ARF FINAL TEST PREPARATION EXAM SCRIPT COMPLETE SOLVED QUESTIONS

ARF FINAL TEST PREPARATION EXAM SCRIPT
COMPLETE SOLVED QUESTIONS




◉ A patient is admitted with severe dehydration and hypotension.
Urine output is 200 mL in 24 hours. Which type of ARF is most
likely?


A. Intrarenal
B. Postrenal
C. Prerenal
D. Chronic renal failure. Answer: C. Prerenal


◉ A patient in the oliguric phase of ARF is at highest risk for which
life-threatening condition?


A. Hypokalemia
B. Metabolic alkalosis
C. Hyperkalemia
D. Hypophosphatemia. Answer: C. Hyperkalemia


◉ A patient with ARF has serum potassium of 6.8 mEq/L and peaked
T waves on ECG. What is the priority intervention?

, A. Start hemodialysis
B. Give IV calcium gluconate
C. Administer Kayexalate
D. Restrict fluids. Answer: B. Give IV calcium gluconate


◉ A patient with suspected postrenal ARF suddenly develops severe
flank pain and hematuria. What is the most likely cause?
A. Burns
B. Kidney stones
C. Heart failure
D. Dehydration. Answer: B. Kidney stones


◉ A nurse reviews the chart of a patient who developed ARF after
receiving IV contrast. Which type of ARF is this?
A. Prerenal
B. Intrarenal
C. Postrenal
D. Chronic renal injury. Answer: B. Intrarenal


◉ A patient is in the diuretic phase of ARF. Which assessment
requires immediate attention?


A. Urine output of 4 L/dayB.