1. The nurse has provided discharge instructions to a client who is newly diagnosed with nephrotic
syndrome. Which of the following client statements indicates a correct understanding of the teaching
A. I should take all prescribed antibiotics until their gone
B. I should avoid using any type of salt substitute on my food
C. I must decrease my intake of foods high in potassium
D. I must protect myself from developing an infection Pg 1362
2. The nurse is reviewing the laboratory results of an assigned client; it is a priority for the nurse to
follow up with the PCP if the client
A. is receiving prescribed digoxin and has a BUN level that has increased from 15 to 19mg/dl
over the past 3 days
B. had a mitral mechanical valve replacement and taking prescribed warfarin that has an INR
that is 3.2
C. is receiving prescribed enoxaparin post op cardiac surgery and the platelets have decreased
from 200,000 to 175,000 over the past 2 days
D. had a AAA repair 2 days ago and has a creatinine that has increased from 0.9 to 2.5mg/dl
3. The nurse is caring for a client who has been hospitalized for 8 days with AKI caused by dehydration
which of the following should the nurse report immediately to the PCP
A. a BUN level of 67mg/dl
B. a rhythm strip reading that has tall, peaked T waves
C. a decreased GFR
D. a creatinine level of 3mg/dl
4. The nurse is caring for a client who is receiving gentamicin IV for infection and has developed oliguria
and increased blood pressure. Which of the following actions should the nurse take first
A. collect a urine sample to check specific gravity
B. obtain a prescription for gentamicin peak and trough levels
C. insert a prescribed urinary catheter
D. raise the head of the bed to a 45-degree angle
5. The nurse is caring for a client with CKD, the client is reporting muscle weakness diarrhea, and tingling
in the hands. Which action should the nurse take first
A. notify the PCP
B. check the client’s most recent serum electrolyte levels
C. evaluate the client’s urine output for the past 4 hrs
D. determine if the client is scheduled to receive hemodialysis
, E. obtain a blood specimen for ABG’s
6. The nurse is talking with a client who has CKD and has been receiving hemodialysis 3x week. Which of
the following client statements is a priority follow-up by the nurse
A. I try and limit my intake of dietary sodium to 5g a day
B. I have noticed that my skin looks like it has a layer of frost on it
C. I have noticed that my breath has developed a very unpleasant odor
D. I will make sure that I consume at least 50g of protein every day
7. The nurse is teaching a client who is in the late stage of CKD. Which of the following client statements
indicates a correct understanding of the teaching
A. I should obtain much of my protein from dairy products and eggs
B. I can expect to have an increase in my energy level after dialysis treatment
C. hemodialysis will be performed 2x week in an outpt ceneter
D. if I develop and fatigue or weakness I should report it to my doctor
8. The nurse is caring for a client who has returned from receiving hemodialysis treatment. It requires
immediate follow up by the nurse if the client has
A. developed a bp of 90/58mmhg
B. develop a temperature of 99.4F
C. K+ level that decrease from 6.1 to 5.1
D. reports of feeling tired and no desire to eat
9. The nurses came for assigned client. Which of the following actions should the nurse take
A. place mask on the client when changing the client peritoneal dialysis catheter dressing
B. walk a client to the bathroom during the peritoneal dialysis infusion cycle
C. apply a pressure dressing on a clients AV fistula between hemodialysis treatments
D. obtain a blood specimen from a client’s AV fistula
10. The nurse preceptor is observing a newly hired nurse care for a client who is receiving peritoneal
dialysis. It indicates correct technique if the newly hired nurse is observed
A. obtaining a prescription to give the client an enema prior to beginning dialysis
B. placing the PD dialysate bag in the microwave to warm the solution
C. starting dialysis prior to cleaning the catheter site
D. repositioning the client to High Fowler’s during dialysis to improve dialysate drainage
syndrome. Which of the following client statements indicates a correct understanding of the teaching
A. I should take all prescribed antibiotics until their gone
B. I should avoid using any type of salt substitute on my food
C. I must decrease my intake of foods high in potassium
D. I must protect myself from developing an infection Pg 1362
2. The nurse is reviewing the laboratory results of an assigned client; it is a priority for the nurse to
follow up with the PCP if the client
A. is receiving prescribed digoxin and has a BUN level that has increased from 15 to 19mg/dl
over the past 3 days
B. had a mitral mechanical valve replacement and taking prescribed warfarin that has an INR
that is 3.2
C. is receiving prescribed enoxaparin post op cardiac surgery and the platelets have decreased
from 200,000 to 175,000 over the past 2 days
D. had a AAA repair 2 days ago and has a creatinine that has increased from 0.9 to 2.5mg/dl
3. The nurse is caring for a client who has been hospitalized for 8 days with AKI caused by dehydration
which of the following should the nurse report immediately to the PCP
A. a BUN level of 67mg/dl
B. a rhythm strip reading that has tall, peaked T waves
C. a decreased GFR
D. a creatinine level of 3mg/dl
4. The nurse is caring for a client who is receiving gentamicin IV for infection and has developed oliguria
and increased blood pressure. Which of the following actions should the nurse take first
A. collect a urine sample to check specific gravity
B. obtain a prescription for gentamicin peak and trough levels
C. insert a prescribed urinary catheter
D. raise the head of the bed to a 45-degree angle
5. The nurse is caring for a client with CKD, the client is reporting muscle weakness diarrhea, and tingling
in the hands. Which action should the nurse take first
A. notify the PCP
B. check the client’s most recent serum electrolyte levels
C. evaluate the client’s urine output for the past 4 hrs
D. determine if the client is scheduled to receive hemodialysis
, E. obtain a blood specimen for ABG’s
6. The nurse is talking with a client who has CKD and has been receiving hemodialysis 3x week. Which of
the following client statements is a priority follow-up by the nurse
A. I try and limit my intake of dietary sodium to 5g a day
B. I have noticed that my skin looks like it has a layer of frost on it
C. I have noticed that my breath has developed a very unpleasant odor
D. I will make sure that I consume at least 50g of protein every day
7. The nurse is teaching a client who is in the late stage of CKD. Which of the following client statements
indicates a correct understanding of the teaching
A. I should obtain much of my protein from dairy products and eggs
B. I can expect to have an increase in my energy level after dialysis treatment
C. hemodialysis will be performed 2x week in an outpt ceneter
D. if I develop and fatigue or weakness I should report it to my doctor
8. The nurse is caring for a client who has returned from receiving hemodialysis treatment. It requires
immediate follow up by the nurse if the client has
A. developed a bp of 90/58mmhg
B. develop a temperature of 99.4F
C. K+ level that decrease from 6.1 to 5.1
D. reports of feeling tired and no desire to eat
9. The nurses came for assigned client. Which of the following actions should the nurse take
A. place mask on the client when changing the client peritoneal dialysis catheter dressing
B. walk a client to the bathroom during the peritoneal dialysis infusion cycle
C. apply a pressure dressing on a clients AV fistula between hemodialysis treatments
D. obtain a blood specimen from a client’s AV fistula
10. The nurse preceptor is observing a newly hired nurse care for a client who is receiving peritoneal
dialysis. It indicates correct technique if the newly hired nurse is observed
A. obtaining a prescription to give the client an enema prior to beginning dialysis
B. placing the PD dialysate bag in the microwave to warm the solution
C. starting dialysis prior to cleaning the catheter site
D. repositioning the client to High Fowler’s during dialysis to improve dialysate drainage
