CM Exam 5 NURSING MISC CM 4 Exam 5 update.

CM Exam 5
NURSING MISC CM 4 Exam 5 update.

1. Anurseisreviewingaclient’slaboratoryres
ultsandfindsthehemoglobinis10g/dLandthe
hematocritis30%.Thenurserecognizesthathe
clientisatriskforwhichofthefolowing?
a. Impairedi
mmunity b
.
Prolongedbl
e ding
c.Celularh
ypoxia
d.Fluidret
ention
2. Anurseiscaringforanolderadultclientwhoha
saurinarytractinfection(UTI).Whichofthe
folowingmanifestationsshouldthenurseidentif
.
yasafindingspecificalyassociatedwiththisclien
t?
a
Confusion
b.Lowback
pain
c.Urinary
retention
d.Inconti
nence
3. Anurseiscaringforaclientwhohaschronicki
dneydisease(CKD)andstatesshehas
heartburn.Theproviderprescribesaluminum
hydroxide.Theclientasks,"Whycan'tIjustake
the
antacidmagaldratemyhusbandhasathome?"Then
urseexplainstotheclienthataluminum
hydroxideisthepreferedantacidbecauseitlowe
rswhichofthefolowing?
a.Serum
magnesium
levels
b.Serum
potassium
levels
c.Serum
phosphoruslev
els d.Serum
calcium levels
4. Anurseisteachingaclientfolowingacystoscopy
abouthisnewprescriptionfortamsulosin.Which
ofthefolowingadverseeffectsshouldthenurseincl
.
udeintheteaching?
a Dizzines .
b.Bradycardi
a
c.Burningwit
hurination
d.Temporaryl
ossoflibido.
5. Anurseisprovidingteachingtoaclientaboutme
asurestopreventurinarytractinfections(UTIs
).
.

,Whichofthefolowingclientstatementsindicates
ane dforfurtherteaching?
a "Iwilne dtowipemyperinealareafrom
backtofrontafterurination."
b. "Iwilne dtoemptymyblad
eregularlyandcompletely."
c. "Ine dtodrink8cupsofliquideachday."
d. "Iwilne dtodrinkap lecidervinegareachday."

6. Anurseiscaringforaclientwhohasacutekidneyi
njury(AKI).Whichofthefolowingarterialblo d
gasvalueswouldthenurseexpecthisclientohave?
a.pH7.49,HCO324,PaCO230
b.
pH7.26,HCO314,PaCO230(metaboli
cacidosis)
c.pH7.26,HCO324,PaCO246
d.pH7.49,HCO330,PaCO240
7. Anurseiscaringforayoungfemaleadultclientwh
oreportsweakness,fatigue,andheavy
menstrualperiods.Theclienthasahemoglobinlev
elof8g/dLandahematocritlevelof28g/dL.The
nursesuspectwhichofthefolowingtypesofanemia
?
a. Sicklecelanemia

, b.Perniciousanemia
c Iron-deficiencyanemia
d.Folicaciddeficiencyanemia
.

8. Anurseisteachingaclientwhohasacutekidne
ydiseaseaboutfluidrestrictions.Whichofthe
folowingstatementsbytheclientshouldthenur
.
seidentifyasunderstandingoftheteaching?
a "Iwilmakealistofmyfavoritebeverages."
b."Iwilputbeveragesinlargecontainerstogive
theap earanceofdrinkingalot."
c."Ishouldconsumemostofthefluidduringtheeven
ing."
d."Iwilnotad icecream
totheamountoffluidintake."

9. Anurseisdiscussingkidneytransplantwithac
lientwhohasend-stagerenaldisease(ESRD).
Whichofthefolowingshouldthenurseidentifyas
acontraindicationforthistreatment?
a)Breastcancers
urvivorfor8years
b)Pacemaker
c)Alcoholusediso
rder
d)65-yearsofage

Anurseismonitoringanolderadultfemaleclie
10.
ntwhohadamyocardialinfarction(MI)forthe
developmentofanacutekidneyinjury.Whichofth
efolowingfindingsshouldthenurseidentifyas
indicatinganincreasedriskofacutekidneyinju
ry(AKI)?
a)Serum
Osmolality290mOsm/
kgHâO b)Magnesium
2.0mEq/L
c)Serum
creatinine1.8mg/dL
d)Blo dureanitrogen(BUN)20mg/dL

1..Anurseiscaringforaclientwhotheprovidersu
spectsmighthaveperniciousanemia.Thenurse
shouldexpectheprovidertoprescribewhichofthe
folowingdiagnostictests?
a) Sweatest
b)Haptoglob
in
c)Antinucl
earantibodi
es
d)Schiling
test
Anurseisreviewinglaboratoryfindingsforf
12.
ourclients.Whichofthefolowingclientshas
manifestationsofacutekidneyinjury?
a) Hemoglobin16
g/dL b)Serum
creatinine6mg/
dL
c)BUN15mg/dL
d)Serum