PN3 EXAM 3 QUESTIONS AND
ANSWERS
A pt with hyperaldosteronism is being treated w/ spironolactone before surgery.
Which precautions does the nurse teach this pt?
Read the label before using salt substitutes
A nurse assess a pt w/ anterior pituitary hyperfunction. Which clinical
manifestation would the nurse expect?
- Protrusion of the lower jaw
- Enlarged hands & feet
- Barrel-shaped chest
An emergency nurse cares for a pt who is experiencing an acute adrenal crisis.
What action would the nurse take first?
Obtain intravenous access
A nurse plans care for a pt w/ cushings disease. Which action would the nurse
include in this pts plan of care to prevent injury?
Use a lift sheet to change the pts position
A nurse cares for a pt w/chronic hypercortisolism. What action would the nurse
take?
Wash hands when entering the room
A nurse assess a pt w/ cushing's disease. Which assessment findings would the
nurse correlate w/this disorder?
- Moon face
- Petechiae
- Muscle atrophy
A nurse teaches a pt w/ cushing's disease. Which dietary requirements would the
nurse include in this pt's teaching
- Low carbs
- Low calories
- Low sodium
A nurse assess a pt who is recovering from a transsphenoidal hypophysectomy.
The nurse notes nuchal rigidity. What action would the nurse take first?
Take vital signs, including temperature
After teaching a pt w/ acromegaly who is scheduled for a hypophysectomy, the
nurse assess the pts understanding. Which statement made by the pt indicates a
need for additional teaching?
"I hope I can go back to wearing size 8 shoes instead of size 12"
A nurse teaching a pt w/ a cortisol deficiency who is prescribed cortisol
replacement therapy. Which statement would the nurse include in this pt's
instructions?
"If you are vomiting you will have to use inject-able cortisol"
, While assessing a pt w/ graves disease, the nurse notes that the pt's temp has
risen 1 degree. What does the nurse do first?
Turn the lights down & shut the pt's door
A patient is assessed by the nurse after a hemo-dialysis session. The nurse notes
bleeding from the pt's nose & around the intravenous catheter. What action by
the nurse is the priority.
Prepare protamine sulfate for administration
A nurse is caring for a pt who is scheduled for a dose a cefazolin & vitamins at
this time. Hemodialysis for this pt is also scheduled in 60 min. Which action by
the nurse is best?
Hold all medications since both cefazolin & vitamins & dialyzable
A pt has a long history of hypertension. Which category of medications would the
nurse expect to be ordered to avoid chronic kidney disease (CKD)?
Angiotensin-converting enzyme (ACE) inhibitor
A pt w/ chronic kidney disease states. "I feel chained to the hemodialysis
machine" What is the nurses best response to the pt's statement?
"Tell me more about your feelings regarding hemodialysis treatment"
A marathon runner comes into the clinic & states "I have not urinated very much
in the last few days" The nurse notes a heart rate of 110 beats/min & a blood
pressure of 86/58. Which action by the nurse is the priority?
Give the pt a bottle of water immediately
The nurse is assessing a pt w/ a diagnosis of prerenal acute kidney injury(AKI).
Which condition would the nurse expect to find in the pt's recent history?
Myocardial Infarction
A pt is unsure of the decision to undergo peritoneal dialysis & wishes to discuss
the advantages of this treatment w/ the nurse. Which statements by the nurse are
accurate regarding PD.
- "You will not need vascular access to perform PD"
- "There is less restriction of protein & fluids"
- "You have flexible scheduling for the exchanges"
A pt in the intensive care unit is started on continous venovenous hemofiltration
(CVVH). Which finding is the cause of immediate action by the nurse?
Blood pressure of 76/58 mm Hg
A nurse reviews these laboratory values of a pt who returned from kidney
transplantation 12 hes ago: Sodium 136 mEq/L (135 mmol/L), Potassium 5 mEq/L
(5 mmol/L), Blood urea nitrogen (BUN) 44 mg/dL (15.7 mmol/L), Serum creatinine
2.5 mg/dL (221 mcmol/L). What initial intervention would the nurse anticipate?
Increase the dose of immunosuppression
A pt is undergoing hemodialysis. The pt's blood pressure at the beginning of the
procedure was 136/88 mm Hg, and now it is 110/54 mm Hg. What action would the
nurse perform to maintain blood pressure?
- Adjust the rate of extracorporeal blood flow
- Place the pt in the trendelenburg position
- Administer a 250-mL bolus of normal saline
The nurse is assessing a client with a diagnosis of Prerenal acute kidney injury
(AKI). Which recent condition in the clients history would cause a prerenal AKI
ANSWERS
A pt with hyperaldosteronism is being treated w/ spironolactone before surgery.
