Week 10 BSN 445 Sherpath Exam Questions
With Correct Answers
1. |The |nurse |would |document |which |patient |statement |when |collecting |a |health |history |
related |to |kidney |status? |Select |all |that |apply. |One, |some, |or |all |responses |may |be |correct.
“I |regularly |take |acetaminophen |for |chronic |headaches |and |back |pain.”
“I |had |a |CT |scan |last |week |to |look |for |causes |of |my |stomach |pain.”
“I |take |lisinopril |to |control |my |hypertension.”
“I |feel |like |I |constantly |have |to |pee, |but |I |never |get |it |all |out.”
“When |I |drink |orange |juice, |it |doesn’t |burn |as |much |when |I |pee.”
"I |had |a |CT |scan |last |week |to |look |for |causes |of |my |stomach |pain."
"I |take |lisinopril |to |control |my |hypertension."
"I |feel |like |I |constantly |have |to |pee, |but |I |never |get |it |all |out."
"When |I |drink |orange |juice, |it |doesn't |burn |as |much |when |I |pee."
2. |Which |patient |statement |would |indicate |the |development |of |a |rapid |fluid |volume |gain?
“My |mouth |feels |so |dry |all |of |the |time.”
“I |need |to |sleep |on |two |extra |pillows |at |night.”
“I |have |a |metallic |taste |in |my |mouth.”
“My |skin |tents |up |when |I |pinch |it.”
“I |need |to |sleep |on |two |extra |pillows |at |night.”
3. |Which |patient |statement |would |indicate |a |potential |cause |of |kidney |dysfunction?
“I |had |nephrotic |syndrome |when |I |was |a |child.”
“My |skin |is |so |dry |and |itchy |all |of |the |time.”
“I |have |lost |10 |pounds |in |the |last |2 |months.”
“I |always |have |to |pee |during |the |night.”
“I |had |nephrotic |syndrome |when |I |was |a |child.”
,3. |The |nurse |would |prepare |to |administer |intravenous |(IV) |fluids |to |a |patient |demonstrating |
which |assessment |finding?
+2 |pitting |edema
Moist |mucous |membranes
Distended |jugular |veins
Poor |skin |turgor
Poor |skin |turgor
4. |Which |assessment |finding |would |indicate |fluid |volume |overload?
Distention |of |the |jugular |veins |1 |cm |above |the |sternal |notch |when |the |bed |is |at |45 |degrees
Delayed |return |to |shape |after |pinching |the |skin |over |the |forearm
Distention |of |hand |veins |for |8 |seconds |when |the |hand |is |elevated
Dryness |of |the |oral |cavity |and |mucous |membranes
Distention |of |hand |veins |for |8 |seconds |when |the |hand |is |elevated
5. |The |nurse |assesses |for |edema |by |applying |fingertip |pressure |to |the |ankles |and |notes |a |6-
mm |indention |that |remains |for |about |45 |seconds. |In |which |way |would |the |nurse |document |
these |findings?
+1 |Pitting |edema
+2 |Pitting |edema
+3 |Pitting |edema
+4 |Pitting |edema
+3 |Pitting |edema
+3 |Pitting |edema |creates |an |indentation |about |6-mm |deep |that |lasts |up |to |60 |seconds.
6. |When |the |nurse |is |performing |percussion |of |the |kidneys, |the |patient |states, |“Ow! |It |hurts |
when |you |press |there!” |Based |on |the |assessment |findings, |the |nurse |would |assess |for |which |
condition?
Pyelonephritis
Kidney |stones
Fluid |volume |deficit
, Fluid |volume |overload
Pyelonephritis
7. |Which |assessment |finding |would |indicate |fluid |volume |overload?
Respiratory |rate |of |18 |breaths/min
Central |venous |pressure |(CVP) |of |12 |mm |Hg
Decreased |skin |turgor
Mean |arterial |pressure |(MAP) |of |50 |mm |Hg
Central |venous |pressure |(CVP) |of |12 |mm |Hg
8. |Which |assessment |finding |would |indicate |an |imbalance |in |calcium?
Trousseau |sign
Change |in |muscle |strength
Nausea |and |vomiting
Altered |mental |status
Trousseau |sign
1. |Which |assessment |finding |would |indicate |the |development |of |acute |kidney |injury |in |a |
critically |ill |patient?
Sudden |change |in |creatinine |from |1.35 |mg/dL |to |0.59 |mg/dL
Abrupt |change |in |urine |output |from |40 |mL/h |to |90 |mL/h
Gradual |change |in |potassium |from |5 |mmol/L |to |3 |mmol/L
Increase |in |blood |pressure |from |115/82 |mm |Hg |to |142/90 |mm |Hg
Increase |in |blood |pressure |from |115/82 |mm |Hg |to |142/90 |mm |Hg
2. |The |nurse |notes |that |a |patient |who |weighs |165 |lb |(75 |kg) |is |experiencing |a |sudden |
decrease |in |urine |output |and |has |produced |500 |mL |of |urine |over |the |last |24 |hours. |Based |on |
the |RIFLE |criteria, |in |which |way |would |the |nurse |classify |this |patient?
