PN3 Final Exam Review
1. When differentiating between the causes of pyelonephritis vs. glomerulonephritis, the
nurse understands that one cause of glomerulonephritis is:
- Group A beta-hemolytic streptococcus
2. An older male is diagnosed with cirrhosis of the liver. The nurse knows that the most
likely cause of this problem is:
- drinking excessive alcohol
3. When assessing a client diagnosed with acromegaly, which signs, symptoms or history
with is nurse likely find? (Select all that apply):
- Cardiomyopathy
Large Tongue(macroglossia)
Oily Skin
4. The nurse is planning care for a client diagnosed with Graves' disease. Which of the
following nursing interventions would be appropriate for this client's care?
- Provide small frequent meals
5. A nurse is caring for a client diagnosed with rhabdomyolysis. Which of the following labs
will the nurse consider priority?
- BUN and creatinine
6. A client is diagnosed with macrovesicular fatty liver. Which of the following should the
nurse instruct this client?
- Avoid alcohol
,7. The nurse is caring for a client with a femur fracture. Bucks traction has been ordered.
The nurse is aware that traction provides which of the following benefits? (Select all that
apply):
- Reduces the fracture
Lessens Muscle Spasms
Relieves Pain
8. The nurse is caring for a client with new onset of elevated BUN and creatinine, oliguria,
hypotension and diarrhea for one week. The nurse suspect which disease process?
- Acute renal failure
9. A nurse is caring for a client with nephrotic syndrome. Which of the following would the
nurse expect for this condition?
- Edema, hypoalbuminemia and proteinuria; follow a salt restricted diet
10. Which of the following statements made by a client after receiving instruction regarding
internal radiation would indicate that teaching has been successful?
- "The hospital staff will limit the amount of time people are in my room."
11. A client was involved in a motor vehicle collision and sustained a head injury. The nurse
is aware that with a head injury, a __________________ must also be suspected
- Neck injury
12. Which of the following should be avoided when caring for a client diagnosed with
increased intracranial pressure?
- Placing the bed in Trendelenburg
,13. A Health Department RN is teaching community courses on the prevention of kidney
disease. Which of the following are discussed as risk factors for chronic kidney disease?
(Select all that apply):
- Hypertension
Nephrotoxic meds
Renal Artery Stenosis
Recurrent Infections
14. A client is unresponsive and has no pulse. The nurse notes that the electrocardiogram
tracing shows continuous large and bizarre QRS complexes measured greater than 0.12.
This rhythm is identified as:
- Ventricular tachycardia
15. The nurse, planning care for a client who is mechanically ventilated, would plan to
administer medication to prevent the onset of which of the following complications?
- Stress Ulcers
16. A client tells the nurse he is "so thirsty" that he has already consumed four pitchers of
water. The client's urine output is 3500 mL in an 8-hour period. The client is recovering
from surgery on the pituitary gland. What endocrine disorder is the client most likely
experiencing?
- Diabetes insipidus
17. When caring for the client diagnosed with diabetes insipidus, the nurse will anticipate
administering which one of these mediations?
- Vasopressin
18. The nurse is caring for a client with exophthalmos. Which of the following nursing
interventions will the nurse do?
, - Apply artificial tears to reduce dryness
19. For the client who is at risk for stroke, the most important guideline the nurse should
teach is to:
- monitor BP
20. A nurse is educating a client who is newly diagnosed with nephrotic syndrome. The
nurse correctly educates the client when which statement is made?
- Damage has been done to the glomerular capillary membrane
21. A client is diagnosed with rhabdomyolysis. The nurse understands this may be a
consequence of which condition?
- Compartment syndrome
22. During an assessment of a client experiencing dizziness and near-syncope, the nurse
finds the following: VS: B/P: 86/40, HR: 36, RR: 12. Cardiac monitor shows this rhythm:
- Atropine
23. Care of the client following a thyroidectomy includes which one of the following
interventions?
