Acute Renal Failure NCLEX Questions
1. Which of the following clients is at
greatest risk for developing acute renal failure? Select all that apply.
A. A client who has been diagnosed with
renal artery occlusion
B. A client with has been diagnosed with
diabetes insipidus
C. A client who has been diagnosed with hypertension
D. A client who has been diagnosed with
diabetes mellitus
E.
A
client who has been diagnosed with gestational diabetes
2. Which of the following is not a
recommended intervention for the treatment of acute renal failure?
A. Polystyrene sulfonate (Kayexalate) to
lower potassium levels as prescribed
B. Multiple doses of Vancomycin to treat
underlying infections
C. Low sodium diet to reduce fluid
levels
D. Dopamine to promote renal perfusion
3. A client with a potassium level of 6
mEq/dL due to acute renal failure is complaining of chest pain. The nurse does
an EKG and expects to see which of the following on the rhythm strip?
A. Short T waves
B. A narrow QRS complex
C. A widened QRS complex
D. Flat U waves
4. The client with acute renal failure
may also experience high levels of serum phosphorus levels. The nurse
anticipates which of the following medication to be given?
A. An aluminum hydroxide preparation
B. A colyte preparation
C. An estradiol preparation
D. An allopurinol preparation
5. A nurse is caring for a client who just
returned to the progressive care unit after an intravenous pyelogram (IVP). The
nurse understands that which of the following is important in the post procedure
care of this client?
A. Maintaining strict bed rest for 2-3
hours
B. Elevating head of bed no more than 30
degrees
C. Increasing oral fluid intake
D. Obtaining an order for an indwelling
urinary catheter
Answers:
1. A,C,D 2. B-VANCO is nephrotoxic 3. C- Know the changes for high K+ 4.
A 5.C-flushing out dye is most
important
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