Acute Kidney Injury (AKI)

1. Which nursing diagnosis might you expect to see in the care plan for a patient
with venous access for renal replacement therapy (RRT)?

Learner Response: Activity intolerance

Correct Answer: Risk for infection
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2. Which assessment should you prioritize when caring for a patient with AKI and
heart disease whom you suspect is suffering from fluid overload?

Learner Response: Urine specific gravity

Correct Answer: Auscultate the posterior lung fields.
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3. True or False: Treatment for AKI is uniform, regardless of the cause.

Learner Response: True

Correct Answer: False
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4. Which of the following findings is a sign of “steal syndrome”?

Learner Response: Bounding pulse

Correct Answer: Blue fingers
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5. Which part of the kidney acts as the urine collection system and directs urine
towards the ureters?

Learner Response: Cortex

Correct Answer: Calyx
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6. What value should you use to calculate expected urine output?

Learner Response: 0.5 mL/kg/hr

Correct Answer: 0.5 mL/kg/hr
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7. True or False: The practice of using dopamine to improve kidney function is
evidence-based.

Learner Response: False

Correct Answer: False
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8. Which patient is MOST likely to require renal replacement therapy (RRT)?

Learner Response: A 100-kg patient with a urine output of 1300 mL over 6 hours.
Correct Answer: A patient with peaked T waves and a serum potassium of 6.7 mEq/L.
Feedback:
9. Which procedure puts patients at risk for AKI, due to the use of contrast media?

Learner Response: Chemotherapy

Correct Answer: Cardiac catheterization
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10. What additional order do you expect from a provider who has ordered the
administration of regular insulin for a patient experiencing severe hyperkalemia?

Learner Response: Potassium chloride piggyback

Correct Answer: Intravenous dextrose
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11. Which of the following medications is nephrotoxic?
Learner Response: Allopurinol
Correct Answer: Ibuprofen
Feedback:

1. What order does the nurse expect to receive for a patient with AKI who has been
transferred to the telemetry unit for cardiac monitoring related to electrolyte
abnormalities?

Learner Response: Urine specific gravity

Correct Answer: 12-lead ECG
Feedback:
2. Which nursing diagnosis might you expect to see in the care plan for a patient
with venous access for renal replacement therapy (RRT)?

Learner Response: Activity intolerance

Correct Answer: Risk for infection
Feedback:
3. What is a significant difference between hemodialysis and CRRT?

Learner Response: Hemodialysis is performed in the intensive care unit.

Correct Answer: CRRT is continuous
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4. In older adults, which of the following is most associated with rhabdomyolysis
that causes AKI?

Learner Response: Hypertension

Correct Answer: Falls
Feedback:
5. Which assessment should you prioritize when caring for a patient with AKI and
heart disease whom you suspect is suffering from fluid overload?

Learner Response: Urine specific gravity

Correct Answer: Auscultate the posterior lung fields.
Feedback:
6. Which of the following medications is nephrotoxic?

Learner Response: Allopurinol

Correct Answer: Ibuprofen
Feedback:
7. True or False: The practice of using dopamine to improve kidney function is
evidence-based.

Learner Response: False

Correct Answer: False
Feedback:
8. Which part of the kidney is responsible for the resorption and secretion of
electrolytes?

Learner Response: Renal vessels

Correct Answer: Nephron
Feedback:
9. What value should you use to calculate expected urine output?

Learner Response: 50 mL/kg/hr

Correct Answer: 0.5 mL/kg/hr
Feedback:
10. What additional order do you expect from a provider who has ordered the
administration of regular insulin for a patient experiencing severe hyperkalemia?
Learner Response: Potassium chloride piggyback
Correct Answer: Intravenous dextrose
Feedback:
11. Which of the following is a sign or symptom of uremia?

Learner Response: Hypovolemia

Correct Answer: Platelet dysfunction
Feedback:

1. Which lab value would you expect to see ordered by the provider to evaluate a
patient for rhabdomyolysis?

Learner Response: Creatinine

Correct Answer: Creatinine kinase (CK)
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2. Which patient is MOST likely to require renal replacement therapy (RRT)?

Learner Response: A patient with peaked T waves and a serum potassium of 6.7 mEq/L.
Correct Answer: A patient with peaked T waves and a serum potassium of 6.7 mEq/L.
Feedback:
3. Which of the following findings is a sign of “steal syndrome”?

Learner Response: Blue fingers

Correct Answer: Blue fingers
Feedback:
4. In older adults, which of the following is most associated with rhabdomyolysis
that causes AKI?

Learner Response: Falls

Correct Answer: Falls
Feedback:
5. True or False: Treatment for AKI is uniform, regardless of the cause.

Learner Response: False

Correct Answer: False
Feedback:
6. True or False: The practice of using dopamine to improve kidney function is
evidence-based.

Learner Response: False

Correct Answer: False
Feedback:
7. Which part of the kidney is responsible for the resorption and secretion of
electrolytes?

Learner Response: Nephron

Correct Answer: Nephron
Feedback:
8. What is the ideal strategy for addressing AKI in acute care?

Learner Response: Prevention

Correct Answer: Prevention
Feedback:
9. What value should you use to calculate expected urine output?

Learner Response: 0.5 mL/kg/hr

Correct Answer: 0.5 mL/kg/hr
Feedback:
10. What additional order do you expect from a provider who has ordered the
administration of regular insulin for a patient experiencing severe hyperkalemia?

Learner Response: Intravenous dextrose

Correct Answer: Intravenous dextrose
Feedback:
11. What order does the nurse expect to receive for a patient with AKI who has been
transferred to the telemetry unit for cardiac monitoring related to electrolyte
abnormalities?

Learner Response: 12-lead ECG

Correct Answer: 12-lead ECG
Feedback: