True or false: A high BUN or creatinine value alone establishes that a patient with acute kidney injury needs dialysis.
5 Complications and Integrated Practice Online Quiz Questions
Use this free practice quiz with 20 questions to review 5 Complications and Integrated Practice, test your knowledge, and prepare for your next test or exam.
A patient has had several days of vomiting and diarrhea, has low urine output and blood pressure below their usual level, and has a rising creatinine. Their lungs are clear and they have no peripheral edema. Which broad cause of acute kidney injury is most likely?
- A
Kidney tissue injury from prolonged ischemia
- B
Reduced kidney perfusion from volume depletion
- C
Urinary obstruction
- D
Fluid overload causing pulmonary edema
What urine-output rate, in mL/kg/hour, is commonly used as the threshold for oliguria?
When hyperkalemia is suspected or present, obtain an to assess for cardiac conduction changes.
A patient with acute kidney injury and worsening fluid retention is being assessed for pulmonary edema. Select all findings that support concern that fluid is affecting the lungs.
- A
Increasing breathlessness
- B
Itching
- C
Low oxygen levels
- D
Crackles
True or false: A normal ECG rules out hyperkalemia in a patient with acute kidney injury.
- A
True
- B
False
During hemodialysis, a patient becomes dizzy as their blood pressure falls. What is the name of this complication?
With impaired kidney function, may rise while may fall.
A patient receives hemodialysis through a fistula or graft. Which findings at or related to the vascular access require prompt attention? Select all that apply.
- A
Fever or chills
- B
Redness or drainage at the access site
- C
Uncontrolled bleeding
- D
A fistula or graft that no longer has its usual vibration
A patient with acute kidney injury has a low bicarbonate level and a low blood pH. Which acid–base disturbance do these findings indicate?
- A
Metabolic alkalosis
- B
Respiratory acidosis
- C
Metabolic acidosis
- D
Respiratory alkalosis
A patient with acute kidney injury develops worsening breathlessness, low oxygen saturation, crackles, and edema despite initial medical management. Which situation most directly supports considering kidney replacement therapy?
- A
A single elevated creatinine measurement without other concerning findings
- B
Fluid overload causing respiratory compromise despite initial medical management
- C
Mild fatigue without other complications
- D
A high BUN value by itself
After an intervention for acute kidney injury, which monitoring plan best assesses the patient’s response?
- A
Recheck creatinine once and stop monitoring if it is unchanged
- B
Restrict fluids automatically and assess only for edema
- C
Reassess urine output, breathing, blood pressure, fluid balance, and laboratory results as directed
- D
Monitor only the patient’s appetite
A patient with worsening kidney failure develops new confusion and chest pain. Explain why these symptoms are concerning, what the immediate response should be, and how kidney replacement therapy may factor into the plan.
Which listed condition is an example of kidney tissue injury that can cause acute kidney injury?
- A
Sepsis
- B
Dehydration from vomiting
- C
Urinary obstruction
- D
Reduced kidney perfusion from bleeding
A patient with acute kidney injury has had several days of vomiting and diarrhea, low blood pressure, and low urine output, but clear lungs and no edema. Which approach to fluid management is most appropriate?
- A
All patients with acute kidney injury should receive fluid boluses.
- B
Fluid restriction is required whenever urine output is low.
- C
Assess volume status first; depletion may call for carefully guided fluid replacement.
- D
Clear lungs mean fluid status does not need reassessment.
Which electrolyte can rise when kidney excretion is impaired and may cause dangerous conduction abnormalities?
Which laboratory pattern is consistent with metabolic acidosis in a patient with impaired kidney function?
- A
Low bicarbonate and low blood pH
- B
High bicarbonate and high blood pH
- C
Low phosphorus and high calcium
- D
High sodium and high blood pH
Which serious uremic complication is listed alongside encephalopathy and bleeding tendency?
A patient with acute kidney injury has rising BUN and creatinine but no identified life-threatening fluid, electrolyte, or acid–base problem and no significant uremic complication. Which principle should guide the dialysis decision?
- A
Begin dialysis whenever creatinine rises above the patient's baseline.
- B
Begin dialysis whenever BUN is elevated, regardless of symptoms.
- C
Wait for a specific BUN value before assessing for complications.
- D
Assess the clinical context and trends; a high BUN or creatinine alone is not an indication.
A patient develops acute kidney injury after exposure to a potentially nephrotoxic medication. This exposure is a possible cause of kidney tissue injury.
- A
True
- B
False
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