196 Nursezone Med-surg Nursing Final Coaching (By Doc Tacs) Part 1 (1 To 35)

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    SITUATION: Urinary tract infection is a common disease affecting the adult population. A nurse is expected to have a deep understanding regarding care for client with urinary tract infections   Ciprofloxacin was given for a patient’s complicated UTI. Because of its adverse effects, ciprofloxacin should not be given to:

    • Clients with heart failure
    • Clients with history of seizures
    • Female clients with peripheral vascular disease
    • Pregnant women and children
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196 Nursezone Med-surg Nursing Final Coaching (By Doc Tacs) Part 1 (1 To 35) - Quiz

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  • 2. 

    SITUATION: Renal failure is a common complication of clients suffering from hypertension and diabetes mellitus. The nurse should have deep knowledge to be able to care for client suffering from these complications   The nurse assesses a client shortly after kidney transplant surgery. Which postoperative findings should the nurse report to the doctor immediately?

    • Serum potassium level of 4.9 mEq/L

    • Serum sodium level of 135 mEq/L

    • Temperature of 37.3°C

    • Urine output of 20 ml/hr

    Correct Answer
    A. Urine output of 20 ml/hr
  • 3. 

    SITUATION: Urinary tract infection is a common disease affecting the adult population. A nurse is expected to have a deep understanding regarding care for client with urinary tract infections   To assist with the prevention of urinary tract infections, the teenage girl should be taught to:

    • Drink citrus fruit juices

    • Avoid using tampons

    • Take showers instead of tub baths

    • Clean the perineum from front to back

    Correct Answer
    A. Clean the perineum from front to back
  • 4. 

    SITUATION: Renal failure is a common complication of clients suffering from hypertension and diabetes mellitus. The nurse should have deep knowledge to be able to care for client suffering from these complications   The client is admitted to the hospital in chronic renal failure. A diet low in protein is ordered. The rationale for a low-protein diet is:

    • Protein breaks down into blood urea nitrogen and other waste

    • High protein increases the sodium and potassium levels

    • A high-protein diet decreases albumin production

    • A high-protein diet depleted calcium and phosphorus

    Correct Answer
    A. Protein breaks down into blood urea nitrogen and other waste
  • 5. 

    SITUATION: Renal failure is a common complication of clients suffering from hypertension and diabetes mellitus. The nurse should have deep knowledge to be able to care for client suffering from these complications   A patient in renal failure has decreased ability to excrete protein wastes. Which test reflects this condition?

    • An elevated BUN

    • A drop in creatinine

    • Increased levels of WBC in the urine

    • An increased creatinine clearance level

    Correct Answer
    A. An elevated BUN
  • 6. 

    SITUATION: Renal failure is a common complication of clients suffering from hypertension and diabetes mellitus. The nurse should have deep knowledge to be able to care for client suffering from these complications   A patient is scheduled for peritoneal dialysis. What important nursing intervention must be taken before dialysis is initiated?

    • Weight the patient

    • Administer pain medication

    • Place patient in high-Fowler’s

    • Instruct on complications

    Correct Answer
    A. Weight the patient
  • 7. 

    SITUATION: A patient has severe right flank pain, nausea, and vomiting. The tentative diagnosis was ureterolithiasis, right   The nurse is caring for a client following a right nephrolithotomy. Post-operatively, the client should be

    • On the right side

    • Supine

    • On the left side

    • Prone

    Correct Answer
    A. On the left side
  • 8. 

    SITUATION: Renal failure is a common complication of clients suffering from hypertension and diabetes mellitus. The nurse should have deep knowledge to be able to care for client suffering from these complications   The nurse is teaching a client with peritoneal dialysis how to manage exchanges at home. The nurse should tell the client to notify the doctor immediately if:

    • The dialysate return become cloudy in appearance

    • The return of the dialysate is slower than usual

    • A “tugging” sensation is noted as the dialysate drains

    • A feeling of fullness is felt when the dialysate is instilled

    Correct Answer
    A. The dialysate return become cloudy in appearance
  • 9. 

