NUR 265 EXAM 1 | QUESTIONS AND ANSWERS | 2026
UPDATE | 100% CORRECT ANSWERS- GALEN
COLLEGE OF NURSING
1. The nurse is caring for a client who has chronic
kidney disease (CKD) and has developed uremia.
Which of the following findings are consistent with
this condition?
• Flank pain
• Cloudy urine.
• Hypotension.
• Muscle cramps.
page 157 Key features of Uremia include muscle
cramps, metallic taste in the mouth, uremic frost on
skin, itching, anorexia, and n/v.
2. The nurse working on the telemetry unit is reviewing
the laboratory results of a client who has chronic kidney
disease (CKD) and notes that the serum potassium level
is 6.1 mEq/L. Which of the following actions should the
nurse take first?
• Administer prescribed lactulose to the client.
• Review the client’s electrocardiogram (EKG).
• Withhold the client’s next scheduled dose of
spironolactone.
• Notify the primary health care provider (PHCP).
Patients with potassium of 6.1 are at risk of fatal
dysrhythmias. Cardiac monitoring is the first action
needed.
3. The nurse working on a surgical unit is assessing
clients for their risk of developing heparin-induced
thrombocytopenia (HIT). The nurse should identify at
greatest risk the client who is a
• 72-year-old female who has had an anaphylactic
, reaction following a transfusion of packed red blood
cells (PRBCs)
• 59-year-old female who has been receiving heparin
5,000 units SQ BID for the past 10 days.
• 27-year-old African American male who has
received cryoprecipitate for the treatment of
hemophilia.
• 45-year-old male who is taking prescribed enoxaparin
for the treatment of a deep vein thrombosis (DVT).
Page 897. HIT can occur in patients receiving any
type of heparin but is more common after
unfractionated heparin, duration longer than 10 days,
and being female. Thrombocytopenia after heparin
exposure is the hallmark sign. Manifestations of HIT
include DVT and PE.
,Question 4
The nurse is teaching a client who was recently diagnosed
with thrombocytopenia. Which instruction does the nurse
include in this client’s discharge teaching?
“Avoid blowing
your nose.”
“Use a soft-
bristled
toothbrush.”
“Drink at least 3 liters
of fluid each day.” “Use
only aspirin when
having pain.”
page 889 best practice for patients with thrombocytopenia
includes avoiding mouth trauma. Do not floss, avoid dental
work and hard foods. Use a soft-bristled toothbrush.
Question 5
The nurse is preparing a client for a prescribed peritoneal
dialysis treatment. What action by the nurse is necessary?
Ask the client to turn
toward the left side.
Assess the dialysis access
for bruit and thrill. Insert
an indwelling urinary
catheter.
Warm the dialysis solution in a warmer.
Page 1567 Care of patients with PD. Cold dialysate causes
discomfort. Warm the bags in a warming chamber or with
a heating pad. DO NOT heat in microwave.
, Question 6
A newly-hired nurse is providing care to assigned clients. I
t would require follow up by the nurse preceptor if the
newly-hired nurse
questions whether a prescribed antihypertensive
should be given before hemodialysis. administers
prescribed fresh frozen plasma (FFP) to a client over
a period of 30 minutes.
applies a pressure dressing on a client’s arteriovenous
(AV) fistula between hemodialysis treatments.
anticipates administering anticoagulation therapy to a
client who has developed heparin-induced
thrombocytopenia (HIT).
Repeated compression of an AV fistula or graft results in
loss of vascular access. This would require follow up by
the preceptor
UPDATE | 100% CORRECT ANSWERS- GALEN
COLLEGE OF NURSING
1. The nurse is caring for a client who has chronic
kidney disease (CKD) and has developed uremia.
Which of the following findings are consistent with
this condition?
• Flank pain
• Cloudy urine.
• Hypotension.
• Muscle cramps.
page 157 Key features of Uremia include muscle
cramps, metallic taste in the mouth, uremic frost on
skin, itching, anorexia, and n/v.
2. The nurse working on the telemetry unit is reviewing
the laboratory results of a client who has chronic kidney
disease (CKD) and notes that the serum potassium level
is 6.1 mEq/L. Which of the following actions should the
nurse take first?
• Administer prescribed lactulose to the client.
• Review the client’s electrocardiogram (EKG).
• Withhold the client’s next scheduled dose of
spironolactone.
• Notify the primary health care provider (PHCP).
Patients with potassium of 6.1 are at risk of fatal
dysrhythmias. Cardiac monitoring is the first action
needed.
3. The nurse working on a surgical unit is assessing
clients for their risk of developing heparin-induced
thrombocytopenia (HIT). The nurse should identify at
greatest risk the client who is a
• 72-year-old female who has had an anaphylactic
, reaction following a transfusion of packed red blood
cells (PRBCs)
• 59-year-old female who has been receiving heparin
5,000 units SQ BID for the past 10 days.
• 27-year-old African American male who has
received cryoprecipitate for the treatment of
hemophilia.
• 45-year-old male who is taking prescribed enoxaparin
for the treatment of a deep vein thrombosis (DVT).
Page 897. HIT can occur in patients receiving any
type of heparin but is more common after
unfractionated heparin, duration longer than 10 days,
and being female. Thrombocytopenia after heparin
exposure is the hallmark sign. Manifestations of HIT
include DVT and PE.
,Question 4
The nurse is teaching a client who was recently diagnosed
with thrombocytopenia. Which instruction does the nurse
include in this client’s discharge teaching?
“Avoid blowing
your nose.”
“Use a soft-
bristled
toothbrush.”
“Drink at least 3 liters
of fluid each day.” “Use
only aspirin when
having pain.”
page 889 best practice for patients with thrombocytopenia
includes avoiding mouth trauma. Do not floss, avoid dental
work and hard foods. Use a soft-bristled toothbrush.
Question 5
The nurse is preparing a client for a prescribed peritoneal
dialysis treatment. What action by the nurse is necessary?
Ask the client to turn
toward the left side.
Assess the dialysis access
for bruit and thrill. Insert
an indwelling urinary
catheter.
Warm the dialysis solution in a warmer.
Page 1567 Care of patients with PD. Cold dialysate causes
discomfort. Warm the bags in a warming chamber or with
a heating pad. DO NOT heat in microwave.
, Question 6
A newly-hired nurse is providing care to assigned clients. I
t would require follow up by the nurse preceptor if the
newly-hired nurse
questions whether a prescribed antihypertensive
should be given before hemodialysis. administers
prescribed fresh frozen plasma (FFP) to a client over
a period of 30 minutes.
applies a pressure dressing on a client’s arteriovenous
(AV) fistula between hemodialysis treatments.
anticipates administering anticoagulation therapy to a
client who has developed heparin-induced
thrombocytopenia (HIT).
Repeated compression of an AV fistula or graft results in
loss of vascular access. This would require follow up by
the preceptor
