PN 3006 Exam with Verified Solutions
The nurse is aware that clients with chronic alterations in kidney function have
insufficient amounts of which of the following vitamins?
Select one:
A. Vitamin A
B. Vitamin D
C. Vitamin E
D. Vitamin K - ✅✅ B
A sample is obtained from the client for a routine urinalysis. On reviewing the
results of the test, the nurse notes that which one of the following is an expected
finding of the urinalysis?
A. Ph, 9.0
B. Specific gravity, 1.018
C. Protein amounts to 12 mg per 100 ml
D. White blood cell count of 5 to 8 per low-power field - ✅✅ B
The client has an indwelling catheter. How should the nurse obtain a sterile urine
specimen?
A. Disconnect the catheter from the drainage tubing.
B. Withdraw urine from a urinometer.
C. Open the drainage bag and remove urine.
D. Use a needle to withdraw urine from the catheter port. - ✅✅ D
When a deficit of body fluid exists in the intravascular compartment, which of the
following signs can be expected?
A. Crackles
B. Hypertension
C. Neck vein distension
D. An elevated hematocrit level - ✅✅ D
The nurse recognizes that the client, based on the imbalance that is present, will
require fluid replacement with isotonic solution. Which of the following is one of
the isotonic solutions that may be ordered by the physician?
A. 0.45% saline
B. Lactated Ringer's
C. 5% dextrose in normal saline
,D. 5% dextrose in lactated Ringer's - ✅✅ B
The single best indicator of a client's fluid status is the nurse's assessment of which
one of the following?
A. The client's skin turgor
B. The client's intake and output
C. The client's serum electrolyte levels
D. The client's daily body weight - ✅✅ D
Out of all of the following clients, the nurse recognizes that one is most at risk for
a fluid volume deficit. Who is it?
A. A 6-month-old learning to drink from a cup
B. A 12-year-old who is moderately active in 27°C weather
C. A 42-year-old with severe diarrhea
D. A 90-year-old with frequent headaches - ✅✅ C
Which of the following is an unexpected value that the nurse, in reviewing the
results of the client's blood work, should report to the physician?
A. Calcium, 1.9 mmol/L
B. Sodium, 140 mmol/L
C. Potassium, 3.5 mmol/L
D. Magnesium, 1.8 mmol/L - ✅✅ A
When a client's serum sodium level is 120 mmol/L, the priority nursing assessment
is to monitor the status of which of the following body systems?
A. Neurological
B. Gastrointestinal
C. Pulmonary
D. Hepatic - ✅✅ A
A client experiences a loss of intracellular fluid. The nurse anticipates that which
of the following IV therapies will be used to replace this type of fluid loss?
A. 0.45% normal saline (NS)
B. 10% dextrose
C. 5% dextrose in lactated Ringer's
D. Dextrose 5% in 1/2 NS - ✅✅ A
A condom catheter is to be used for an adult male client in the extended care
facility. Which of the following techniques is appropriate for the nurse to use in
applying the condom catheter?
, A. Using sterile gloves
B. Wrapping the adhesive tape securely around the base of the penis
C. Leaving a 2.5- to 5-cm space between the tip of the penis and the end of the
catheter
D. Taping the tubing tightly to the thigh and attaching the drainage bag to the bed
frame - ✅✅ C
The unit manager is evaluating the care of a new nursing staff member. Which of
the following techniques is appropriate for the nurse to implement to obtain a
clean-voided urine specimen?
A. Apply sterile gloves for the procedure.
B. Restrict fluids before the specimen collection.
C. Place the specimen in a clean urinalysis container.
D. Collect the specimen after the initial stream of urine has passed. - ✅✅ D
A timed urine specimen collection is ordered. The test will need to be restarted if
which one of the following occurs?
A. The client voids in the toilet.
B. The urine specimen is kept cold.
C. The first voided urine is discarded.
D. The preservative is placed in the collection container. - ✅✅ A
An order is written for the client's indwelling urinary catheterization to be
discontinued. While observing the new staff nurse providing care to this client and
implementing the prescriber's order, the unit manager determines that further
instruction about catheter removal is required for the new nurse if he or she does
which one of the following?
A. Drapes the female client between the thighs
B. Obtains a specimen before removal
C. Cuts the catheter to deflate the balloon
D. Checks the client's output for 24 hours after removal - ✅✅ C
The nurse is working with a client who has a urinary diversion. Included in the
plan of care for this client is which of the following instructions?
A. Special clothing will need to be ordered to fit around the diversion.
B. A stomal bag will need to be worn only at night.
C. A reduction in physical activity will be planned.
D. Special skin care is a priority. - ✅✅ D
The nurse is aware that clients with chronic alterations in kidney function have
insufficient amounts of which of the following vitamins?
