NEW RNSG 1533 EXAM 2: NUTRITION
ELIMINATION
FLUID & ELECTROLYTES PRACTICE
EXAM Q&A NEW MODIFIED
A 4-year-old has had diarrhea for several days, and her perineum is inflamed and almost
excoriated. What nursing actions are indicated? (Select all that apply.)
A. Gently wash the perineum with cold water and mild soap after each stool.
B. Place the child without underwear for brief periods to allow air to the area.
C. Turn the child at least every 2 hours.
D. Apply an ointment to the inflamed area to provide a moisture barrier. -- ANSWER--B.
Place the child without underwear for brief periods to allow air to the area. C.
Turn the child at least every 2 hours.
D. Apply an ointment to the inflamed area to provide a moisture barrier.
Applying an ointment to the inflamed area to provide a moisture barrier is important. Placing
the child without underwear for brief periods to allow air to the area often helps heal the area.
Turning the child at least every 2 hours keeps pressure off the skin and facilitates circulation
to the affected area. Gently wash the perineum with warm water and mild soap after each
stool.
Page 1 of 151
,The nurse is providing discharge teaching to a client who will be performing intermittent
selfcatheterization. Which of the following statements should the nurse include in the
teaching?
A. You sterile technique during the insertion procedure.
B. Inflate the catheter balloon with 20 cc of sterile water.
C. Advance the catheter 5cm (2in) after urine begins to flow.
D. Lubrication of the catheter tip prior to the insertion is not necessary. -- ANSWER--C.
Advance the catheter 5cm (2in) after urine begins to flow.
the nurse should instruct the client to advance the catheter 5 cm (2 in) farther after urine
begins to flow to ensure it is completely in the bladder.
A nurse is reviewing the lab results of a client who has fluid volume deficit. The nurse would
expect which of the following findings?
A. urine specific gravity 1.035
B. hematocrit 44%
C. BUN 19 mg/dL
D. sodium 155 mEq/L -- ANSWER--A. urine specific gravity 1.035
A client experiencing fluid volume deficit would manifest an increased urine specific gravity
greater than 1.030.
Page 2 of 151
,A client experiencing fluid volume deficit would manifest an increased hematocrit.
A client experiencing fluid volume deficit would manifest an increased BUN.
A client experiencing fluid volume deficit would manifest a sodium level within the expected
reference range.
A nurse is caring for a client with CKD. When teaching about foods to avoid that contain
phosphorus he should recommend that the client avoid which of the following?
A.Milk
B.Nuts
C.Orange juice
D.Whole grain bread
E.Poultry -- ANSWER-- A.Milk
D.Whole grain bread
E.Poultry
All animal products, including dairy, are a source of phosphorous and should be avoided by a
client who is on a phosphorous restricted diet.
Nuts are not a food source high in phosphorous and are safe for clients on a phosphorous
restricted diet.
Orange juice is not a food source high in phosphorous and is safe for clients on a
phosphorous restricted diet.
Page 3 of 151
, Whole grains are a source of phosphorous and should be avoided by a client who is on a
phosphorous restricted diet.
All animal products, including poultry, are a source of phosphorous and should be avoided
by a client who is on a phosphorous restricted diet.
A nurse is monitoring the output of an adult client wha had a colon resection. Which of the
following total output in 24hr indicates oliguria?
A. 720mL
B. 550mL
C. 480mL
D. 600mL -- ANSWER--B. 550mL
The client's urinary output indicates oliguria, which is less than 500 mL total in 24 hr or less
than 30 mL per hr.
A client visits his provider's office, stating that he doesn't feel himself. Lab test show a low
potassium level. Which of the following physiological responses should the nurse expect
related to the clients hypokalemia?
A. cardiac dysrhythmias
B. hypoglycemia
C. hyperreflexia
D. Increased appetite -- ANSWER--A. cardiac dysrhythmias
Page 4 of 151
ELIMINATION
FLUID & ELECTROLYTES PRACTICE
EXAM Q&A NEW MODIFIED
A 4-year-old has had diarrhea for several days, and her perineum is inflamed and almost
excoriated. What nursing actions are indicated? (Select all that apply.)
A. Gently wash the perineum with cold water and mild soap after each stool.
B. Place the child without underwear for brief periods to allow air to the area.
C. Turn the child at least every 2 hours.
D. Apply an ointment to the inflamed area to provide a moisture barrier. -- ANSWER--B.
Place the child without underwear for brief periods to allow air to the area. C.
Turn the child at least every 2 hours.
D. Apply an ointment to the inflamed area to provide a moisture barrier.
Applying an ointment to the inflamed area to provide a moisture barrier is important. Placing
the child without underwear for brief periods to allow air to the area often helps heal the area.
Turning the child at least every 2 hours keeps pressure off the skin and facilitates circulation
to the affected area. Gently wash the perineum with warm water and mild soap after each
stool.
Page 1 of 151
,The nurse is providing discharge teaching to a client who will be performing intermittent
selfcatheterization. Which of the following statements should the nurse include in the
teaching?
A. You sterile technique during the insertion procedure.
B. Inflate the catheter balloon with 20 cc of sterile water.
C. Advance the catheter 5cm (2in) after urine begins to flow.
D. Lubrication of the catheter tip prior to the insertion is not necessary. -- ANSWER--C.
Advance the catheter 5cm (2in) after urine begins to flow.
the nurse should instruct the client to advance the catheter 5 cm (2 in) farther after urine
begins to flow to ensure it is completely in the bladder.
A nurse is reviewing the lab results of a client who has fluid volume deficit. The nurse would
expect which of the following findings?
A. urine specific gravity 1.035
B. hematocrit 44%
C. BUN 19 mg/dL
D. sodium 155 mEq/L -- ANSWER--A. urine specific gravity 1.035
A client experiencing fluid volume deficit would manifest an increased urine specific gravity
greater than 1.030.
Page 2 of 151
,A client experiencing fluid volume deficit would manifest an increased hematocrit.
A client experiencing fluid volume deficit would manifest an increased BUN.
A client experiencing fluid volume deficit would manifest a sodium level within the expected
reference range.
A nurse is caring for a client with CKD. When teaching about foods to avoid that contain
phosphorus he should recommend that the client avoid which of the following?
A.Milk
B.Nuts
C.Orange juice
D.Whole grain bread
E.Poultry -- ANSWER-- A.Milk
D.Whole grain bread
E.Poultry
All animal products, including dairy, are a source of phosphorous and should be avoided by a
client who is on a phosphorous restricted diet.
Nuts are not a food source high in phosphorous and are safe for clients on a phosphorous
restricted diet.
Orange juice is not a food source high in phosphorous and is safe for clients on a
phosphorous restricted diet.
Page 3 of 151
, Whole grains are a source of phosphorous and should be avoided by a client who is on a
phosphorous restricted diet.
All animal products, including poultry, are a source of phosphorous and should be avoided
by a client who is on a phosphorous restricted diet.
A nurse is monitoring the output of an adult client wha had a colon resection. Which of the
following total output in 24hr indicates oliguria?
A. 720mL
B. 550mL
C. 480mL
D. 600mL -- ANSWER--B. 550mL
The client's urinary output indicates oliguria, which is less than 500 mL total in 24 hr or less
than 30 mL per hr.
A client visits his provider's office, stating that he doesn't feel himself. Lab test show a low
potassium level. Which of the following physiological responses should the nurse expect
related to the clients hypokalemia?
A. cardiac dysrhythmias
B. hypoglycemia
C. hyperreflexia
D. Increased appetite -- ANSWER--A. cardiac dysrhythmias
Page 4 of 151
