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NUR 213 > Unit one practice questions > Flashcards

Unit one practice questions Flashcards

1
Q

A nurse is teaching a client who will have an x-ray of the kidneys, ureters, and bladder. Which of the following statements should the nurse include in the teaching?
A. You will receive contrast dye during the procedure.
B. An enema is necessary before the procedure
C. You will need to like in a prone position during the procedure
D. The procedure determines wheather you will have a kidney stone

A

D. the procedure determines wether you have a kidney stone

ATI CH 56

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2
Q

A nurse is monitoring a client who had a kidney biopsy for post-op complications. Which of the following complications should the nurse identify as causing the greatest risk to the client?
A. Infection
B. Hemorrhage
C. Hematuria
D. Pain

A

B. Hemorrhage

ATI CH 56

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3
Q

A nruse is caring for a client who has type 2 diabetes mellitus and will have excretory urography. Prior to the procedure, which of the following actions should the nurse take? SATA
A. Identify allergy to seafood
B. Withhold metformin for 24 hr
C. Administer enema
D. Obtain blood coagulation profile
E. Assess for asthma

A

A, B, E

ATI CH 56

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4
Q

A nurse is administering captopril during a renal scan. Which of the following actions should the nurse take?
A. Assess fir hypertension
B. Limit the clients fluid intake
C. Monitor for orthostatic hypotension
D. Encourage early ambulation

A

C

ATI CH 56

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5
Q

A nurse is reviewinf the results of a clients urinalysis. The findings indicate the urine is positive for leukocyte esterase and nitrates. Which of the following actions should the nurse take?
A. Repeat the test early the next morning
B. Start a 24-hr urine collection for ceatinine clearance
C. Obtain a clean catch urine specimen for C&S
D. Insert an indwelling urinary catheter to collect a urine specimen

A

C

ATI CH 56

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6
Q

A nurse is teaching a client who has CKD and is to begin hemodialysis. Which of the following information should the nurse include in the teaching?
A. Hemodilaysis restores kidney function
B. Hemodialysis replaces hormonal function
C. Hemodialysis allows an unrestricted diet
D. Hemodialysis returns a balance to blood electrolytes

A

D

ATI CH 57

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7
Q

A nurse is preparing to initiate hemodialysis for a client who has AKI. Which of the following actions should the nurse take? SATA
A. Review the medications th client currently takes
B. Assess the AV fistula for a bruit
C. Calculate the clients hourly urine output
D. Measure the clients weight
E. Check blood electrolytes
F. Use the access site are for venipuncture

A

A, B, C, D

ATI CH 57

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8
Q

A nurse is planning postprocedure care for a client who received hemodialysis. Which of the following interventions should the nurse include in the plan of care? SATA
A. Check BUN and blood creatinine
B. Administer medications the nurse withheld prior to dialysis
C. observe for hypovolemia
D. Assess site for bleeding
E. Evaluate blood pressure on the arm with AV access

A

A, B, C, D

ATI CH 57

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9
Q

A nurse is caring for a client who develops disequilibrium syndrome after receiving hemodilaysis. Which of the following actions should the nurse take?
A. Administer an opioid medication
B. Monitor for hypertension
C. Assess level of consciousness
D. Increase the dialysis exchange rate

A

C

ATI CH 57

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10
Q

A nurse is planning care for a client who will undergo PD. Which of the following actions should the nurse take? (SATA)
A. Monitor blood glucose
B. Report cloudy sialysate return
C. Assess for ShOB
D. Warm dialysate in microwave oven
E. Check the access site dressing for wetness
F. Maintain surgical, not medical, asepsis when accessing catheter insertion site to prevent infection from contamination

A

A, B, D,E

ATI CH 57

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11
Q

A nurse is assessing a client who has end-stage kidney disease. Which of the following findings should the nurse expect? (SATA)
A. Anuria
B. Marked azotemia
C. Crackles in lungs
D. Increased calcium level
E. Proteinuria

A

A, B, C, E

ATI CH 58

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12
Q

A nurse is planning postoperative care for a client following a kidney transplant. Which of the following actions should the nurse include? (SATA)
A. Obtain daily weights
B. Assess dressings for bloody drainage
C. Replace hourly urine output with IV fluids
D. Expect oliguria in the first 4 hr
E. Monitor blood electrolytes

A

A, B, C, E

ATI CH 58

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13
Q

A nurse is teaching a client who is postoperative following a kidney transplant and is taking cyclosporine. Which of the following instructions should the nurse include?
A. “decrease your intake of protein-rich foods”
B. “Take this medication with grape fruit juice”
C. “Monitor for and report a sore throat to your provider”
D. “Expect your skin to turn yellow”

A

C

ATI CH 58

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14
Q

A client who is scheduled for kidney transplantation surgery is assessed by the nurse for rsk factors of surgery. Which of the following findings increase the clients risk of surgery? SATA
A. Age older than 70 yrs
B. BMI of 41
C. Administering NPH insulin each morning
D. Past history of lymphoma
E. Blood pressure averaging 120/70 mmHg

