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PN 140 FINAL EXAM NCLEX PRACTICE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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PN 140 FINAL EXAM NCLEX PRACTICE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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PN 140 FINAL EXAM NCLEX PRACTICEQUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
AEnurseEisEcaringEforEaEclientEwithEsystemicElupusEerythematosusE(SLE).ETheEclientEbeginsEtoEcryEandEtellsEth
eEnurseEthatEsheEisEafraidEthatEherEskinEwillEbeEdisfiguredEwithElesions.EWhichEinterventionEdoesEtheEnurseE
planEtoEteachEthisEclientEtoEminimizeEskinEinfectionsEassociatedEwithESLE?E
SelectEallEthatEapply.
A)EUseEsunscreenEwithEanESPFEofE15EorEgreater.
B)ERemainEindoorsEonEsunnyEdays.
C)EAvoidEswimmingEinEaEpoolEorEtheEocean.
D)EAvoidEsunEexposureEbetweenE10:00Ea.m.EandE3:00Ep.m.
E)EDecreaseEsunEexposureEbetweenE3:00Ep.m.EandE5:00Ep.m.E-EAnswer:EA,ED
TheEnurseEteachesEtheEclientEtoEliveEaEnormalElifeEwithEaEfewEextraEprecautions.EThereEisEaErelationshipEbet
weenEsunEexposureEandEinfection,EsoEtheEclientEisEtaughtEtoEuseEsunscreenEwithEanESPFEofEatEleastE15EandEt
oEavoidEtheEsunEbetweenE10:00Ea.m.EandE3:00Ep.m.ETheEclientEmayEswimEbutEshouldEreapplyEsunscreenEaft
erEswimming.ETheEclientEdoesEnotEneedEtoEstayEindoorsEonEsunnyEdaysEorEtoEdecreaseEsunEexposureEbetwe
enE3:00Ep.m.EandE5:00Ep.m.
AEpatientEonEaEmedicalEunitEhasEaEpotassiumElevelEofE6.8EmEq/L.EWhatEisEtheEpriorityEactionEthatEtheEnurseE
shouldEtake?
a.EPlaceEtheEpatientEonEaEcardiacEmonitor.
b.ECheckEtheEpatient'sEBP.
c.EInstructEtheEpatientEtoEavoidEhigh-potassiumEfoods.E
d.ECallEtheElabEandErequestEaEredrawEofEtheElabEtoEverifyEresults.E-
Ea.EDysrhythmiasEmayEoccurEwithEanEelevatedEpotassiumElevelEandEareEpotentiallyElethal.EMonitorEtheErhyt
hmEwhileEcontactingEphysicianEorEcallingEtheErapidEresponseEteam.
AEpatientEisEadmittedEtoEtheEhospitalEwithECKD.EYouEunderstandEthatEthisEconditionEisEcharacterizedEby
,A.EProgressiveEirreversibleEdestructionEofEtheEkidneys
B.EAErapidEdecreaseEinEurinaryEoutputEwithEanEelevatedEBUNElevel
C.EIncreasingEcreatinineEclearanceEwithEaEdecreaseEinEurinaryEoutput
D.EProstration,Esomnolence,EandEconfusionEwithEcomaEandEimminentEdeathE-
EA.EProgressiveEirreversibleEdestructionEofEtheEkidneys
CKDEinvolvesEprogressive,EirreversibleElossEofEkidneyEfunction.
MeasuresEindicatedEinEtheEconservativeEtherapyEofECKDEinclude
A.EdecreasedEfluidEintake,EcarbohydrateEintake,EandEproteinEintake.
B.EincreasedEfluidEintake;EdecreasedEcarbohydrateEintakeEandEproteinEintake.
C.EdecreasedEfluidEintakeEandEproteinEintake;EincreasedEcarbohydrateEintake.
D.EdecreasedEfluidEintakeEandEcarbohydrateEintake;EincreasedEproteinEintake.E-
EC.EdecreasedEfluidEintakeEandEproteinEintake;EincreasedEcarbohydrateEintake.
WaterEandEanyEotherEfluidsEareEnotEroutinelyErestrictedEinEtheEpre-end-
stageErenalEdiseaseE(ESRD)Estages.EPatientsEonEhemodialysisEhaveEaEmoreErestrictedEdietEthanEpatientsErec
eivingEperitonealEdialysis.EForEthoseEreceivingEhemodialysis,EasEtheirEurinaryEoutputEdiminishes,EfluidErestri
ctionsEareEenhanced.EIntakeEdependsEonEtheEdailyEurineEoutput.EGenerally,E600EmLE(fromEinsensibleEloss)Ep
lusEanEamountEequalEtoEtheEpreviousEday'sEurineEoutputEisEallowedEforEaEpatientEreceivingEhemodialysis.EPa
tientsEareEadvisedEtoElimitEfluidEintakeEsoEthatEweightEgainsEareEnoEmoreEthanE1EtoE3EkgEbetweenEdialysesE(i
nterdialyticEweightEgain).EForEtheEpatientEwhoEisEundergoingEdialysis,EproteinEisEnotEroutinelyErestricted.ETh
eEbeneficialEroleEofEproteinErestrictionEinECKDEstagesE1EthroughE4EasEaEmeansEtoEreduceEtheEdeclineEinEkidn
eyEfunctionEisEbeingEstudied.EHistorically,EdietaryEcounselingEoftenEencouragedErestrictionEofEproteinEforECK
DEpatients.EAlthoughEthereEisEsomeEevidenceEthatEproteinErestrictionEhasEbenefits,EmanyEpatientsEfindEthes
eEdietsEdifficultEtoEadhereEto.EForECKDEstagesE1EthroughE4,EmanyEcliniciansEencourageEaEdietEwithEnormalEpr
oteinEintake.EHowever,EyouEshouldEteachEpatientsEtoEavoidEhigh-
proteinEdietsEandEsupplementsEbecauseEtheyEmayEoverstressEtheEdiseasedEkidneys.
