196 Nursezone Med-surg Nursing Final Coaching (By Doc Tacs) Part 1 (1 To 35)
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- 1.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?
- A.
Hypertonic
- B.
Hypotonic
- C.
Isotonic
- D.
Alkaline
- 2.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?
- A.
100 to 200 cc
- B.
500 to 700 cc
- C.
800 to 1200 cc
- D.
1200 to 1800 cc
- 3.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?
- A.
Tenting of chest skin when pinched
- B.
Collapsed hand veins
- C.
Absence of sweat
- D.
Dry oral mucosa
- 4.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?
- A.
Performing nasogastric tube irrigation with normal saline solution
- B.
Weighing the patient daily and encouraging full meals
- C.
Administering tap water enema until return is clear
- D.
Encouraging patient with hyperhydrosis to drink Gatorade
- 5.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:
- A.
30 cc/hr
- B.
35 cc/hr
- C.
60 cc/hr
- D.
40 cc/hr
- 6.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?
- A.
Specific gravity of 1.005
- B.
Ketones: trace
- C.
Proteins: ++
- D.
WBC: 0 to 2/hpf
- 7.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?
- A.
Pain
- B.
Altered nutrition
- C.
Risk for infection
- D.
Altered urinary elimination
- 8.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:
- A.
The client’s stones are mainly acidic in nature
- B.
The client may have fruits and vegetables but the bulk of the diet should be protein
- C.
The client has the tendency to develop large stones that can cause obstruction
- D.
The client is in metabolic alkalosis and therefore should be given acidic food
- 9.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:
- A.
Increasing the urinary output of the client
- B.
Making the urine more basic
- C.
Preventing the occurrence of UTI
- D.
Eliminating the stones from the urinary tract
- 10.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:
- A.
75 mL per hour
- B.
100 mL per hour
- C.
150 mL per hour
- D.
200 mL per hour
- 11.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?
- A.
“I’ll need to strain my urine the first thing in the morning”
- B.
“I will need to save all urine for the next 2 days and take it to the laboratory to be examined and strained”
- C.
“I will be careful to strain all the urine and save the stone”
- D.
“I won’t need to strain my urine now that the procedure is complete”
- 12.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
- A.
On the right side
- B.
Supine
- C.
On the left side
- D.
Prone
- 13.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?
- A.
Sterile
- B.
Midstream
- C.
Double voided
- D.
Clean single-voided
- 14.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?
- A.
Flank pain, urinary frequency, and elevated WBC
- B.
Lower abdominal pain, dysuria, and urinary frequency
- C.
Pyuria, hematuria, and groin pain
- D.
Urinary frequency and casts in the urine
- 15.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:
- A.
Confirming the diagnosis
- B.
Determining the length of treatment
- C.
Prescribing wide spectrum antibiotics
- D.
Selecting which pain medication works best
- 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 Ciprofloxacin was given for a patient’s complicated UTI. Because of its adverse effects, ciprofloxacin should not be given to:
- A.
Clients with heart failure
- B.
Clients with history of seizures
- C.
Female clients with peripheral vascular disease
- D.
Pregnant women and children
- 17.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?
- A.
Frequent ambulation, ROM
- B.
Forcing fluids
- C.
Emptying bladder every 8 hours
- D.
Alkaline ash diet and increase fibers in the diet
- 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 To assist with the prevention of urinary tract infections, the teenage girl should be taught to:
- A.
Drink citrus fruit juices
- B.
Avoid using tampons
- C.
Take showers instead of tub baths
- D.
Clean the perineum from front to back
- 19.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?
- A.
The barium studies
- B.
The intravenous pyelogram
- C.
There is no difference
- D.
They should be performed at the same time
- 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 in renal failure has decreased ability to excrete protein wastes. Which test reflects this condition?
- A.
An elevated BUN
- B.
A drop in creatinine
- C.
Increased levels of WBC in the urine
- D.
An increased creatinine clearance level
- 21.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:
- A.
Response to dialysis
- B.
Metabolic alkalosis
- C.
Electrolyte imbalance
- D.
Cardiac complications
- 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 assesses the renal patient’s mental status. If there is a problem, what condition is most likely to be assessed?
- A.
Aggression
- B.
Delirium
- C.
Confusion
- D.
Intense anger
- 23.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:
- A.
Hypertension
- B.
Hypocalcemia
- C.
Hyperkalemia
- D.
Hypokalemia
- 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 Kenneth who has diagnosed with uremic syndrome ahs the potential to develop complications. Which among the following complications should the nurse anticipates?
- A.
Flapping hand tremors
- B.
An elevated hematocrit level
- C.
Hypotension
- D.
Hypokalemia
- 25.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:
- A.
Remove protein wastes of metabolism
- B.
Bind phosphorus in the GI tract
- C.
Exchange sodium for potassium in the colon
- D.
Inhibit development of a stress ulcer
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