ADN 120 Final exam Verified Exam Questions and Answers Latest
update 2026/2027
Question:
The nurse notes documentation in a client's medical record that the client is experiencing anuria.
Based on this notation, what determination should the nurse make?
A. The client is unable to produce urine.
B. The client has a diminished capacity to form urine.
C. The client has difficulty having a bowel movement.
D. The client has episodes of alternating constipation and diarrhea.
Answer:
A. The client is unable to produce urine.
Question:
The nurse is caring for a client who has a fever and is diaphoretic. The nurse monitors the client's
intake and output and expects which finding?
A. The client's urine is diluted.
B. The client's output is decreased.
C. The client's urine production is increased.
D. The majority of the client's fluid is excreted through the skin.
Answer:
B. The client's output is decreased.
Question:
The nurse instructs a client taking a potassium-retaining diuretic about foods high in potassium that
need to be avoided. The nurse determines that the client needs further instruction if the client states
that which food is high in potassium?
A. Kiwi
B. Celery
C. Oranges
D. Dried fruit
Answer:
B. Celery
,Question:
A clear liquid diet has been prescribed for a client. The nurse should offer which item to the client?
A. Apple juice
B. Orange juice
C. Tomato juice
D. Ice cream without nuts
Answer:
A. Apple juice
Question:
The nurse caring for a client following a bowel resection notes that the client is restless. The nurse
takes the client's vital signs and notes that the client's pulse rate has increased and that the blood
pressure has dropped significantly since the previous readings. The nurse suspects that the client is
going into shock and should take which immediate action?
A. Check the client's oxygen saturation level.
B. Recheck the vital signs to verify the findings.
C. Raise the client's legs above the level of the heart.
D. Slow the rate of the intravenous (IV) fluid infusing.
Answer:
C. Raise
the client's legs above the level of the heart.
Question:
The client has been diagnosed with polycystic kidney disease. The nurse should assess the client for
which manifestation that is most common for this disorder?
A. Headache
B. Hypotension
C. Flank pain and hematuria
D. Complaints of low pelvic pain
Answer:
C. Flank pain and hematuria
Question:
A client with chronic kidney disease returns to the nursing unit after receiving his second hemodialysis
treatment; the nurse is monitoring the client closely for signs of disequilibrium syndrome. What is a
sign of this syndrome?
A. Irritability
B. Tachycardia
C. Hypothermia
D. Mental confusion
Answer:
D. Mental confusion
,Question:
A hospitalized client with chronic kidney disease has returned to the nursing unit after a hemodialysis
treatment. The nurse should check predialysis and postdialysis documentation of which parameters to
determine the effectiveness of the procedure?
A. Blood pressure and weight
B. Weight and blood urea nitrogen
C. Potassium level and creatinine levels
D. Blood urea nitrogen and creatinine levels
Answer:
A. Blood pressure
and weight
Question:
The nurse notes that a child with Hirschsprung disease who is scheduled for surgery has inadequate
fluid volume. The nurse should plan to implement which intervention to stabilize the child's hydration
status before surgery?
A. Monitor daily weight.
B. Monitor intake and output.
C. Administer tap water enemas.
D. Administer intravenous fluids and electrolytes.
Answer:
D. Administer
intravenous fluids and electrolytes
Question:
The nurse is preparing to care for a pediatric client with an intravenous solution infusing. The nurse
should ensure that which item is in place to prevent fluid overload in this client?
A. Armboard
B. Infusion pump
C. Macrodrip infusion set
D. Large-bore intravenous catheter
Answer:
B. Infusion pump
, Question:
A client is taking amiloride hydrochloride daily. The nurse should tell the client to take the dose at
what time?
A. At bedtime
B. On an empty stomach
C. Between lunch and dinner
D. In the morning with breakfast
Answer:
D. In the morning with
breakfast
Question:
A client with acute kidney injury has been treated with sodium polystyrene sulfonate by mouth. The
nurse should evaluate this therapy as most effective if which value was noted on follow-up laboratory
testing?
A. Calcium 9.8 mg/dL (2.5 mmol/L))
B. Sodium 142 mEq/L (142 mmol/L)
C. Potassium 4.9 mEq/L (4.9 mmol/L)
D. Phosphorus 3.9 mg/dL (1.26 mmol/L)
Answer:
C. Potassium 4.9
mEq/L (4.9 mmol/L)
Question:
The nurse is caring for a client who is receiving a potassium-retaining diuretic. The nurse should
monitor for which side effect of the medication?
