NUR 265 EXAM REVIEW
Most Tested Questions & Verified Answers
54 Questions | 2026 Edition
HOW TO USE THIS GUIDE
Read each question carefully before looking at the answer. Cover the answer row, attempt the question,
then verify. Pay close attention to priority keywords: FIRST, IMMEDIATELY, PRIORITY, MOST
IMPORTANT.
SECTION 1: RENAL & NEPHROLOGY
Q1 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?
✔ ANSWER: "I must protect myself from developing an infection."
Q2 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:
✔ ANSWER: Had a AAA repair 2 days ago and has a creatinine that has increased from 0.9 to 2.5
mg/dL.
Q3 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?
✔ ANSWER: A rhythm strip reading that has tall, peaked T waves.
Q4 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?
✔ ANSWER: Obtain a prescription for gentamicin peak and trough levels.
Q5 The nurse is caring for a client with CKD who is reporting muscle weakness, diarrhea, and
tingling in the hands. Which action should the nurse take first?
✔ ANSWER: Check the client's most recent serum electrolyte levels.
, Q6 The nurse is talking with a client who has CKD and has been receiving hemodialysis 3x per
week. Which of the following client statements is a priority follow-up by the nurse?
✔ ANSWER: "I try and limit my intake of dietary sodium to 5 g a day." (5 g/day is too high — limit
should be 2 g/day; requires further teaching.)
Q7 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?
✔ ANSWER: "If I develop fatigue or weakness, I should report it to my doctor."
Q8 The nurse is caring for a client who has returned from receiving hemodialysis treatment.
Which finding requires immediate follow-up by the nurse?
✔ ANSWER: The client has developed a BP of 90/58 mmHg.
Q9 The nurse is caring for an assigned client on peritoneal dialysis. Which of the following
actions should the nurse take?
✔ ANSWER: Place a mask on the client when changing the peritoneal dialysis catheter dressing.
Q10 The nurse preceptor is observing a newly hired nurse care for a client who is receiving
peritoneal dialysis. Which observation indicates correct technique?
✔ ANSWER: Positioning the client in High Fowler's during dialysis to improve dialysate drainage.
Q11 The nurse is caring for a client who has nephrotic syndrome with severe proteinuria. Which
of the following actions is appropriate for the nurse to take?
✔ ANSWER: A. Administering lisinopril. (ACE inhibitors reduce proteinuria in nephrotic syndrome.)
Most Tested Questions & Verified Answers
54 Questions | 2026 Edition
HOW TO USE THIS GUIDE
Read each question carefully before looking at the answer. Cover the answer row, attempt the question,
then verify. Pay close attention to priority keywords: FIRST, IMMEDIATELY, PRIORITY, MOST
IMPORTANT.
SECTION 1: RENAL & NEPHROLOGY
Q1 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?
✔ ANSWER: "I must protect myself from developing an infection."
Q2 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:
✔ ANSWER: Had a AAA repair 2 days ago and has a creatinine that has increased from 0.9 to 2.5
mg/dL.
Q3 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?
✔ ANSWER: A rhythm strip reading that has tall, peaked T waves.
Q4 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?
✔ ANSWER: Obtain a prescription for gentamicin peak and trough levels.
Q5 The nurse is caring for a client with CKD who is reporting muscle weakness, diarrhea, and
tingling in the hands. Which action should the nurse take first?
✔ ANSWER: Check the client's most recent serum electrolyte levels.
, Q6 The nurse is talking with a client who has CKD and has been receiving hemodialysis 3x per
week. Which of the following client statements is a priority follow-up by the nurse?
✔ ANSWER: "I try and limit my intake of dietary sodium to 5 g a day." (5 g/day is too high — limit
should be 2 g/day; requires further teaching.)
Q7 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?
✔ ANSWER: "If I develop fatigue or weakness, I should report it to my doctor."
Q8 The nurse is caring for a client who has returned from receiving hemodialysis treatment.
Which finding requires immediate follow-up by the nurse?
✔ ANSWER: The client has developed a BP of 90/58 mmHg.
Q9 The nurse is caring for an assigned client on peritoneal dialysis. Which of the following
actions should the nurse take?
✔ ANSWER: Place a mask on the client when changing the peritoneal dialysis catheter dressing.
Q10 The nurse preceptor is observing a newly hired nurse care for a client who is receiving
peritoneal dialysis. Which observation indicates correct technique?
✔ ANSWER: Positioning the client in High Fowler's during dialysis to improve dialysate drainage.
Q11 The nurse is caring for a client who has nephrotic syndrome with severe proteinuria. Which
of the following actions is appropriate for the nurse to take?
✔ ANSWER: A. Administering lisinopril. (ACE inhibitors reduce proteinuria in nephrotic syndrome.)
