SAUNDERS TEST BANK COMPLETE
QUESTIONS AND ANSWERS GUARANTEED
TO PASS
‣ A client with acute kidney injury has a serum potassium level of 7.0
mEq/L (7.0 mmol/L). The nurse should plan which actions as a priority?
Select all that apply.
1. Place the client on a cardiac monitor.
2. Notify the health care provider (HCP).
3. Put the client on NPO (nothing by mouth) status except for ice chips.
4. Review the client's medications to determine if any contain or retain
potassium.
5. Allow an extra 500 mL of intravenous fluid intake to dilute the
electrolyte concentration. . Answer: 1, 2, 4
R: NPO is unnecessary. Adding extra fluid may worsen the situation and
lead to fluid overload. Excess K can cause heart dysrhythmias, so 1&4
are appropriate. Calling the HCP is also necessary for further orders.
‣ A client arrives at the emergency department with complaints of low
abdominal pain and hematuria. The client is afebrile. The nurse next
assesses the client to determine a history of which condition?
1. Pyelonephritis
,2. Glomerulonephritis
3. Trauma to the bladder or abdomen
4. Renal cancer in the client's family . Answer: 3
R: 1& 2 are similar/alike, and they would involve a fever. 4 would have
flank pain instead of low abd pain.
‣ The nurse discusses plans for future treatment options with a client
with symptomatic polycystic kidney disease. Which treatment should be
included in this discussion? Select all that apply.
1. Hemodialysis
2. Peritoneal dialysis
3. Kidney transplant
4. Bilateral nephrectomy
5. Intense immunosuppression therapy . Answer: 1,3,4
R: Polycystic KD involves cysts that eventually rupture and damage the
kidneys, leading to end-stage renal disease. This requires options 1, 3, or
4. 2 is contraindicated r/t infection. 5 won't help the pt's condition.
‣ A client is admitted to the emergency department following a fall from
a horse and the health care provider (HCP) prescribes insertion of a
urinary catheter. While preparing for the procedure, the nurse notes
blood at the urinary meatus. The nurse should take which action?
,1. Notify the HCP before performing the catheterization.
2. Use a small-sized catheter and an anesthetic gel as a lubricant.
3. Administer parenteral pain medication before inserting the catheter.
4. Clean the meatus with soap and water before opening the
catheterization kit. . Answer: 1
R: blood may = urethral trauma, so you need to notify the HCP first so
you can identify the true cause of blood before catheterization.
Since there's blood from an unknown cause, you need to assess first
before doing anything that can worsen it.
‣ The nurse is assessing the patency of a client's left arm arteriovenous
fistula prior to initiating hemodialysis. Which finding indicates that the
fistula is patent?
1. Palpation of a thrill over the fistula
2. Presence of a radial pulse in the left wrist
3. Visualization of enlarged blood vessels at the fistula site
4. Capillary refill less than 3 seconds in the nail beds of the fingers on
the left hand . Answer: 1.
R: listen for a thrill or bruit over AV fistula site. All other options don't
REALLY show if the AV fistula is patent, just that there's perfusion to
the hand.
, ‣ A male client has a tentative diagnosis of urethritis. The nurse should
assess the client for which manifestation of the disorder?
1. Hematuria and pyuria
2. Dysuria and proteinuria
3. Hematuria and urgency
4. Dysuria and penile discharge . Answer: 4.
R: Urethritis usually involves dysuria, so 1&3 are incorrect. Proteinuria
is r/t kidney dysfunction, so option 2 is also incorrect. Urethritis is also
associated with chlamydia, so discharge is expected. Hematuria is not
assoc. with urethritis.
‣ The nurse is assessing a client with epididymitis. The nurse anticipates
which findings on physical examination?
1. Fever, diarrhea, groin pain, and ecchymosis
2. Nausea, painful scrotal edema, and ecchymosis
3. Fever, nausea, vomiting, and painful scrotal edema
4. Diarrhea, groin pain, testicular torsion, and scrotal edema . Answer: 3
R: -itis is associated w/ fever, so you can narrow it down to 1&3.
Epididymitis does not involve bleeding so ecchymosis (option 1) is
irrelevant.
