PCC 4 Final UNMC Exam Questions and Answers Fully Solved
An older adult patient with multiple myeloma develops hypercalcemia and is prescribed hydration and
diuretics. Which reason would the nurse give to explain the therapy to the patient
a. To prevent bone complication
b. to reduce serum calcium levels
c. to prevent heart failure or edema
to inhibit the action of osteoclasts. - Answers c. to prevent heart failure or edema
Which laboratory finding supports the nurses conclusion that a patient has an increased risk of
infection?
a. anemia
b. neutropenia
c. hyperkalemia
d. hyponatremia - Answers b. neutropenia
A patient has neutropenia and a body temperature of 100.4. Which action should the nurse take?
a. initiate parenteral fluids
b. give aspirin to the patient
c. administer pamidronate to the patient
d. notify the health care provider - Answers d. notify the health care provider
The nurse reviews laboratory reports of a patient with a kidney tumor and finds that the patients serum
calcium levels are 12mg/dl. Which physical findings would the nurse expect? Select all that apply
a. polyuria
b. nocturne
c. anorexia
d. hypotension
e. muscle weakness
f low central venous pressure - Answers a. b. c. e
, The nurse is caring for a patient diagnosed with superior vena cava syndrome. Which clinical
manifestations would the nurse expect to find. Select all that apply?
a. seizures
b. periorbital edema
c. reports of headache
d. distention of head and neck veins
e. bruit over bilateral carotid artery - Answers a. b. c. d
Which complication of cancer treatment does the nurses suspect for a patient with a sodium level of
130, weight gain, nausea, 1+ reflexes?
a. hypercalcemia
b. third space syndrome
c. superior vena cava syndrome
d. syndrome of inappropriate antidiuretic hormone - Answers d. syndrome of inappropriate antidiuretic
hormone
A patient with renal cancer has tumor lysis syndrome. Which outcome would the nurse expect after
administer the prescribed hydration therapy.
a. decreased uric acid
b. increased urine output
c. increased thyroid levels
d. decreased hemoglobin levels - Answers b. increased urine output
A patient who has cancer is diagnosed with SIADH and is now experiencing seizures. Which treatment
would correct the imbalance most rapidly?
a. furosemide
b. oral salt tablets
c. isotonic 0.9% saline
d. IV 3% sodium chloride - Answers d. IV 3% sodium chloride
An older adult patient with multiple myeloma develops hypercalcemia and is prescribed hydration and
diuretics. Which reason would the nurse give to explain the therapy to the patient
a. To prevent bone complication
b. to reduce serum calcium levels
c. to prevent heart failure or edema
to inhibit the action of osteoclasts. - Answers c. to prevent heart failure or edema
Which laboratory finding supports the nurses conclusion that a patient has an increased risk of
infection?
a. anemia
b. neutropenia
c. hyperkalemia
d. hyponatremia - Answers b. neutropenia
A patient has neutropenia and a body temperature of 100.4. Which action should the nurse take?
a. initiate parenteral fluids
b. give aspirin to the patient
c. administer pamidronate to the patient
d. notify the health care provider - Answers d. notify the health care provider
The nurse reviews laboratory reports of a patient with a kidney tumor and finds that the patients serum
calcium levels are 12mg/dl. Which physical findings would the nurse expect? Select all that apply
a. polyuria
b. nocturne
c. anorexia
d. hypotension
e. muscle weakness
f low central venous pressure - Answers a. b. c. e
, The nurse is caring for a patient diagnosed with superior vena cava syndrome. Which clinical
manifestations would the nurse expect to find. Select all that apply?
a. seizures
b. periorbital edema
c. reports of headache
d. distention of head and neck veins
e. bruit over bilateral carotid artery - Answers a. b. c. d
Which complication of cancer treatment does the nurses suspect for a patient with a sodium level of
130, weight gain, nausea, 1+ reflexes?
a. hypercalcemia
b. third space syndrome
c. superior vena cava syndrome
d. syndrome of inappropriate antidiuretic hormone - Answers d. syndrome of inappropriate antidiuretic
hormone
A patient with renal cancer has tumor lysis syndrome. Which outcome would the nurse expect after
administer the prescribed hydration therapy.
a. decreased uric acid
b. increased urine output
c. increased thyroid levels
d. decreased hemoglobin levels - Answers b. increased urine output
A patient who has cancer is diagnosed with SIADH and is now experiencing seizures. Which treatment
would correct the imbalance most rapidly?
a. furosemide
b. oral salt tablets
c. isotonic 0.9% saline
d. IV 3% sodium chloride - Answers d. IV 3% sodium chloride
