2025 LATEST UPDATED TEST BANK FOR FOCUS ON ADULT
HEALTH MEDICAL SURGICAL NURSING 2ND EDITION BY
HONAN | COMPLETE AND COMPREHENSIVE TEST BANK
WITH CORRECT WELL EXPLAINED ANSWERS |
GUARANTEED SUCCESS.
Chapter 1 The nurse’s Role in Adult Health Nursing
MULTIPLE CHOICE
1. The nurse is assessing circulation through a clients arteriovenous shunt. Which of thefollowing
are signs of a patent site? (Select all that apply.)
2. Positive bruit
3. Pulse present distal to the site
4. Proliferative glomerulonephritis
5. Increased heart rate
6. Rapidly dropping blood pressure
ANS: 1, 3, 4
Anti-glomerular basement membrane disease must include the three characteristics of proliferative
glomerulonephritis, pulmonary hemorrhage, and the presence of anti-GBM antibodies. Sinus infection is
an assessment finding of Wegeners granulomatosis. Increased heartrate and rapidly dropping blood
pressure are not characteristics of this disorder.
PTS: 1 DIF: Analyze REF: Anti-GBM Disease (Goodpastures Syndrome)
3. During discharge teaching with a client diagnosed with autosomal dominant polycystic
kidneydisease, the nurse should stress which of the following points? (Select all that apply.)
,1. Take more tub baths.
2. Void frequently.
3. Practice good perineal hygiene.
4. Void after intercourse.
5. Take showers.
6. Limit fluids.
ANS: 2, 3, 4, 5
Tub baths should be avoided for female patients. The client should not be instructed to limit fluids.
Discharge teaching should include frequent voiding, good perineal hygiene, voiding after intercourse,
and taking showers instead of tub baths.
PTS:1DIF:Apply
REF: Polycystic Kidney Disease: Patient and Family Teaching
4. The nurse is caring for a client diagnosed with pyelonephritis. Which of the following are
appropriate interventions that the nurse should perform? (Select all that apply.)
1. Ensure adequate hydration.
2. Monitor vital signs and fluid balance.
3. Insert a urinary catheter.
4. Provide urinary antiseptics.
5. Monitor electrolytes and creatinine level.
6. Monitor hemoglobin level.
ANS: 1, 2, 4, 5
The nurse should ensure the client has adequate hydration. The nurse should monitor the clientsvital
signs, fluid balance, electrolytes, and creatinine level. Urinary antiseptics should be provided as
prescribed. A urinary catheter is discouraged because of the risk of urinary tract infection. Monitoring of
the hemoglobin level is not necessary with this disorder.
PTS:1DIF:Apply
REF: Pyelonephritis: Collaborative Management Including Nursing Intervention Classifications (NIC)
5. The nurse is caring for a client diagnosed with chronic renal failure. Which of the following
would be considered expected manifestations of this disorder? (Select all that apply.)
,1. Left ventricular dysfunction
2. Anemi
3. Diarrhea
4. Constipation
5. Prickly burning sensation of the extremities
6. Restless legs
ANS: 1, 2, 4, 5, 6
Clinical manifestations for a client diagnosed with chronic renal failure are many. Some of these
manifestations include left ventricular dysfunction, anemia, constipation; prickly burning sensation of
the extremities, and restless legs. Diarrhea is not a common clinical manifestation ofthis disorder.
PTS:1DIF:Analyze
REF:Table 54-5 Clinical Manifestations of Chronic Kidney Failure
A. client is diagnosed with Wegeners granulomatosis. Which of the following will the nursemost
likely assess in this client? (Select all that apply.)
1. Shortness of breath and cough
2. Tinnitus
2. Flank pain
3. Nausea
4. Temperature 102.9F
, Symptoms of a lower urinary tract infection include dysuria, frequency, urgency, hesitancy, cloudy urine,
lower abdominal pain, chills, malaise, and mild fever (less than 101F). The other options are symptoms
of upper urinary tract infection.
PTS:1DIF:Apply
REF:Urinary Tract Infection: Assessment with Clinical Manifestations
2. 60 mL
3. 95 mL
4. 125 mL
ANS: 4
within normal limits.
PTS: 1 DIF: Apply REF: Box 53-1 Summary of Diagnostic Tests for UTI
4.A client is prescribed trimethoprim-sulfamethoxazole for a urinary tract infection. Which of
thefollowing instructions would not be appropriate for this medication?
1. Complete all the medication even if you feel better.
4. Expect to be nauseated with this medication.
ANS: 1
Ciprofloxacin should not be administered within 2 hours of taking an antacid. The client does notneed to
limit fluids or restrict activity. Nausea is not always a side effect of this medication.
