Urinary System Disorders | NCLEX Quiz 116
. All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
- 1.Dialysis allows for the exchange of particles across a semipermeable membrane by which of the following actions?
- A.
Osmosis and diffusion
- B.
Passage of fluid toward a solution with a lower solute concentration
- C.
Allowing the passage of blood cells and protein molecules through it.
- D.
Passage of solute particles toward a solution with a higher concentration.
- 2.A client is diagnosed with chronic renal failure and told she must start hemodialysis. Client teaching would include which of the following instructions?
- A.
Follow a high potassium diet
- B.
Strictly follow the hemodialysis schedule
- C.
There will be a few changes in your lifestyle.
- D.
Use alcohol on the skin and clean it due to integumentary changes.
- 3.A client is undergoing peritoneal dialysis. The dialysate dwell time is completed. and the dwell clamp is opened to allow the dialysate to drain. The nurse notes that the drainage has stopped and only 500 ml has drained; the amount the dialysate instilled was 1.500 ml. Which of the following interventions would be done first?
- A.
Change the client’s position.
- B.
Call the physician.
- C.
Check the catheter for kinks or obstruction.
- D.
Clamp the catheter and instill more dialysate at the next exchange time.
- 4.A client receiving hemodialysis treatment arrives at the hospital with a blood pressure of 200/100. a heart rate of 110. and a respiratory rate of 36. Oxygen saturation on room air is 89%. He complains of shortness of breath. and +2 pedal edema is noted. His last hemodialysis treatment was yesterday. Which of the following interventions should be done first?
- A.
Administer oxygen
- B.
Elevate the foot of the bed
- C.
Restrict the client’s fluids
- D.
Prepare the client for hemodialysis.
- 5.A client has a history of chronic renal failure and received hemodialysis treatments three times per week through an arteriovenous (AV) fistula in the left arm. Which of the following interventions is included in this client’s plan of care?
- A.
Keep the AV fistula site dry.
- B.
Keep the AV fistula wrapped in gauze.
- C.
Take the blood pressure in the left arm
- D.
Assess the AV fistula for a bruit and thrill
- 6.Which of the following factors causes the nausea associated with renal failure?
- A.
Oliguria
- B.
Gastric ulcers
- C.
Electrolyte imbalances
- D.
Accumulation of waste products
- 7.Which of the following clients is at greatest risk for developing acute renal failure?
- A.
A dialysis client who gets influenza
- B.
A teenager who has an appendectomy
- C.
A pregnant woman who has a fractured femur
- D.
A client with diabetes who has a heart catheterization
- 8.In a client in renal failure. which assessment finding may indicate hypocalcemia?
- A.
Headache
- B.
Serum calcium level of 5 mEq/L
- C.
Increased blood coagulation
- D.
Diarrhea
- 9.A nurse is assessing the patency of an arteriovenous fistula in the left arm of a client who is receiving hemodialysis for the treatment of chronic renal failure. Which finding indicates that the fistula is patent?
- A.
Absence of bruit on auscultation of the fistula.
- B.
Palpation of a thrill over the fistula
- C.
Presence of a radial pulse in the left wrist
- D.
Capillary refill time less than 3 seconds in the nail beds of the fingers on the left hand.
- 10.The client with chronic renal failure is at risk of developing dementia related to excessive absorption of aluminum. The nurse teaches that this is the reason that the client is being prescribed which of the following phosphate binding agents?
- A.
Alu-cap (aluminum hydroxide)
- B.
Tums (calcium carbonate)
- C.
Amphojel (aluminum hydroxide)
- D.
Basaljel (aluminum hydroxide)
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