{"id":813,"date":"2021-10-20T14:14:00","date_gmt":"2021-10-20T14:14:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=813"},"modified":"2026-03-20T13:51:47","modified_gmt":"2026-03-20T21:51:47","slug":"nclex-question-of-the-day-acute-kidney-injury-aki","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-acute-kidney-injury-aki","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Acute kidney injury (AKI)"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-acute-kidney-injury-aki\/#The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\" >The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-acute-kidney-injury-aki\/#Ready_to_put_your_nursing_knowledge_to_the_test\" >Ready to put your nursing knowledge to the test?<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-acute-kidney-injury-aki\/#Main_Takeaway\" >Main Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-acute-kidney-injury-aki\/#Incorrect_Answer_Explanations\" >Incorrect Answer Explanations<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-acute-kidney-injury-aki\/#References\" >References<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><em>Today&#8217;s <strong>NCLEX-RN\u00ae <\/strong>Question of the Day focuses on a client diagnosed with <strong>acute kidney injury (AKI)<\/strong>.<\/em> <em>Can you figure out the answer? Let&#8217;s find out!<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse is caring for a client diagnosed with acute kidney injury (AKI) who is prescribed <strong>50% dextrose IV <\/strong>and <strong>10 units <\/strong>of <strong>regular insulin IV bolus<\/strong>. Which type of electrolyte imbalance will these prescribed medications help to <em>correct<\/em>?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Hypernatremia<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Hypercalcemia<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Hypophosphatemia<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Hyperkalemia<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong><em>Scroll down for the correct answer!<\/em><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-rich is-provider-embed-handler wp-block-embed-embed-handler wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Nurses Learn by Osmosis.org\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/kGJCkPfFypA?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><a href=\"https:\/\/www.osmosis.org\/ultimate-guide\/nclex-rn\" target=\"_blank\" rel=\"noreferrer noopener\"><strong><u>Check out our&nbsp;NCLEX-RN Study Plan Guide!<\/u><\/strong><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\"><\/span>The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D.&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Hyperkalemia:_Clinical_practice\" target=\"_blank\" rel=\"noreferrer noopener\">Hyperkalemia<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:\u00a0<\/strong><a href=\"https:\/\/www.osmosis.org\/learn\/Prerenal_azotemia\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>AKI\u00a0<\/strong><\/a>is associated with <strong>increased serum blood urea nitrogen (BUN), creatinine, <\/strong>and <strong>potassium.<\/strong> Because\u00a0<a href=\"https:\/\/www.osmosis.org\/learn\/Hyperkalemia:_Clinical_practice\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>hyperkalemia<\/strong><\/a>, or a <strong>high serum potassium level<\/strong>, is a life-threatening complication of\u00a0<a href=\"https:\/\/www.osmosis.org\/learn\/Prerenal_azotemia\" target=\"_blank\" rel=\"noreferrer noopener\">AKI<\/a>, the nurse should anticipate administering <strong>IV glucose <\/strong>and <strong>insulin<\/strong> to promote the movement of potassium into the cells. If hyperkalemic changes are noted on the <strong>electrocardiogram (<a href=\"https:\/\/www.osmosis.org\/learn\/ECG_basics\" target=\"_blank\" rel=\"noreferrer noopener\">ECG<\/a>)<\/strong>, <strong>IV calcium gluconate<\/strong> may also be administered to <strong>raise the cardiac excitation threshold<\/strong>.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Hyperkalemia - causes, symptoms, diagnosis, treatment, pathology\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/eoWxzJSHtXQ?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Ready_to_put_your_nursing_knowledge_to_the_test\"><\/span><em>Ready to put your nursing knowledge to the test?<\/em><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Explore the&nbsp;<strong><a href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-smarter-prep-better-results\" target=\"_blank\" rel=\"noreferrer noopener\">NCLEX\u00ae Question of the Day: Smarter Prep, Better Results<\/a><\/strong>&nbsp;page to practice with NCLEX-style questions and boost your confidence before exam day.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Main_Takeaway\"><\/span>Main Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Because <strong>hyperkalemia <\/strong>is a life-threatening complication of\u00a0<a href=\"https:\/\/www.osmosis.org\/learn\/Prerenal_azotemia\" target=\"_blank\" rel=\"noreferrer noopener\">AKI<\/a>, the nurse should anticipate administering <strong>IV glucose <\/strong>and <strong>insulin<\/strong> to promote the movement of potassium into the cells. Following administration, the nurse should <strong>monitor the client for arrhythmias<\/strong> and frequently check the <strong>blood glucose level<\/strong>.