QUESTIONS AND ANSWERS GUARANTEED
TO PASS
‣ A client with acute kidney injury has a serum potassium level of 7.0
mEq/L (7.0 mmol/L). The nurse should plan which actions as a priority?
Select all that apply.
1. Place the client on a cardiac monitor.
2. Notify the health care provider (HCP).
3. Put the client on NPO (nothing by mouth) status except for ice chips.
4. Review the client's medications to determine if any contain or retain
potassium.
5. Allow an extra 500 mL of intravenous fluid intake to dilute the
electrolyte concentration. . Answer: 1, 2, 4
R: NPO is unnecessary. Adding extra fluid may worsen the situation and
lead to fluid overload. Excess K can cause heart dysrhythmias, so 1&4
are appropriate. Calling the HCP is also necessary for further orders.
‣ A client arrives at the emergency department with complaints of low
abdominal pain and hematuria. The client is afebrile. The nurse next
assesses the client to determine a history of which condition?
1. Pyelonephritis
,2. Glomerulonephritis
3. Trauma to the bladder or abdomen
4. Renal cancer in the client's family . Answer: 3
R: 1& 2 are similar/alike, and they would involve a fever. 4 would have
flank pain instead of low abd pain.
‣ The nurse discusses plans for future treatment options with a client
with symptomatic polycystic kidney disease. Which treatment should be
included in this discussion? Select all that apply.
1. Hemodialysis
2. Peritoneal dialysis
3. Kidney transplant
4. Bilateral nephrectomy
5. Intense immunosuppression therapy . Answer: 1,3,4
R: Polycystic KD involves cysts that eventually rupture and damage the
kidneys, leading to end-stage renal disease. This requires options 1, 3, or
4. 2 is contraindicated r/t infection. 5 won't help the pt's condition.
‣ A client is admitted to the emergency department following a fall from
a horse and the health care provider (HCP) prescribes insertion of a
urinary catheter. While preparing for the procedure, the nurse notes
blood at the urinary meatus. The nurse should take which action?
,1. Notify the HCP before performing the catheterization.
2. Use a small-sized catheter and an anesthetic gel as a lubricant.
3. Administer parenteral pain medication before inserting the catheter.
4. Clean the meatus with soap and water before opening the
catheterization kit. . Answer: 1
R: blood may = urethral trauma, so you need to notify the HCP first so
you can identify the true cause of blood before catheterization.
Since there's blood from an unknown cause, you need to assess first
before doing anything that can worsen it.
‣ The nurse is assessing the patency of a client's left arm arteriovenous
fistula prior to initiating hemodialysis. Which finding indicates that the
fistula is patent?
1. Palpation of a thrill over the fistula
2. Presence of a radial pulse in the left wrist
3. Visualization of enlarged blood vessels at the fistula site
4. Capillary refill less than 3 seconds in the nail beds of the fingers on
the left hand . Answer: 1.
R: listen for a thrill or bruit over AV fistula site. All other options don't
REALLY show if the AV fistula is patent, just that there's perfusion to
the hand.
, ‣ A male client has a tentative diagnosis of urethritis. The nurse should
assess the client for which manifestation of the disorder?
1. Hematuria and pyuria
2. Dysuria and proteinuria
3. Hematuria and urgency
4. Dysuria and penile discharge . Answer: 4.
R: Urethritis usually involves dysuria, so 1&3 are incorrect. Proteinuria
is r/t kidney dysfunction, so option 2 is also incorrect. Urethritis is also
associated with chlamydia, so discharge is expected. Hematuria is not
assoc. with urethritis.
‣ The nurse is assessing a client with epididymitis. The nurse anticipates
which findings on physical examination?
1. Fever, diarrhea, groin pain, and ecchymosis
2. Nausea, painful scrotal edema, and ecchymosis
3. Fever, nausea, vomiting, and painful scrotal edema
4. Diarrhea, groin pain, testicular torsion, and scrotal edema . Answer: 3
R: -itis is associated w/ fever, so you can narrow it down to 1&3.
Epididymitis does not involve bleeding so ecchymosis (option 1) is
irrelevant.
