NURS 422 Exam 5 Questions And Correc
1. cThe cnurse cis cassessing ca cclient cwith ca cdiagnosis cof cpre-renal cacute ckidney cinjury c(AKI). cW
cnurse cexpect cto cfind cin cthe cclients crecent chistory?
a. cPyelonephritis
b. cMyocardial cinfarction
c. cBladder ccancer c
d. cKidney cstones c- cCORRECT cANS✔✔b
2. cA cmarathon crunner ccomes cinto cthe cclinic cand cstates cI chave cnot curinated cvery cmuch cin cthe
cnotes ca cheart crate cof c110 cbeats/min cand ca cblood cpressure cof c86/58 cmm cHg. cWhich caction c
a. cGive cthe cclient ca cbottle cof cwater cimmediately.
b. cStart can cintravenous cline cfor cfluids.
c. cTeach cthe cclient cto cdrink c2 cto c3 cliters cof cwater cdaily.
d. cPerform can celectrocardiogram. c- cCORRECT cANS✔✔a
3. cA cmale cclient ccomes cinto cthe cemergency cdepartment cwith ca cserum ccreatinine cof c2.2 cmg/d
c(BUN) cof c24 cmL/dL. cWhat cquestion cshould cthe cnurse cask cfirst cwhen ctaking cthis cclients chisto
a. cHave cyou cbeen ctaking cany caspirin, cibuprofen, cor cnaproxen crecently?
b. cDo cyou chave canyone cin cyour cfamily cwith crenal cfailure?
c. cHave cyou chad ca cdiet cthat cis clow cin cprotein crecently? c
d. cHas ca crelative chad ca ckidney ctransplant clately? c- cCORRECT cANS✔✔a
4. cA cclient cis cadmitted cwith cacute ckidney cinjury c(AKI) cand ca curine coutput cof c2000 cmL/day. cW
cthe cnurse cregarding cthis cclients ccare?
a. cEdema cand cpain
b. cElectrolyte cand cfluid cimbalance
c. cCardiac cand crespiratory cstatus c
d. cMental chealth cstatus c- cCORRECT cANS✔✔b
, d. cPlace ca cheparin cor cheparin/saline cdwell cafter chemodialysis. c- cCORRECT cANS✔✔a
8. cA cclient cin cthe cintensive ccare cunit cis cstarted con ccontinuous cvenovenous chemofiltration c(CV
ccause cof cimmediate caction cby cthe cnurse?
a. cBlood cpressure cof c76/58 cmm cHg
b. cSodium clevel cof c138 cmEq/L
c. cPotassium clevel cof c5.5 cmEq/L c
d. cPulse crate cof c90 cbeats/min c- cCORRECT cANS✔✔a
9. cThe cnurse cis ccaring cfor cfour cclients cwith cchronic ckidney cdisease. cWhich cclient cshould cthe c
crounding?
a. cWoman cwith ca cblood cpressure cof c158/90 cmm cHg
b. cClient cwith cKussmaul crespirations
c. cMan cwith cskin citching cfrom chead cto ctoe c
d. cClient cwith chalitosis cand cstomatitis c- cCORRECT cANS✔✔b
10. cThe ccharge cnurse cof cthe cmedical-surgical cunit cis cmaking cstaff cassignments. cWhich cstaff cm
ca cclient cwith cchronic ckidney cdisease cwho cis cexhibiting ca clow-grade cfever cand ca cpericardial cfr
a. cRegistered cnurse cwho cjust cfloated cfrom cthe csurgical cunit
b. cRegistered cnurse cwho cjust cfloated cfrom cthe cdialysis cunit
c. cRegistered cnurse cwho cwas cassigned cthe csame cclient cyesterday c
d. cLicensed cpractical cnurse cwith c5 cyears cexperience con cthis cfloor c- cCORRECT cANS✔✔c
11. cA cmale cclient cwith cchronic ckidney cdisease c(CKD) cis crefusing cto ctake chis cmedication cand c
cappointments. cWhat cis cthe cbest cinitial caction cfor cthe cnurse?
a. cDiscuss cwhat cthe ctreatment cregimen cmeans cto chim.