- Assess for bleeding at surgical sight; respiratory difficulty; pain
24. A client is newly diagnosed with Addison's disease, and asks the nurse "What is that?"
The nurse correctly responds by stating Addison's disease occurs when there is a(n)
___________ in the body. Fill in the blank.
- "decrease in secretion of aldosterone and cortisol"
1. When differentiating between the causes of pyelonephritis vs. glomerulonephritis, the
nurse understands that one cause of glomerulonephritis is:
- Group A beta-hemolytic streptococcus
2. An older male is diagnosed with cirrhosis of the liver. The nurse knows that the most
likely cause of this problem is:
- drinking excessive alcohol
3. When assessing a client diagnosed with acromegaly, which signs, symptoms or history
with is nurse likely find? (Select all that apply):
- Cardiomyopathy
Large Tongue(macroglossia)
Oily Skin
4. The nurse is planning care for a client diagnosed with Graves' disease. Which of the
following nursing interventions would be appropriate for this client's care?
- Provide small frequent meals
5. A nurse is caring for a client diagnosed with rhabdomyolysis. Which of the following labs
will the nurse consider priority?
- BUN and creatinine
6. A client is diagnosed with macrovesicular fatty liver. Which of the following should the
nurse instruct this client?
- Avoid alcohol
,7. The nurse is caring for a client with a femur fracture. Bucks traction has been ordered.
The nurse is aware that traction provides which of the following benefits? (Select all that
apply):
- Reduces the fracture
Lessens Muscle Spasms
Relieves Pain
8. The nurse is caring for a client with new onset of elevated BUN and creatinine, oliguria,
hypotension and diarrhea for one week. The nurse suspect which disease process?
- Acute renal failure
9. A nurse is caring for a client with nephrotic syndrome. Which of the following would the
nurse expect for this condition?
- Edema, hypoalbuminemia and proteinuria; follow a salt restricted diet
10. Which of the following statements made by a client after receiving instruction regarding
internal radiation would indicate that teaching has been successful?
- "The hospital staff will limit the amount of time people are in my room."
11. A client was involved in a motor vehicle collision and sustained a head injury. The nurse
is aware that with a head injury, a __________________ must also be suspected
- Neck injury
12. Which of the following should be avoided when caring for a client diagnosed with
increased intracranial pressure?
- Placing the bed in Trendelenburg
,13. A Health Department RN is teaching community courses on the prevention of kidney
disease. Which of the following are discussed as risk factors for chronic kidney disease?
(Select all that apply):
- Hypertension
Nephrotoxic meds
Renal Artery Stenosis
Recurrent Infections
14. A client is unresponsive and has no pulse. The nurse notes that the electrocardiogram
tracing shows continuous large and bizarre QRS complexes measured greater than 0.12.
This rhythm is identified as:
- Ventricular tachycardia
15. The nurse, planning care for a client who is mechanically ventilated, would plan to
administer medication to prevent the onset of which of the following complications?
- Stress Ulcers
16. A client tells the nurse he is "so thirsty" that he has already consumed four pitchers of
water. The client's urine output is 3500 mL in an 8-hour period. The client is recovering
from surgery on the pituitary gland. What endocrine disorder is the client most likely
experiencing?
- Diabetes insipidus
17. When caring for the client diagnosed with diabetes insipidus, the nurse will anticipate
administering which one of these mediations?
- Vasopressin
18. The nurse is caring for a client with exophthalmos. Which of the following nursing
interventions will the nurse do?
, - Apply artificial tears to reduce dryness
19. For the client who is at risk for stroke, the most important guideline the nurse should
teach is to:
- monitor BP
20. A nurse is educating a client who is newly diagnosed with nephrotic syndrome. The
nurse correctly educates the client when which statement is made?
- Damage has been done to the glomerular capillary membrane
21. A client is diagnosed with rhabdomyolysis. The nurse understands this may be a
consequence of which condition?
- Compartment syndrome
22. During an assessment of a client experiencing dizziness and near-syncope, the nurse
finds the following: VS: B/P: 86/40, HR: 36, RR: 12. Cardiac monitor shows this rhythm:
- Atropine
23. Care of the client following a thyroidectomy includes which one of the following
interventions?
- Assess for bleeding at surgical sight; respiratory difficulty; pain
24. A client is newly diagnosed with Addison's disease, and asks the nurse "What is that?"
The nurse correctly responds by stating Addison's disease occurs when there is a(n)
___________ in the body. Fill in the blank.
- "decrease in secretion of aldosterone and cortisol"