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/ACE-NCLEX-RN-banner.png?w=700\" alt=\"\" class=\"wp-image-252\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/ACE-NCLEX-RN-banner.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/ACE-NCLEX-RN-banner.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_Answer_Explanations\"><\/span>Incorrect Answer Explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A.&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Hypernatremia:_Clinical_practice\" target=\"_blank\" rel=\"noreferrer noopener\">Hypernatremia<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale<\/strong>:\u00a0<a href=\"https:\/\/www.osmosis.org\/learn\/Hypernatremia:_Clinical_practice\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Hypernatremia<\/strong><\/a>, or a <strong>high serum sodium level<\/strong>, is not a common complication of\u00a0<a href=\"https:\/\/www.osmosis.org\/learn\/Prerenal_azotemia\" target=\"_blank\" rel=\"noreferrer noopener\">AKI<\/a>. Serum sodium levels may be normal or low with\u00a0<a href=\"https:\/\/www.osmosis.org\/learn\/Prerenal_azotemia\" target=\"_blank\" rel=\"noreferrer noopener\">AKI<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B.&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Hypercalcemia\" target=\"_blank\" rel=\"noreferrer noopener\">Hypercalcemia<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale<\/strong>:\u00a0<a href=\"https:\/\/www.osmosis.org\/learn\/Hypercalcemia\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Hypercalcemia<\/strong><\/a>, or a <strong>high serum calcium level<\/strong>, is not a common complication of\u00a0<a href=\"https:\/\/www.osmosis.org\/learn\/Prerenal_azotemia\" target=\"_blank\" rel=\"noreferrer noopener\">AKI<\/a>. Hypercalcemia is not treated with glucose and insulin.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C.&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Hypophosphatemia\" target=\"_blank\" rel=\"noreferrer noopener\">Hypophosphatemia<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale<\/strong>:\u00a0<a href=\"https:\/\/www.osmosis.org\/learn\/Hypophosphatemia\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Hypophosphatemia<\/strong><\/a>, or a <strong>low serum phosphorus level<\/strong>, is not a common complication of\u00a0<a href=\"https:\/\/www.osmosis.org\/learn\/Prerenal_azotemia\" target=\"_blank\" rel=\"noreferrer noopener\">AKI<\/a>. Rather, hyperphosphatemia can occur.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"References\"><\/span>References<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lewis, S.L., Bucher, L., Heitkemper, M.M. &amp; Harding, M.M. (2017).&nbsp;<a href=\"https:\/\/www.elsevier.com\/books\/medical-surgical-nursing\/lewis\/978-0-323-32852-4\" target=\"_blank\" rel=\"noreferrer noopener\"><em>Medical-surgical nursing: Assessment and management of clinical problems&nbsp;<\/em>(10th ed.)<\/a><em>.&nbsp;<\/em>St. Louis, MO: Elsevier.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\/md\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/30.png?w=700\" alt=\"\" class=\"wp-image-407\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/30.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/30.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><figcaption class=\"wp-element-caption\">NCLEX-RN\u00ae and NCLEX-PN\u00ae are registered trademarks of the National Council of State Boards of Nursing, Inc (NCSBN\u00ae). Osmosis is not affiliated with NCSBN.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Want more NCLEX\u00ae-style practice questions? Try Osmosis today! Access your&nbsp;<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>&nbsp;and find out why millions of current and future clinicians and caregivers love learning with us.<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This NCLEX-RN question discusses how to treat hyperkalemia in acute kidney injury by promoting potassium movement into cells and preventing arrhythmias. Do you know the answer?<\/p>\n","protected":false},"author":279,"featured_media":814,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[20,29,1367,1366,32],"tags":[1026,1032,1028,1031,1033,1027,244,1029,245,1030],"class_list":["post-813","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-questions","category-nursing","tag-acute-kidney-injury","tag-aki-complications","tag-electrolyte-imbalance","tag-electrolyte-treatment","tag-hyperkalemia","tag-iv-insulin-glucose","tag-nclex-rn","tag-nursing-care","tag-nursing-education","tag-potassium-management"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day: Acute kidney injury (AKI) - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-acute-kidney-injury-aki\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day: Acute kidney injury (AKI) - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"This NCLEX-RN question discusses how to treat hyperkalemia in acute kidney injury by promoting potassium movement into cells and preventing arrhythmias. 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