NR 325 Adult Health 2 Exam 1 Questions With Complete
Solutions
A client is experiencing dysuria and hematuria after a
cystoscopy procedure. Which test may be indicated? Correct
Answers Urinalysis
Complete blood count (CBC)
Urine culture
A client is in the clinic to have a laboratory test to evaluate long-
term glycemic control. Which test does the nurse anticipate the
provider will prescribe? Correct Answers Glycosylated
hemoglobin (A1C)
A client is seen in the emergency department (ED) and
diagnosed with nephrolithiasis. Which interdisciplinary actions
are anticipated? Correct Answers Referral to urology for
lithotripsy
Administering analgesia as ordered
Intravenous and oral hydration
A client who has been experiencing hypotension for the last
three days is scheduled for hemodialysis this morning. Which
priority action should the nurse take prior to sending the client to
dialysis? Correct Answers Withhold lisinopril.
A client with a right arm arteriovenous fistula for dialysis. What
are the important nursing actions prior to accessing the site?
Correct Answers Auscultate the site to assess for bruit.
Assess the site for any warmth or tenderness.
Palpate the site to assess for the thrill.
,A client with acute kidney injury is in the diuretic phase. What
will be the priority treatment goal for this client? Correct
Answers To prevent further fluid loss
A client with chronic kidney disease asks the nurse why they
have anemia. What is the nurse's best response? Correct
Answers "You have anemia due to low erythropoietin level."
A client with chronic kidney disease fell at home last year and
had a hip replacement. Based on their history, what is the
priority nursing diagnosis for this client? Correct Answers risk
for injury
A client with chronic kidney disease is concerned about their
nutritional status. Which statement by the client indicates a need
for further teaching? Correct Answers "I will use salt
substitutes in my food and in my cooking process."
A client with elevated blood urea and nitrogen (BUN),
creatinine, and potassium levels is predisposed to which
alteration in health? Correct Answers Cardiac dysrhythmias
A client with hypothyroidism is started on levothyroxine and
instructed to record daily weights. Which instruction should the
nurse provide to the client? Correct Answers "You should
weigh yourself in the early morning before breakfast."
A client with Meniere's disease is reporting frequent episodes of
vertigo. Which recommendation can the nurse make to help the
, client better manage the symptoms? Correct Answers Avoid
sudden head movements.
A healthcare provider ordered a 24-hour urine for creatine
clearance for a client with acute pyelonephritis. The client asks
how this will be collected. What is the nurse's best response?
Correct Answers "The first voided urine will be discarded, and
the rest will be sent to the laboratory."
A nurse in a clinic receives a phone call from a family member
of a client diagnosed with type 2 diabetes. The family arrived
home to find the client unconscious on the floor. After
determining that a glucometer is not available, what action
should the nurse take first? Correct Answers Tell the family
member to administer 1 mg of glucagon intramuscularly.
A nurse is admitting a client to the intensive care unit with
suspected hyperosmolar hyperglycemia syndrome (HHS).
Which laboratory finding should the nurse anticipate? Correct
Answers Blood urea nitrogen (BUN) 35 mg/dL
A nurse is admitting a client with suspected hyperosmolar
hyperglycemia syndrome (HHS). When reviewing the client's
health history, the nurse identifies which contributing factors to
the development of HHS? Correct Answers Client is
prescribed a daily calcium channel blocker
Recovering from influenza
Recent myocardial infarction
Age 77 years
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