MedSurg Exam 3 ACTUAL Exam Questions and CORRECT Answers
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Course
Medsurg
Institution
Medsurg
MedSurg Exam 3 ACTUAL Exam
Questions and CORRECT Answers
What is a hallmark of the diagnosis of nephrotic syndrome? - CORRECT ANSWER-
Proteinuria
What is a characteristic of the intrarenal category of acute renal failure? - CORRECT
ANSWER- Increased BUN
MedSurg Exam 3 ACTUAL Exam
Questions and CORRECT Answers
What is a hallmark of the diagnosis of nephrotic syndrome? - CORRECT ANSWER✔✔-
Proteinuria
What is a characteristic of the intrarenal category of acute renal failure? - CORRECT
ANSWER✔✔- Increased BUN
A nurse is reviewing the history of a client who is suspected of having glomerulonephritis.
Which of the following would the nurse consider significant? - CORRECT ANSWER✔✔-
Recent history of streptococcal infection
When preparing a client for hemodialysis, which of the following would be most important
for the nurse to do? - CORRECT ANSWER✔✔- Check for thrill or bruit over the access site.
Which phase of acute renal failure signals that glomerular filtration has started to recover? -
CORRECT ANSWER✔✔- Diuretic
A client who suffered hypovolemic shock during a cardiac incident has developed acute renal
failure. Which is the best nursing rationale for this complication? - CORRECT
ANSWER✔✔- Decrease in the blood flow through the kidneys
An appropriate nursing intervention for the client following a nuclear scan of the kidney is to:
- CORRECT ANSWER✔✔- Encourage high fluid intake.
A nurse is reviewing the laboratory test results of a client with renal disease. Which of the
following would the nurse expect to find? - CORRECT ANSWER✔✔- Increased serum
creatinine
A 24-year-old patient was admitted to the emergency room after a water skiing accident. The
X-rays revealed two fractured vertebrae, T-12 and L1. Based on this information, the nurse
would know to perform which of the following actions? - CORRECT ANSWER✔✔- Check
the patient's urine for hematuria.
, A client is scheduled for a renal angiography. Which of the following would be appropriate
before the test? - CORRECT ANSWER✔✔- Monitor the client for an allergy to iodine
contrast material.
A client is experiencing some secretion abnormalities, for which diagnostics are being
performed. Which substance is typically reabsorbed and not secreted in urine? - CORRECT
ANSWER✔✔- glucose
A client presents to the ED reporting left flank pain and lower abdominal pain. The pain is
severe, sharp, stabbing, and colicky in nature. The client has also experienced nausea and
emesis. The nurse suspects the client is experiencing: - CORRECT ANSWER✔✔- ureteral
stones.
The nurse is caring for a client who is brought to the emergency department after being found
unconscious outside in hot weather. Dehydration is suspected. Baseline lab work including a
urine specific gravity is ordered. Which relation between the client's symptoms and urine
specific gravity is anticipated? - CORRECT ANSWER✔✔- The specific gravity will be high.
The nurse is providing care to a client who has had a kidney biopsy. The nurse would need to
be alert for signs and symptoms of which of the following? - CORRECT ANSWER✔✔-
Bleeding
A patient has undergone a renal biopsy. After the test, while the patient is resting, the patient
complains of severe pain in the back, arms, and shoulders. Which of the following
appropriate nursing interventions should be offered by the nurse? - CORRECT
ANSWER✔✔- Asses the patient's back and shoulder areas for signs of internal bleeding.
The nurse reviews a client's history and notes that the client has a history of
hyperparathyroidism. The nurse would identify that this client most likely would be at risk
for which of the following? - CORRECT ANSWER✔✔- Kidney stones
A patient is being seen in the clinic for possible kidney disease. What major sensitive
indicator of kidney disease does the nurse anticipate the patient will be tested for? -
CORRECT ANSWER✔✔- Creatinine clearance level
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