ATI Renal Exam 1 Practice Questions
A075507year07old07male07patient07is07diagnosed07with07chronic07kidney07disease.07The07
patient's07recent07GFR07was072507mL/min.07What07stage07of07chronic07kidney07disease0
7is07this07known07as?
07A.07Stage071
07B.07Stage073
07C.07Stage074
07D.07Stage07507-07C.07Stage074
A07patient07with07CKD07has07a07low07erythropoietin07(EPO)07level.07The07patient07is07at07r
isk07for?
07A.07Hypercalcemia
07B.07Anemia
07C.07Blood07clots
07D.07Hyperkalemia07-07B.07Anemia
A076507year07old07male07patient07has07a07glomerular07filtration07rate07of075507mL/min.07T
he07patient07has07a07history07of07uncontrolled07hypertension07and07coronary07artery07di
sease.07You're07assessing07the07new07medication07orders07received07for07this07patient.
07Which07medication07ordered07by07the07physician07will07help07treat07the07patient's07hyp
ertension07along07with07providing07a07protective07mechanism07to07the07kidneys?
07A.07Lisinopril
07B.07Metoprolol
07C.07Amlodipine
07D.07Verapamil07-07A.07Lisinopril
Which07patient07below07is07NOT07at07risk07for07developing07chronic07kidney07disease?
07A.07A075807year07old07female07with07uncontrolled07hypertension.
07B.07A076907year07old07male07with07diabetes07mellitus.
07C.07A074507year07old07female07with07polycystic07ovarian07disease.
07D.07A077807year07old07female07with07an07intrarenal07injury.07-
07C.07A074507year07old07female07with07polycystic07ovarian07disease.
A07patient07with07Stage07507CKD07is07experiencing07extreme07pruritus07and07has07sever
al07areas07of07crystallized07white07deposits07on07the07skin.07As07the07nurse,07you07know0
7this07is07due07to07excessive07amounts07of07what07substance07found07in07the07blood?
07A.07Calcium
07B.07Urea
07C.07Phosphate
07D.07Erythropoietin07-07B.07Urea
Your07patient07with07chronic07kidney07disease07is07scheduled07for07dialysis07in07the07mor
ning.07While07examining07the07patient's07telemetry07strip,07you07note07tall07peaked07T-
waves.07You07notify07the07physician07who07orders07a07STAT07basic07metabolic07panel07(
BMP).07What07result07from07the07BMP07confirms07the07EKG07abnormality?
07A.07Phosphate073.207mg/dL
, 07B.07Calcium079.307mg/dL
07C.07Magnesium072.207mg/dL
07D.07Potassium077.107mEq/L07-07D.07Potassium077.107mEq/L
You07are07providing07education07to07a07patient07with07CKD07about07calcium07ace
tate.07Which07statement07by07the07patient07demonstrates07they07understood07yo
ur07teaching07about07this07medication?07Select-all-that-apply:
07A.07"This07medication07will07help07keep07my07calcium07level07normal."
07B.07"I07will07take07this07medication07with07meals07or07immediately07after."
07C.07"It07is07important07I07consume07high07amounts07of07oatmeal,07poultry,07fish,07and07d
airy07products07while07taking07this07medication."
07D.07"This07medication07will07help07prevent07my07phosphate07level07from07increasing."07-
07B.07"I07will07take07this07medication07with07meals07or07immediately07after."
07D.07"This07medication07will07help07prevent07my07phosphate07level07from07increasing."
While07assessing07morning07labs07on07your07patient07with07CKD.07You07note07the07patie
nt's07phosphate07level07is076.207mg/dL.07As07the07nurse,07you07expect07to07find07the07calc
ium07level07to07be?
07A.07Elevated
07B.07Low
07C.07Normal
07D.07Same07as07the07phosphate07level07-07B.07Low
A07patient07with07stage07407chronic07kidney07disease07asks07what07type07of07diet07they07s
hould07follow.07You07explain07the07patient07should07follow07a:
07A.07Low07protein,07low07sodium,07low07potassium,07low07phosphate07diet
07B.07High07protein,07low07sodium,07low07potassium,07high07phosphate07diet
07C.07Low07protein,07high07sodium,07high07potassium,07high07phosphate07diet
07D.07Low07protein,07low07sodium,07low07potassium,07high07phosphate07diet07-
07A.07Low07protein,07low07sodium,07low07potassium,07low07phosphate07diet
The07kidneys07are07responsible07for07performing07all07the07following07functions07EXCEPT
?
07A.07Activating07Vitamin07D
07B.07Secreting07Renin
07C.07Secreting07Erythropoietin
07D.07Maintaining07cortisol07production07-07D.07Maintaining07cortisol07production
is07solely07filtered07from07the07bloodstream07via07the07glomerulus07an
d07is07NOT07reabsorbed07back07into07the07bloodstream07but07is07excreted07through07th
e07urine.
A.07Urea
B.07Creatinine
C.07Potassium
D.07Magnesium07-07B.07Creatinine
A07patient07with07acute07renal07injury07has07a07GFR07(glomerular07filtration07rate)07of0740
07mL/min.07Which07signs07and07symptoms07below07may07this07patient07present07with?07S
elect07all07that07apply:
A.07Hypervolemia
A075507year07old07male07patient07is07diagnosed07with07chronic07kidney07disease.07The07
patient's07recent07GFR07was072507mL/min.07What07stage07of07chronic07kidney07disease0
7is07this07known07as?
