Miami Dade College, Miami; NUR 3805/ NUR3805 Final Exam Test Bank
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Course
NUR 3805
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Miami Dade College
Miami Dade College, Miami; NUR 3805/ NUR3805 Final Exam Test Bank
1. A Nurse is panning care for a client who has prerenal acute kidney injury (AKI) Following abdominal aortic aneurysm repair. Urinary output is 60mL in the past 2hr and blood pressure is 92/58mm Hg. The nurse should expect which ...
miami nur 3805 nur3805 final exam test bank 1 a nurse is panning care for a client who has prerenal acute kidney injury aki following abdominal aortic aneurysm repair urinar
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Miami Dade College, Miami; NUR 3805/ NUR3805 Final Exam Test
Bank
1. A Nurse is panning care for a client who has prerenal acute kidney
injury (AKI) Following abdominal aortic aneurysm repair. Urinary
output is 60mLin the past 2hr and blood pressure is 92/58mm Hg.
The nurse should expect which of the following interventions?
Prepare to administer a challenge
2. A Nurse is assessing a client who has prerenal acute kidney injury
(AKI)which of the following findings should the nurse expect? Select
all that apply
Elevated creatinine/ reduced urine output
3. In providing an educational in-service to the nursing staff about
peritonealdialysis, which information does the nurse include in this
presentation? The peritoneum acts as a semipermeable membrane
through which wastes move by diffusion and osmosis.
4. Which statement by the family member of a client who has a
Sengstaken-Blakemore tube placed to threat complications of liver
disease indicates understanding of this treatment modality?
The tube provides compression to stop esophageal bleeding
5. A client with chronic kidney disease is experiencing manifestations
of anemia. Based on this date, which statement does the nurse
anticipatefor this client?
Administer erythropoietin (epoetin) injections
6. The nurse is assessing a client in the ER with the following signs and
symptoms; painful mid-epigastric pain felt in the back, elevated
glucose, fever, and vomiting. During the head-to-toe assessment, you
notice bluishdiscoloration around the umbilicus. The RN recognizes this
as which sign? Cullen’s sign
7. The nurse is caring for a client receiving hourly peritoneal dialysis
exchanges. During a one-hour exchange, the nurse infuses 2,000mL of
dialysate and 1,900 mL of outflow is returned. During the exchange,
the client drinks 8oz of apple juice, 2 cups of water and voids 150mL
of urine.Calculate and record the client’s intake in millimeters and use
numerical values only.
820
8. On which scientific rationale should a nurse base the response
when aclient asks, what does an elevated PSA test mean?
An elevated PSA can result from several different causes
9. A client had a transurethral resection of the prostate (TURP) with
continuous bladder irrigation yesterday. The staff nurse notes that
,the
,urinary drainage is bright red and thick with clots. What is the nurse’s
best action?
Increase the rate of the bladder irrigation
10. A client with cholecystitis is placed on a low-fat, high-protein diet.
Which nutrient should the nurse teach the client to include in this
diet? Skim Milk
11. Which assessment data indicate to the nurse that the client may be
experiencing decreased clotting factors as a complication of cirrhosis?
Epistaxis
12. Discharge planning for a client with chronic pancreatitis includes
dietary teaching. Which statement indicates to the nurse that the
clientneeds more teaching?
I can eat foods high in fat now that acute stage is over
13. A nurse is caring for a client who develops disequilibrium syndrome
after receiving hemodialysis. Which of the following actions should the
nurse take? Assess level of consciousness
14. Which of the following findings should a nurse expect in a client with
end-stage kidney disease? Select all that apply
Anuria/ Marked azotemia/ crackles in the lungs/ proteinuria
15. In administering lactulose to the client with hepatic encephalopathy,
the nurse correlates effectiveness of this medication to which
mechanism of action?
Decrease production of ammonia
16. A client with an acute attack of cholecystitis has a cholecystectomy
with a choledochostomy. The client returns from surgery with a T-tube
connected to a drainage bag. What does the nurse conclude in the
purpose of the T-tube?
Permit drainage of bile
17. A client has an IV of D5W 250mL to which 100mg of morphine is
added. The healthcare provider prescribes 14mg of morphine per hour
for end of life palliative treatment of a client with liver failure. At how
many mL per hour should the nurse set the infusion pump? Round to
the nearestwhole number and use numerical values only.
35
18. The nurse is planning education for an adolescent client recently
diagnosed with hepatitis. The client moved back to the parent’s
home.
, Which recommendation to the parents will best prevent them from
acquiring hepatitis B (HBV)?
Obtaining postexposure prophylaxis
19. The RN caring for a client with acute pancreatitis receives the
following orders. “Administer 100mL/kg of body weight over 24hrs”
theclient weighs 80kg. What is the hourly rate the RN should place
in the infusion pump. (Round to the nearest whole number and use
numericalvalues only)
333
20. The 75-year-old client has undergone an open cholecystectomy for
cholelithiasis 2 days ago and has a t-tube drain in place. Which
intervention should the nurse delegate to the unlicensed assistive
personnel (UAP)?
Take and record the client’s vital signs/ empty the client’s foley catheter
bag at the end of the shift/ assist the client to ambulate in the hallway
three to four times a day.
21. Which assessment data collected by the nurse after a liver biopsy
requires the nurse to immediately notify the healthcare provider?
The client’s blood pressure is 80/50mm Hg.
22. A nurse is monitoring a client post kidney biopsy for postoperative
complications. Which of the following complications should the nurse
identify as causing the greatest risk to the client?
Hemorrhage
23. Which statement made by the client diagnosed with benign
prostatic hyperplasia (BPH) indicates the need for further teaching
aboutthis disease process?
An elevated PSA level indicates that I have prostate cancer
24. The nurse is providing information about hepatitis to a high school
health occupations class. The students all volunteer examples of how
hepatitis is transmitted. Which statement by of the students indicates
theneed for further teaching about hepatitis transmission?
Mosquito or tick bite
25. Which of the following is the most appropriate therapeutic diet for a
client diagnosed with acute renal failure?
A high-carbohydrate and protein-restricted diet.
26. A client is to receive 2000mL of intravenous IV fluid in 12 hrs. At
what rate should the nurse set the infusion pump? Round to the
nearest whole #.
167
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