Joyce University NUR198 Exam 1 || Most Recent Exam
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A client with a history of chronic heart failure is admitted witha
serum sodium level of 120 mEq/L (nl. 136 - 145 mEq/L). The
provider prescribes 3% NaCl to be administered intravenously
(IV). Which of the following nursing actions is most important
during the administration of this IV fluid?
A. Monitor the client's serum sodium levels every 4 hours.
B. Assess the client's lung sounds and respiratory status
frequently.
C. Measure the client's urine output every shift.
D. Educate the client about the purpose of the hypertonic
saline. - ANSWER-B.
Assess the client's lung sounds and respiratory status
frequently
A nurse is preparing a dietary teaching plan for a client with
hypokalemia. Which of the following foods would the nurse
instruct the client to consume for its high potassium value?
(SATA).
A. Dried fruits
B. Cantaloupe
,C. Almond milk
D. Avocados
E. Eggs
F. Blueberries - ANSWER-A. dried fruits, B. cantaloupe, D.
avocados
A nurse is caring for a client with hypokalemia. Which of the
following medications in the client's MAR would be the most
concerning to the nurse?A.
Metoprolol
B. Spironolactone
C. Digoxin
D. Warfarin - ANSWER-C. Digoxin
Hypokalemia increases the risk for digoxin toxicity
A nurse is reviewing the medical records of several clients. The
nurse identifies which client as having the highest risk for
developing hyperkalemia?
A. A 50-year-old client with hypothyroidism taking levothyroxine
B. A 40-year-old client with chronic kidney disease who is
taking spironolactone
C. A 60-year-old client with hypertension who is on a low-
sodium diet
D. A 70-year-old client with peptic ulcer disease who is taking
omeprazole - ANSWER-B. A 40-year-old client with chronic
kidney disease who is taking spironolactone
,A 50-year-old client is admitted with a diagnosis of
hyperkalemia. Her serum potassium level is 6.5 mEq/L. She is
experiencing muscle weakness and palpitations. Which of the
following nursing interventions should be prioritized to manage
this condition?
A. Administering a potassium-sparing diuretic
B. Encouraging the patient to eat potassium-rich foods
C. Administering intravenous calcium gluconate
D. Restricting the client's fluid intake - ANSWER-C.
Administering intravenous calcium gluconate
A nurse is teaching a client about non-dairy sources of calcium
to help improve their bone health. Which of the following foods
should the nurse recommend? (SATA).
A. Spinach
B. Pineapple
C. Almonds
D. Salmon
E. Brown rice - ANSWER-A. spinach, C. almonds, D. salmon
A nurse is teaching a client with renal disease about foods high
in phosphorus that should be avoided to help manage their
condition. Which of the following foods should the nurse
advise the client to avoid? (SATA)
A. Processed meats
B. Cola beverages
C. Whole grain bread
D. Eggs
E. Milk
, F. Legumes - ANSWER-all of the above
The nurse notes the client's electrocardiogram (ECG) shows
peaked T waves with a prolonged PR interval. Which lab test
does the nurse expect the provider to order?
A. Arterial blood gas
B. Serum electrolytes
C. Complete blood count
D. Blood culture and sensitivity - ANSWER-B. Serum
electrolytes
The nurse is caring for a 48-year-old female diagnosed with
acute kidney injury.
Laboratory results reveal that the client is experiencing mild
hyperkalemia. Which independent nursing action is appropriate
to manage the client's hyperkalemia?
A. Dialysis
B. Intravenous dextrose solutions
C. Avoiding potassium-rich foods
D. Insulin administration - ANSWER-C. Avoiding potassium-rich
foods
The lab calls the nurse and reports an adult client's serum
calcium of 6.9 mg/dL and serum potassium of 6.2
mEq/dL.Which action by the nurse is appropriate?