    SITUATION: Renal failure is a common complication of clients suffering from hypertension and diabetes mellitus. The nurse should have deep knowledge to be able to care for client suffering from these complications   A client with end stage renal disease is being managed with peritoneal dialysis. If the dialysate return is slowed, the nurse should tell the client to:

    • Irrigate the dialyzing catheter with saline

    • Skip the next scheduled infusion

    • Gently retract the dialyzing catheter

    • Change the position or turn side to side

    Correct Answer
    A. Change the position or turn side to side
  • 10. 

    SITUATION: Fluid and electrolyte imbalance is a common complication among clients suffering from certain disorders. A nurse is expected to be knowledgeable regarding care of clients with fluid and electrolyte problems   The nurse caring for a client with diarrhea will look for which sign of severe dehydration?

    • Tenting of chest skin when pinched

    • Collapsed hand veins

    • Absence of sweat

    • Dry oral mucosa

    Correct Answer
    A. Tenting of chest skin when pinched
  • 11. 

    SITUATION: Fluid and electrolyte imbalance is a common complication among clients suffering from certain disorders. A nurse is expected to be knowledgeable regarding care of clients with fluid and electrolyte problems   Which of the following values in a patient’s urinalysis should the nurse consider abnormal?

    • Specific gravity of 1.005

    • Ketones: trace

    • Proteins: ++

    • WBC: 0 to 2/hpf

    Correct Answer
    A. Proteins: ++
  • 12. 

    SITUATION: Urinary tract infection is a common disease affecting the adult population. A nurse is expected to have a deep understanding regarding care for client with urinary tract infections   In guarding against UTI, which nursing intervention is best?

    • Frequent ambulation, ROM

    • Forcing fluids

    • Emptying bladder every 8 hours

    • Alkaline ash diet and increase fibers in the diet

    Correct Answer
    A. Forcing fluids
  • 13. 

    SITUATION: Renal failure is a common complication of clients suffering from hypertension and diabetes mellitus. The nurse should have deep knowledge to be able to care for client suffering from these complications   In caring for the patient in acute renal failure, the nurse is aware that a major complication is:

    • Hypertension

    • Hypocalcemia

    • Hyperkalemia

    • Hypokalemia

    Correct Answer
    A. Hyperkalemia
  • 14. 

    SITUATION: Renal failure is a common complication of clients suffering from hypertension and diabetes mellitus. The nurse should have deep knowledge to be able to care for client suffering from these complications   The nurse assesses the renal patient’s mental status. If there is a problem, what condition is most likely to be assessed?

    • Aggression

    • Delirium

    • Confusion

    • Intense anger

    Correct Answer
    A. Confusion
  • 15. 

    SITUATION: Renal failure is a common complication of clients suffering from hypertension and diabetes mellitus. The nurse should have deep knowledge to be able to care for client suffering from these complications   Kenneth who has diagnosed with uremic syndrome ahs the potential to develop complications. Which among the following complications should the nurse anticipates?

    • Flapping hand tremors

    • An elevated hematocrit level

    • Hypotension

    • Hypokalemia

    Correct Answer
    A. Flapping hand tremors
  • 16. 

    SITUATION: Urinary tract infection is a common disease affecting the adult population. A nurse is expected to have a deep understanding regarding care for client with urinary tract infections   A 35 year old female was diagnosed with acute cystitis. Which clinical manifestations should the nurse expect?

    • Flank pain, urinary frequency, and elevated WBC

    • Lower abdominal pain, dysuria, and urinary frequency

    • Pyuria, hematuria, and groin pain

    • Urinary frequency and casts in the urine

    Correct Answer
    A. Lower abdominal pain, dysuria, and urinary frequency
  • 17. 

    SITUATION: Fluid and electrolyte imbalance is a common complication among clients suffering from certain disorders. A nurse is expected to be knowledgeable regarding care of clients with fluid and electrolyte problems   Which nursing intervention would most likely lead to a hypo-osmolar state?

    • Performing nasogastric tube irrigation with normal saline solution

    • Weighing the patient daily and encouraging full meals

    • Administering tap water enema until return is clear

    • Encouraging patient with hyperhydrosis to drink Gatorade

    Correct Answer
    A. Administering tap water enema until return is clear
  • 18. 

    SITUATION: Urinary tract infection is a common disease affecting the adult population. A nurse is expected to have a deep understanding regarding care for client with urinary tract infections   The physician orders barium studies and an intravenous pyelogram. Which should the nurse schedule first?