Risk
Failure
Injury
With Correct Answers
1. |The |nurse |would |document |which |patient |statement |when |collecting |a |health |history |
related |to |kidney |status? |Select |all |that |apply. |One, |some, |or |all |responses |may |be |correct.
“I |regularly |take |acetaminophen |for |chronic |headaches |and |back |pain.”
“I |had |a |CT |scan |last |week |to |look |for |causes |of |my |stomach |pain.”
“I |take |lisinopril |to |control |my |hypertension.”
“I |feel |like |I |constantly |have |to |pee, |but |I |never |get |it |all |out.”
“When |I |drink |orange |juice, |it |doesn’t |burn |as |much |when |I |pee.”
"I |had |a |CT |scan |last |week |to |look |for |causes |of |my |stomach |pain."
"I |take |lisinopril |to |control |my |hypertension."
"I |feel |like |I |constantly |have |to |pee, |but |I |never |get |it |all |out."
"When |I |drink |orange |juice, |it |doesn't |burn |as |much |when |I |pee."
2. |Which |patient |statement |would |indicate |the |development |of |a |rapid |fluid |volume |gain?
“My |mouth |feels |so |dry |all |of |the |time.”
“I |need |to |sleep |on |two |extra |pillows |at |night.”
“I |have |a |metallic |taste |in |my |mouth.”
“My |skin |tents |up |when |I |pinch |it.”
“I |need |to |sleep |on |two |extra |pillows |at |night.”
3. |Which |patient |statement |would |indicate |a |potential |cause |of |kidney |dysfunction?
“I |had |nephrotic |syndrome |when |I |was |a |child.”
“My |skin |is |so |dry |and |itchy |all |of |the |time.”
“I |have |lost |10 |pounds |in |the |last |2 |months.”
“I |always |have |to |pee |during |the |night.”
“I |had |nephrotic |syndrome |when |I |was |a |child.”
,3. |The |nurse |would |prepare |to |administer |intravenous |(IV) |fluids |to |a |patient |demonstrating |
which |assessment |finding?
+2 |pitting |edema
Moist |mucous |membranes
Distended |jugular |veins
Poor |skin |turgor
Poor |skin |turgor
4. |Which |assessment |finding |would |indicate |fluid |volume |overload?
Distention |of |the |jugular |veins |1 |cm |above |the |sternal |notch |when |the |bed |is |at |45 |degrees
Delayed |return |to |shape |after |pinching |the |skin |over |the |forearm
Distention |of |hand |veins |for |8 |seconds |when |the |hand |is |elevated
Dryness |of |the |oral |cavity |and |mucous |membranes
Distention |of |hand |veins |for |8 |seconds |when |the |hand |is |elevated
5. |The |nurse |assesses |for |edema |by |applying |fingertip |pressure |to |the |ankles |and |notes |a |6-
mm |indention |that |remains |for |about |45 |seconds. |In |which |way |would |the |nurse |document |
these |findings?
+1 |Pitting |edema
+2 |Pitting |edema
+3 |Pitting |edema
+4 |Pitting |edema
+3 |Pitting |edema
+3 |Pitting |edema |creates |an |indentation |about |6-mm |deep |that |lasts |up |to |60 |seconds.
6. |When |the |nurse |is |performing |percussion |of |the |kidneys, |the |patient |states, |“Ow! |It |hurts |
when |you |press |there!” |Based |on |the |assessment |findings, |the |nurse |would |assess |for |which |
condition?
Pyelonephritis
Kidney |stones
Fluid |volume |deficit
, Fluid |volume |overload
Pyelonephritis
7. |Which |assessment |finding |would |indicate |fluid |volume |overload?
Respiratory |rate |of |18 |breaths/min
Central |venous |pressure |(CVP) |of |12 |mm |Hg
Decreased |skin |turgor
Mean |arterial |pressure |(MAP) |of |50 |mm |Hg
Central |venous |pressure |(CVP) |of |12 |mm |Hg
8. |Which |assessment |finding |would |indicate |an |imbalance |in |calcium?
Trousseau |sign
Change |in |muscle |strength
Nausea |and |vomiting
Altered |mental |status
Trousseau |sign
1. |Which |assessment |finding |would |indicate |the |development |of |acute |kidney |injury |in |a |
critically |ill |patient?
Sudden |change |in |creatinine |from |1.35 |mg/dL |to |0.59 |mg/dL
Abrupt |change |in |urine |output |from |40 |mL/h |to |90 |mL/h
Gradual |change |in |potassium |from |5 |mmol/L |to |3 |mmol/L
Increase |in |blood |pressure |from |115/82 |mm |Hg |to |142/90 |mm |Hg
Increase |in |blood |pressure |from |115/82 |mm |Hg |to |142/90 |mm |Hg
2. |The |nurse |notes |that |a |patient |who |weighs |165 |lb |(75 |kg) |is |experiencing |a |sudden |
decrease |in |urine |output |and |has |produced |500 |mL |of |urine |over |the |last |24 |hours. |Based |on |
the |RIFLE |criteria, |in |which |way |would |the |nurse |classify |this |patient?
Risk
Failure
Injury
