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NURS 2579: MDC3 EXAM 1 REVIEW - WITH NCLEX QUESTIONS WITH ANSWERS AND EXTRA EXPLANATIONS
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NURS 2579: MDC3 EXAM 1 REVIEW - WITH NCLEX QUESTIONS WITH ANSWERS AND EXTRA EXPLANATIONS
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NURS 2579: MDC3 EXAM 1 REVIEW - WITH NCLEX QUESTIONSWITH ANSWERS AND EXTRA EXPLANATIONS
1. Which patient is most likely to experience renal compromise assessed
by decreased urine production?
A. A 10 year history of diabetes mellitus
B. White blood cell count of 12,000/mm3
C. Recent history of myocardial infarction
D. Blood pressure of 92/46 mmHg for 12 hours
2. A patient with kidney failure reports dyspnea. The patient’s pulse
oximeter reading is 95% on room air, but is visibly distressed with a
respiratory rate of 32 breaths/min. What is the priority intervention?
,A. Notify the respiratory therapist
B. Administer oxygen by nasal cannula
C. Elevate the head of the bed to 90 degrees
D. Administer a respiratory nebulizing treatment
3. A patient with a history of kidney disease is admitted with acute
shoulder pain. Which order should the nurse question?
A. Digoxin 0.125mg by mouth daily
B. Metoprolol 50 mg by mouth twice daily
C. Pan cultures for a temperature over 38.5
D. Ibuprofen 800mg by mouth every 4 hours for pain as needed
4. A 22-year-old male reports burning and difficulty with urination. What
priority question will the nurse ask?
A. Are you sexually active?
B. Do you have low back pain?
C. How long have you had these symptoms?
D. Have you had a fever in the past 24 hours?
5. The nurse is caring for four patients. Which patient does the nurse
assess to be at greatest risk of developing a kidney stone?
A. Caucasian male who is obese
B. African-American female with family history of kidney stones
C. Female with history of frequent urinary tract infections
D. Hispanic/Latina female who eats animal protein at every meal
6. The nurse has placed an indwelling urinary catheter via sterile
technique. The nurse recognizes that it is how long before bacterial
colonization begins?
A. 12 hours
B. 24 hours
C. 48 hours
D. 72 hours
, 7. The nurse is caring for four patients. Which patient does the nurse
identify as at highest risk for acute pyelonephritis?
A. 19 y/o male with spinal cord injury
B. 27 y/o female with urinary reflux
C. 37 y/o male with HIV infection
D. 44 y/o female with urinary tract stones
The nurse is caring for a patient with polycystic kidney disease. Which
assessment finding requires immediate nursing intervention?
A. Temp of 99 Degrees F
B. BP of 170/90
, C. HR of 100 BPM
D. Urine output less than 30cc/hr
Which assessment finding does the nurse anticipate for a patient with chronic
glomerulonephritis? (Select all that apply.)
A. Increased urinary output
B. Specific gravity of 1.010
C. Red blood cells in the urine
D. Serum creatinine of < 6mg/dL
E. Sodium level of <135 mEq/L
Which clinical data requires immediate nursing intervention to prevent
progression of acute kidney injury?
A. HR of 120 BPM
B. BP of 156/88
C. Urine Specific gravity of 1.001mmHg
D. Intake of 2000 mL and output of 1500mL in the past 24 hours
A patient with end-stage kidney disease (ESKD) has this serum laboratory
analysis K+ 5.9 mEq/L
Na+ 152 mEq/L
Creatinine 6.2 mg/dL
BUN 60 mg/dL
A. Assess HR and rhythm
B. Implement seizure precautions
C. Assess the patient’s respiratory status
D. Evaluate the patient’s acid-base
balance More:
Uterine Leiomyoma (Fibroids)
Etiology/Patho: Develop from an excessive growth of smooth muscle cells
and may be related to hormonal stimulation. They are benign, slow-growing
solid tumors of the uterine muscle and are classified based on their position.
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