Chronic Kidney Disease NCLEX Questions

Chronic Kidney Disease NCLEX Questions ScienceMedicineNursing Jenrea1 Save

CHRONIC KIDNEY DISEASE (CKD) ...

20 terms LontananzaPreview Ch. 5 Hemodynamics NCLEX Questi...30 terms kimnunez2022 Preview Calculations & Pulmonary Function 28 terms kayla_auxierPreview chronic 30 terms tay The nurse knows which of the following body systems is responsible for the production of erythropoietin?

• Urinary system
• Cardiovascular system
• Lymphatic system
• Endocrine system
• Urinary system

The nurse is reading a health care provider's (HCP) progress notes in the client's record and reads that the HCP has documented "insensible fluid loss of approximately 800ml daily." The nurse makes a notation that insensible fluid loss occurs through which type of excretion?

• Urinary output
• Wound drainage
• Integumentary output
• The gastrointestinal tract
• Integumentary output

On review of the clients' medical records, the nurse determines that which client is at risk for fluid volume excess?

• The client taking diuretics and has tenting of the skin
• The client with an ileostomy from a recent abdominal surgery
• The client who requires intermittent gastrointestinal suctioning
• The client with kidney disease and a 12-year-old history of diabetes
• The client with kidney disease and a 12-year-old history of diabetes mellitus

The nurse is developing a nursing care plan for the client diagnosed with CKD. Which nursing problem is priority for the client?

• Low self-esteem
• Knowledge deficit
• Activity intolerance
• Excess fluid volume
• Excess fluid volume

During the nursing assessment of the patient with renal insufficiency, the nurse asks the patient specifically about the history of:

• Angina.
• Asthma.
• Hypertension.
• Rheumatoid arthritis.
• Hypertension

A 56-year-old woman with type 2 diabetes mellitus and chronic kidney disease has a serum potassium level of 6.8 mEq/L. The nurse should

assess the patient for:

• Fatigue
• Flank tenderness
• Cardiac dysrhythmias
• Elevated triglycerides
• Cardiac dysrhythmias

What is the most serious electrolyte disorder associated with kidney disease?

• Hypocalcemia
• Hyperkalemia
• Hyponatremia
• Hypermagnesemia
• Hyperkalemia

The nurse is reviewing the medication list and appropriate dose adjustments made for a patient with CKD. The nurse would question the use and/or dosage adjustment of which type of medication?

• Antibiotics
• Magnesium antacids
• Oral antidiabetics
• Opioids
• Magnesium antacids

The nurse is assessing a client with a suspected diagnosis of hypocalcemia. Which clinical manifestation would the nurse expect to note in the client?

• Twitching
• Hypoactive bowel sounds
• Negative Trousseau's sign
• Hypoactive deep tendon reflexes
• Twitching

The nurse is caring for the client diagnosed with chronic kidney disease (CKD) who is experiencing metabolic acidosis. Which statement best describes the scientific rationale for metabolic acidosis in the client?

• There is an increased excretion of phosphate and organ acids, which leads to an increases in arterial blood pH.
• A shortened life span of red blood cells because of damage secondary to dialysis
• The kidney cannot excrete increased levels of acid because they cannot excrete ammonia or cannot reabsorb sodium bicarbonate
• An increase in nausea and vomiting causes a loss of hydrochloric acid and the respiratory system cannot compensate adequately
• The kidney cannot excrete increased levels of acid because they cannot excrete ammonia or cannot reabsorb sodium bicarbonate.

In replying to a patient's questions about the seriousness of her chronic kidney disease (CKD), the nurse knows that the stage of CKD is based on what?

• Total daily urine output
• Glomerular filtration rate
• Degree of altered mental status
• Serum creatinine and urea levels
• Glomerular filtration rate

The nurse is taking a history on a patient with diabetes and hypertension. Because of the patient's high risk for developing kidney problems, which early sign of chronic kidney disease (CKD) does the nurse assess first?

• Decreased output with subjective thirst
• Urinary frequency of very small amounts
• Pink or blood-tinged urine
• Increased output of very dilute urine
• Increased output of very dilute urine

The nurse identifies that a patient with CKD is at risk for fractures because of alterations in calcium and phosphorus metabolism. What is the pathologic process directly related to the increased risk of fractures? Number the processes beginning with 1 and ending with 6.

• Bone remodeling causes weakened bone matrix
• Bone demineralization for calcium and phosphate release
• Decalcification of the bone and replacement of bone tissue with fibrous tissue
• Impaired vitamin D activation resulting in decreased GI absorption of calcium
• Increased release of parathyroid hormone in response to decreased calcium levels
• Hyperphosphatemia decreases serum calcium levels and reduces kidney's vitamin D activation
• ) Impaired vitamin D activation resulting in decreased GI absorption of calcium

2) Increased release of parathyroid hormone in response to decreased calcium levels 3) Bone demineralization for calcium and phosphate release 4) Hyperphosphatemia decreases serum calcium levels and reduces kidney's vitamin D activation 5) Bone remodeling causes weakened bone matrix 6) Decalcification of the bone and replacement of bone tissue with fibrous tissue What causes the gastrointestinal (GI) manifestation of stomatitis in the patient with CKD?

• High serum sodium levels
• Irritation of the GI tract from creatinine
• Increased ammonia from bacterial breakdown of urea
• Iron salts, calcium-binders, and limited fluid intake
• Increased ammonia from bacterial breakdown of urea

The patient with CKD is brought to the emergency department with Kussmaul respirations. What does the nurse know about CKD that could cause this patient's Kussmaul respirations?

• Uremic pleuritis is occurring.
• There is decreased pulmonary macrophage activity.
• They are caused by respiratory compensation for metabolic acidosis.
• Pulmonary edema from heart failure and fluid overload is occurring.
• They are caused by respiratory compensation for metabolic acidosis.

A 52-year-old man with stage 2 chronic kidney disease is scheduled for an outpatient diagnostic procedure using contrast media. Which action should the nurse take?

• Assess skin turgor to determine hydration status
• Insert a urinary catheter for the expected diuresis
• Evaluate the patient's lower extremities for edema.
• Check the patient's urine for ketones
• Assess skin turgor to determine hydration status