adult health theory II exam 1 Questions With Complete
Solutions
A 53-yr-old patient with stage D heart failure and type 2
diabetes asks the nurse whether heart transplant is an option.
Which response is accurate?
a. "Your heart failure has not reached the end stage yet."
b. "You could not manage the multiple complications of
surgery."
c. "The suitability of a heart transplant depends on many
factors."
d. "Because you have diabetes, you would not be a heart
transplant candidate." Correct Answer c. "The suitability of a
heart transplant depends on many factors."
A 74-yr-old patient who is progressing to stage 5 chronic kidney
disease asks the nurse, "Do you think I would go on dialysis?"
Which initial response would the nurse provide?
a. "It depends on which type of dialysis you are considering."
b. "Tell me more about what you are thinking regarding
dialysis."
c. "You are the only one who can make the decision about
dialysis."
d. "Many people your age use dialysis and have a good quality
of life." Correct Answer b. "Tell me more about what you are
thinking regarding dialysis."
A female patient with chronic kidney disease (CKD) is receiving
peritoneal dialysis with 2-L inflows. Which information would
the nurse report promptly to the health care provider?
a. The patient has an outflow volume of 1800 mL.
,b. The patient's peritoneal effluent appears cloudy.
c. The patient's abdomen appears bloated after the inflow.
d. The patient has abdominal pain during the inflow phase.
Correct Answer b. The patient's peritoneal effluent appears
cloudy.
A hospitalized patient with chronic heart failure has a new order
for captopril 12.5 mg PO. After giving the first dose and
teaching the patient about the drug, which statement by the
patient indicates that teaching has been effective?
a. "I plan to take the medication with food."
b. "I should eat more potassium-rich foods."
c. "I will call for help when I need to get up to use the
bathroom."
d. "I can expect to feel more short of breath for the next few
days." Correct Answer c. "I will call for help when I need to
get up to use the bathroom."
A licensed practical/vocational nurse (LPN/VN) is caring for a
patient with stage 2 chronic kidney disease. Which observation
by the RN requires an intervention?
a. The LPN/VN assists the patient to ambulate in the hallway.
b. The LPN/VN administers the erythropoietin subcutaneously.
c. The LPN/VN administers the iron supplement and phosphate
binder with lunch.
d. The LPN/VN carries a tray containing low-protein foods into
the patient's room. Correct Answer c. The LPN/VN administers
the iron supplement and phosphate binder with lunch.
, A patient admitted with acute kidney injury due to dehydration
has oliguria, anemia, and hyperkalemia. Which prescribed action
would the nurse take first?
a. Insert a urinary retention catheter.
b. Administer epoetin alfa (Epogen).
c. Place the patient on a cardiac monitor.
d. Give sodium polystyrene sulfonate (Kayexalate). Correct
Answer c. Place the patient on a cardiac monitor.
A patient has arrived for a scheduled hemodialysis session.
Which nursing action is appropriate for the registered nurse
(RN) to delegate to a dialysis technician?
a. Teach the patient about fluid restrictions.
b. Check blood pressure before starting dialysis.
c. Assess for causes of an increase in predialysis weight.
d. Determine the ultrafiltration rate for the hemodialysis.
Correct Answer b. Check blood pressure before starting
dialysis.
A patient has been admitted with a severe crushing injury after
an industrial accident. Which laboratory result will be most
important to report to the health care provider?
a. Serum creatinine level of 2.1 mg/dL
b. Serum potassium level of 6.5 mEq/L
c. White blood cell count of 11,500/L
d. Blood urea nitrogen (BUN) of 56 mg/dL Correct Answer b.
Serum potassium level of 6.5 mEq/L
A patient has been hospitalized for 4 days with acute kidney
injury (AKI) caused by dehydration. Which information will be
Solutions
A 53-yr-old patient with stage D heart failure and type 2
diabetes asks the nurse whether heart transplant is an option.
Which response is accurate?
a. "Your heart failure has not reached the end stage yet."
b. "You could not manage the multiple complications of
surgery."
c. "The suitability of a heart transplant depends on many
factors."
d. "Because you have diabetes, you would not be a heart
transplant candidate." Correct Answer c. "The suitability of a
heart transplant depends on many factors."
A 74-yr-old patient who is progressing to stage 5 chronic kidney
disease asks the nurse, "Do you think I would go on dialysis?"
Which initial response would the nurse provide?
a. "It depends on which type of dialysis you are considering."
b. "Tell me more about what you are thinking regarding
dialysis."
c. "You are the only one who can make the decision about
dialysis."
d. "Many people your age use dialysis and have a good quality
of life." Correct Answer b. "Tell me more about what you are
thinking regarding dialysis."
A female patient with chronic kidney disease (CKD) is receiving
peritoneal dialysis with 2-L inflows. Which information would
the nurse report promptly to the health care provider?
a. The patient has an outflow volume of 1800 mL.
,b. The patient's peritoneal effluent appears cloudy.
c. The patient's abdomen appears bloated after the inflow.
d. The patient has abdominal pain during the inflow phase.
Correct Answer b. The patient's peritoneal effluent appears
cloudy.
A hospitalized patient with chronic heart failure has a new order
for captopril 12.5 mg PO. After giving the first dose and
teaching the patient about the drug, which statement by the
patient indicates that teaching has been effective?
a. "I plan to take the medication with food."
b. "I should eat more potassium-rich foods."
c. "I will call for help when I need to get up to use the
bathroom."
d. "I can expect to feel more short of breath for the next few
days." Correct Answer c. "I will call for help when I need to
get up to use the bathroom."
A licensed practical/vocational nurse (LPN/VN) is caring for a
patient with stage 2 chronic kidney disease. Which observation
by the RN requires an intervention?
a. The LPN/VN assists the patient to ambulate in the hallway.
b. The LPN/VN administers the erythropoietin subcutaneously.
c. The LPN/VN administers the iron supplement and phosphate
binder with lunch.
d. The LPN/VN carries a tray containing low-protein foods into
the patient's room. Correct Answer c. The LPN/VN administers
the iron supplement and phosphate binder with lunch.
, A patient admitted with acute kidney injury due to dehydration
has oliguria, anemia, and hyperkalemia. Which prescribed action
would the nurse take first?
a. Insert a urinary retention catheter.
b. Administer epoetin alfa (Epogen).
c. Place the patient on a cardiac monitor.
d. Give sodium polystyrene sulfonate (Kayexalate). Correct
Answer c. Place the patient on a cardiac monitor.
A patient has arrived for a scheduled hemodialysis session.
Which nursing action is appropriate for the registered nurse
(RN) to delegate to a dialysis technician?
a. Teach the patient about fluid restrictions.
b. Check blood pressure before starting dialysis.
c. Assess for causes of an increase in predialysis weight.
d. Determine the ultrafiltration rate for the hemodialysis.
Correct Answer b. Check blood pressure before starting
dialysis.
A patient has been admitted with a severe crushing injury after
an industrial accident. Which laboratory result will be most
important to report to the health care provider?
a. Serum creatinine level of 2.1 mg/dL
b. Serum potassium level of 6.5 mEq/L
c. White blood cell count of 11,500/L
d. Blood urea nitrogen (BUN) of 56 mg/dL Correct Answer b.
Serum potassium level of 6.5 mEq/L
A patient has been hospitalized for 4 days with acute kidney
injury (AKI) caused by dehydration. Which information will be