Which precautions does the nurse teach this pt?
Read the label before using salt substitutes
A nurse assess a pt w/ anterior pituitary hyperfunction. Which clinical
manifestation would the nurse expect?
- Protrusion of the lower jaw
- Enlarged hands & feet
- Barrel-shaped chest
An emergency nurse cares for a pt who is experiencing an acute adrenal crisis.
What action would the nurse take first?
Obtain intravenous access
A nurse plans care for a pt w/ cushings disease. Which action would the nurse
include in this pts plan of care to prevent injury?
Use a lift sheet to change the pts position
A nurse cares for a pt w/chronic hypercortisolism. What action would the nurse
take?
Wash hands when entering the room
A nurse assess a pt w/ cushing's disease. Which assessment findings would the
nurse correlate w/this disorder?
- Moon face
- Petechiae
- Muscle atrophy
A nurse teaches a pt w/ cushing's disease. Which dietary requirements would the
nurse include in this pt's teaching
- Low carbs
- Low calories
- Low sodium
A nurse assess a pt who is recovering from a transsphenoidal hypophysectomy.
The nurse notes nuchal rigidity. What action would the nurse take first?
Take vital signs, including temperature
After teaching a pt w/ acromegaly who is scheduled for a hypophysectomy, the
nurse assess the pts understanding. Which statement made by the pt indicates a
need for additional teaching?
"I hope I can go back to wearing size 8 shoes instead of size 12"
A nurse teaching a pt w/ a cortisol deficiency who is prescribed cortisol
replacement therapy. Which statement would the nurse include in this pt's
instructions?
"If you are vomiting you will have to use inject-able cortisol"
, While assessing a pt w/ graves disease, the nurse notes that the pt's temp has
risen 1 degree. What does the nurse do first?
Turn the lights down & shut the pt's door
A patient is assessed by the nurse after a hemo-dialysis session. The nurse notes
bleeding from the pt's nose & around the intravenous catheter. What action by
the nurse is the priority.
Prepare protamine sulfate for administration
A nurse is caring for a pt who is scheduled for a dose a cefazolin & vitamins at
this time. Hemodialysis for this pt is also scheduled in 60 min. Which action by
the nurse is best?
Hold all medications since both cefazolin & vitamins & dialyzable
A pt has a long history of hypertension. Which category of medications would the
nurse expect to be ordered to avoid chronic kidney disease (CKD)?
Angiotensin-converting enzyme (ACE) inhibitor
A pt w/ chronic kidney disease states. "I feel chained to the hemodialysis
machine" What is the nurses best response to the pt's statement?
"Tell me more about your feelings regarding hemodialysis treatment"
A marathon runner comes into the clinic & states "I have not urinated very much
in the last few days" The nurse notes a heart rate of 110 beats/min & a blood
pressure of 86/58. Which action by the nurse is the priority?
Give the pt a bottle of water immediately
The nurse is assessing a pt w/ a diagnosis of prerenal acute kidney injury(AKI).
Which condition would the nurse expect to find in the pt's recent history?
Myocardial Infarction
A pt is unsure of the decision to undergo peritoneal dialysis & wishes to discuss
the advantages of this treatment w/ the nurse. Which statements by the nurse are
accurate regarding PD.
- "You will not need vascular access to perform PD"
- "There is less restriction of protein & fluids"
- "You have flexible scheduling for the exchanges"
A pt in the intensive care unit is started on continous venovenous hemofiltration
(CVVH). Which finding is the cause of immediate action by the nurse?
Blood pressure of 76/58 mm Hg
A nurse reviews these laboratory values of a pt who returned from kidney
transplantation 12 hes ago: Sodium 136 mEq/L (135 mmol/L), Potassium 5 mEq/L
(5 mmol/L), Blood urea nitrogen (BUN) 44 mg/dL (15.7 mmol/L), Serum creatinine
2.5 mg/dL (221 mcmol/L). What initial intervention would the nurse anticipate?
Increase the dose of immunosuppression
A pt is undergoing hemodialysis. The pt's blood pressure at the beginning of the
procedure was 136/88 mm Hg, and now it is 110/54 mm Hg. What action would the
nurse perform to maintain blood pressure?
- Adjust the rate of extracorporeal blood flow
- Place the pt in the trendelenburg position
- Administer a 250-mL bolus of normal saline
The nurse is assessing a client with a diagnosis of Prerenal acute kidney injury
(AKI). Which recent condition in the clients history would cause a prerenal AKI
