EXAM 1 MC Questions and Answers for
Med Surg 3 SHERPATH A+ Graded.
Which action by a patient who is using peritoneal dialysis (PD) indicates
that the nurse should provide more teaching about PD?
A. The patient leaves the catheter exit site without a dressing.
B. The patient plans 30 to 60 minutes for a dialysate exchange.
C. The patient cleans the catheter while taking a bath each day.
D. The patient slows the inflow rate when experiencing abdominal pain.
Verified Answer -C. The patient cleans the catheter while taking a bath
each day.
Patients are encouraged to take showers rather than baths to avoid
infections at the catheter insertion side. The other patient actions indicate
good understanding of peritoneal dialysis.
Which information will the nurse monitor in order to determine the
effectiveness of prescribed calcium carbonate (Caltrate) for a patient with
chronic kidney disease (CKD)?
A. Blood pressure
B. Phosphate level
C. Neurologic status
D. Creatinine clearance
Verified Answer -B. Phosphate level
,Calcium carbonate is prescribed to bind phosphorus and prevent mineral
and bone disease in patients with CKD. The other data will not be helpful
in evaluating the effectiveness of calcium carbonate.
A licensed practical/vocational nurse (LPN/LVN) is caring for a patient
with stage 2 chronic kidney disease. Which observation by the RN
requires an intervention?
A. The LPN/LVN administers the erythropoietin subcutaneously.
B. The LPN/LVN assists the patient to ambulate out in the hallway.
C. The LPN/LVN administers the iron supplement and phosphate
binder with lunch.
D. The LPN/LVN carries a tray containing low-protein foods into the
patient's room.
Verified Answer -C. The LPN/LVN administers the iron supplement and
phosphate binder with lunch.
Oral phosphate binders should not be given at the same time as iron
because they prevent the iron from being absorbed. The phosphate
binder should be given with a meal and the iron given at a different time.
The other actions by the LPN/LVN are appropriate for a patient with
renal insufficiency.
Which action will the nurse anticipate taking for an otherwise healthy 50-
yr-old who has just been diagnosed with stage 1 renal cell carcinoma?
A. Prepare patient for a renal biopsy.
B. Provide preoperative teaching about nephrectomy.
C. Teach the patient about chemotherapy medications.
, D. Schedule for a follow-up appointment in 3 months.
Verified Answer -B. Provide preoperative teaching about nephrectomy.
The treatment of choice in patients with localized renal tumors who have
no co-morbid conditions is partial or total nephrectomy. A renal biopsy
will not be needed in a patient who has already been diagnosed with renal
cancer. Chemotherapy is used for metastatic renal cancer. Because renal
cell cancer frequently metastasizes, treatment will be started as soon as
possible after the diagnosis.
A patient seen in the clinic for a bladder infection describes the following
symptoms. Which information is most important for the nurse to report to
the health care provider?
A. Urinary urgency
B. Left-sided flank pain
C. Intermittent hematuria
D. Burning with urination
Verified Answer -B. Left-sided flank pain
Flank pain indicates that the patient may have developed pyelonephritis
as a complication of the bladder infection. The other clinical
manifestations are consistent with a lower urinary tract infection.
The nurse teaches an adult patient to prevent the recurrence of renal
calculi by
A. using a filter to strain all urine.
Med Surg 3 SHERPATH A+ Graded.
Which action by a patient who is using peritoneal dialysis (PD) indicates
that the nurse should provide more teaching about PD?
A. The patient leaves the catheter exit site without a dressing.
B. The patient plans 30 to 60 minutes for a dialysate exchange.
C. The patient cleans the catheter while taking a bath each day.
D. The patient slows the inflow rate when experiencing abdominal pain.
Verified Answer -C. The patient cleans the catheter while taking a bath
each day.
Patients are encouraged to take showers rather than baths to avoid
infections at the catheter insertion side. The other patient actions indicate
good understanding of peritoneal dialysis.
Which information will the nurse monitor in order to determine the
effectiveness of prescribed calcium carbonate (Caltrate) for a patient with
chronic kidney disease (CKD)?
A. Blood pressure
B. Phosphate level
C. Neurologic status
D. Creatinine clearance
Verified Answer -B. Phosphate level
,Calcium carbonate is prescribed to bind phosphorus and prevent mineral
and bone disease in patients with CKD. The other data will not be helpful
in evaluating the effectiveness of calcium carbonate.
A licensed practical/vocational nurse (LPN/LVN) is caring for a patient
with stage 2 chronic kidney disease. Which observation by the RN
requires an intervention?
A. The LPN/LVN administers the erythropoietin subcutaneously.
B. The LPN/LVN assists the patient to ambulate out in the hallway.
C. The LPN/LVN administers the iron supplement and phosphate
binder with lunch.
D. The LPN/LVN carries a tray containing low-protein foods into the
patient's room.
Verified Answer -C. The LPN/LVN administers the iron supplement and
phosphate binder with lunch.
Oral phosphate binders should not be given at the same time as iron
because they prevent the iron from being absorbed. The phosphate
binder should be given with a meal and the iron given at a different time.
The other actions by the LPN/LVN are appropriate for a patient with
renal insufficiency.
Which action will the nurse anticipate taking for an otherwise healthy 50-
yr-old who has just been diagnosed with stage 1 renal cell carcinoma?
A. Prepare patient for a renal biopsy.
B. Provide preoperative teaching about nephrectomy.
C. Teach the patient about chemotherapy medications.
, D. Schedule for a follow-up appointment in 3 months.
Verified Answer -B. Provide preoperative teaching about nephrectomy.
The treatment of choice in patients with localized renal tumors who have
no co-morbid conditions is partial or total nephrectomy. A renal biopsy
will not be needed in a patient who has already been diagnosed with renal
cancer. Chemotherapy is used for metastatic renal cancer. Because renal
cell cancer frequently metastasizes, treatment will be started as soon as
possible after the diagnosis.
A patient seen in the clinic for a bladder infection describes the following
symptoms. Which information is most important for the nurse to report to
the health care provider?
A. Urinary urgency
B. Left-sided flank pain
C. Intermittent hematuria
D. Burning with urination
Verified Answer -B. Left-sided flank pain
Flank pain indicates that the patient may have developed pyelonephritis
as a complication of the bladder infection. The other clinical
manifestations are consistent with a lower urinary tract infection.
The nurse teaches an adult patient to prevent the recurrence of renal
calculi by
A. using a filter to strain all urine.
