NURS4500 Final Exam (Urinary) questions
with answers
The bnurse bis badmitting ba bclient bdiagnosed bwith bacute brenal bfailure b(ARF). bWhich
question bis bmost bimportant bfor bthe bnurse bto bask bduring bthe badmission binterview?
1. b"Have byou brecently btraveled boutside bthe bUnited bStates?"
2. b"Did byou brecently bbegin ba bvigorous bexercise bprogram?"
3. b"Is bthere ba bchance byou bhave bbeen bexposed bto ba bvirus?"
4. b"What bover-the-counter bmedications bdo byou btake bregularly?" b- bANSWER: b b➡ b4.
b"What bover-the-counter bmedications bdo byou btake bregularly?"
The bnurse bis bcaring bfor ba bclient bdiagnosed bwith bARF. bWhich blaboratory bvalues bare
bmost
significant bfor bdiagnosing bARF?
1. bBUN band bcreatinine.
2. bWBC band bhemoglobin.
3. bPotassium band bsodium.
4. bBilirubin band bammonia blevel. b- bANSWER: b b➡ b1. bBUN band bcreatinine.
The bnurse bis bcaring bfor ba bclient bdiagnosed bwith brule-out bARF. bWhich bcondition
predisposes bthe bclient bto bdeveloping bprerenal bfailure?
1. bDiabetes bmellitus.
2. bHypotension.
3. bAminoglycosides.
4. bBenign bprostatic bhypertrophy. b- bANSWER: b b➡ b2. bHypotension.
,The bclient bis bdiagnosed bwith bARF. bWhich bsigns/symptoms bindicate bto bthe bnurse bthe
client bis bin bthe brecovery bperiod? bSelect ball bthat bapply.
1. bIncreased balertness band bno bseizure bactivity.
2. bIncrease bin bhemoglobin band bhematocrit.
3. bDenial bof bnausea band bvomiting.
4. bDecreased burine-specific bgravity.
5. bIncreased bserum bcreatinine blevel. b- bANSWER: b b➡ b1. bIncreased balertness band bno
bseizure bactivity.
2. bIncrease bin bhemoglobin band bhematocrit.
3. bDenial bof bnausea band bvomiting.
The bclient bdiagnosed bwith bARF bhas ba bserum bpotassium blevel bof b6.8 bmEq/L. bWhich
collaborative btreatment bshould bthe bnurse banticipate bfor bthe bclient?
1. bAdminister ba bphosphate bbinder.
2. bType band bcrossmatch bfor bwhole bblood.
3. bAssess bthe bclient bfor bleg bcramps.
4. bPrepare bthe bclient bfor bdialysis. b- bANSWER: b b➡ b4. bPrepare bthe bclient bfor bdialysis.
The bnurse bis bdeveloping ba bplan bof bcare bfor ba bclient bdiagnosed bwith bARF. bWhich
statement bis ban bappropriate boutcome bfor bthe bclient?
1. bMonitor bintake band boutput bevery bshift.
2. bDecrease bof bpain bby b3 blevels bon ba b1-10 bscale.
3. bElectrolytes bare bwithin bnormal blimits.
4. bAdminister benemas bto bdecrease bhyperkalemia. b- bANSWER: b b➡ b3. bElectrolytes bare
bwithin bnormal blimits.
The bclient bdiagnosed bwith bARF bis badmitted bto bthe bintensive bcare bunit band bplaced
bon ba
, therapeutic bdiet. bWhich bdiet bis bmost bappropriate bfor bthe bclient?
1. bA bhigh-potassium band blow-calcium bdiet.
2. bA blow-fat band blow-cholesterol bdiet.
3. bA bhigh-carbohydrate band brestricted-protein bdiet.
4. bA bregular bdiet bwith bsix b(6) bsmall bfeedings ba bday. b- bANSWER: b b➡ b3. bA bhigh-
carbohydrate band brestricted-protein bdiet.
The bclient bdiagnosed bwith bARF bis bplaced bon bbedrest. bThe bclient basks bthe bnurse,
b"Why
do bI bhave bto bstay bin bbed? bI bdon't bfeel bbad." bWhich bscientific brationale bsupports bthe
nurse's bresponse?
1. bBedrest bhelps bincrease bthe bblood breturn bto bthe brenal bcirculation.
2. bBedrest breduces bthe bmetabolic brate bduring bthe bacute bstage.
3. bBedrest bdecreases bthe bworkload bof bthe bleft bside bof bthe bheart.
4. bBedrest baids bin breduction bof bperipheral band bsacral bedema. b- bANSWER: b b➡ b2.
bBedrest breduces bthe bmetabolic brate bduring bthe bacute bstage.
The bnurse band ban bunlicensed bassistive bpersonnel b(UAP) bare bcaring bfor bclients bon ba
medical bfloor. bWhich bnursing btask bis bmost bappropriate bfor bthe bnurse bto bdelegate?
1. bCollect ba bclean bvoided bmidstream burine bspecimen.
2. bEvaluate bthe bclient's b8-hour bintake band boutput.
3. bAssist bin bchecking ba bunit bof bblood bprior bto bhanging.
4. bAdminister ba bcation-exchange bresin benema. b- bANSWER: b b➡ b1. bCollect ba bclean
bvoided bmidstream burine bspecimen.
