NUR2212 final exam
1. A patient admitted with severe dehydra- c. high specific gravity.
tion has a urine output of 380 ml over
the next 24 hours and elevated blood
urea nitrogen (BUN) and creatinine lev-
Rationale: The patient's renal failure has been
els. A finding that the nurse would ex-
caused by the prerenal problem of hypov-
pect when reviewing the patient's urinal-
olemia. Prerenal oliguria is characterized by the
ysis is
ability of the kidneys to concentrate urine, re-
a. proteinuria.
sulting in a high urine specific gravity. The uri-
b. bacteriuria.
nalysis in intrarenal failure would show proteins
c. high specific gravity.
and tubular casts. Bacteriuria would be typical
d. tubular casts.
of a urinary tract infection (UTI), not renal fail-
ure.
2. To determine glomerular filtration rate b. initiate a 24-hour collection of the patient's
(GFR) for a patient with chronic kidney urine.
disease, the nurse will plan to
a. schedule frequent blood urea nitro-
gen (BUN) tests.
Rationale: Creatinine clearance testing, the most
b. initiate a 24-hour collection of the pa-
accurate way to assess GFR, requires a 24-hour
tient's urine.
urine collection. BUN levels may increase for
c. check the specific gravity on serial
other reasons, such as dehydration, and are
urine specimens.
not as accurate in determining glomerular fil-
d. use a bladder scanner to check for
tration. Urine-specific gravity testing and mon-
residual urine.
itoring residual urine would not be useful in
determining the GFR.
3. The client with chronic renal failure has a. change the dressing
an indwelling abdominal catheter for
peritoneal dialysis. The client spills water
Rationale: Clients with peritoneal dialysis
on the catheter dressing while bathing.
catheters are at high risk for infection. A wet
The nurse should immediately:
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, NUR2212 final exam
a. change the dressing dressing is a conduit for bacteria to reach the
b. reinforce the dressing catheter insertion site. The nurse ensures that
c. flush the peritoneal dialysis catheter the dressing is kept dry at all times. Reinforc-
d. scrub the catheter with povidine-io- ing the dressing is not a safe practice to pre-
dine vent infection in this circumstance. Flushing the
catheter is not indicated. Scrubbing the catheter
with povidone-iodine is done at the time of con-
nection or disconnection of peritoneal dialysis.
4. The client with continuous ambulato- a. send fluid to the laboratory for culture
ry peritoneal dialysis (CAPD) has cloudy
dialysate. Which of the following is the
best initial nursing action?
Rationale: cloudy diasylate indicates infection
a. send fluid to the laboratory for cul-
(peritonitis). Culture of the fluid must be done
ture
to determine the microorganism present.
b. administer antibiotic
c. do nothing, this is expected
d. stop drainage of fluid
5. Which of the following client responses a. I am expected to perform the procedure at
shows a correct understanding of con- home
tinuous ambulatory peritoneal dialysis
(CAPD)?
a. I am expected to perform the proce-
dure at home
b. the procedure lasts for one hour
c. I have to sit and raise my legs during
the procedure
d. I have to go to the hospital for this
procedure
6.
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1. A patient admitted with severe dehydra- c. high specific gravity.
tion has a urine output of 380 ml over
the next 24 hours and elevated blood
urea nitrogen (BUN) and creatinine lev-
Rationale: The patient's renal failure has been
els. A finding that the nurse would ex-
caused by the prerenal problem of hypov-
pect when reviewing the patient's urinal-
olemia. Prerenal oliguria is characterized by the
ysis is
ability of the kidneys to concentrate urine, re-
a. proteinuria.
sulting in a high urine specific gravity. The uri-
b. bacteriuria.
nalysis in intrarenal failure would show proteins
c. high specific gravity.
and tubular casts. Bacteriuria would be typical
d. tubular casts.
of a urinary tract infection (UTI), not renal fail-
ure.
2. To determine glomerular filtration rate b. initiate a 24-hour collection of the patient's
(GFR) for a patient with chronic kidney urine.
disease, the nurse will plan to
a. schedule frequent blood urea nitro-
gen (BUN) tests.
Rationale: Creatinine clearance testing, the most
b. initiate a 24-hour collection of the pa-
accurate way to assess GFR, requires a 24-hour
tient's urine.
urine collection. BUN levels may increase for
c. check the specific gravity on serial
other reasons, such as dehydration, and are
urine specimens.
not as accurate in determining glomerular fil-
d. use a bladder scanner to check for
tration. Urine-specific gravity testing and mon-
residual urine.
itoring residual urine would not be useful in
determining the GFR.
3. The client with chronic renal failure has a. change the dressing
an indwelling abdominal catheter for
peritoneal dialysis. The client spills water
Rationale: Clients with peritoneal dialysis
on the catheter dressing while bathing.
catheters are at high risk for infection. A wet
The nurse should immediately:
1/9
, NUR2212 final exam
a. change the dressing dressing is a conduit for bacteria to reach the
b. reinforce the dressing catheter insertion site. The nurse ensures that
c. flush the peritoneal dialysis catheter the dressing is kept dry at all times. Reinforc-
d. scrub the catheter with povidine-io- ing the dressing is not a safe practice to pre-
dine vent infection in this circumstance. Flushing the
catheter is not indicated. Scrubbing the catheter
with povidone-iodine is done at the time of con-
nection or disconnection of peritoneal dialysis.
4. The client with continuous ambulato- a. send fluid to the laboratory for culture
ry peritoneal dialysis (CAPD) has cloudy
dialysate. Which of the following is the
best initial nursing action?
Rationale: cloudy diasylate indicates infection
a. send fluid to the laboratory for cul-
(peritonitis). Culture of the fluid must be done
ture
to determine the microorganism present.
b. administer antibiotic
c. do nothing, this is expected
d. stop drainage of fluid
5. Which of the following client responses a. I am expected to perform the procedure at
shows a correct understanding of con- home
tinuous ambulatory peritoneal dialysis
(CAPD)?
a. I am expected to perform the proce-
dure at home
b. the procedure lasts for one hour
c. I have to sit and raise my legs during
the procedure
d. I have to go to the hospital for this
procedure
6.
2/9
