NURS 309 Quiz 12 Questions With Complete Solutions
1. During admission assessment, Ms J has all of these findings.
For which finding should you notify the health care provider
immediately?
a. bilateral pitting ankle and calf edema 2+
b. crackles in both lower and middle lobes
c. dry and peeling skin on both feet
d. faint but palpable pedal and post tibial pulses Correct
Answers b
1. Which problems occur with acute kidney injury (AKI)?
(select all that apply)
a. Decreased peristalsis
b. Anemia
c. Metabolic acidosis
d. Hypokalemia
e. Peripheral edema Correct Answers a,b,c,e
10. assessment of ms j after dialysis reveals all of these findings.
which assessment finding necessitates immediate action?
a. weight decrease of 4.5lbs
b. systolic bp decrease of 14mmHg
c. decreased LOC
d. small blood spot near the center of the dressing Correct
Answers c
10. The nurse is talking to an older adult male patient who is
reasonably healthy for his age, but has benign prostatic
hyperplasia (BPH). What condition does the BPH potentially
place him at risk for?
,a. Prerenal acute kidney injury
b. Postrenal acute kidney injury
c. Polycystic kidney disease
d. Acute glomerulonephritis Correct Answers b
11. 6 months later ms j is readmitted to the unit. she has just
returned from HD. Which nursing care action should you
delegate to the UAP?
a. measuring vs and postdialysis weight
b. assessing the HD access site for bruit and thrill
c. checking the access site dressing for bleeding
d. instructing the pt to request assistance getting out of bed
Correct Answers a
11. Which combination of drugs is the most nephrotoxic.
a. Angiotensin-converting enzyme (ACE) inhibitors and aspirin.
b. Angiotensin II receptor blockers and antacids
c. Aminoglycoside antibiotics and non steroidal anti-
inflammatory drugs (NSAIDS)
d. Calcium channel blockers and antihistamines Correct
Answers c
12. ms j is preparing for discharge. you are supervising a student
nurse who is teaching the pt about her discharge meds. which
statement by the SN will you intervene?
a. sevelamer prevents your body from absorbing phosphorus
b. take your folic acid after dialysis on dialysis days
c. the docusate is to prevent constipation that may be caused by
ferrous sulfate
d. you must take the epoetin alfa 3 times a week by mouth to
treat anemia Correct Answers d
,12. The nurse is caring for several patients on a medical-surgical
unit. None of the patients currently has any acute or chronic
kidney problems. Which patient has the greatest risk to develop
AKI?
a. 73-year-old male who has hypertension and peripheral
vascular disease
b. 32-year-old female who is pregnant and has gestational
diabetes
c. 49-year-old male who is obese and has a history of skin
cancer
d. 23-year-old female who has been treated for urinary tract
infection Correct Answers a
13. For a patient with AKI, the nurse would consider
questioning the order for which diagnostic test?
a. Kidney biopsy
b. Ultrasonography
c. Computed tomography with contrast dye
d. Kidney, ureter, bladder (KUB) x-ray Correct Answers c
13. you are caring for ms j 1 day postop. On assessment her
temp is 100.4F, bp is 168/92, and the pt tells you she has pain
around the transplant site. what is the best interpretation of these
findings?
a. hyperacute rejection
b. acute rejection
c. chronic rejection
d. transplant site infection Correct Answers a
, 14. The nurse is caring for a postoperative patient and is
evaluating the patient's intake and output as a measure to
prevent AKI. The patient weighs 60 kilograms and has produced
180 mL of urine in the past 4 hours. What should the nurse do?
a. Perform other assessments related to fluid status and record
the output.
b. Call the health care provider and obtain an order for a fluid
bolus.
c. Encourage the patient to drink more fluid, so that the output is
increased.
d. Compare the patient's weight to baseline to determine fluid
retention. Correct Answers a
14. what intervention is required at this time?
a. increased doses of immunosuppressive drugs
b. IV antibiotics
c. conservative management including dialysis
d. immediate removal of the transplanted kidney Correct
Answers d
15. The nurse is caring for a patient receiving gentamicin.
Because this drug has potential for nephrotoxicity. which
laboratory results does the nurse monitor? (select all that apply)
a. Blood urea nitrogen (BUN)
b. Creatine
c. Drug peak and trough levels
d. Prothrombin time (PT)
e. Platelet count
f. Hemoglobin and hematocrit Correct Answers a,b,c
1. During admission assessment, Ms J has all of these findings.
For which finding should you notify the health care provider
immediately?
