chronic kidney disease is experiencing severe itching. What is a likely cause of this
symptom?
✔✔ Uremic toxins accumulating in the blood can lead to pruritus.
Which intervention is most important when a client with chronic kidney disease presents with
Kussmaul respirations?
✔✔ Notify the provider, as this is a sign of metabolic acidosis.
1
,What is a common cause of anemia in clients with chronic kidney disease?
✔✔ Decreased production of erythropoietin by the kidneys.
Why should a client with chronic kidney disease avoid salt substitutes?
✔✔ Salt substitutes often contain potassium, which can worsen hyperkalemia.
A client on hemodialysis asks why they feel so tired afterward. What is the best explanation?
✔✔ Fluid and electrolyte shifts during dialysis can cause fatigue.
What finding should a nurse report immediately in a client with chronic kidney disease?
✔✔ Serum potassium of 6.5 mEq/L due to risk of life-threatening arrhythmias.
Why is it important to monitor the intake and output of a client with chronic kidney disease?
✔✔ It helps prevent fluid overload and assess renal function.
A client with chronic kidney disease has a low calcium level. What compensatory hormone is
likely elevated?
✔✔ Parathyroid hormone is elevated to compensate for hypocalcemia.
2
, What should the nurse teach a client with chronic kidney disease about protein intake?
✔✔ Limit protein intake to reduce urea production unless on dialysis.
What type of medication should be used cautiously in clients with chronic kidney disease due to
nephrotoxicity risk?
✔✔ Nonsteroidal anti-inflammatory drugs (NSAIDs) should be avoided.
A client with CKD is prescribed epoetin alfa. What is the expected outcome?
✔✔ Increased red blood cell production and improved hemoglobin levels.
What is an expected finding in the urinalysis of a client with chronic kidney disease?
✔✔ Proteinuria due to glomerular damage.
Why is blood pressure control essential in chronic kidney disease?
✔✔ High blood pressure can accelerate kidney damage.
3
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A client with chronic kidney disease reports metallic taste in their mouth. What dietary change
can help reduce this symptom?
✔✔ Using plastic utensils and avoiding metal cookware can help reduce metallic taste.
What lab value should a nurse monitor closely in a client with chronic kidney disease receiving
calcium carbonate?
✔✔ Phosphate levels should be monitored to assess the effectiveness of phosphate binders.
A client with chronic kidney disease is experiencing severe itching. What is a likely cause of this
symptom?
✔✔ Uremic toxins accumulating in the blood can lead to pruritus.
Which intervention is most important when a client with chronic kidney disease presents with
Kussmaul respirations?
✔✔ Notify the provider, as this is a sign of metabolic acidosis.
1
,What is a common cause of anemia in clients with chronic kidney disease?
✔✔ Decreased production of erythropoietin by the kidneys.
Why should a client with chronic kidney disease avoid salt substitutes?
✔✔ Salt substitutes often contain potassium, which can worsen hyperkalemia.
A client on hemodialysis asks why they feel so tired afterward. What is the best explanation?
✔✔ Fluid and electrolyte shifts during dialysis can cause fatigue.
What finding should a nurse report immediately in a client with chronic kidney disease?
✔✔ Serum potassium of 6.5 mEq/L due to risk of life-threatening arrhythmias.
Why is it important to monitor the intake and output of a client with chronic kidney disease?
✔✔ It helps prevent fluid overload and assess renal function.
A client with chronic kidney disease has a low calcium level. What compensatory hormone is
likely elevated?
✔✔ Parathyroid hormone is elevated to compensate for hypocalcemia.
2
, What should the nurse teach a client with chronic kidney disease about protein intake?
✔✔ Limit protein intake to reduce urea production unless on dialysis.
What type of medication should be used cautiously in clients with chronic kidney disease due to
nephrotoxicity risk?
✔✔ Nonsteroidal anti-inflammatory drugs (NSAIDs) should be avoided.
A client with CKD is prescribed epoetin alfa. What is the expected outcome?
✔✔ Increased red blood cell production and improved hemoglobin levels.
What is an expected finding in the urinalysis of a client with chronic kidney disease?
✔✔ Proteinuria due to glomerular damage.
Why is blood pressure control essential in chronic kidney disease?
✔✔ High blood pressure can accelerate kidney damage.
3
