NUR 2759 MDC3 Exam 1 | Study Questions and detailed
Answers complete Solutions with Rationale | A+ Graded |
2026 Updates | 100% correct
1. A nurse is caring for a client diagnosed with stage 5 chronic kidney disease. Which of
the following is a treatment option for a client with end-stage kidney disease?
A. Nonsteroidal anti-inflammatory drugs (NSAIDs)
B. Phosphate binders ✅
C. Potassium-sparing diuretics
D. Antacids containing magnesium
Correct Answer: B. Phosphate binders
3. A client is scheduled for a prostate-specific antigen (PSA) test. The nurse should
advise the client to avoid which activity before the test to prevent falsely elevated PSA
levels?
A. Consumption of caffeine on the day of the test
B. Drinking water on the morning of the test
C. Sexual activity 24 hours before the test ✅
D. Vigorous exercise 48 hours prior to the test
Correct Answer: C. Sexual activity 24 hours before the test
4. The nurse includes which of the following in self-management teaching for a client
diagnosed with vulvovaginitis? (Select all that apply)
A. Cleanse perineal area and mucosa with soap
B. Administer a douche two per week
C. Wear tight-fitting clothes
D. Wipe from front to back after urinating ✅
E. Use fragrance-free detergent ✅
Correct Answers: D and E
,5. A client with nephrotic syndrome reports increased swelling and weight gain. Which
nursing action is most appropriate to address the client’s concerns?
A. Advise the client to reduce protein intake to decrease swelling
B. Instruct the client to initiate strict bed rest to promote diuresis
C. Immediately start the client on a higher dose of diuretics
D. Assess the client’s dietary compliance and review intake/output records ✅
Correct Answer: D. Assess the client’s dietary compliance and review intake/output records
6. A client with trichomoniasis is being treated with metronidazole. What does the nurse
include in the medication education?
A. Abstain from sexual activity for 7 to 10 days after treatment completion ✅
B. Expect a metallic taste in the mouth as an allergic reaction to the medication
C. Take the medication with a full glass of milk to reduce gastrointestinal upset
D. Consume alcoholic beverages in moderation while on the medication
Correct Answer: A. Abstain from sexual activity for 7 to 10 days after treatment completion
7. A nurse is caring for an emotionally upset client after being diagnosed with endometrial
cancer several weeks ago. What is the nurse’s best action?
A. Limit visits from family members and visitors
B. Help the client adapt by using a calm, accepting approach ✅
C. Refer the client to the appropriate healthcare provider
D. Inform the client that it will be ok and not to worry
Correct Answer: B. Help the client adapt by using a calm, accepting approach
8. A client with chronic kidney failure has just been diagnosed with abnormal lab values.
What is one of the primary abnormal values with this condition?
A. BUN = 5 mg/dL
B. Calcium = 11 mg/dL
C. Potassium = 7 mEq/L ✅
D. Phosphorus = 1 mEq/L
, Correct Answer: C. Potassium = 7 mEq/L
9. A client with a urinary tract infection has just been diagnosed with acute kidney injury.
The physician ordered lab work to be done. The nurse expects which of the following
abnormal labs to be present in this client with acute kidney injury?
A. Potassium 5.7 and Phosphorus 5.3 ✅
B. Arterial HCO3 = 34
C. Creatinine = 0.9, BUN = 12
D. Magnesium = 2.2, Calcium = 12
Correct Answer: A. Potassium 5.7 and Phosphorus 5.3
10. A client in the emergency department with a history of renal stones reports severe
right flank pain radiating to the groin. What is the nurse’s best action?
A. Prepare the client for immediate surgical intervention to remove the kidney stone
B. Administer prescribed analgesics and prepare the client for diagnostic imaging ✅
C. Provide a diet low in calcium and protein to prevent stones
D. Advise the client to push 3 liters of oral fluids before imaging
Correct Answer: B. Administer prescribed analgesics and prepare the client for diagnostic
imaging
11.
Question: A nurse is caring for a client diagnosed with polycystic kidney disease. The nurse
anticipates all of the following interventions or treatment options except which of the following?
● Genetic counseling
● Blood pressure control
● Pain management
● Blood transfusion
✅ Correct Answer: Blood transfusion
12.
Question: Which statement indicates a need for further teaching about the longterm
management of chronic pyelonephritis?
