NUR 265 – EXAM 1 b7 b7 b7 b7
FULL 50-QUESTION NCLEX-STYLE MOCK b7 b7 b7
Advanced Med-Surg | High Difficulty b7 b7 b7 b7
RENAL / ELIMINATION b7 b7
Q1
A patient with acute kidney injury is being closely monitored. Which finding suggests worsening
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
renal function?
b7 b7
A. Increased urine output b7 b7
B. Decreasing creatinine b7
C. Rising BUN and potassium b7 b7 b7
D. Mild fatigue b7
Answer: C b7
Q2
Which assessment finding in AKI requires immediate intervention?
b7 b7 b7 b7 b7 b7 b7
A. Oliguria
B. Metabolic acidosis b7
C. Hyperkalemia with peaked T waves b7 b7 b7 b7
D. Elevated creatinine b7
Answer: C b7
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,Q3
A trauma patient with AKI begins producing large amounts of urine after 48 hours of oliguria. How
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
should the nurse interpret this?
b7 b7 b7 b7 b7
A. Acute worsening
b7
B. Expected recovery phase
b7 b7
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, C. Fluid overload
b7
D. Onset of chronic kidney disease
b7 b7 b7 b7
Answer: B b7
Q4
Which electrolyte imbalance places a patient with renal failure at the highest risk for cardiac
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
dysrhythmias?
b7
A. Hyponatremia
B. Hyperkalemia
C. Hypocalcemia
D. Hyperphosphatemia
Answer: B b7
Q5
Which nursing intervention is appropriate for a patient with chronic kidney disease?
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
A. High-protein diet b7
B. Salt substitute use
b7 b7
C. Moderate protein intake b7 b7
D. Potassium supplementation b7
Answer: C b7
Q6
A patient with CKD reports muscle weakness and palpitations. Which lab result does the nurse
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
anticipate?
b7
A. Sodium 150 mEq/L b7 b7
B. Potassium 6.1 mEq/L b7 b7
C. Calcium 11.2 mg/dL b7 b7
D. Hemoglobin 16 g/dL b7 b7
Answer: B b7
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FULL 50-QUESTION NCLEX-STYLE MOCK b7 b7 b7
Advanced Med-Surg | High Difficulty b7 b7 b7 b7
RENAL / ELIMINATION b7 b7
Q1
A patient with acute kidney injury is being closely monitored. Which finding suggests worsening
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
renal function?
b7 b7
A. Increased urine output b7 b7
B. Decreasing creatinine b7
C. Rising BUN and potassium b7 b7 b7
D. Mild fatigue b7
Answer: C b7
Q2
Which assessment finding in AKI requires immediate intervention?
b7 b7 b7 b7 b7 b7 b7
A. Oliguria
B. Metabolic acidosis b7
C. Hyperkalemia with peaked T waves b7 b7 b7 b7
D. Elevated creatinine b7
Answer: C b7
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,Q3
A trauma patient with AKI begins producing large amounts of urine after 48 hours of oliguria. How
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
should the nurse interpret this?
b7 b7 b7 b7 b7
A. Acute worsening
b7
B. Expected recovery phase
b7 b7
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, C. Fluid overload
b7
D. Onset of chronic kidney disease
b7 b7 b7 b7
Answer: B b7
Q4
Which electrolyte imbalance places a patient with renal failure at the highest risk for cardiac
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
dysrhythmias?
b7
A. Hyponatremia
B. Hyperkalemia
C. Hypocalcemia
D. Hyperphosphatemia
Answer: B b7
Q5
Which nursing intervention is appropriate for a patient with chronic kidney disease?
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
A. High-protein diet b7
B. Salt substitute use
b7 b7
C. Moderate protein intake b7 b7
D. Potassium supplementation b7
Answer: C b7
Q6
A patient with CKD reports muscle weakness and palpitations. Which lab result does the nurse
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
anticipate?
b7
A. Sodium 150 mEq/L b7 b7
B. Potassium 6.1 mEq/L b7 b7
C. Calcium 11.2 mg/dL b7 b7
D. Hemoglobin 16 g/dL b7 b7
Answer: B b7
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