A. Notifies the physician about the patient's hypocalcemia
B. Notifies the physician about the patient's hypercalcemia
C. Makes a note in the chart, but takes no further action
2026/27 || Actual Complete Real Exam Questions And
Correct Detailed Answers (Verified Answers) Already
Graded A+ | Guaranteed Success!! Newest Exam | Just
Released!! | Instant Download
A client with a history of chronic heart failure is admitted witha
serum sodium level of 120 mEq/L (nl. 136 - 145 mEq/L). The
provider prescribes 3% NaCl to be administered intravenously
(IV). Which of the following nursing actions is most important
during the administration of this IV fluid?
A. Monitor the client's serum sodium levels every 4 hours.
B. Assess the client's lung sounds and respiratory status
frequently.
C. Measure the client's urine output every shift.
D. Educate the client about the purpose of the hypertonic
saline. - ANSWER-B.
Assess the client's lung sounds and respiratory status
frequently
A nurse is preparing a dietary teaching plan for a client with
hypokalemia. Which of the following foods would the nurse
instruct the client to consume for its high potassium value?
(SATA).
A. Dried fruits
B. Cantaloupe
,C. Almond milk
D. Avocados
E. Eggs
F. Blueberries - ANSWER-A. dried fruits, B. cantaloupe, D.
avocados
A nurse is caring for a client with hypokalemia. Which of the
following medications in the client's MAR would be the most
concerning to the nurse?A.
Metoprolol
B. Spironolactone
C. Digoxin
D. Warfarin - ANSWER-C. Digoxin
Hypokalemia increases the risk for digoxin toxicity
A nurse is reviewing the medical records of several clients. The
nurse identifies which client as having the highest risk for
developing hyperkalemia?
A. A 50-year-old client with hypothyroidism taking levothyroxine
B. A 40-year-old client with chronic kidney disease who is
taking spironolactone
C. A 60-year-old client with hypertension who is on a low-
sodium diet
D. A 70-year-old client with peptic ulcer disease who is taking
omeprazole - ANSWER-B. A 40-year-old client with chronic
kidney disease who is taking spironolactone
,A 50-year-old client is admitted with a diagnosis of
hyperkalemia. Her serum potassium level is 6.5 mEq/L. She is
experiencing muscle weakness and palpitations. Which of the
following nursing interventions should be prioritized to manage
this condition?
A. Administering a potassium-sparing diuretic
B. Encouraging the patient to eat potassium-rich foods
C. Administering intravenous calcium gluconate
D. Restricting the client's fluid intake - ANSWER-C.
Administering intravenous calcium gluconate
A nurse is teaching a client about non-dairy sources of calcium
to help improve their bone health. Which of the following foods
should the nurse recommend? (SATA).
A. Spinach
B. Pineapple
C. Almonds
D. Salmon
E. Brown rice - ANSWER-A. spinach, C. almonds, D. salmon
A nurse is teaching a client with renal disease about foods high
in phosphorus that should be avoided to help manage their
condition. Which of the following foods should the nurse
advise the client to avoid? (SATA)
A. Processed meats
B. Cola beverages
C. Whole grain bread
D. Eggs
E. Milk
, F. Legumes - ANSWER-all of the above
The nurse notes the client's electrocardiogram (ECG) shows
peaked T waves with a prolonged PR interval. Which lab test
does the nurse expect the provider to order?
A. Arterial blood gas
B. Serum electrolytes
C. Complete blood count
D. Blood culture and sensitivity - ANSWER-B. Serum
electrolytes
The nurse is caring for a 48-year-old female diagnosed with
acute kidney injury.
Laboratory results reveal that the client is experiencing mild
hyperkalemia. Which independent nursing action is appropriate
to manage the client's hyperkalemia?
A. Dialysis
B. Intravenous dextrose solutions
C. Avoiding potassium-rich foods
D. Insulin administration - ANSWER-C. Avoiding potassium-rich
foods
The lab calls the nurse and reports an adult client's serum
calcium of 6.9 mg/dL and serum potassium of 6.2
mEq/dL.Which action by the nurse is appropriate?
A. Notifies the physician about the patient's hypocalcemia
B. Notifies the physician about the patient's hypercalcemia
C. Makes a note in the chart, but takes no further action
