NSG 4100 Exam 1: CH 48, 49, 39, 40,
41, 42(TB) Questions with 100%
Correct Answers
The nurse is assessing a client suspected of having developed acute
glomerulonephritis. The nurse should expect to address what clinical
manifestation that is characteristic of this health problem?
A. Hematuria
B. Precipitous decrease in serum creatinine levels
C. Hypotension unresolved by fluid administration
D. Glucosuria Correct Answer: A. Hematuria
The nurse is caring for an acutely ill client. What assessment finding should
prompt the nurse to inform the health care provider that the client may be
exhibiting signs of acute kidney injury (AKI)?
A. An inability to initiate voiding for 2 days.
B. The urine is cloudy and has visible sediment with a foul odor.
C. Average urine output has been 10 mL/hr for several hours.
D. Client reports left-sided flank pain. Correct Answer: C. Average urine output
has been 10 mL/hr for several hours.
,The nurse is caring for a client with a history of systemic lupus erythematosus who
has been recently diagnosed with end-stage kidney disease (ESKD). The client
has an elevated phosphorus level and has been prescribed calcium acetate to
bind the phosphorus. The nurse should teach the client to take the prescribed
medication at what time?
A. Only when needed
B. Daily at bedtime
C. First thing in the morning
D. With each meal Correct Answer: D. With each meal
The nurse is working on the renal transplant unit. To reduce the risk of infection in
a client with a transplanted kidney, it is imperative for the nurse to take what
action?
A. Wash hands carefully and frequently.
B. Ensure immediate function of the donated kidney.
C. Instruct the client to wear a face mask.
D. Bar visitors from the client's room. Correct Answer: A. Wash hands carefully
and frequently.
The nurse is caring for a client receiving hemodialysis three times weekly. The
client has had surgery to form an arteriovenous fistula. What is most important
for the nurse to be aware of when providing care for this client?
,A. Using a stethoscope for auscultating the fistula is contraindicated
B. The client feels best immediately after the dialysis treatment
C. Taking a BP reading on the affected arm can damage the fistula
D. The client should not feel pain during initiation of dialysis Correct Answer: C.
Taking a BP reading on the affected arm can damage the fistula
A client has a glomerular filtration rate (GFR) of 43 mL/min/1.73 m?. Based on
this GFR, the nurse interprets that the client's chronic kidney disease is at what
stage?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4 Correct Answer: C. Stage 3
An inpatient client with acute kidney injury (AKI) has moderate edema to both
legs.
What resulting skin conditions would increase the client's likelihood of skin
breakdown? Select all that apply.
A. Atopic dermatitis
, B. Pruritus
C. Psoriasis
D. Urticaria
E. Excoriation Correct Answer: B. Pruritus
E. Excoriation
A client admitted with nephrotic syndrome is being cared for on the medical
unit. When writing this client's care plan, based on the major clinical
manifestation of nephrotic syndrome, what nursing diagnosis should the nurse
include?
A. Constipation related to immobility
B. Risk for injury related to altered thought processes
C. Hyperthermia related to the inflammatory process
D. Excess fluid volume related to generalized edema Correct Answer: D. Excess
fluid volume related to generalized edema
The nurse coming on shift on the medical unit is taking a report on four clients.
What client does the nurse know is at the greatest risk of developing ESKD?
A. A client with a history of polycystic kidney disease
B. A client with diabetes mellitus and poorly controlled hypertension
41, 42(TB) Questions with 100%
Correct Answers
The nurse is assessing a client suspected of having developed acute
glomerulonephritis. The nurse should expect to address what clinical
manifestation that is characteristic of this health problem?
A. Hematuria
B. Precipitous decrease in serum creatinine levels
C. Hypotension unresolved by fluid administration
D. Glucosuria Correct Answer: A. Hematuria
The nurse is caring for an acutely ill client. What assessment finding should
prompt the nurse to inform the health care provider that the client may be
exhibiting signs of acute kidney injury (AKI)?
A. An inability to initiate voiding for 2 days.
B. The urine is cloudy and has visible sediment with a foul odor.
C. Average urine output has been 10 mL/hr for several hours.
D. Client reports left-sided flank pain. Correct Answer: C. Average urine output
has been 10 mL/hr for several hours.
,The nurse is caring for a client with a history of systemic lupus erythematosus who
has been recently diagnosed with end-stage kidney disease (ESKD). The client
has an elevated phosphorus level and has been prescribed calcium acetate to
bind the phosphorus. The nurse should teach the client to take the prescribed
medication at what time?
A. Only when needed
B. Daily at bedtime
C. First thing in the morning
D. With each meal Correct Answer: D. With each meal
The nurse is working on the renal transplant unit. To reduce the risk of infection in
a client with a transplanted kidney, it is imperative for the nurse to take what
action?
A. Wash hands carefully and frequently.
B. Ensure immediate function of the donated kidney.
C. Instruct the client to wear a face mask.
D. Bar visitors from the client's room. Correct Answer: A. Wash hands carefully
and frequently.
The nurse is caring for a client receiving hemodialysis three times weekly. The
client has had surgery to form an arteriovenous fistula. What is most important
for the nurse to be aware of when providing care for this client?
,A. Using a stethoscope for auscultating the fistula is contraindicated
B. The client feels best immediately after the dialysis treatment
C. Taking a BP reading on the affected arm can damage the fistula
D. The client should not feel pain during initiation of dialysis Correct Answer: C.
Taking a BP reading on the affected arm can damage the fistula
A client has a glomerular filtration rate (GFR) of 43 mL/min/1.73 m?. Based on
this GFR, the nurse interprets that the client's chronic kidney disease is at what
stage?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4 Correct Answer: C. Stage 3
An inpatient client with acute kidney injury (AKI) has moderate edema to both
legs.
What resulting skin conditions would increase the client's likelihood of skin
breakdown? Select all that apply.
A. Atopic dermatitis
, B. Pruritus
C. Psoriasis
D. Urticaria
E. Excoriation Correct Answer: B. Pruritus
E. Excoriation
A client admitted with nephrotic syndrome is being cared for on the medical
unit. When writing this client's care plan, based on the major clinical
manifestation of nephrotic syndrome, what nursing diagnosis should the nurse
include?
A. Constipation related to immobility
B. Risk for injury related to altered thought processes
C. Hyperthermia related to the inflammatory process
D. Excess fluid volume related to generalized edema Correct Answer: D. Excess
fluid volume related to generalized edema
The nurse coming on shift on the medical unit is taking a report on four clients.
What client does the nurse know is at the greatest risk of developing ESKD?
A. A client with a history of polycystic kidney disease
B. A client with diabetes mellitus and poorly controlled hypertension
