Nursing NUR401 Practice Exam – Comprehensive Questions and Answers Study
Guide
1. When caring for a client who has just been admitted with septic shock, which of these
assessment data will be of greatest concern to the nurse?
a. Arterial oxygen saturation 90%
b. Apical pulse 110 beats/min
c. Blood pressure 88/56 mm Hg
d. Urinary output 15 mL for 2 hours - ANS ✔✔d
2. A client is recovering from a cystoscopy. The nurse would expect to assess
which of the following regarding the client's urine after the procedure?
a. Hematuria
b. Blood clots
c. Pink-tinged
d. Anuria - ANS ✔✔c
3. A client with congestive heart failure and pulmonary edema develops early symptoms of
acute renal failure (ARF). The nurse plans care for the client based on the knowledge that
collaborative care of the renal failure will be directed towards which of the following goals?
a. Diluting nephrotoxic substances
b. Replacing fluid volume
c. Promoting diuresis
d. Maintaining cardiac output - ANS ✔✔d
,4. Which of the following is the proper positioning for a client experiencing hypovolemic shock?
a. Trendelenburg
b. Reverse Trendelenburg
c. Supine with head on a pillow
d. Supine with feet elevated - ANS ✔✔d
5. During discharge teaching for the client with sickle cell anemia, which of the following
precipitating factors for sickle cell crisis should the nurse instruct the client to avoid?
a. Exposure to crowds
b. Limiting fluids to 2 L per day
c. Excessive dietary iron intake
d. Caffeine and alcohol intake - ANS ✔✔a
6. A client with chronic lymphocytic leukemia is hospitalized for the treatment of severe
hemolytic anemia. Which of the following is an appropriate nursing intervention for the client?
a. Plan care to alternate periods of rest and activity.
b. Isolate the client from visitors and other clients.
c. Encourage increased intake of fluid and fibre in the diet.
d. Provide a diet high in vitamin K and folic acid. - ANS ✔✔a
7. A client is scheduled for a fistula creation due to end-stage renal disease. The
nurse would include which of the following in teaching the client about the fistula?
,a. A vein and an artery will be attached surgically.
b. The fistula can be used 2 to 4 weeks after the surgery for dialysis treatment.
c. The arm should be immobilized for 4 to 6 weeks.
d. One needle will be inserted for each dialysis treatment. - ANS ✔✔d
8. A 12 years old is admitted to the emergency department after being stung by a
bee. The client's mother tells the nurse that her son has an allergy to bees and he has been
stung before. In what order of priority will the nurse address the complications?
1. Airway swelling
2. Hypotension
3. Tachypnea
4. Tachycardia
a. 2, 4, 1, 3
b. 1, 2, 3, 4
c. 1, 3 ,2, 4
d. 3, 1, 2, 4 - ANS ✔✔c
9. A client with multiple trauma is brought to the emergency department. The
nurse initiates two peripheral intravenous (IV) sites and begins fluid resuscitation with which of
the following fluids?
a. Dextran
b. 3.0% saline
c. Dextrose 5% in water in one-half normal saline
d. 0.9% saline - ANS ✔✔d
, 10. A client asks the nurse what effect dialysis will have on the medications he is
currently taking. What is the nurse's best response?
a. Dangerously low blood pressure may occur if antihypertensives are taken before dialysis
b. Once-daily medications are best taken before dialysis treatments
c. Dialysis treatments remove all medications from the blood.
d. Medications are not removed during dialysis treatments - ANS ✔✔a
11. Which of the following nursing interventions will be included for a client
experiencing an acute sickle cell crisis?
a. Administration of platelets & monitoring vitals
b. Heparin therapy & iron replacement
c. Blood transfusion & monitoring of CBC
d. Administration of oxygen & pain management - ANS ✔✔d
12. A client is diagnosed with acute kidney failure. He is complaining of nausea,
pain in the abdomen, diarrhea, and muscular weakness. Also, the nurse notes an irregularity in
pulse. Based on these findings, which imbalance is this indicative of?