A. Dry skin
B. Constipation
C. Hyperkalemia
D. Hypernatremia
Answer:
C. Hyperkalemia
update 2026/2027
Question:
The nurse notes documentation in a client's medical record that the client is experiencing anuria.
Based on this notation, what determination should the nurse make?
A. The client is unable to produce urine.
B. The client has a diminished capacity to form urine.
C. The client has difficulty having a bowel movement.
D. The client has episodes of alternating constipation and diarrhea.
Answer:
A. The client is unable to produce urine.
Question:
The nurse is caring for a client who has a fever and is diaphoretic. The nurse monitors the client's
intake and output and expects which finding?
A. The client's urine is diluted.
B. The client's output is decreased.
C. The client's urine production is increased.
D. The majority of the client's fluid is excreted through the skin.
Answer:
B. The client's output is decreased.
Question:
The nurse instructs a client taking a potassium-retaining diuretic about foods high in potassium that
need to be avoided. The nurse determines that the client needs further instruction if the client states
that which food is high in potassium?
A. Kiwi
B. Celery
C. Oranges
D. Dried fruit
Answer:
B. Celery
,Question:
A clear liquid diet has been prescribed for a client. The nurse should offer which item to the client?
A. Apple juice
B. Orange juice
C. Tomato juice
D. Ice cream without nuts
Answer:
A. Apple juice
Question:
The nurse caring for a client following a bowel resection notes that the client is restless. The nurse
takes the client's vital signs and notes that the client's pulse rate has increased and that the blood
pressure has dropped significantly since the previous readings. The nurse suspects that the client is
going into shock and should take which immediate action?
A. Check the client's oxygen saturation level.
B. Recheck the vital signs to verify the findings.
C. Raise the client's legs above the level of the heart.
D. Slow the rate of the intravenous (IV) fluid infusing.
Answer:
C. Raise
the client's legs above the level of the heart.
Question:
The client has been diagnosed with polycystic kidney disease. The nurse should assess the client for
which manifestation that is most common for this disorder?
A. Headache
B. Hypotension
C. Flank pain and hematuria
D. Complaints of low pelvic pain
Answer:
C. Flank pain and hematuria
Question:
A client with chronic kidney disease returns to the nursing unit after receiving his second hemodialysis
treatment; the nurse is monitoring the client closely for signs of disequilibrium syndrome. What is a
sign of this syndrome?
A. Irritability
B. Tachycardia
C. Hypothermia
D. Mental confusion
Answer:
D. Mental confusion
,Question:
A hospitalized client with chronic kidney disease has returned to the nursing unit after a hemodialysis
treatment. The nurse should check predialysis and postdialysis documentation of which parameters to
determine the effectiveness of the procedure?
A. Blood pressure and weight
B. Weight and blood urea nitrogen
C. Potassium level and creatinine levels
D. Blood urea nitrogen and creatinine levels
Answer:
A. Blood pressure
and weight
Question:
The nurse notes that a child with Hirschsprung disease who is scheduled for surgery has inadequate
fluid volume. The nurse should plan to implement which intervention to stabilize the child's hydration
status before surgery?
A. Monitor daily weight.
B. Monitor intake and output.
C. Administer tap water enemas.
D. Administer intravenous fluids and electrolytes.
Answer:
D. Administer
intravenous fluids and electrolytes
Question:
The nurse is preparing to care for a pediatric client with an intravenous solution infusing. The nurse
should ensure that which item is in place to prevent fluid overload in this client?
A. Armboard
B. Infusion pump
C. Macrodrip infusion set
D. Large-bore intravenous catheter
Answer:
B. Infusion pump
, Question:
A client is taking amiloride hydrochloride daily. The nurse should tell the client to take the dose at
what time?
A. At bedtime
B. On an empty stomach
C. Between lunch and dinner
D. In the morning with breakfast
Answer:
D. In the morning with
breakfast
Question:
A client with acute kidney injury has been treated with sodium polystyrene sulfonate by mouth. The
nurse should evaluate this therapy as most effective if which value was noted on follow-up laboratory
testing?
A. Calcium 9.8 mg/dL (2.5 mmol/L))
B. Sodium 142 mEq/L (142 mmol/L)
C. Potassium 4.9 mEq/L (4.9 mmol/L)
D. Phosphorus 3.9 mg/dL (1.26 mmol/L)
Answer:
C. Potassium 4.9
mEq/L (4.9 mmol/L)
Question:
The nurse is caring for a client who is receiving a potassium-retaining diuretic. The nurse should
monitor for which side effect of the medication?
A. Dry skin
B. Constipation
C. Hyperkalemia
D. Hypernatremia
Answer:
C. Hyperkalemia
