NUR 265 – EXAM 1 m8 m8 m8 m8
FULL 50-QUESTION NCLEX-STYLE MOCK
m8 m8 m8
Advanced Med-Surg | High Difficulty
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RENAL / ELIMINATION m8 m8
Q1
A patient with acute kidney injury is being closely monitored. Which finding suggests worsening
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renal function?
m8 m8
A. Increased urine output m8 m8
B. Decreasing creatinine m8
C. Rising BUN and potassium
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D. Mild fatigue m8
Answer: C m8
Q2
Which assessment finding in AKI requires immediate intervention?
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A. Oliguria
B. Metabolic acidosis m8
C. Hyperkalemia with peaked T waves m8 m8 m8 m8
D. Elevated creatinine m8
Answer: C m8
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,Q3
A trauma patient with AKI begins producing large amounts of urine after 48 hours of oliguria.
m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8
How should the nurse interpret this?
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A. Acute worsening
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B. Expected recovery phase
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, C. Fluid overload
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D. Onset of chronic kidney disease
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Answer: B m8
Q4
Which electrolyte imbalance places a patient with renal failure at the highest risk for cardiac
m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8
dysrhythmias?
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A. Hyponatremia
B. Hyperkalemia
C. Hypocalcemia
D. Hyperphosphatemia
Answer: B m8
Q5
Which nursing intervention is appropriate for a patient with chronic kidney disease?
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A. High-protein diet m8
B. Salt substitute use
m8 m8
C. Moderate protein intake m8 m8
D. Potassium supplementation m8
Answer: C m8
Q6
A patient with CKD reports muscle weakness and palpitations. Which lab result does the nurse
m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8
anticipate?
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A. Sodium 150 mEq/L m8 m8
B. Potassium 6.1 mEq/L m8 m8
C. Calcium 11.2 mg/dL m8 m8
D. Hemoglobin 16 g/dL m8 m8
Answer: B m8
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FULL 50-QUESTION NCLEX-STYLE MOCK
m8 m8 m8
Advanced Med-Surg | High Difficulty
m8 m8 m8 m8
RENAL / ELIMINATION m8 m8
Q1
A patient with acute kidney injury is being closely monitored. Which finding suggests worsening
m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8
renal function?
m8 m8
A. Increased urine output m8 m8
B. Decreasing creatinine m8
C. Rising BUN and potassium
m8 m8 m8
D. Mild fatigue m8
Answer: C m8
Q2
Which assessment finding in AKI requires immediate intervention?
m8 m8 m8 m8 m8 m8 m8
A. Oliguria
B. Metabolic acidosis m8
C. Hyperkalemia with peaked T waves m8 m8 m8 m8
D. Elevated creatinine m8
Answer: C m8
messages.downloaded_by
,Q3
A trauma patient with AKI begins producing large amounts of urine after 48 hours of oliguria.
m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8
How should the nurse interpret this?
m8 m8 m8 m8 m8 m8
A. Acute worsening
m8
B. Expected recovery phase
m8 m8
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, C. Fluid overload
m8
D. Onset of chronic kidney disease
m8 m8 m8 m8
Answer: B m8
Q4
Which electrolyte imbalance places a patient with renal failure at the highest risk for cardiac
m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8
dysrhythmias?
m8
A. Hyponatremia
B. Hyperkalemia
C. Hypocalcemia
D. Hyperphosphatemia
Answer: B m8
Q5
Which nursing intervention is appropriate for a patient with chronic kidney disease?
m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8
A. High-protein diet m8
B. Salt substitute use
m8 m8
C. Moderate protein intake m8 m8
D. Potassium supplementation m8
Answer: C m8
Q6
A patient with CKD reports muscle weakness and palpitations. Which lab result does the nurse
m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8 m8
anticipate?
m8
A. Sodium 150 mEq/L m8 m8
B. Potassium 6.1 mEq/L m8 m8
C. Calcium 11.2 mg/dL m8 m8
D. Hemoglobin 16 g/dL m8 m8
Answer: B m8
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