Page 1 of 233
NURS 341 med surg practice final Exam NEWEST
VERSION WTH COMPLETE 550 QUESTIONS AND
WELL ELABORATED ANSWERS LATEST UPDATE THIS
YEAR
Question: Before administration of captopril to a patient with stage 2 chronic kidney disease
(CKD), the
nurse will check the patient's
a. glucose..
b. potassium.
c. creatinine
d. phosphate. - CORRECT ANSWER✔✔ANS: B
Angiotensin-converting enzyme (ACE) inhibitors are frequently used in patients with CKD
because they delay the progression of the CKD, but they cause potassium retention. Therefore
careful monitoring of potassium levels is needed in patients who are at risk for hyperkalemia.
The other laboratory values would also be monitored in patients with CKD but would not
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,Page 2 of 233
affect whether the captopril was given or not.
DIF: Cognitive Level: Apply (application) REF: 1075
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
Question: A patient with diabetes who has bacterial pneumonia is being treated with IV
gentamicin 60
mg IV BID. The nurse will monitor for adverse effects of the medication by evaluating the
patient's
a. blood glucose.
b. urine osmolality.
c. serum creatinine.
d. serum potassium. - CORRECT ANSWER✔✔ANS: C
When a patient at risk for chronic kidney disease (CKD) receives a potentially nephrotoxic
medication, it is important to monitor renal function with BUN and creatinine levels. The
other laboratory values would not be useful in assessing for the adverse effects of the
gentamicin.
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,Page 3 of 233
DIF: Cognitive Level: Apply (application) REF: 1083
TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity
Question: A 55-yr-old patient with end-stage kidney disease (ESKD) is scheduled to receive a
prescribed dose of epoetin alfa (Procrit). Which information should the nurse report to the
health care provider before giving the medication?
a. Creatinine 1.6 mg/dL
b. Oxygen saturation 89%
c. Hemoglobin level 13 g/dL
d. Blood pressure 98/56 mm Hg - CORRECT ANSWER✔✔ANS: C
High hemoglobin levels are associated with a higher rate of thromboembolic events and
increased risk of death from serious cardiovascular events (heart attack, heart failure, stroke)
when erythropoietin (EPO) is administered to a target hemoglobin of greater than 12 g/dL.
Hemoglobin levels higher than 12 g/dL indicate a need for a decrease in epoetin alfa dose.
The other information also will be reported to the health care provider but will not affect
whether the medication is administered.
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, Page 4 of 233
DIF: Cognitive Level: Apply (application) REF: 1081
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
Question: Which intervention will be included in the plan of care for a patient with acute
kidney injury
(AKI) who has a temporary vascular access catheter in the left femoral vein?
a. Start continuous pulse oximetry.
b. Restrict physical activity to bed rest.
c. Restrict the patient's oral protein intake.
d. Discontinue the urethral retention catheter. - CORRECT ANSWER✔✔ANS: B
The patient with a femoral vein catheter must be on bed rest to prevent trauma to the vein.
Protein intake is likely to be increased when the patient is receiving dialysis. The retention
catheter is likely to remain in place because accurate measurement of output will be needed.
There is no indication that the patient needs continuous pulse oximetry.
DIF: Cognitive Level: Apply (application) REF: 1088
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
4
SUCCESS!
NURS 341 med surg practice final Exam NEWEST
VERSION WTH COMPLETE 550 QUESTIONS AND
WELL ELABORATED ANSWERS LATEST UPDATE THIS
YEAR
Question: Before administration of captopril to a patient with stage 2 chronic kidney disease
(CKD), the
nurse will check the patient's
a. glucose..
b. potassium.
c. creatinine
d. phosphate. - CORRECT ANSWER✔✔ANS: B
Angiotensin-converting enzyme (ACE) inhibitors are frequently used in patients with CKD
because they delay the progression of the CKD, but they cause potassium retention. Therefore
careful monitoring of potassium levels is needed in patients who are at risk for hyperkalemia.
The other laboratory values would also be monitored in patients with CKD but would not
1
SUCCESS!
,Page 2 of 233
affect whether the captopril was given or not.
DIF: Cognitive Level: Apply (application) REF: 1075
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
Question: A patient with diabetes who has bacterial pneumonia is being treated with IV
gentamicin 60
mg IV BID. The nurse will monitor for adverse effects of the medication by evaluating the
patient's
a. blood glucose.
b. urine osmolality.
c. serum creatinine.
d. serum potassium. - CORRECT ANSWER✔✔ANS: C
When a patient at risk for chronic kidney disease (CKD) receives a potentially nephrotoxic
medication, it is important to monitor renal function with BUN and creatinine levels. The
other laboratory values would not be useful in assessing for the adverse effects of the
gentamicin.
2
SUCCESS!
,Page 3 of 233
DIF: Cognitive Level: Apply (application) REF: 1083
TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity
Question: A 55-yr-old patient with end-stage kidney disease (ESKD) is scheduled to receive a
prescribed dose of epoetin alfa (Procrit). Which information should the nurse report to the
health care provider before giving the medication?
a. Creatinine 1.6 mg/dL
b. Oxygen saturation 89%
c. Hemoglobin level 13 g/dL
d. Blood pressure 98/56 mm Hg - CORRECT ANSWER✔✔ANS: C
High hemoglobin levels are associated with a higher rate of thromboembolic events and
increased risk of death from serious cardiovascular events (heart attack, heart failure, stroke)
when erythropoietin (EPO) is administered to a target hemoglobin of greater than 12 g/dL.
Hemoglobin levels higher than 12 g/dL indicate a need for a decrease in epoetin alfa dose.
The other information also will be reported to the health care provider but will not affect
whether the medication is administered.
3
SUCCESS!
, Page 4 of 233
DIF: Cognitive Level: Apply (application) REF: 1081
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
Question: Which intervention will be included in the plan of care for a patient with acute
kidney injury
(AKI) who has a temporary vascular access catheter in the left femoral vein?
a. Start continuous pulse oximetry.
b. Restrict physical activity to bed rest.
c. Restrict the patient's oral protein intake.
d. Discontinue the urethral retention catheter. - CORRECT ANSWER✔✔ANS: B
The patient with a femoral vein catheter must be on bed rest to prevent trauma to the vein.
Protein intake is likely to be increased when the patient is receiving dialysis. The retention
catheter is likely to remain in place because accurate measurement of output will be needed.
There is no indication that the patient needs continuous pulse oximetry.
DIF: Cognitive Level: Apply (application) REF: 1088
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
4
SUCCESS!