NursesEneedEtoEeducateEpatientsEatEriskEforECKD.EWhichEindividualsEareEconsideredEtoEbeEatEincreasedEriskE(
selectEallEthatEapply)?
,A.EOlderEAfricanEAmericans
B.EIndividualsEolderEthanE60Eyears
C.EThoseEwithEaEhistoryEofEpancreatitis
D.EThoseEwithEaEhistoryEofEhypertension
E.EThoseEwithEaEhistoryEofEtypeE2EdiabetesE-EA.EOlderEAfricanEAmericans
B.EIndividualsEolderEthanE60Eyears
D.EThoseEwithEaEhistoryEofEhypertension
E.EThoseEwithEaEhistoryEofEtypeE2Ediabetes
RiskEfactorsEforECKDEincludeEdiabetesEmellitus,Ehypertension,EageEolderEthanE60Eyears,EcardiovascularEdise
ase,EfamilyEhistoryEofECKD,EexposureEtoEnephrotoxicEdrugs,EandEethnicEminoritiesE(e.g.,EAfricanEAmerican,E
NativeEAmerican).
WhichEstatementEregardingEcontinuousEambulatoryEperitonealEdialysisE(CAPD)EisEofEhighestEpriorityEwhenE
teachingEaEpatientEnewEtoEthisEprocedure?
A.E"ItEisEessentialEthatEyouEmaintainEasepticEtechniqueEtoEpreventEperitonitis."
B.E"YouEwillEbeEallowedEaEmoreEliberalEproteinEdietEafterEyouEcompleteECAPD."
C.E"ItEisEimportantEforEyouEtoEmaintainEaEdailyEwrittenErecordEofEbloodEpressureEandEweight."
D.E"YouEmustEcontinueEregularEmedicalEandEnursingEfollow-upEvisitsEwhileEperformingECAPD."E-
EA.E"ItEisEessentialEthatEyouEmaintainEasepticEtechniqueEtoEpreventEperitonitis."
PeritonitisEisEaEpotentiallyEfatalEcomplicationEofEperitonealEdialysis,EandEitEisEimperativeEtoEteachEtheEpatien
tEmethodsEtoEpreventEitEfromEoccurring.EAlthoughEtheEotherEteachingEstatementsEareEaccurate,EtheyEdoEno
tEaddressEtheEpotentialEforEmortalityEbyEperitonitis,EmakingEthatEnursingEactionEtheEhighestEpriority.
HowEshouldEyouEassessEtheEpatencyEofEaEnewlyEplacedEarteriovenousEgraftEforEdialysis?
, A.EIrrigateEtheEgraftEdailyEwithElow-doseEheparin.
B.EMonitorEforEanyEincreaseEinEbloodEpressureEinEtheEaffectedEarm.
C.EListenEwithEaEstethoscopeEoverEtheEgraftEforEpresenceEofEaEbruit.
D.EFrequentlyEmonitorEtheEpulsesEandEneurovascularEstatusEdistalEtoEtheEgraft.E-
EC.EListenEwithEaEstethoscopeEoverEtheEgraftEforEpresenceEofEaEbruit.
AEthrillEcanEbeEfeltEbyEpalpatingEtheEareaEofEanastomosisEofEtheEarteriovenousEgraft,EandEaEbruitEcanEbeEhea
rdEwithEaEstethoscope.ETheEbruitEandEthrillEareEcreatedEbyEarterialEbloodErushingEintoEtheEvein.
WhatEareEtheEmainEadvantagesEofEperitonealEdialysisEcomparedEtoEhemodialysis?
A.ENoEmedicationsEareErequiredEbecauseEofEtheEenhancedEefficiencyEofEtheEperitonealEmembraneEinEremo
vingEtoxins.
B.ETheEdietEisElessErestrictedEandEdialysisEcanEbeEperformedEatEhome.
C.ETheEdialysateEisEbiocompatibleEandEcausesEnoElong-termEconsequences.
D.EHighEglucoseEconcentrationsEofEtheEdialysateEcauseEaEreductionEinEappetite,EpromotingEweightEloss.E-
EB.ETheEdietEisElessErestrictedEandEdialysisEcanEbeEperformedEatEhome.
AdvantagesEofEperitonealEdialysisEincludeEfewerEdietaryErestrictionsEandEhomeEdialysisEisEpossible.
TheEnurseEteachesEaEclientEwhoEisErecoveringEfromEacuteEkidneyEdiseaseEtoEavoidEwhichEtypeEofEmedicatio
n?
AENonsteroidalEanti-inflammatoryEdrugsE(NSAIDs)E
BEAngiotensin-convertingEenzymeE(ACE)Einhibitors
CEOpiates
DECalciumEchannelEblockersEfiltrationErateEandEbloodEflowEwithinEtheEkidney.E-EAENonsteroidalEanti-
inflammatoryEdrugsE(NSAIDs)E
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