NUR401 PRACTICE EXAM QUESTIONS AND ANSWERS
1. When caring for a client who has just been admitted with septic shock, which of these assessment
data will be of greatest concern to the nurse?
a. Arterial oxygen saturation 90%
b. Apical pulse 110 beats/min
c. Blood pressure 88/56 mm Hg
d. Urinary output 15 mL for 2 hours - CORRECT ANSWER✅✅d
2. A client is recovering from a cystoscopy. The nurse would expect to assess
which of the following regarding the client's urine after the procedure?
a. Hematuria
b. Blood clots
c. Pink-tinged
d. Anuria - CORRECT ANSWER✅✅c
3. A client with congestive heart failure and pulmonary edema develops early symptoms of acute renal
failure (ARF). The nurse plans care for the client based on the knowledge that collaborative care of the
renal failure will be directed towards which of the following goals?
a. Diluting nephrotoxic substances
b. Replacing fluid volume
c. Promoting diuresis
d. Maintaining cardiac output - CORRECT ANSWER✅✅d
4. Which of the following is the proper positioning for a client experiencing hypovolemic shock?
a. Trendelenburg
,b. Reverse Trendelenburg
c. Supine with head on a pillow
d. Supine with feet elevated - CORRECT ANSWER✅✅d
5. During discharge teaching for the client with sickle cell anemia, which of the following precipitating
factors for sickle cell crisis should the nurse instruct the client to avoid?
a. Exposure to crowds
b. Limiting fluids to 2 L per day
c. Excessive dietary iron intake
d. Caffeine and alcohol intake - CORRECT ANSWER✅✅a
6. A client with chronic lymphocytic leukemia is hospitalized for the treatment of severe hemolytic
anemia. Which of the following is an appropriate nursing intervention for the client?
a. Plan care to alternate periods of rest and activity.
b. Isolate the client from visitors and other clients.
c. Encourage increased intake of fluid and fibre in the diet.
d. Provide a diet high in vitamin K and folic acid. - CORRECT ANSWER✅✅a
7. A client is scheduled for a fistula creation due to end-stage renal disease. The
nurse would include which of the following in teaching the client about the fistula?
a. A vein and an artery will be attached surgically.
b. The fistula can be used 2 to 4 weeks after the surgery for dialysis treatment.
c. The arm should be immobilized for 4 to 6 weeks.
d. One needle will be inserted for each dialysis treatment. - CORRECT ANSWER✅✅d
8. A 12 years old is admitted to the emergency department after being stung by a
, bee. The client's mother tells the nurse that her son has an allergy to bees and he has been stung
before. In what order of priority will the nurse address the complications?
1. Airway swelling
2. Hypotension
3. Tachypnea
4. Tachycardia
a. 2, 4, 1, 3
b. 1, 2, 3, 4
c. 1, 3 ,2, 4
d. 3, 1, 2, 4 - CORRECT ANSWER✅✅c
9. A client with multiple trauma is brought to the emergency department. The
nurse initiates two peripheral intravenous (IV) sites and begins fluid resuscitation with which of the
following fluids?
a. Dextran
b. 3.0% saline
c. Dextrose 5% in water in one-half normal saline
d. 0.9% saline - CORRECT ANSWER✅✅d
10. A client asks the nurse what effect dialysis will have on the medications he is
currently taking. What is the nurse's best response?
a. Dangerously low blood pressure may occur if antihypertensives are taken before dialysis
b. Once-daily medications are best taken before dialysis treatments
c. Dialysis treatments remove all medications from the blood.
d. Medications are not removed during dialysis treatments - CORRECT ANSWER✅✅a
1. When caring for a client who has just been admitted with septic shock, which of these assessment
data will be of greatest concern to the nurse?
a. Arterial oxygen saturation 90%
b. Apical pulse 110 beats/min
c. Blood pressure 88/56 mm Hg
d. Urinary output 15 mL for 2 hours - CORRECT ANSWER✅✅d
2. A client is recovering from a cystoscopy. The nurse would expect to assess
which of the following regarding the client's urine after the procedure?
a. Hematuria
b. Blood clots
c. Pink-tinged
d. Anuria - CORRECT ANSWER✅✅c
3. A client with congestive heart failure and pulmonary edema develops early symptoms of acute renal
failure (ARF). The nurse plans care for the client based on the knowledge that collaborative care of the
renal failure will be directed towards which of the following goals?
a. Diluting nephrotoxic substances
b. Replacing fluid volume
c. Promoting diuresis
d. Maintaining cardiac output - CORRECT ANSWER✅✅d
4. Which of the following is the proper positioning for a client experiencing hypovolemic shock?
a. Trendelenburg
,b. Reverse Trendelenburg
c. Supine with head on a pillow
d. Supine with feet elevated - CORRECT ANSWER✅✅d
5. During discharge teaching for the client with sickle cell anemia, which of the following precipitating
factors for sickle cell crisis should the nurse instruct the client to avoid?
a. Exposure to crowds
b. Limiting fluids to 2 L per day
c. Excessive dietary iron intake
d. Caffeine and alcohol intake - CORRECT ANSWER✅✅a
6. A client with chronic lymphocytic leukemia is hospitalized for the treatment of severe hemolytic
anemia. Which of the following is an appropriate nursing intervention for the client?
a. Plan care to alternate periods of rest and activity.
b. Isolate the client from visitors and other clients.
c. Encourage increased intake of fluid and fibre in the diet.
d. Provide a diet high in vitamin K and folic acid. - CORRECT ANSWER✅✅a
7. A client is scheduled for a fistula creation due to end-stage renal disease. The
nurse would include which of the following in teaching the client about the fistula?
a. A vein and an artery will be attached surgically.
b. The fistula can be used 2 to 4 weeks after the surgery for dialysis treatment.
c. The arm should be immobilized for 4 to 6 weeks.
d. One needle will be inserted for each dialysis treatment. - CORRECT ANSWER✅✅d
8. A 12 years old is admitted to the emergency department after being stung by a
, bee. The client's mother tells the nurse that her son has an allergy to bees and he has been stung
before. In what order of priority will the nurse address the complications?
1. Airway swelling
2. Hypotension
3. Tachypnea
4. Tachycardia
a. 2, 4, 1, 3
b. 1, 2, 3, 4
c. 1, 3 ,2, 4
d. 3, 1, 2, 4 - CORRECT ANSWER✅✅c
9. A client with multiple trauma is brought to the emergency department. The
nurse initiates two peripheral intravenous (IV) sites and begins fluid resuscitation with which of the
following fluids?
a. Dextran
b. 3.0% saline
c. Dextrose 5% in water in one-half normal saline
d. 0.9% saline - CORRECT ANSWER✅✅d
10. A client asks the nurse what effect dialysis will have on the medications he is
currently taking. What is the nurse's best response?
a. Dangerously low blood pressure may occur if antihypertensives are taken before dialysis
b. Once-daily medications are best taken before dialysis treatments
c. Dialysis treatments remove all medications from the blood.
d. Medications are not removed during dialysis treatments - CORRECT ANSWER✅✅a
