NUR401 Final Exam Questions With Complete Solution Latest Updated 2023/2024. 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.
...
NUR401 Final Exam Questions
With Complete Solution 2023/2024
(100% Correct Answers)
,NUR401 2023 practice exam With Complete Solution
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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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. - ANSWER 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. - ANSWER d. One needle will
be inserted for each dialysis treatment
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