When AKI is suspected or detected, which test should be included in the assessment? Perform a .
3 Acute Kidney Injury Practice Questions Online Quiz Questions
Use this free practice quiz with 20 questions to review 3 Acute Kidney Injury, test your knowledge, and prepare for your next test or exam.
Once AKI has been diagnosed, electrolyte monitoring can stop if the diagnosis is established.
- A
True
- B
False
A patient develops AKI after prolonged vomiting, poor oral intake, and low blood pressure. Which category best describes the likely cause?
- A
Intrinsic renal
- B
Prerenal
- C
Postrenal
Urinary retention caused by an enlarged prostate produces AKI.
A patient's serum creatinine rises from 1.0 mg/dL to 1.3 mg/dL over 48 hours, while urine output remains unchanged. Does this meet a KDIGO criterion for AKI?
- A
Yes; the creatinine rise meets a KDIGO criterion.
- B
No; AKI requires reduced urine output as well as a creatinine rise.
- C
No; a rise of this size only qualifies if it occurs within 7 days.
A patient weighing 80 kg produces 25 mL of urine in one hour. What is the urine-output rate in mL/kg/hour? Round to the nearest hundredth.
A patient's baseline serum creatinine is 1.2 mg/dL and rises to 2.7 mg/dL. Urine output is 0.7 mL/kg/hour. What is the KDIGO stage by creatinine criteria?
- A
Stage 1
- B
Stage 2
- C
Stage 3
A hospitalized patient develops oliguria and rising creatinine. A medication-related cause is possible. Which assessment is most useful for investigating that possibility?
- A
Stop all prescribed medicines immediately without clinical review.
- B
Review the medication list and recent exposures.
- C
Avoid reviewing medicines until creatinine returns to baseline.
For a patient with AKI and clinical volume depletion, what should clinicians promptly assess and restore with appropriate fluid therapy?
Kidney replacement therapy may be needed when serious AKI complications cannot be managed adequately by other means.
- A
True
- B
False
Which findings in a patient with AKI require urgent clinical assessment and management? Select all that apply.
- A
Severe hyperkalemia with ECG changes
- B
Pulmonary edema with worsening oxygenation
- C
Suspected urinary obstruction with infection
- D
Mildly elevated creatinine with stable vital signs and no symptoms
Which actions can help reduce AKI risk in a hospitalized patient who is at increased risk? Select all that apply.
- A
Monitor creatinine and urine output.
- B
Identify and treat dehydration, infection, or other causes of poor perfusion.
- C
Review medicines and minimize nephrotoxic exposures when possible.
- D
Adjust drug doses when kidney function is impaired.
- E
Temporarily change prescribed medicines without clinician direction.
Which urine-output pattern meets the KDIGO Stage 2 criterion by urine output?
- A
Below 0.5 mL/kg/hour for at least 6 hours
- B
Below 0.5 mL/kg/hour for at least 12 hours
- C
Below 0.3 mL/kg/hour for at least 24 hours
Anuria lasting at least 12 hours meets a KDIGO Stage 3 criterion by urine output.
- A
True
- B
False
A patient with AKI has had several days of diarrhea, low blood pressure, and clinical signs of volume depletion. Describe the general management approach, including what to monitor and how to address the ongoing problem.
Name one pre-existing kidney condition identified as a risk factor for AKI.
A patient with AKI is found to have acute glomerulonephritis. Which AKI category best describes the cause?
- A
Prerenal
- B
Intrinsic renal
- C
Postrenal
- D
It cannot cause AKI
When kidney function is impaired, what should be done to drug doses?
A hospitalized patient develops oliguria and rising creatinine. Which assessment plan is most appropriate for identifying the cause and monitoring the patient?
- A
Review medication history and stop electrolyte monitoring once AKI is diagnosed.
- B
Assess volume status and perform urinalysis, but do not review recent medication exposures.
- C
Review intake and output, weight, volume status, medications and exposures, and urinalysis; assess for obstruction when indicated and continue monitoring electrolytes.
- D
Assess for obstruction in every patient, but avoid reviewing urine output or medication history.
Which finding in a patient with AKI most clearly requires urgent clinical assessment and management?
- A
A mildly elevated creatinine with stable vital signs and no symptoms
- B
Stable urine output with no signs of complications
- C
Suspected urinary obstruction accompanied by infection
- D
A risk factor for AKI without current symptoms or abnormal findings
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