Urinary System

Acute and Chronic Renal Failure Practice Questions

20 free Acute and Chronic Renal Failure practice questions for the NCLEX Exam, each with the correct answer and a detailed explanation. Open any question below, or take the full set as an interactive quiz.

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All Acute and Chronic Renal Failure questions

20 questions
  1. Q1. What intervention should the nurse expect to perform first for a client with acute renal failure and serum potassium of 6.8 mEq/L?
  2. Q2. In chronic kidney disease (CKD), which laboratory value improves when a patient is prescribed erythropoietin?
  3. Q3. What clinical finding is most characteristic of acute tubular necrosis (ATN)?
  4. Q4. Which condition is a common cause of prerenal acute kidney injury (AKI)?
  5. Q5. What dietary instruction should be given to a client with chronic renal failure?
  6. Q6. During the oliguric phase of acute renal failure, what complication should the nurse closely monitor for?
  7. Q7. A client with end-stage renal disease (ESRD) reports muscle cramps during hemodialysis. What is the likely cause?
  8. Q8. Which lab result indicates the most significant improvement in kidney function in a patient with AKI?
  9. Q9. What order should the nurse question for a patient in end-stage renal disease?
  10. Q10. A client in acute renal failure is placed on a fluid restriction of 600 mL/day. What is the best nursing rationale for this order?
  11. Q11. Which statement by a patient with chronic kidney disease indicates a need for further teaching?
  12. Q12. A patient with chronic renal failure has an elevated parathyroid hormone (PTH) level primarily due to which factor?
  13. Q13. What should the nurse's first action be upon noting a patient’s urine output of 100 mL in 8 hours?
  14. Q14. What is the main goal in managing acute glomerulonephritis?
  15. Q15. Which symptom suggests uremic encephalopathy in chronic renal failure?
  16. Q16. In advanced renal failure, which acid-base imbalance is anticipated?
  17. Q17. What electrocardiogram (ECG) finding is expected in chronic renal failure due to electrolyte imbalance?
  18. Q18. Which intervention best helps prevent infection in a patient with a peritoneal dialysis catheter?
  19. Q19. How does the nurse evaluate the effectiveness of furosemide for a client with acute renal failure?
  20. Q20. In a patient with end-stage renal disease (ESRD) prescribed aluminum hydroxide, what is the purpose of this drug?