A

A, B, C, D

ATI CH 58

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15
Q

A nurse is teaching a client who is scheduled for a kindey transplant about organ rejection. Which of the following statements should the nurse include? SATA
A. Expect an immediate reomovaL of the donor kidney for hyperacute rejection
B. You might need to begin dialysis to monitor your kidney function for a hyperacute rejection
C. A fever is a manifestation of acute rejection
D. Your provider will increase your immunosupressive medications for a chronic rejection

A

A, C, D

ATI CH 58

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16
Q

A nurse is plannign care for a client who has prerenal AKI following abdominal aortic aneurysm repair. Urinary output is 60 mL in the past 2 hrs, and blood pressure is 92/58 mmHg. The nurse should expect which of the following interventions?
A. Prepare the client for a CT scan with contrast dye.
B. Plan to administer nitroprusside
C. Prepare to administer a fluid challenge
D. Plan to position the client in trendelenburg

A

C

AIT CH 59

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17
Q

A nurse is planning care for a client hwo has post renal AKI d/t metastatic cancer. The client has a blood creatinine of 5 mg/dL. Which of the following interventions should the nurse inclide in the plan? SATA
A. Provide a high protei ndiet
B. Assess urine for blood
C. Monitor for intermittent anuria
D. Weight the client once per week
E. Provide NSAIDs for pain

A

A, B, C

ATI CH 59

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18
Q

A nurse is planning care for a client who has stage 4 CKD. Which of the following actions should the nruse include in the plan of care? (SATA)
A. Assess for jugular vein distention
B. Provide frequent mouth rinses
C. Ascultate for pleural friction rub
D. Provide a high sodium diet
E. Monitor for dysrhythmias

A

A, B, C, E

ATI CH 59

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19
Q

A nurse is reviewing a clients laboratory data. Which of the following findings is expected for a client who has Stage 4 CKD
A. Blood urea nitrogen (BUN) 15 mg/dL
B. Glomerular filtration rate (GFR) 20 mL/min
C. Blood creatinine 1.1 mg/dL
D. Blood Potassium 5.0 mEq/L

A

B

ATI CH 59

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20
Q

A nurse is assessing a client who has prerenal AKI. Which of the following should the nurse expect? SATA
A. Reduce BUN
B. Elevated cardiac enzymes
C. Reduced urine output
D. Elevated blood creatinine
E. Elevated blood calcium

A

C, D

ATI CH 59

21
Q

A Nurse is planning care for a client who has chronic pyelonephritis. Which of the following actions should the nurse plan to take? SATA
A. Provide a referral for nutrition conseling
B. Encourage daily fluid intake of 1 L
C. Palpate the constovertabral angle
D. Monitor urinary OP
E. Administer abx

A

A, D, E

ATI CH 60

22
Q

A nurse is caring for a client who has a UTI. Which of the following is the priority intervention by the nurse?
A. Offer a warm sitz bath
B. Recommend drinking cranberry juice
C. Encourage increased fluids
D. Administer abx

A

D

ATI CH 60

23
Q

A nurse is preparing educational material to present to a female client whp has frequent UTI’s. Which of the following information shoudl the nurse include? SATA
A. Aviod sitting in a wet bathing suit
B. Wipe the perineal area back to front following elimination
C. Empty the bladder when there is an urge to void
D. Wear synthetic fabric underwear
E. Take a shower daily

A

ATI CH 60

24
Q

A nurse is caring for several clients. Which of the following clients are at risk for developing pyelonephritis? SATA
A. A client who is at 32 wks of gestation
B. A client who has kidney calculi
C. A client who has a urine pH if 4.2
D. A client who has a neurogenic bladder
E. A client who has diabetes mellitus

A

A,C,D

ATI CH 60

25
Q

A nurse is reviewing urinalysis results for four clients. Which of the following urinalysis results indicates a urinary tract infection?
A. Positive for hyaline casts
B. positive for leukocytosis
C. Positive ketones
D. Positive for crystals

A

B

ATI CH 60

26
Q

A nurse in a providers office is assessing a client who has severe sunburn. Which of the following classifications should the nurse use to document this burn?
A. Superficial thickness
B. Superficial partial thickness
C. Deep partial thickness
D. Full thickness

A

A

ATI CH 75

27
Q

A nurse is caring for a client who has sustained burns over 35% of total body surface area. The client’s voice has become hoards, a brassy cough has developed, and the client is drooling. The nurse should identify these findings as indications that th cient has which of the following?
A. Pulmonary edema
B. Bacterial pnemonia
C. Inhalation injury
D. Carbon monoxide

A

C

ATI CH 75

28
Q

A nurse is assessing a client who sustained deep parital thickness and full thickness burns over 40% of the body 24 hr ago. Which of the following are findings are common during this phase? SATA
A. Temp 97 F (36.1)
B. Bradycardia
C. Hyperkalemia
D. Hyponatremia
E. Decreased hematocrit

A

A, C, D

ATI CH 75

29
Q

A nurse is preparing to administer fentanyl to a client who sustained deep partial thickness burns and full-thickness burns over 60% of the body 24hr ago. The nurse should plan to use which of the following routes to administer the medicine?
A. Subcutaneous
B. Oral
C. Intravenous
D. Transdermal

