Galen Advanced Medsurg Nur265 EXAM
1 2026 Questions and Answers Graded A+
AKI S/S - Correct answer-oliguria;decreased urine output; azotomia;
fluid overload signs- crackles, edema, confusion, low spO2 (88), tachycardia; Map
below 65
AKI in xray dx - Correct answer-infiltration (fluid in lungs)
AKI ABG results may read - Correct answer-respiratory alkalosis (spao2 below
88%)
example of pre renal AKI - Correct answer-dehydration, blood loss, decreased
cardiac output, heart failure; infection; NG suction, sepsis, V/D
Example of intra renal AKI - Correct answer-myoglobinuria,BPH, tubular necrosis,
nephrotoxocity; acute polynephtiits, contrast
Example of post renal AKI - Correct answer-bladder neck obstruction, bladder
cancer; calculi; tumor
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,Duiretic phase (3rd phase) of AKI - Correct answer-Nurse should give 3L-6L per
day; place Foley
Asses I and O (output=1000-2000mL/day)
replace fluids and monitor electrolyes
dialysis may be required
Best Lab indicator of Kindey function (AKI and CKD) - Correct answer-creatine
(Normal 0.6-1.2)
AKI increased 1-2 every 24-48hrs
Normal urine output per hour - Correct answer-30 mL/hr
normal potassium levels - Correct answer-3.5-5.0 mEq/L
Normal Sodium levels - Correct answer-135-145 mEq/L
Diet for AKI patients - Correct answer-mod protein
high carb
Complication of AKI - Correct answer-Preicarditis
Nephrotoxic agents include - Correct answer-contrast
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, mycin antibitics (peak and trough)
NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon)
Diet : AKI patient w/ dialysis - Correct answer-protein 40 g/day
diet:AKI patient without dialysis - Correct answer-protein 1-1.5g/kg
Na 60-90 mEq/kg
K restriction 60-70 mEq/kg
Define oliguria - Correct answer-decreased urine production
400mL/day or less
How many stages of Kidney failure are there? - Correct answer-5 stages ( defined
by GFR)
stage 1 (GFR 90 and up)
Stage 5 (GFR 15 or less)
signs of Chronic Kidney Disease - Correct answer-oliguria, anemia, azotomia,
hyperkalemia
Diet for Chronic kidney disease - Correct answer-restrict K, restrict NA, low
protein
best food apples
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1 2026 Questions and Answers Graded A+
AKI S/S - Correct answer-oliguria;decreased urine output; azotomia;
fluid overload signs- crackles, edema, confusion, low spO2 (88), tachycardia; Map
below 65
AKI in xray dx - Correct answer-infiltration (fluid in lungs)
AKI ABG results may read - Correct answer-respiratory alkalosis (spao2 below
88%)
example of pre renal AKI - Correct answer-dehydration, blood loss, decreased
cardiac output, heart failure; infection; NG suction, sepsis, V/D
Example of intra renal AKI - Correct answer-myoglobinuria,BPH, tubular necrosis,
nephrotoxocity; acute polynephtiits, contrast
Example of post renal AKI - Correct answer-bladder neck obstruction, bladder
cancer; calculi; tumor
©COPYRIGHT 2025,ALL RIGHTS RESERVED 1
,Duiretic phase (3rd phase) of AKI - Correct answer-Nurse should give 3L-6L per
day; place Foley
Asses I and O (output=1000-2000mL/day)
replace fluids and monitor electrolyes
dialysis may be required
Best Lab indicator of Kindey function (AKI and CKD) - Correct answer-creatine
(Normal 0.6-1.2)
AKI increased 1-2 every 24-48hrs
Normal urine output per hour - Correct answer-30 mL/hr
normal potassium levels - Correct answer-3.5-5.0 mEq/L
Normal Sodium levels - Correct answer-135-145 mEq/L
Diet for AKI patients - Correct answer-mod protein
high carb
Complication of AKI - Correct answer-Preicarditis
Nephrotoxic agents include - Correct answer-contrast
©COPYRIGHT 2025,ALL RIGHTS RESERVED 2
, mycin antibitics (peak and trough)
NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon)
Diet : AKI patient w/ dialysis - Correct answer-protein 40 g/day
diet:AKI patient without dialysis - Correct answer-protein 1-1.5g/kg
Na 60-90 mEq/kg
K restriction 60-70 mEq/kg
Define oliguria - Correct answer-decreased urine production
400mL/day or less
How many stages of Kidney failure are there? - Correct answer-5 stages ( defined
by GFR)
stage 1 (GFR 90 and up)
Stage 5 (GFR 15 or less)
signs of Chronic Kidney Disease - Correct answer-oliguria, anemia, azotomia,
hyperkalemia
Diet for Chronic kidney disease - Correct answer-restrict K, restrict NA, low
protein
best food apples
©COPYRIGHT 2025,ALL RIGHTS RESERVED 3