b. cRefer cthe cclient cto ca cmental chealth cnurse cpractitioner.
c. cReschedule cthe cappointments cto canother cdate cand ctime. c
d. cDiscuss cthe coption cof cperitoneal cdialysis. c- cCORRECT cANS✔✔a
12. cA cclient cis ctaking cfurosemide c(Lasix) c40 cmg/day cfor cmanagement cof cchronic ckidney cdisea
NURSINGTB.COM
detect cthe cpositive ceffect cof cthe cmedication, cwhat caction cof cthe cnurse cis cbest? c
a. cObtain cdaily cweights cof cthe cclient.
b. cAuscultate cheart cand cbreath csounds.
c. cPalpate cthe cclients cabdomen.
d. cAssess cthe cclients cdiet chistory. c- cCORRECT cANS✔✔a
13. cA cclient cis cdiagnosed cwith cchronic ckidney cdisease c(CKD). cWhat cis can cideal cgoal cof ctreatm
ccare cplan cto creduce cthe crisk cof cpulmonary cedema?
a. cMaintaining coxygen csaturation cof c89%
b. cMinimal ccrackles cand cwheezes cin clung csounds
c. cMaintaining ca cbalanced cintake cand coutput
cd. cLimited cshortness cof cbreath cupon cexertion c- cCORRECT cANS✔✔c
14. cA cclient chas ca clong chistory cof chypertension. cWhich ccategory cof cmedications cwould cthe cnu
cavoid cchronic ckidney cdisease c(CKD)?
a. cAntibiotic
b. cHistamine cblocker
c. cBronchodilator
d. cAngiotensin-converting cenzyme c(ACE) cinhibitor c- cCORRECT cANS✔✔d
15. cA c70-kg cadult cwith cchronic crenal cfailure cis con ca c40-g cprotein cdiet. cThe cclient chas ca credu
cand cis cnot cundergoing cdialysis. cWhich cresult cwould cgive cthe cnurse cthe cmost cconcern?
a. cAlbumin clevel cof c2.5 cg/dL
1. cThe cnurse cis cassessing ca cclient cwith ca cdiagnosis cof cpre-renal cacute ckidney cinjury c(AKI). cW
cnurse cexpect cto cfind cin cthe cclients crecent chistory?
a. cPyelonephritis
b. cMyocardial cinfarction
c. cBladder ccancer c
d. cKidney cstones c- cCORRECT cANS✔✔b
2. cA cmarathon crunner ccomes cinto cthe cclinic cand cstates cI chave cnot curinated cvery cmuch cin cthe
cnotes ca cheart crate cof c110 cbeats/min cand ca cblood cpressure cof c86/58 cmm cHg. cWhich caction c
a. cGive cthe cclient ca cbottle cof cwater cimmediately.
b. cStart can cintravenous cline cfor cfluids.
c. cTeach cthe cclient cto cdrink c2 cto c3 cliters cof cwater cdaily.
d. cPerform can celectrocardiogram. c- cCORRECT cANS✔✔a
3. cA cmale cclient ccomes cinto cthe cemergency cdepartment cwith ca cserum ccreatinine cof c2.2 cmg/d
c(BUN) cof c24 cmL/dL. cWhat cquestion cshould cthe cnurse cask cfirst cwhen ctaking cthis cclients chisto
a. cHave cyou cbeen ctaking cany caspirin, cibuprofen, cor cnaproxen crecently?
b. cDo cyou chave canyone cin cyour cfamily cwith crenal cfailure?
c. cHave cyou chad ca cdiet cthat cis clow cin cprotein crecently? c
d. cHas ca crelative chad ca ckidney ctransplant clately? c- cCORRECT cANS✔✔a
4. cA cclient cis cadmitted cwith cacute ckidney cinjury c(AKI) cand ca curine coutput cof c2000 cmL/day. cW
cthe cnurse cregarding cthis cclients ccare?