a. Hyponatremia
b. Hypercalcemia
c. Hyperkalemia
d. Hypouricemia - ANS ✔✔b
Guide
1. When caring for a client who has just been admitted with septic shock, which of these
assessment data will be of greatest concern to the nurse?
a. Arterial oxygen saturation 90%
b. Apical pulse 110 beats/min
c. Blood pressure 88/56 mm Hg
d. Urinary output 15 mL for 2 hours - ANS ✔✔d
2. A client is recovering from a cystoscopy. The nurse would expect to assess
which of the following regarding the client's urine after the procedure?
a. Hematuria
b. Blood clots
c. Pink-tinged
d. Anuria - ANS ✔✔c
3. A client with congestive heart failure and pulmonary edema develops early symptoms of
acute renal failure (ARF). The nurse plans care for the client based on the knowledge that
collaborative care of the renal failure will be directed towards which of the following goals?
a. Diluting nephrotoxic substances
b. Replacing fluid volume
c. Promoting diuresis
d. Maintaining cardiac output - ANS ✔✔d
,4. Which of the following is the proper positioning for a client experiencing hypovolemic shock?
a. Trendelenburg
b. Reverse Trendelenburg
c. Supine with head on a pillow
d. Supine with feet elevated - ANS ✔✔d
5. During discharge teaching for the client with sickle cell anemia, which of the following
precipitating factors for sickle cell crisis should the nurse instruct the client to avoid?
a. Exposure to crowds
b. Limiting fluids to 2 L per day
c. Excessive dietary iron intake
d. Caffeine and alcohol intake - ANS ✔✔a
6. A client with chronic lymphocytic leukemia is hospitalized for the treatment of severe
hemolytic anemia. Which of the following is an appropriate nursing intervention for the client?
a. Plan care to alternate periods of rest and activity.
b. Isolate the client from visitors and other clients.
c. Encourage increased intake of fluid and fibre in the diet.
d. Provide a diet high in vitamin K and folic acid. - ANS ✔✔a
7. A client is scheduled for a fistula creation due to end-stage renal disease. The
nurse would include which of the following in teaching the client about the fistula?
,a. A vein and an artery will be attached surgically.
b. The fistula can be used 2 to 4 weeks after the surgery for dialysis treatment.
c. The arm should be immobilized for 4 to 6 weeks.
d. One needle will be inserted for each dialysis treatment. - ANS ✔✔d
8. A 12 years old is admitted to the emergency department after being stung by a
bee. The client's mother tells the nurse that her son has an allergy to bees and he has been
stung before. In what order of priority will the nurse address the complications?
1. Airway swelling
2. Hypotension
3. Tachypnea
4. Tachycardia
a. 2, 4, 1, 3
b. 1, 2, 3, 4
c. 1, 3 ,2, 4
d. 3, 1, 2, 4 - ANS ✔✔c
9. A client with multiple trauma is brought to the emergency department. The
nurse initiates two peripheral intravenous (IV) sites and begins fluid resuscitation with which of
the following fluids?
a. Dextran
b. 3.0% saline
c. Dextrose 5% in water in one-half normal saline
d. 0.9% saline - ANS ✔✔d
, 10. A client asks the nurse what effect dialysis will have on the medications he is
currently taking. What is the nurse's best response?
a. Dangerously low blood pressure may occur if antihypertensives are taken before dialysis
b. Once-daily medications are best taken before dialysis treatments
c. Dialysis treatments remove all medications from the blood.
d. Medications are not removed during dialysis treatments - ANS ✔✔a
11. Which of the following nursing interventions will be included for a client
experiencing an acute sickle cell crisis?
a. Administration of platelets & monitoring vitals
b. Heparin therapy & iron replacement
c. Blood transfusion & monitoring of CBC
d. Administration of oxygen & pain management - ANS ✔✔d
12. A client is diagnosed with acute kidney failure. He is complaining of nausea,
pain in the abdomen, diarrhea, and muscular weakness. Also, the nurse notes an irregularity in
pulse. Based on these findings, which imbalance is this indicative of?
a. Hyponatremia
b. Hypercalcemia
c. Hyperkalemia
d. Hypouricemia - ANS ✔✔b
