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NUR401 Practice Exam– Questions & Solutions By Experts
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NUR401 Practice Exam– Questions & Solutions By Experts
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NUR401 Practice Exam– Questions & Solutions ByExperts
1. When caring for a client who has just been admitted with septic shock,
which of these assessment data will be of greatest concern to the nurse?
a. Arterial oxygen saturation 90%
b. Apical pulse 110 beats/min
c. Blood pressure 88/56 mm Hg
d. Urinary output 15 mL for 2 hours Right Ans - d. Urinary output 15 mL for
2 hours
2. A client is recovering from a cystoscopy. The nurse would expect to assess
which of the following regarding the client's urine after the procedure?
a. Hematuria
b. Blood clots
c. Pink-tinged
d. Anuria Right Ans - c. Pink-tinged
Explanation: The bladder and urethra are usually irritated as a result of the
procedure. This causes pink-tinged urine. Large amounts of blood in the urine,
anuria, or blood clots are not expected findings after this procedure.
3. A client with congestive heart failure and pulmonary edema develops early
symptoms of acute renal failure (ARF). The nurse plans care for the client
based on the knowledge that collaborative care of the renal failure will be
directed towards which of the following goals?
a. Diluting nephrotoxic substances
b. Replacing fluid volume
c. Promoting diuresis
d. Maintaining cardiac output Right Ans - d. Maintaining cardiac output
Rationale: The primary goal of treatment for ARF is to eliminate the cause and
provide supportive care while the kidneys recover. Because this patient's
heart failure is causing ARF, the care will be directed toward treatment of the
,heart failure. For renal failure caused by hypertension, hypovolemia, or
nephrotoxins, the other responses would be correct.
4. Which of the following is the proper positioning for a client experiencing
hypovolemic shock?
a. Trendelenburg
b. Reverse Trendelenburg
c. Supine with head on a pillow
d. Supine with feet elevated Right Ans - d. Supine with feet elevated - shock
position
5. During discharge teaching for the client with sickle cell anemia, which of the
following precipitating factors for sickle cell crisis should the nurse instruct
the client to avoid?
a. Exposure to crowds
b. Limiting fluids to 2 L per day
c. Excessive dietary iron intake
d. Caffeine and alcohol intake Right Ans - a. Exposure to crowds
rationale: Exposure to crowds increases the patient's risk for infection, the
most common cause of sickle cell crisis. There is no restriction on caffeine use.
Iron supplementation is generally not recommended. A high-fluid intake is
recommended.
6. A client with chronic lymphocytic leukemia is hospitalized for the treatment
of severe hemolytic anemia. Which of the following is an appropriate nursing
intervention for the client?
a. Plan care to alternate periods of rest and activity.
b. Isolate the client from visitors and other clients.
c. Encourage increased intake of fluid and fibre in the diet.
d. Provide a diet high in vitamin K and folic acid. Right Ans - a. Plan care to
alternate periods of rest and activity.
Rationale: Nursing care for patients with anemia should alternate periods of
rest and activity to maintain patient mobility without causing undue fatigue.
High vitamin K diets might be used for a patient with a bleeding disorder.
,There is no indication that the patient is neutropenic, so isolation is not
needed. Increased intake of fluid and fiber will not improve the anemia.
7. A client is scheduled for a fistula creation due to end-stage renal disease.
The
nurse would include which of the following in teaching the client about the
fistula?
a. A vein and an artery will be attached surgically.
b. The fistula can be used 2 to 4 weeks after the surgery for dialysis treatment.
c. The arm should be immobilized for 4 to 6 weeks.
d. One needle will be inserted for each dialysis treatment. Right Ans - d.
One needle will be inserted for each dialysis treatment
couldn't find on google, seems right though
8. A 12 years old is admitted to the emergency department after being stung
by a
bee. The client's mother tells the nurse that her son has an allergy to bees and
he has been stung before. In what order of priority will the nurse address the
complications?
1. Airway swelling
2. Hypotension
3. Tachypnea
4. Tachycardia
a. 2, 4, 1, 3
b. 1, 2, 3, 4
c. 1, 3 ,2, 4
d. 3, 1, 2, 4 Right Ans - c. 1, 3 ,2, 4
1. Airway swelling
3. Tachypnea
2. Hypotension
4. Tachycardia
9. A client with multiple trauma is brought to the emergency department. The
, nurse initiates two peripheral intravenous (IV) sites and begins fluid
resuscitation with which of the following fluids?
a. Dextran
b. 3.0% saline
c. Dextrose 5% in water in one-half normal saline
d. 0.9% saline Right Ans - d. 0.9% saline
Fluid resuscitation is accomplished by using normal saline, that is, 0.9%
saline.
10. A client asks the nurse what effect dialysis will have on the medications he
is
currently taking. What is the nurse's best response?
a. Dangerously low blood pressure may occur if antihypertensives are taken
before dialysis
b. Once-daily medications are best taken before dialysis treatments
c. Dialysis treatments remove all medications from the blood.
d. Medications are not removed during dialysis treatments Right Ans - a.
Dangerously low blood pressure may occur if antihypertensives are taken
before dialysis
Couldn't find, but seems most correct. Once daily medications should be taken
after dialysis if possible, dialysis treatments don't remove all medications
from the blood, and some medications are removed during dialysis.
11. Which of the following nursing interventions will be included for a client
experiencing an acute sickle cell crisis?
a. Administration of platelets & monitoring vitals
b. Heparin therapy & iron replacement
c. Blood transfusion & monitoring of CBC
d. Administration of oxygen & pain management Right Ans - d.
Administration of oxygen & pain management
They don't need platelets, just RBCs are affected, could use heparin to dissolve
possible clots from sickled cells but iron isn't needed so this rules out option
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