A

C

ATI CH 75

30
Q

A nurse is planning care for an adult client who sustained severe burn injuries. Which of the following interventions should the nurse include in the plan of care? SATA
A. Limit visitors in the clients room
B. Encourage fresh vegetables in the diet
C. Increase protein intake
D. INstruct the client to consume 2000 calories/day
E. Restrict fresh flowers in the room

A

A, C, E

31
Q

The nurse is caring for a client with cirrhosis. Which clinical manifestations should the nurse expect to observe? Select all that apply.
A. Altered mental status
B. Metabolic alkalosis
C. Altered respiratory status
D. Jaundice
E. Petechiae

A

A, C, D, E

Davis Advantage questions

32
Q

Which mineral(s) are associated with congenital abnormalities that lead to the development of cirrhosis?

A. Iron and copper deficiency associated with iron deficiency anemia and Wilson’s disease
B. Excess copper associated with Wilson’s disease and excess iron associated with hemochromatosis
C. Increased iron associated with myelodysplasia
D. Iron deficiency associated with fetal alcohol syndrome

A

B

Davis advantage

33
Q

The nurse is providing teaching to a client with cirrhosis. What topics should the nurse include in the teaching? Select all that apply.

A. Consuming adequate calories to minimize weight loss
Reducing calories to encourage weight loss
B. Monitoring use of medications that metabolize in the liver
C. Minimizing risk of bleeding with safe, careful self-care practices
D. Eliminating alcohol intake if alcohol is the cause of cirrhosis

A

A, C, D, E

Davis advantage

34
Q

The nurse is monitoring a client who is being treated for hepatic encephalopathy. Which diagnostic finding would indicate improvement of the client’s condition?

A. Return of white blood cell count to within normal range
B. Chemistry profile within normal range
C. Decreased ammonia levels
D. Hemoconcentration

A

B

Davis Advantage

35
Q

Outpatient treatment of fluid retention in clients with cirrhosis may be preferred for which reasons? Select all that apply.

A. Ability to better monitor dietary intake
B. Cirrhosis is not a chronic disease
C. More cost-effective
D. Decreases preventable rehospitalizations
E. Increases expectation of no exacerbations to manage

A

C, D

36
Q

John has been diagnosed with cirrhosis of the liver following this infectious disease process. No immunization is available to prevent this chronic illness. What infectious disease is this?

A

Hep C

Davis advantage

37
Q

Paul is being treated for the second most common type of cirrhosis of the liver following a long history of alcoholism and accompanying malnutrition. What is this called?

A

Laënnec’s cirrhosis

Davis Advantage

38
Q

Tanya has received a clinical diagnosis of a type of genetic cirrhosis. Client history reveals a metabolic disease affecting copper metabolism. What dx could tanya have?

A

Wilson’s disease

Davis advantage

39
Q

Samuel has cirrhosis from cholangitis. He tells the nurse that the severe pruritus is very irritating. What condition could samuel have?

A

biliary cirrhosis

Davis advantage

40
Q

Edna has a BMI of 40 and other comorbidities related to cardiac and respiratory dysfunction. The fat around her liver has led to her cirrhosis. What condition could edna have?

A

NASH
or
Non-alcoholic steatohepatitis

Davis Advantage

41
Q

Brian has developed cirrhosis secondary to a fecal-oral virus he obtained when drinking contaminated water while camping years ago. What did brian have?

A

Hepatitis A

Davis advantage

42
Q

Joanne developed cirrhosis after a contaminated needle stick while working as a nurse. The virus she obtained could have been prevented if she had received the series of three immunizations and developed immunity. What did joanne have?

A

Hepatitis B

Davis advantage

43
Q

Mark has cirrhosis from a little known and uncommon bloodborne virus. He became sick after multiple blood transfusions for his hemophilia. What does mark have?

A

Hepatitis G

Davis advantage

44
Q

In cirrhosis, alterations in blood and lymph flow can lead to what end organ effect of the liver?

A. Increased perfusion as a result of ascites
B. Increased pressure leading to increased vascularity
C. Cellular changes leading to malignancy
D. Necrosis

A

D

Davis advantage

45
Q

The nurse is caring for a client with cirrhosis. What should the nurse monitor as signs of worsening of the disease? Select all that apply.

A. Petechiae
B. Increased appetite
C. Laryngitis
D. Pedal edema
E. Jaundice

A

A D E

46
Q

Which behavioral finding would the nurse anticipate finding in a client with cirrhosis who has hepatic encephalopathy?

A. Intact short-term memory
B. Intact long-term memory
C. Personality changes
D. Clear speech articulation

A

C

47
Q

Which finding is typically associated with non-alcoholic steatohepatitis cirrhosis?

A. Clinical obesity
B. Alcoholism
C. Evidence of metabolic disease
D. History of hepatitis

A

A

48
Q

Alcoholism is associated with which type of cirrhosis?

A. Laënnec’s
B. Congenital
C. Metabolic
D. Biliary

A

A

NUR 213 (29 decks)

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