07A.07Stage071
07B.07Stage073
07C.07Stage074
07D.07Stage07507-07C.07Stage074
A07patient07with07CKD07has07a07low07erythropoietin07(EPO)07level.07The07patient07is07at07r
isk07for?
07A.07Hypercalcemia
07B.07Anemia
07C.07Blood07clots
07D.07Hyperkalemia07-07B.07Anemia
A076507year07old07male07patient07has07a07glomerular07filtration07rate07of075507mL/min.07T
he07patient07has07a07history07of07uncontrolled07hypertension07and07coronary07artery07di
sease.07You're07assessing07the07new07medication07orders07received07for07this07patient.
07Which07medication07ordered07by07the07physician07will07help07treat07the07patient's07hyp
ertension07along07with07providing07a07protective07mechanism07to07the07kidneys?
07A.07Lisinopril
07B.07Metoprolol
07C.07Amlodipine
07D.07Verapamil07-07A.07Lisinopril
Which07patient07below07is07NOT07at07risk07for07developing07chronic07kidney07disease?
07A.07A075807year07old07female07with07uncontrolled07hypertension.
07B.07A076907year07old07male07with07diabetes07mellitus.
07C.07A074507year07old07female07with07polycystic07ovarian07disease.
07D.07A077807year07old07female07with07an07intrarenal07injury.07-
07C.07A074507year07old07female07with07polycystic07ovarian07disease.
A07patient07with07Stage07507CKD07is07experiencing07extreme07pruritus07and07has07sever
al07areas07of07crystallized07white07deposits07on07the07skin.07As07the07nurse,07you07know0
7this07is07due07to07excessive07amounts07of07what07substance07found07in07the07blood?
07A.07Calcium
07B.07Urea
07C.07Phosphate
07D.07Erythropoietin07-07B.07Urea
Your07patient07with07chronic07kidney07disease07is07scheduled07for07dialysis07in07the07mor
ning.07While07examining07the07patient's07telemetry07strip,07you07note07tall07peaked07T-
waves.07You07notify07the07physician07who07orders07a07STAT07basic07metabolic07panel07(
BMP).07What07result07from07the07BMP07confirms07the07EKG07abnormality?
07A.07Phosphate073.207mg/dL
, 07B.07Calcium079.307mg/dL
07C.07Magnesium072.207mg/dL
07D.07Potassium077.107mEq/L07-07D.07Potassium077.107mEq/L
You07are07providing07education07to07a07patient07with07CKD07about07calcium07ace
tate.07Which07statement07by07the07patient07demonstrates07they07understood07yo
ur07teaching07about07this07medication?07Select-all-that-apply:
07A.07"This07medication07will07help07keep07my07calcium07level07normal."
07B.07"I07will07take07this07medication07with07meals07or07immediately07after."
07C.07"It07is07important07I07consume07high07amounts07of07oatmeal,07poultry,07fish,07and07d
airy07products07while07taking07this07medication."
07D.07"This07medication07will07help07prevent07my07phosphate07level07from07increasing."07-
07B.07"I07will07take07this07medication07with07meals07or07immediately07after."
07D.07"This07medication07will07help07prevent07my07phosphate07level07from07increasing."
While07assessing07morning07labs07on07your07patient07with07CKD.07You07note07the07patie
nt's07phosphate07level07is076.207mg/dL.07As07the07nurse,07you07expect07to07find07the07calc
ium07level07to07be?
07A.07Elevated
07B.07Low
07C.07Normal
07D.07Same07as07the07phosphate07level07-07B.07Low
A07patient07with07stage07407chronic07kidney07disease07asks07what07type07of07diet07they07s
hould07follow.07You07explain07the07patient07should07follow07a:
07A.07Low07protein,07low07sodium,07low07potassium,07low07phosphate07diet
07B.07High07protein,07low07sodium,07low07potassium,07high07phosphate07diet
07C.07Low07protein,07high07sodium,07high07potassium,07high07phosphate07diet
07D.07Low07protein,07low07sodium,07low07potassium,07high07phosphate07diet07-
07A.07Low07protein,07low07sodium,07low07potassium,07low07phosphate07diet
The07kidneys07are07responsible07for07performing07all07the07following07functions07EXCEPT
?
07A.07Activating07Vitamin07D
07B.07Secreting07Renin
07C.07Secreting07Erythropoietin
07D.07Maintaining07cortisol07production07-07D.07Maintaining07cortisol07production
is07solely07filtered07from07the07bloodstream07via07the07glomerulus07an
d07is07NOT07reabsorbed07back07into07the07bloodstream07but07is07excreted07through07th
e07urine.
A.07Urea
B.07Creatinine
C.07Potassium
D.07Magnesium07-07B.07Creatinine
A07patient07with07acute07renal07injury07has07a07GFR07(glomerular07filtration07rate)07of0740
07mL/min.07Which07signs07and07symptoms07below07may07this07patient07present07with?07S
elect07all07that07apply:
A.07Hypervolemia