a. cEdema cand cpain
b. cElectrolyte cand cfluid cimbalance
c. cCardiac cand crespiratory cstatus c
d. cMental chealth cstatus c- cCORRECT cANS✔✔b
, d. cPlace ca cheparin cor cheparin/saline cdwell cafter chemodialysis. c- cCORRECT cANS✔✔a
8. cA cclient cin cthe cintensive ccare cunit cis cstarted con ccontinuous cvenovenous chemofiltration c(CV
ccause cof cimmediate caction cby cthe cnurse?
a. cBlood cpressure cof c76/58 cmm cHg
b. cSodium clevel cof c138 cmEq/L
c. cPotassium clevel cof c5.5 cmEq/L c
d. cPulse crate cof c90 cbeats/min c- cCORRECT cANS✔✔a
9. cThe cnurse cis ccaring cfor cfour cclients cwith cchronic ckidney cdisease. cWhich cclient cshould cthe c
crounding?
a. cWoman cwith ca cblood cpressure cof c158/90 cmm cHg
b. cClient cwith cKussmaul crespirations
c. cMan cwith cskin citching cfrom chead cto ctoe c
d. cClient cwith chalitosis cand cstomatitis c- cCORRECT cANS✔✔b
10. cThe ccharge cnurse cof cthe cmedical-surgical cunit cis cmaking cstaff cassignments. cWhich cstaff cm
ca cclient cwith cchronic ckidney cdisease cwho cis cexhibiting ca clow-grade cfever cand ca cpericardial cfr
a. cRegistered cnurse cwho cjust cfloated cfrom cthe csurgical cunit
b. cRegistered cnurse cwho cjust cfloated cfrom cthe cdialysis cunit
c. cRegistered cnurse cwho cwas cassigned cthe csame cclient cyesterday c
d. cLicensed cpractical cnurse cwith c5 cyears cexperience con cthis cfloor c- cCORRECT cANS✔✔c
11. cA cmale cclient cwith cchronic ckidney cdisease c(CKD) cis crefusing cto ctake chis cmedication cand c
cappointments. cWhat cis cthe cbest cinitial caction cfor cthe cnurse?
a. cDiscuss cwhat cthe ctreatment cregimen cmeans cto chim.
b. cRefer cthe cclient cto ca cmental chealth cnurse cpractitioner.
c. cReschedule cthe cappointments cto canother cdate cand ctime. c
d. cDiscuss cthe coption cof cperitoneal cdialysis. c- cCORRECT cANS✔✔a
12. cA cclient cis ctaking cfurosemide c(Lasix) c40 cmg/day cfor cmanagement cof cchronic ckidney cdisea
NURSINGTB.COM
detect cthe cpositive ceffect cof cthe cmedication, cwhat caction cof cthe cnurse cis cbest? c
a. cObtain cdaily cweights cof cthe cclient.
b. cAuscultate cheart cand cbreath csounds.
c. cPalpate cthe cclients cabdomen.
d. cAssess cthe cclients cdiet chistory. c- cCORRECT cANS✔✔a
13. cA cclient cis cdiagnosed cwith cchronic ckidney cdisease c(CKD). cWhat cis can cideal cgoal cof ctreatm
ccare cplan cto creduce cthe crisk cof cpulmonary cedema?
a. cMaintaining coxygen csaturation cof c89%
b. cMinimal ccrackles cand cwheezes cin clung csounds
c. cMaintaining ca cbalanced cintake cand coutput
cd. cLimited cshortness cof cbreath cupon cexertion c- cCORRECT cANS✔✔c
14. cA cclient chas ca clong chistory cof chypertension. cWhich ccategory cof cmedications cwould cthe cnu
cavoid cchronic ckidney cdisease c(CKD)?
a. cAntibiotic
b. cHistamine cblocker
c. cBronchodilator
d. cAngiotensin-converting cenzyme c(ACE) cinhibitor c- cCORRECT cANS✔✔d
15. cA c70-kg cadult cwith cchronic crenal cfailure cis con ca c40-g cprotein cdiet. cThe cclient chas ca credu
cand cis cnot cundergoing cdialysis. cWhich cresult cwould cgive cthe cnurse cthe cmost cconcern?
a. cAlbumin clevel cof c2.5 cg/dL
