End Stage Renal Disease
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The following quiz is related to ESRD in nursing NCLEX form. There are 10 questions and you will have 15 minutes to complete. Try not to use your book to find the answers. Good luck!
- 1.
- A.
Encourage fluids to at least 3L in the first 24 hours
- B.
Administering narcotics as needed
- C.
Testing serial samples iwth dipsticks for occult blood
- D.
Ambulating the client in the room and hall for short distances
- 2.A client is admitted to the hospital and has a diagnosis of early stage chronic renal failure. Which of the following would the nurse expect to note on assessment of the client?
- A.
Polyuria
- B.
Polydypsia
- C.
Oliguria
- D.
Anuria
- 3.ESRD occurs when the GFR is less than ___ per minute.
- A.
5 ml
- B.
10 ml
- C.
15 ml
- D.
25 ml
- 4.The leading cause of ESRD is the client with a history of
- A.
Hypotension
- B.
Anemia
- C.
Prostate cancer
- D.
Diabetes Mellitus
- 5.The client with ESRD tells the nurse that she hates the thought of being tied to the machine, but is also glad to start dialysis because she will be able to eat and drink what she wants. Based on this information, the nuse identifies the nursing diagnosis of
- A.
Self-esteem disturbance related to dependence on dialysis
- B.
Anxiety related to perceived threat to health status and role functioning
- C.
Ineffective management of therapeutic regimen related to lack of knowledge of treatment plan
- D.
Risk for imbalanced nutrition: more than body requirements, related to increased dietary intake
- 6.The nurse is performing an assessment on a client who has returned from the dialysis unit following hemodialysis. The client is complaining of a headache and nausea and is extremely restless. Which of the following is the most appropriate nursing action?
- A.
Notify the physician
- B.
Monitor the client
- C.
Elevate the head of the bed
- D.
Medicate the client for nausea
- 7.A client in acute renal failure is a candidate for continuous renal placement therapy (CRRT). The most common indication for use of CRRT is
- A.
Azotemia
- B.
Pericarditis
- C.
Hyperkalemia
- D.
Fluid overload
- 8.A patient rapidly progressing toward ESRD asks about the possibility of a kidney transplant. In responding to the patient, the nurse knows that contraindications to kidney transplantation include
- A.
Hepatitis C infection
- B.
Extensive vascular disease
- C.
Coronary artery disease
- D.
Refractory hypertension
- 9.Signs and symptoms of acute kidney rejection that the nurse should teach the patient to observe for include
- A.
Tachycardia and headache
- B.
Fever and painful transplant site
- C.
Sever hypotension and weight loss
- D.
Recurrent urinary tract infections and oral yeast infections
- 10.The most serious electrolyte disorder associated with kidney disease is
- A.
Hypermagnesemia
- B.
Hyponatremia
- C.
Hyperkalemia
- D.
Metabolic acidosis
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