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Jugar Test
1. 
Which nursing action is most appropriate pre-haemodialysis?
A.
Teach the patient about fluid restrictions
B.
Check blood pressure before starting dialysis
C.
Assess for causes of an increase in predialysis weight
D.
Determine the ultrafiltration rate for the hemodialysis
2. 
Which statement indicates that the nurse's teaching about management of CKD has been effective?
A.
I need to get most of my protein from low-fat dairy products
B.
I will increase my intake of fruits and vegies to 5 per day
C.
I will measure UO each day to calculate how much I can drink
D.
I need to take erythropoietin to boost my immune system
3. 
During hemodialysis the patient c/o nausea and dizziness. Which nurse action should come first?
A.
Slow down the rate of dialysis
B.
Check patient's blood pressure (BP)
C.
Review the hematocrit (Hct) level
D.
Give prescribed PRN antiemetic drugs
4. 
A patient complains of leg cramps during hemodialysis. The nurse should first
A.
massage the patient's legs
B.
reposition the patient supine
C.
give Paracetamol
D.
infuse a bolus of normal saline
5. 
A patient with CKD is receiving peritoneal dialysis. Which info should be reported immediately?
A.
The patient has an outflow volume of 1800mL
B.
The patient's peritoneal effluent appears cloudy
C.
The patient has abdominal pain during the inflow phase
D.
The patient's abdomen appears bloated after the inflow
6. 
Which action by a patient using PD indicates the nurse should provide more teaching about PD?
A.
The patient leaves the catheter exit site without a dressing
B.
The patient plans 30 to 60 minutes for a dialysate exchange
C.
The patient cleans the catheter while taking a bath each day
D.
Patient slows the inflow rate when experiencing abdo pain
7. 
What factor determines the severity / stage of chronic kidney disease?
A.
Glomerular filtration rate (eGFR)
B.
Urea
C.
Urine output
D.
Creatinine
8. 
The 3 phases of PD include...
A.
input, output, dispose
B.
inflow, dwell, drain
C.
inflow, dwell, outflow
D.
dwell, output, input
9. 
What are the 3 types of HD access?
A.
AV fistula, AV graft, Temporary vascular access
B.
AV fistula, AV graft, Peritoneal catheter
C.
AV fistula, PICC, Hickmann's
D.
Peritoneal catheter, dialysis catheter, urinary catheter
10. 
Assessment of an AV fistula should include...
A.
Look at perfusion, feel for thrills, listen for bruits
B.
Check urine output
C.
Check BP on that arm
D.
Palpate for pulse
11. 
Risk of acute kidney injury can be determined by
A.
RIFE classification
B.
RIFLE classification
C.
React scale
D.
Right scale
12. 
Urine output over ______________ is considered appropriate
A.
0.2ml/kg/hr
B.
0.5ml/kg/hr
C.
1.5ml/kg/hr
D.
2ml/kg/hr
13. 
Myoglobin released from necrotic muscle cells can cause
A.
an intrarenal kidney injury
B.
a postrenal kidney injury
C.
an ultra renal kidney injury
D.
a prerenal kidney injury
14. 
A patient experiencing fluid volume deficit is likely to exhibit
A.
decreased skin turgor, dry lips, hypotension, tachycardia
B.
increased skin turgor, dry lips, hypotension, tachycardia
C.
increased skin turgor, dry lips, hypertension, tachycardia
D.
decreased skin turgor, dry lips, hypertension, bradycardia
15. 
A patient with hyponatraemia may exhibit signs such as
A.
apprehension, confusion
B.
dry swollen tongue
C.
peaked T waves
D.
apnoea
16. 
Hyperkalaemia signs may include
A.
Flattened T wave
B.
polyuria
C.
hyperglycemia
D.
Tall peaked T waves
17. 
The following would not be considered a cause of pre-renal failure
A.
poor circulation to the kidneys
B.
Damage to nephrons caused by hypoxia or nephrotoxins
C.
reduced cardiac output
D.
poor blood supply to the glomerulus
18. 
The following would not be considered a cause of intra-renal failure
A.
reduced cardiac output
B.
reduced filtration rate caused by casts forming in tubules
C.
damage to nephrons caused by hypoxia
D.
damage to nephrons caused by nephrotoxins
19. 
The following is true of potassium (K+) except
A.
Elevated potassium level in the blood is named hyperkaleamia
B.
Excess K+ from dietary sources is excreted by the kidneys
C.
Kidneys excrete potassium in exchange for sodium
D.
Excess potassium is lost in intra-renal failure
20. 
Infusion of an isotonic albumin solution increases:
A.
None of the body fluid pools
B.
The intracellular fluid volume only
C.
The interstitial fluid volume only
D.
The plasma volume only
E.
All of the body fluid pools
21. 
If a hypertonic saline solution is infused into a patient:
A.
Only the extracellular fluid volume increases
B.
Only the intracellular fluid volume increases
C.
Both intracellular fluid volume and extracellular volume decrease
D.
Intracellular fluid volume decreases and extracellular fluid volume increases
E.
Both the intracellular and extracellular fluid volumes increase
22. 
Which of the following is not a symptom of volume deficit and fluid loss?
A.
tachycardia
B.
Drier mucous membranes
C.
Hypotension
D.
Cardiac arrhythmias
E.
Drowsiness
23. 
Which of the following will likely distinguish dehydrations from volume deficit?
A.
Plasma potassium levels
B.
Hypernatremia will occur in dehydration but not volume deficit
C.
Urine output
D.
Plasma ions will be elevated
24. 
Which of the following is false regarding plasma sodium
A.
It is the main determinant of plasma volume
B.
It is the main ion in extracellular fluid
C.
It freely diffuses across plasma membranes
D.
Long term, levels in the body are regulated by aldosterone
25. 
Identify which of the following fluid pools hypotonic saline will disperse into (i.e. which of the following pools does hypotonic saline replenish)?
A.
Interstitial fluid only
B.
Interstitial fluid and plasma
C.
Intercellular fluid only
D.
Intracellular and extracellular fluid
26. 
The single best indicator of fluid status is the nurse's assessment of a patient's:
A.
skin turgor
B.
intake and output
C.
serum electrolyte levels
D.
daily bodyweight
27. 
The nurse anticipates that the patient with a fluid volume excess will manifest:
A.
an increase urine specific gravity
B.
a decreased bodyweight
C.
an increased blood pressure
D.
a decreased pulse strength
28. 
Which of the following is observed with nephrotic syndrome, but not with glomerulonephritis?
A.
Increased protein in urine
B.
Increased plasma urea levels
C.
Increased plasma osmolality
D.
Oedema
29. 
Acute renal failure and a resulting metabolic acidosis develop in a patient. The nurse recognises that the respiratory system compensates through:
A.
hypoventilation and increase of bicarbonate in the bloodstream
B.
Alternating periods of deep versus shallow breaths to maintain homeostasis of the serum pH
C.
hyperventilation to decrease the serum CO2 and thereby increase the pH
30. 
Which of the following conditions may cause hypernatremia in a patient?
A.
Dehydration
B.
Crush injuries
C.
Infusion of insulin
D.
Low Vitamin D intake