NUR 265 EXAM 1 UPDATED VERSIONS QUESTIONS AND 100% CORRECT ANSWERS 2026/2027 UPDATE

NUR 265 EXAM 1 UPDATED VERSIONS
QUESTIONS AND 100% CORRECT ANSWERS
2026/2027 UPDATE
Whattistnephrotictsyndrome?t-tCORRECTtANSWER-
Atconditiontoftincreasedtglomerulartpermeabilitytthattallowstlargertmoleculesttotpasstthroughtthetmembra
netintottheturinetandtthentbetexcreted.



Whattaretkeytfeaturestoftnephrotictsyndrome?t-tCORRECTtANSWER--*Massivetproteinuria*

-*Hypoalbuminemia*

-*Edemat(facialtandtperiorbital)*

-Lipiduria

-Hyperlipidemia

-Increasedtcoagulation

-Reducedtkidneytfunction



Intnephrotictsyndrome,tseveretproteintlosstinttheturinetistgreatertthantwhat?t-tCORRECTtANSWER-
3.5gtint24thours



Whattistnephrotictsyndromettreatedtwith?t-tCORRECTtANSWER--
immunosuppressanttagentst(iftimmunitytbased).t

-ACEtinhibitorst(decreasedtproteintlosstinturine)

-statinst(improvetbloodtlipidtlevels).

-Heparint(usedttottreattvascularteffectstandtimprovetkidneytfunction)



Describetthet"risk"tstagetfortAKIt-tCORRECTtANSWER-creatininetxt1.5toftnormal,tandtGFRtreducedtbyt25%



Describetthet"injury"tstagetfortAKIt-tCORRECTtANSWER-creatininetx2t&tGFRtreducedtbyt50%

,Describetthet"failure"tstagetfortAKIt-tCORRECTtANSWER-
creatininetx3tnormal,t&tGFRtreducedtbyt75%t(Canttfix)



DescribetPrerenaltAKI.tGivetexamples.t-tCORRECTtANSWER-Decreasedtperfusionttotkidneys.t



-NSAIDs

-Severetdehydration

-Renaltarterytstenosis

-MItortHFtresultingtintlowtejectiontfractiontandtlowtcardiactoutput

-Blood/tfluidtloss



DescribetIntrarenaltAKI.tGivetexamples.t-tCORRECTtANSWER-Tissuetdamagettotthetactualtkidneys.



-Glomerulonephritistortinflammationtoftthetglomeruli

-Sepsis

-Intrarenaltbleeding

-Pyelonephritis



DescribetPostrenaltAKI.tGivetexamples.t-tCORRECTtANSWER-Obstructiontthattoccurstaftertthetkidney.t



-Enlargedtprostatet(BPH)

-BladdertCancer

-Kidneytstones



Howtdotyoutdeterminetthetmeantarterialtpressuret(MAP)?t-tCORRECTtANSWER-Systolict+t(Diastolic*2)t/3



WhattistthetMAPtneededttotperfusetthetkidneys?t-tCORRECTtANSWER-65tmmHg



Whattaretexamplestoftnephrotoxictdrugs?t-tCORRECTtANSWER--NSAIDS

,-Metformin

-Diuretics

-Antibioticst(especiallyt-mycin)

-Contrasttdye



DuringtthetdiuretictphasetoftAKI,twhattneedsttotbetmonitored?t-tCORRECTtANSWER-
Watchtfortdehydrationtandtmaketsuretoutputtistgreatertthantinput



WhattaretthetdietarytrestrictionstfortantAKItpatient?t-tCORRECTtANSWER--Lowtprotein

-Lowtsodium

-Fluidtrestriction:t1000-1500mLtdayt(fortanythingtexcepttperfusiontproblem)



Whattaretthet2tmosttcommontcausestoftCKD?t-tCORRECTtANSWER--HTN

-Uncontrolledtdiabetes



Whattistazotemia?t-tCORRECTtANSWER-Nitrogenoustwastetbuildtup



Whattaretmanifestationstofturemia?t-tCORRECTtANSWER-•Metallicttastetintmouth

•Anorexia

•Nausea/vomiting

•Muscletcramps

•Uremictfrosttontskin

•Itching

•Fatiguetandtlethargy

•Hiccups

•Edema

•Dyspnea

•Paresthesia's

, WhatteffectstcantCKDthavetontthetcardiactsystemt-tCORRECTtANSWER--HTN

-Hearttfailuret(majortproblem.tCalltthetdoctor)

-Pericarditis



WhatteffectstcantCKDthavetontthetIntegumentarytsystemt-tCORRECTtANSWER--Uremictfrost



WhattaretthetdietarytrestrictionstontCKD?t-tCORRECTtANSWER--
Proteint(restricttearlytintdiseasetprocessttotpreservetkidneytfunction)

-Potassium

-Fluid

-Sodium



Describethemodialysist-tCORRECTtANSWER--3xtatweek-t4-5thours

-Attrisktfortbleedingtdottotheparin

-Extremelytfatiguedtpost.

-Vitalstandtweighttbeforetandtafter

-Slighttfevertposttistnormal.tMonitor.



Describetperitonealtdialysist-tCORRECTtANSWER--
Steriletproceduretatthometwheretcathetertistplacedtintotthetabdomen

-Weartatmask

-Solutiontmaytbetwarmedtusingtatheatingtbagtortblanket,tnottmicrowave!

-Maketsuretpatienttturnstandtrepositionsttotmixtsolutiontintthetcavity



DescribetnursingtcaretfortantAVtfistula.t-tCORRECTtANSWER--Palpatetandtauscultate-tbruittandtthrill

-Distaltpulses

-ROM-thelpstformtthetfistula

-Monitortfortinfection

-Notheavytliftingtortcarrying