, NUR 265 Exam 1 (3 Exam Sets) – Medical-Surgical
Nursing – Actual Questions & Answers (GCN) 100%
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Question 1
The nurse caring for a client with nephrotic syndrome with severe proteinuria
should take which of the following actions?
A. Administer furosemide
B. Administer lisinopril
C. Restrict fluids
D. Increase protein intake
Correct Answer: B. Administer lisinopril
Rationale: ACE inhibitors like lisinopril reduce proteinuria by lowering intraglomerular
pressure, which slows kidney damage progression in nephrotic syndrome .
Question 2
The nurse is reviewing labs of assigned clients. Which client requires priority
follow-up with the primary healthcare provider?
A. Temperature of 99.8°F
B. Temperature of 101.4°F
C. Mild fatigue
D. Slight nausea
Correct Answer: B. Temperature of 101.4°F
Rationale: Fever above 101°F post-dialysis indicates possible infection and requires
prompt assessment and intervention .
Question 3
,Which finding in a client who had hemodialysis yesterday requires immediate
follow-up?
A. Temperature of 99.8°F
B. Temperature of 101.4°F
C. Mild fatigue
D. Slight nausea
Correct Answer: B. Temperature of 101.4°F
Rationale: Fever post-hemodialysis is a red flag for sepsis or access-related infection.
The nurse should assess for other signs of infection and notify the provider
immediately .
Question 4
Which client statement about dietary sodium needs further teaching for a client
with CKD on hemodialysis 3 times weekly?
A. "I try and limit my intake of dietary sodium to 5 grams per day."
B. "I avoid adding salt to my food."
C. "I read labels on processed foods for sodium content."
D. "I avoid salt substitutes containing potassium."
Correct Answer: A. "I try and limit my intake of dietary sodium to 5 grams per day."
Rationale: Sodium intake should be restricted to 2-4 grams per day in hemodialysis to
help manage hypertension and fluid balance. Five grams exceeds the recommended
limit .
Question 5
The nurse has provided discharge instructions to a client who is newly diagnosed
with nephrotic syndrome. Which of the following client statements indicates a
correct understanding of the teaching?
A. "I should eat a high-protein diet."
B. "I must protect myself from developing an infection."
, C. "I can stop my medications when I feel better."
D. "I don't need to monitor my fluid intake."
Correct Answer: B. "I must protect myself from developing an infection."
Rationale: Clients with nephrotic syndrome lose immunoglobulins in the urine,
increasing infection risk. Immunosuppressive medications further increase this risk .
Question 6
The nurse is reviewing the laboratory results of an assigned client; it is a priority
for the nurse to follow up with the PCP if the client:
A. Had a AAA repair 2 days ago and has a creatinine that has increased from 0.9 to 2.5
mg/dL
B. Has a creatinine stable at 1.1 mg/dL
C. Has a potassium of 4.0 mEq/L
D. Has mild hyponatremia
Correct Answer: A. Had a AAA repair 2 days ago and has a creatinine that has increased
from 0.9 to 2.5 mg/dL
Rationale: A significant increase in creatinine post-surgery indicates possible acute
kidney injury, requiring urgent evaluation. The dramatic rise (0.9 to 2.5 mg/dL) suggests
acute renal compromise .
Question 7
The nurse is caring for a client who has been hospitalized for 8 days with AKI
caused by dehydration. Which of the following should the nurse report
immediately to the PCP?
A. A rhythm strip reading that has tall, peaked T waves
B. A creatinine level of 3 mg/dL
C. A blood urea nitrogen (BUN) level of 67 mg/dL
D. A decreased glomerular filtration rate
Correct Answer: A. A rhythm strip reading that has tall, peaked T waves
Nursing – Actual Questions & Answers (GCN) 100%
Guarantee Pass
Question 1
The nurse caring for a client with nephrotic syndrome with severe proteinuria
should take which of the following actions?
A. Administer furosemide
B. Administer lisinopril
C. Restrict fluids
D. Increase protein intake
Correct Answer: B. Administer lisinopril
Rationale: ACE inhibitors like lisinopril reduce proteinuria by lowering intraglomerular
pressure, which slows kidney damage progression in nephrotic syndrome .
Question 2
The nurse is reviewing labs of assigned clients. Which client requires priority
follow-up with the primary healthcare provider?
A. Temperature of 99.8°F
B. Temperature of 101.4°F
C. Mild fatigue
D. Slight nausea
Correct Answer: B. Temperature of 101.4°F
Rationale: Fever above 101°F post-dialysis indicates possible infection and requires
prompt assessment and intervention .
Question 3
,Which finding in a client who had hemodialysis yesterday requires immediate
follow-up?
A. Temperature of 99.8°F
B. Temperature of 101.4°F
C. Mild fatigue
D. Slight nausea
Correct Answer: B. Temperature of 101.4°F
Rationale: Fever post-hemodialysis is a red flag for sepsis or access-related infection.
The nurse should assess for other signs of infection and notify the provider
immediately .
Question 4
Which client statement about dietary sodium needs further teaching for a client
with CKD on hemodialysis 3 times weekly?
A. "I try and limit my intake of dietary sodium to 5 grams per day."
B. "I avoid adding salt to my food."
C. "I read labels on processed foods for sodium content."
D. "I avoid salt substitutes containing potassium."
Correct Answer: A. "I try and limit my intake of dietary sodium to 5 grams per day."
Rationale: Sodium intake should be restricted to 2-4 grams per day in hemodialysis to
help manage hypertension and fluid balance. Five grams exceeds the recommended
limit .
Question 5
The nurse has provided discharge instructions to a client who is newly diagnosed
with nephrotic syndrome. Which of the following client statements indicates a
correct understanding of the teaching?
A. "I should eat a high-protein diet."
B. "I must protect myself from developing an infection."
, C. "I can stop my medications when I feel better."
D. "I don't need to monitor my fluid intake."
Correct Answer: B. "I must protect myself from developing an infection."
Rationale: Clients with nephrotic syndrome lose immunoglobulins in the urine,
increasing infection risk. Immunosuppressive medications further increase this risk .
Question 6
The nurse is reviewing the laboratory results of an assigned client; it is a priority
for the nurse to follow up with the PCP if the client:
A. Had a AAA repair 2 days ago and has a creatinine that has increased from 0.9 to 2.5
mg/dL
B. Has a creatinine stable at 1.1 mg/dL
C. Has a potassium of 4.0 mEq/L
D. Has mild hyponatremia
Correct Answer: A. Had a AAA repair 2 days ago and has a creatinine that has increased
from 0.9 to 2.5 mg/dL
Rationale: A significant increase in creatinine post-surgery indicates possible acute
kidney injury, requiring urgent evaluation. The dramatic rise (0.9 to 2.5 mg/dL) suggests
acute renal compromise .
Question 7
The nurse is caring for a client who has been hospitalized for 8 days with AKI
caused by dehydration. Which of the following should the nurse report
immediately to the PCP?
A. A rhythm strip reading that has tall, peaked T waves
B. A creatinine level of 3 mg/dL
C. A blood urea nitrogen (BUN) level of 67 mg/dL
D. A decreased glomerular filtration rate
Correct Answer: A. A rhythm strip reading that has tall, peaked T waves
