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NUR401 Practice Exam Questions And 100% Correct Answers
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NUR401 Practice Exam Questions And 100% Correct Answers1. A client is admitted with septic shock. Which of these assessment data will be of most
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 begins to exhibit early
signs of acute renal failure (ARF). The nurse bases care for the client on the
understanding that collaborative management of the renal failure will focus on which of
the following?
a. Diluting nephrotoxic substances
b. Replacing fluid volume
c. Promoting diuresis
,d. Maintaining cardiac output Answer d. Maintaining cardiac output
Rationale: The most critical principles of therapy for ARF are the removal of the cause
and the provision of supportive care while awaiting renal recovery. Because the client's
heart failure is precipitating the ARF, the care will be directed at the treatment of the
heart failure. In renal failure associated with hypertension, hypovolemia, or
nephrotoxins, the other responses would be appropriate.
4. A client is receiving care for hypovolemic shock. Which of the following positions
should be utilized?
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, the nurse should
instruct the client to avoid which of the following precipitating factors for sickle cell
crisis?
a. Exposure to crowds
b. Limiting fluids to 2 L per day
c. Excessive dietary iron intake
d. Caffeine and alcohol intake - Answer a. Crowding
rationale: Crowding 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 is hospitalized with chronic lymphocytic leukemia and is receiving treatment
for severe hemolytic anemia. Choose the most appropriate nursing intervention for this
, client.
a. Schedule rest periods to alternate with periods of activity.
b. Isolate the client from all visitors and other clients.
c. Encourage the client to increase fluid and fibre intake.
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 anemic patients should allow for periods of rest and activity
so as not to compromise patient mobility due to undue fatigue. High vitamin K diets
perhaps may be prescribed in a bleeding disorder patient. There is no indication the
patient is neutropenic so no isolation is needed. Increased intake of fluid and fiber will
do nothing to improve the anemia.
7. A client is going to undergo a fistula creation because of an end-stage renal disease.
The
nurse would incorporate which of the following in teaching the client about the fistula?
a. A vein and an artery will be surgically connected.
b. The fistula can be utilized after 2 to 4 weeks from 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
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 is allergic to bees and that he has
been stung. In what order of priority will the nurse treat the complications?
1. Airway swelling
2. Hypotension
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