NUR401 Practice Exam Questions and
Answers 100% Solved | Graded A+
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 - ✔✔d. Urinary output 15 mL for 2
hours
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
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,d. Anuria - ✔✔c. Pink-tinged
Explanation: The bladder and urethra are usually irritated as a result of the
procedure. This causes pink-tinged urine. Large amounts of blood in the
urine, anuria, or blood clots are not expected findings after this procedure.
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 - ✔✔d. Maintaining cardiac output
Rationale: The primary goal of treatment for ARF is to eliminate the cause
and provide supportive care while the kidneys recover. Because this
patient's heart failure is causing ARF, the care will be directed toward
treatment of the heart failure. For renal failure caused by hypertension,
hypovolemia, or nephrotoxins, the other responses would be correct.
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,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 - ✔✔d. Supine with feet elevated - shock
position
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 - ✔✔a. Exposure to crowds
rationale: Exposure to crowds increases the patient's risk for infection, the
most common cause of sickle cell crisis. There is no restriction on caffeine
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, use. Iron supplementation is generally not recommended. A high-fluid
intake is recommended.
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. - ✔✔a. Plan care to
alternate periods of rest and activity.
Rationale: Nursing care for patients with anemia should alternate periods of
rest and activity to maintain patient mobility without causing undue fatigue.
High vitamin K diets might be used for a patient with a bleeding disorder.
There is no indication that the patient is neutropenic, so isolation is not
needed. Increased intake of fluid and fiber will not improve the anemia.
7. A client is scheduled for a fistula creation due to end-stage renal
disease. The
4
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
Answers 100% Solved | Graded A+
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 - ✔✔d. Urinary output 15 mL for 2
hours
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
1
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
,d. Anuria - ✔✔c. Pink-tinged
Explanation: The bladder and urethra are usually irritated as a result of the
procedure. This causes pink-tinged urine. Large amounts of blood in the
urine, anuria, or blood clots are not expected findings after this procedure.
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 - ✔✔d. Maintaining cardiac output
Rationale: The primary goal of treatment for ARF is to eliminate the cause
and provide supportive care while the kidneys recover. Because this
patient's heart failure is causing ARF, the care will be directed toward
treatment of the heart failure. For renal failure caused by hypertension,
hypovolemia, or nephrotoxins, the other responses would be correct.
2
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
,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 - ✔✔d. Supine with feet elevated - shock
position
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 - ✔✔a. Exposure to crowds
rationale: Exposure to crowds increases the patient's risk for infection, the
most common cause of sickle cell crisis. There is no restriction on caffeine
3
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
, use. Iron supplementation is generally not recommended. A high-fluid
intake is recommended.
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. - ✔✔a. Plan care to
alternate periods of rest and activity.
Rationale: Nursing care for patients with anemia should alternate periods of
rest and activity to maintain patient mobility without causing undue fatigue.
High vitamin K diets might be used for a patient with a bleeding disorder.
There is no indication that the patient is neutropenic, so isolation is not
needed. Increased intake of fluid and fiber will not improve the anemia.
7. A client is scheduled for a fistula creation due to end-stage renal
disease. The
4
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