Select one:
A. Vitamin A
B. Vitamin D
C. Vitamin E
D. Vitamin K - ✅✅ B
A sample is obtained from the client for a routine urinalysis. On reviewing the
results of the test, the nurse notes that which one of the following is an expected
finding of the urinalysis?
A. Ph, 9.0
B. Specific gravity, 1.018
C. Protein amounts to 12 mg per 100 ml
D. White blood cell count of 5 to 8 per low-power field - ✅✅ B
The client has an indwelling catheter. How should the nurse obtain a sterile urine
specimen?
A. Disconnect the catheter from the drainage tubing.
B. Withdraw urine from a urinometer.
C. Open the drainage bag and remove urine.
D. Use a needle to withdraw urine from the catheter port. - ✅✅ D
When a deficit of body fluid exists in the intravascular compartment, which of the
following signs can be expected?
A. Crackles
B. Hypertension
C. Neck vein distension
D. An elevated hematocrit level - ✅✅ D
The nurse recognizes that the client, based on the imbalance that is present, will
require fluid replacement with isotonic solution. Which of the following is one of
the isotonic solutions that may be ordered by the physician?
A. 0.45% saline
B. Lactated Ringer's
C. 5% dextrose in normal saline
,D. 5% dextrose in lactated Ringer's - ✅✅ B
The single best indicator of a client's fluid status is the nurse's assessment of which
one of the following?
A. The client's skin turgor
B. The client's intake and output
C. The client's serum electrolyte levels
D. The client's daily body weight - ✅✅ D
Out of all of the following clients, the nurse recognizes that one is most at risk for
a fluid volume deficit. Who is it?
A. A 6-month-old learning to drink from a cup
B. A 12-year-old who is moderately active in 27°C weather
C. A 42-year-old with severe diarrhea
D. A 90-year-old with frequent headaches - ✅✅ C
Which of the following is an unexpected value that the nurse, in reviewing the
results of the client's blood work, should report to the physician?
A. Calcium, 1.9 mmol/L
B. Sodium, 140 mmol/L
C. Potassium, 3.5 mmol/L
D. Magnesium, 1.8 mmol/L - ✅✅ A
When a client's serum sodium level is 120 mmol/L, the priority nursing assessment
is to monitor the status of which of the following body systems?
A. Neurological
B. Gastrointestinal
C. Pulmonary
D. Hepatic - ✅✅ A
A client experiences a loss of intracellular fluid. The nurse anticipates that which
of the following IV therapies will be used to replace this type of fluid loss?
A. 0.45% normal saline (NS)
B. 10% dextrose
C. 5% dextrose in lactated Ringer's
D. Dextrose 5% in 1/2 NS - ✅✅ A
A condom catheter is to be used for an adult male client in the extended care
facility. Which of the following techniques is appropriate for the nurse to use in
applying the condom catheter?
, A. Using sterile gloves
B. Wrapping the adhesive tape securely around the base of the penis
C. Leaving a 2.5- to 5-cm space between the tip of the penis and the end of the
catheter
D. Taping the tubing tightly to the thigh and attaching the drainage bag to the bed
frame - ✅✅ C
The unit manager is evaluating the care of a new nursing staff member. Which of
the following techniques is appropriate for the nurse to implement to obtain a
clean-voided urine specimen?
A. Apply sterile gloves for the procedure.
B. Restrict fluids before the specimen collection.
C. Place the specimen in a clean urinalysis container.
D. Collect the specimen after the initial stream of urine has passed. - ✅✅ D
A timed urine specimen collection is ordered. The test will need to be restarted if
which one of the following occurs?
A. The client voids in the toilet.
B. The urine specimen is kept cold.
C. The first voided urine is discarded.
D. The preservative is placed in the collection container. - ✅✅ A
An order is written for the client's indwelling urinary catheterization to be
discontinued. While observing the new staff nurse providing care to this client and
implementing the prescriber's order, the unit manager determines that further
instruction about catheter removal is required for the new nurse if he or she does
which one of the following?
A. Drapes the female client between the thighs
B. Obtains a specimen before removal
C. Cuts the catheter to deflate the balloon
D. Checks the client's output for 24 hours after removal - ✅✅ C
The nurse is working with a client who has a urinary diversion. Included in the
plan of care for this client is which of the following instructions?
A. Special clothing will need to be ordered to fit around the diversion.
B. A stomal bag will need to be worn only at night.
C. A reduction in physical activity will be planned.
D. Special skin care is a priority. - ✅✅ D