a. bilateral pitting ankle and calf edema 2+
b. crackles in both lower and middle lobes
c. dry and peeling skin on both feet
d. faint but palpable pedal and post tibial pulses Correct
Answers b
1. Which problems occur with acute kidney injury (AKI)?
(select all that apply)
a. Decreased peristalsis
b. Anemia
c. Metabolic acidosis
d. Hypokalemia
e. Peripheral edema Correct Answers a,b,c,e
10. assessment of ms j after dialysis reveals all of these findings.
which assessment finding necessitates immediate action?
a. weight decrease of 4.5lbs
b. systolic bp decrease of 14mmHg
c. decreased LOC
d. small blood spot near the center of the dressing Correct
Answers c
10. The nurse is talking to an older adult male patient who is
reasonably healthy for his age, but has benign prostatic
hyperplasia (BPH). What condition does the BPH potentially
place him at risk for?
,a. Prerenal acute kidney injury
b. Postrenal acute kidney injury
c. Polycystic kidney disease
d. Acute glomerulonephritis Correct Answers b
11. 6 months later ms j is readmitted to the unit. she has just
returned from HD. Which nursing care action should you
delegate to the UAP?
a. measuring vs and postdialysis weight
b. assessing the HD access site for bruit and thrill
c. checking the access site dressing for bleeding
d. instructing the pt to request assistance getting out of bed
Correct Answers a
11. Which combination of drugs is the most nephrotoxic.
a. Angiotensin-converting enzyme (ACE) inhibitors and aspirin.
b. Angiotensin II receptor blockers and antacids
c. Aminoglycoside antibiotics and non steroidal anti-
inflammatory drugs (NSAIDS)
d. Calcium channel blockers and antihistamines Correct
Answers c
12. ms j is preparing for discharge. you are supervising a student
nurse who is teaching the pt about her discharge meds. which
statement by the SN will you intervene?
a. sevelamer prevents your body from absorbing phosphorus
b. take your folic acid after dialysis on dialysis days
c. the docusate is to prevent constipation that may be caused by
ferrous sulfate
d. you must take the epoetin alfa 3 times a week by mouth to
treat anemia Correct Answers d
,12. The nurse is caring for several patients on a medical-surgical
unit. None of the patients currently has any acute or chronic
kidney problems. Which patient has the greatest risk to develop
AKI?
a. 73-year-old male who has hypertension and peripheral
vascular disease
b. 32-year-old female who is pregnant and has gestational
diabetes
c. 49-year-old male who is obese and has a history of skin
cancer
d. 23-year-old female who has been treated for urinary tract
infection Correct Answers a
13. For a patient with AKI, the nurse would consider
questioning the order for which diagnostic test?
a. Kidney biopsy
b. Ultrasonography
c. Computed tomography with contrast dye
d. Kidney, ureter, bladder (KUB) x-ray Correct Answers c
13. you are caring for ms j 1 day postop. On assessment her
temp is 100.4F, bp is 168/92, and the pt tells you she has pain
around the transplant site. what is the best interpretation of these
findings?
a. hyperacute rejection
b. acute rejection
c. chronic rejection
d. transplant site infection Correct Answers a
, 14. The nurse is caring for a postoperative patient and is
evaluating the patient's intake and output as a measure to
prevent AKI. The patient weighs 60 kilograms and has produced
180 mL of urine in the past 4 hours. What should the nurse do?
a. Perform other assessments related to fluid status and record
the output.
b. Call the health care provider and obtain an order for a fluid
bolus.
c. Encourage the patient to drink more fluid, so that the output is
increased.
d. Compare the patient's weight to baseline to determine fluid
retention. Correct Answers a
14. what intervention is required at this time?
a. increased doses of immunosuppressive drugs
b. IV antibiotics
c. conservative management including dialysis
d. immediate removal of the transplanted kidney Correct
Answers d
15. The nurse is caring for a patient receiving gentamicin.
Because this drug has potential for nephrotoxicity. which
laboratory results does the nurse monitor? (select all that apply)
a. Blood urea nitrogen (BUN)
b. Creatine
c. Drug peak and trough levels
d. Prothrombin time (PT)
e. Platelet count
f. Hemoglobin and hematocrit Correct Answers a,b,c