Answers complete Solutions with Rationale | A+ Graded |
2026 Updates | 100% correct
1. A nurse is caring for a client diagnosed with stage 5 chronic kidney disease. Which of
the following is a treatment option for a client with end-stage kidney disease?
A. Nonsteroidal anti-inflammatory drugs (NSAIDs)
B. Phosphate binders ✅
C. Potassium-sparing diuretics
D. Antacids containing magnesium
Correct Answer: B. Phosphate binders
3. A client is scheduled for a prostate-specific antigen (PSA) test. The nurse should
advise the client to avoid which activity before the test to prevent falsely elevated PSA
levels?
A. Consumption of caffeine on the day of the test
B. Drinking water on the morning of the test
C. Sexual activity 24 hours before the test ✅
D. Vigorous exercise 48 hours prior to the test
Correct Answer: C. Sexual activity 24 hours before the test
4. The nurse includes which of the following in self-management teaching for a client
diagnosed with vulvovaginitis? (Select all that apply)
A. Cleanse perineal area and mucosa with soap
B. Administer a douche two per week
C. Wear tight-fitting clothes
D. Wipe from front to back after urinating ✅
E. Use fragrance-free detergent ✅
Correct Answers: D and E
,5. A client with nephrotic syndrome reports increased swelling and weight gain. Which
nursing action is most appropriate to address the client’s concerns?
A. Advise the client to reduce protein intake to decrease swelling
B. Instruct the client to initiate strict bed rest to promote diuresis
C. Immediately start the client on a higher dose of diuretics
D. Assess the client’s dietary compliance and review intake/output records ✅
Correct Answer: D. Assess the client’s dietary compliance and review intake/output records
6. A client with trichomoniasis is being treated with metronidazole. What does the nurse
include in the medication education?
A. Abstain from sexual activity for 7 to 10 days after treatment completion ✅
B. Expect a metallic taste in the mouth as an allergic reaction to the medication
C. Take the medication with a full glass of milk to reduce gastrointestinal upset
D. Consume alcoholic beverages in moderation while on the medication
Correct Answer: A. Abstain from sexual activity for 7 to 10 days after treatment completion
7. A nurse is caring for an emotionally upset client after being diagnosed with endometrial
cancer several weeks ago. What is the nurse’s best action?
A. Limit visits from family members and visitors
B. Help the client adapt by using a calm, accepting approach ✅
C. Refer the client to the appropriate healthcare provider
D. Inform the client that it will be ok and not to worry
Correct Answer: B. Help the client adapt by using a calm, accepting approach
8. A client with chronic kidney failure has just been diagnosed with abnormal lab values.
What is one of the primary abnormal values with this condition?
A. BUN = 5 mg/dL
B. Calcium = 11 mg/dL
C. Potassium = 7 mEq/L ✅
D. Phosphorus = 1 mEq/L
, Correct Answer: C. Potassium = 7 mEq/L
9. A client with a urinary tract infection has just been diagnosed with acute kidney injury.
The physician ordered lab work to be done. The nurse expects which of the following
abnormal labs to be present in this client with acute kidney injury?
A. Potassium 5.7 and Phosphorus 5.3 ✅
B. Arterial HCO3 = 34
C. Creatinine = 0.9, BUN = 12
D. Magnesium = 2.2, Calcium = 12
Correct Answer: A. Potassium 5.7 and Phosphorus 5.3
10. A client in the emergency department with a history of renal stones reports severe
right flank pain radiating to the groin. What is the nurse’s best action?
A. Prepare the client for immediate surgical intervention to remove the kidney stone
B. Administer prescribed analgesics and prepare the client for diagnostic imaging ✅
C. Provide a diet low in calcium and protein to prevent stones
D. Advise the client to push 3 liters of oral fluids before imaging
Correct Answer: B. Administer prescribed analgesics and prepare the client for diagnostic
imaging
11.
Question: A nurse is caring for a client diagnosed with polycystic kidney disease. The nurse
anticipates all of the following interventions or treatment options except which of the following?
● Genetic counseling
● Blood pressure control
● Pain management
● Blood transfusion
✅ Correct Answer: Blood transfusion
12.
Question: Which statement indicates a need for further teaching about the longterm
management of chronic pyelonephritis?