The bclient bis badmitted bto bthe bemergency bdepartment bafter ba bgunshot bwound bto
bthe
abdomen. bWhich bnursing bintervention bshould bthe bnurse bimplement bfirst bto bprevent
with answers
The bnurse bis badmitting ba bclient bdiagnosed bwith bacute brenal bfailure b(ARF). bWhich
question bis bmost bimportant bfor bthe bnurse bto bask bduring bthe badmission binterview?
1. b"Have byou brecently btraveled boutside bthe bUnited bStates?"
2. b"Did byou brecently bbegin ba bvigorous bexercise bprogram?"
3. b"Is bthere ba bchance byou bhave bbeen bexposed bto ba bvirus?"
4. b"What bover-the-counter bmedications bdo byou btake bregularly?" b- bANSWER: b b➡ b4.
b"What bover-the-counter bmedications bdo byou btake bregularly?"
The bnurse bis bcaring bfor ba bclient bdiagnosed bwith bARF. bWhich blaboratory bvalues bare
bmost
significant bfor bdiagnosing bARF?
1. bBUN band bcreatinine.
2. bWBC band bhemoglobin.
3. bPotassium band bsodium.
4. bBilirubin band bammonia blevel. b- bANSWER: b b➡ b1. bBUN band bcreatinine.
The bnurse bis bcaring bfor ba bclient bdiagnosed bwith brule-out bARF. bWhich bcondition
predisposes bthe bclient bto bdeveloping bprerenal bfailure?
1. bDiabetes bmellitus.
2. bHypotension.
3. bAminoglycosides.
4. bBenign bprostatic bhypertrophy. b- bANSWER: b b➡ b2. bHypotension.
,The bclient bis bdiagnosed bwith bARF. bWhich bsigns/symptoms bindicate bto bthe bnurse bthe
client bis bin bthe brecovery bperiod? bSelect ball bthat bapply.
1. bIncreased balertness band bno bseizure bactivity.
2. bIncrease bin bhemoglobin band bhematocrit.
3. bDenial bof bnausea band bvomiting.
4. bDecreased burine-specific bgravity.
5. bIncreased bserum bcreatinine blevel. b- bANSWER: b b➡ b1. bIncreased balertness band bno
bseizure bactivity.
2. bIncrease bin bhemoglobin band bhematocrit.
3. bDenial bof bnausea band bvomiting.
The bclient bdiagnosed bwith bARF bhas ba bserum bpotassium blevel bof b6.8 bmEq/L. bWhich
collaborative btreatment bshould bthe bnurse banticipate bfor bthe bclient?
1. bAdminister ba bphosphate bbinder.
2. bType band bcrossmatch bfor bwhole bblood.
3. bAssess bthe bclient bfor bleg bcramps.
4. bPrepare bthe bclient bfor bdialysis. b- bANSWER: b b➡ b4. bPrepare bthe bclient bfor bdialysis.
The bnurse bis bdeveloping ba bplan bof bcare bfor ba bclient bdiagnosed bwith bARF. bWhich
statement bis ban bappropriate boutcome bfor bthe bclient?
1. bMonitor bintake band boutput bevery bshift.
2. bDecrease bof bpain bby b3 blevels bon ba b1-10 bscale.
3. bElectrolytes bare bwithin bnormal blimits.
4. bAdminister benemas bto bdecrease bhyperkalemia. b- bANSWER: b b➡ b3. bElectrolytes bare
bwithin bnormal blimits.
The bclient bdiagnosed bwith bARF bis badmitted bto bthe bintensive bcare bunit band bplaced
bon ba
, therapeutic bdiet. bWhich bdiet bis bmost bappropriate bfor bthe bclient?
1. bA bhigh-potassium band blow-calcium bdiet.
2. bA blow-fat band blow-cholesterol bdiet.
3. bA bhigh-carbohydrate band brestricted-protein bdiet.
4. bA bregular bdiet bwith bsix b(6) bsmall bfeedings ba bday. b- bANSWER: b b➡ b3. bA bhigh-
carbohydrate band brestricted-protein bdiet.
The bclient bdiagnosed bwith bARF bis bplaced bon bbedrest. bThe bclient basks bthe bnurse,
b"Why
do bI bhave bto bstay bin bbed? bI bdon't bfeel bbad." bWhich bscientific brationale bsupports bthe
nurse's bresponse?
1. bBedrest bhelps bincrease bthe bblood breturn bto bthe brenal bcirculation.
2. bBedrest breduces bthe bmetabolic brate bduring bthe bacute bstage.
3. bBedrest bdecreases bthe bworkload bof bthe bleft bside bof bthe bheart.
4. bBedrest baids bin breduction bof bperipheral band bsacral bedema. b- bANSWER: b b➡ b2.
bBedrest breduces bthe bmetabolic brate bduring bthe bacute bstage.
The bnurse band ban bunlicensed bassistive bpersonnel b(UAP) bare bcaring bfor bclients bon ba
medical bfloor. bWhich bnursing btask bis bmost bappropriate bfor bthe bnurse bto bdelegate?
1. bCollect ba bclean bvoided bmidstream burine bspecimen.
2. bEvaluate bthe bclient's b8-hour bintake band boutput.
3. bAssist bin bchecking ba bunit bof bblood bprior bto bhanging.
4. bAdminister ba bcation-exchange bresin benema. b- bANSWER: b b➡ b1. bCollect ba bclean
bvoided bmidstream burine bspecimen.
The bclient bis badmitted bto bthe bemergency bdepartment bafter ba bgunshot bwound bto
bthe
abdomen. bWhich bnursing bintervention bshould bthe bnurse bimplement bfirst bto bprevent