PTS:1DIF:Apply
HEALTH MEDICAL SURGICAL NURSING 2ND EDITION BY
HONAN | COMPLETE AND COMPREHENSIVE TEST BANK
WITH CORRECT WELL EXPLAINED ANSWERS |
GUARANTEED SUCCESS.
Chapter 1 The nurse’s Role in Adult Health Nursing
MULTIPLE CHOICE
1. The nurse is assessing circulation through a clients arteriovenous shunt. Which of thefollowing
are signs of a patent site? (Select all that apply.)
2. Positive bruit
3. Pulse present distal to the site
4. Proliferative glomerulonephritis
5. Increased heart rate
6. Rapidly dropping blood pressure
ANS: 1, 3, 4
Anti-glomerular basement membrane disease must include the three characteristics of proliferative
glomerulonephritis, pulmonary hemorrhage, and the presence of anti-GBM antibodies. Sinus infection is
an assessment finding of Wegeners granulomatosis. Increased heartrate and rapidly dropping blood
pressure are not characteristics of this disorder.
PTS: 1 DIF: Analyze REF: Anti-GBM Disease (Goodpastures Syndrome)
3. During discharge teaching with a client diagnosed with autosomal dominant polycystic
kidneydisease, the nurse should stress which of the following points? (Select all that apply.)
,1. Take more tub baths.
2. Void frequently.
3. Practice good perineal hygiene.
4. Void after intercourse.
5. Take showers.
6. Limit fluids.
ANS: 2, 3, 4, 5
Tub baths should be avoided for female patients. The client should not be instructed to limit fluids.
Discharge teaching should include frequent voiding, good perineal hygiene, voiding after intercourse,
and taking showers instead of tub baths.
PTS:1DIF:Apply
REF: Polycystic Kidney Disease: Patient and Family Teaching
4. The nurse is caring for a client diagnosed with pyelonephritis. Which of the following are
appropriate interventions that the nurse should perform? (Select all that apply.)
1. Ensure adequate hydration.
2. Monitor vital signs and fluid balance.
3. Insert a urinary catheter.
4. Provide urinary antiseptics.
5. Monitor electrolytes and creatinine level.
6. Monitor hemoglobin level.
ANS: 1, 2, 4, 5
The nurse should ensure the client has adequate hydration. The nurse should monitor the clientsvital
signs, fluid balance, electrolytes, and creatinine level. Urinary antiseptics should be provided as
prescribed. A urinary catheter is discouraged because of the risk of urinary tract infection. Monitoring of
the hemoglobin level is not necessary with this disorder.
PTS:1DIF:Apply
REF: Pyelonephritis: Collaborative Management Including Nursing Intervention Classifications (NIC)
5. The nurse is caring for a client diagnosed with chronic renal failure. Which of the following
would be considered expected manifestations of this disorder? (Select all that apply.)
,1. Left ventricular dysfunction
2. Anemi
3. Diarrhea
4. Constipation
5. Prickly burning sensation of the extremities
6. Restless legs
ANS: 1, 2, 4, 5, 6
Clinical manifestations for a client diagnosed with chronic renal failure are many. Some of these
manifestations include left ventricular dysfunction, anemia, constipation; prickly burning sensation of
the extremities, and restless legs. Diarrhea is not a common clinical manifestation ofthis disorder.
PTS:1DIF:Analyze
REF:Table 54-5 Clinical Manifestations of Chronic Kidney Failure
A. client is diagnosed with Wegeners granulomatosis. Which of the following will the nursemost
likely assess in this client? (Select all that apply.)
1. Shortness of breath and cough
2. Tinnitus
2. Flank pain
3. Nausea
4. Temperature 102.9F
, Symptoms of a lower urinary tract infection include dysuria, frequency, urgency, hesitancy, cloudy urine,
lower abdominal pain, chills, malaise, and mild fever (less than 101F). The other options are symptoms
of upper urinary tract infection.
PTS:1DIF:Apply
REF:Urinary Tract Infection: Assessment with Clinical Manifestations
2. 60 mL
3. 95 mL
4. 125 mL
ANS: 4
within normal limits.
PTS: 1 DIF: Apply REF: Box 53-1 Summary of Diagnostic Tests for UTI
4.A client is prescribed trimethoprim-sulfamethoxazole for a urinary tract infection. Which of
thefollowing instructions would not be appropriate for this medication?
1. Complete all the medication even if you feel better.
4. Expect to be nauseated with this medication.
ANS: 1
Ciprofloxacin should not be administered within 2 hours of taking an antacid. The client does notneed to
limit fluids or restrict activity. Nausea is not always a side effect of this medication.
PTS:1DIF:Apply