    • The barium studies

    • The intravenous pyelogram

    • There is no difference

    • They should be performed at the same time

    Correct Answer
    A. The intravenous pyelogram
  • 19. 

    SITUATION: Fluid and electrolyte imbalance is a common complication among clients suffering from certain disorders. A nurse is expected to be knowledgeable regarding care of clients with fluid and electrolyte problems   A nurse will use which type of solution to promote osmotic diuresis?

    • Hypertonic

    • Hypotonic

    • Isotonic

    • Alkaline

    Correct Answer
    A. Hypertonic
  • 20. 

    SITUATION: Renal failure is a common complication of clients suffering from hypertension and diabetes mellitus. The nurse should have deep knowledge to be able to care for client suffering from these complications   A patient with an AV fistula is receiving hemodialysis treatments three times a week. Which observation by the nurse indicates arterial steal syndrome?

    • The abdomen is distended and tender upon palpation

    • The client is complaining of nausea, vomiting, and a headache

    • The presence of redness, warmth, and edema at the site of the fistula

    • The client appears pale and complains of numb fingers that are cool to the touch

    Correct Answer
    A. The client appears pale and complains of numb fingers that are cool to the touch
  • 21. 

    SITUATION: A patient has severe right flank pain, nausea, and vomiting. The tentative diagnosis was ureterolithiasis, right   The physician has ordered increased oral rehydration for a client with renal calculi. Unless contraindicated, the recommended oral intake for helping with removal of renal calculi is:

    • 75 mL per hour

    • 100 mL per hour

    • 150 mL per hour

    • 200 mL per hour

    Correct Answer
    A. 200 mL per hour
  • 22. 

    SITUATION: Renal failure is a common complication of clients suffering from hypertension and diabetes mellitus. The nurse should have deep knowledge to be able to care for client suffering from these complications   The nurse should teach a client receiving cyclosporine about adverse drug reactions. What is the most severe adverse reaction that may occur?

    • Bone marrow suppression

    • Pulmonary edema

    • Drug fever

    • Nephrotoxicity

    Correct Answer
    A. Nephrotoxicity
  • 23. 

    SITUATION: A patient has severe right flank pain, nausea, and vomiting. The tentative diagnosis was ureterolithiasis, right   A patient with recurrent UTI is prescribed an alkaline ash diet. This diet is aimed at:

    • Increasing the urinary output of the client

    • Making the urine more basic

    • Preventing the occurrence of UTI

    • Eliminating the stones from the urinary tract

    Correct Answer
    A. Making the urine more basic
  • 24. 

    SITUATION: Renal failure is a common complication of clients suffering from hypertension and diabetes mellitus. The nurse should have deep knowledge to be able to care for client suffering from these complications   The client is receiving peritoneal dialysis. If the dialysate returns cloudy, the nurse should:

    • Document the finding

    • Send a specimen to the lab

    • Strain the urine

    • Obtain a complete blood count

    Correct Answer
    A. Send a specimen to the lab
  • 25. 

    SITUATION: A patient has severe right flank pain, nausea, and vomiting. The tentative diagnosis was ureterolithiasis, right   A client is being discharged after lithotripsy for removal of kidney stone. Which statement by the client indicates understanding of the nurse’s instructions?

    • “I’ll need to strain my urine the first thing in the morning”

    • “I will need to save all urine for the next 2 days and take it to the laboratory to be examined and strained”

    • “I will be careful to strain all the urine and save the stone”

    • “I won’t need to strain my urine now that the procedure is complete”

    Correct Answer
    A. “I will be careful to strain all the urine and save the stone”
  • 26. 

    SITUATION: Renal failure is a common complication of clients suffering from hypertension and diabetes mellitus. The nurse should have deep knowledge to be able to care for client suffering from these complications   A client who underwent renal transplant should take cyclosporine daily along with other immunosuppressants. What action of cyclosporine is needed in this case?

    • Elimination of antigen-reactive T cells in the blood

    • Inhibition of RNA synthesis

    • Inhibition of helper T cells and suppressor T cells

    • Antagonistic metabolism of purine

    Correct Answer
    A. Inhibition of helper T cells and suppressor T cells
  • 27. 

    SITUATION: Fluid and electrolyte imbalance is a common complication among clients suffering from certain disorders. A nurse is expected to be knowledgeable regarding care of clients with fluid and electrolyte problems   The average adult normally excretes how much urine in a usual 24 hour period?

    • 100 to 200 cc

    • 500 to 700 cc

    • 800 to 1200 cc

    • 1200 to 1800 cc

    Correct Answer
    A. 1200 to 1800 cc
  • 28. 

    SITUATION: A patient has severe right flank pain, nausea, and vomiting. The tentative diagnosis was ureterolithiasis, right   Which should the nurse assign the highest priority?

    • Pain

    • Altered nutrition

    • Risk for infection

    • Altered urinary elimination

    Correct Answer
    A. Altered urinary elimination
  • 29. 

    SITUATION: Renal failure is a common complication of clients suffering from hypertension and diabetes mellitus. The nurse should have deep knowledge to be able to care for client suffering from these complications   An ICU nurse observes the patient with DM in renal failure for ECG changes, Kussmaul’s breathing, and decreased LOC. This is to assess for:

    • Response to dialysis

    • Metabolic alkalosis

    • Electrolyte imbalance

    • Cardiac complications

    Correct Answer
    A. Electrolyte imbalance
  • 30. 

    SITUATION: Urinary tract infection is a common disease affecting the adult population. A nurse is expected to have a deep understanding regarding care for client with urinary tract infections   A urine C&S is obtained in the patient with pyelonephritis. The nurse understands that this test is important because it is utilized in:

    • Confirming the diagnosis

    • Determining the length of treatment

    • Prescribing wide spectrum antibiotics

    • Selecting which pain medication works best

    Correct Answer
    A. Confirming the diagnosis
  • 31. 

    SITUATION: Fluid and electrolyte imbalance is a common complication among clients suffering from certain disorders. A nurse is expected to be knowledgeable regarding care of clients with fluid and electrolyte problems   A healthy client who is 70 kg is expected to have a minimum urine output of:

    • 30 cc/hr

    • 35 cc/hr

    • 60 cc/hr

    • 40 cc/hr

    Correct Answer
    A. 35 cc/hr
  • 32. 

    SITUATION: A patient has severe right flank pain, nausea, and vomiting. The tentative diagnosis was ureterolithiasis, right   The client was advised to be on an acid ash diet. The nurse understands that:

    • The client’s stones are mainly acidic in nature

    • The client may have fruits and vegetables but the bulk of the diet should be protein

    • The client has the tendency to develop large stones that can cause obstruction

    • The client is in metabolic alkalosis and therefore should be given acidic food

    Correct Answer
    A. The client may have fruits and vegetables but the bulk of the diet should be protein
  • 33. 

    SITUATION: Renal failure is a common complication of clients suffering from hypertension and diabetes mellitus. The nurse should have deep knowledge to be able to care for client suffering from these complications   A patient’s wife asks why her husband on hemodialysis developed dialysis disequilibrium syndrome. The nurse’s response should be based on the fact that the syndrome occurs as a result of:

    • A contaminated connection site between the catheter and machine

    • A rapid change is sodium and water levels

    • Too much absorption of aluminum from the dialysate

    • Too rapid decrease in the blood urea nitrogen levels

    Correct Answer
    A. Too rapid decrease in the blood urea nitrogen levels
  • 34. 

    SITUATION: Renal failure is a common complication of clients suffering from hypertension and diabetes mellitus. The nurse should have deep knowledge to be able to care for client suffering from these complications   A client with chronic renal failure receives hemodialysis and his condition stabilizes. The doctor orders amphojel with each meal. This drug is given to:

    • Remove protein wastes of metabolism

    • Bind phosphorus in the GI tract

    • Exchange sodium for potassium in the colon

    • Inhibit development of a stress ulcer

    Correct Answer
    A. Exchange sodium for potassium in the colon
  • 35. 

    SITUATION: A patient has severe right flank pain, nausea, and vomiting. The tentative diagnosis was ureterolithiasis, right   The physician orders a urine specimen to test for glucose and ketones. The nurse obtains which specimen?

    • Sterile

    • Midstream

    • Double voided

    • Clean single-voided

    Correct Answer
    A. Double voided

Quiz Review Timeline (Updated): Mar 20, 2022 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 20, 2022
    Quiz Edited by
    ProProfs Editorial Team
  • Jan 02, 2012
    Quiz Created by
    Nsgzonemedsurg
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