NUR 213 Test 1 Questions With Complete Solutions
A 59-year-old patient with a history of alcohol abuse spanning
15 years has been diagnosed with cirrhosis. The patient will be
undergoing abdominal paracentesis today. Which assessment
finding alerts the nurse that the paracentesis has been
successful?
A.Decrease in post-procedure weight
B.No residual obtained during procedure
C.Substantial decrease in blood pressure
D.Immediate sensation of a need to urinate Correct Answer A
A client asks the nurse, "Can you explain the amendment to the
Social Security Act called Title XVIII to me?" The nurse
demonstrates an understanding of this legislation when
providing what response?
a. It led to many hospital closings, along with a decrease in acute
care hospital-based nursing care.
b. It provided medical insurance to those younger adults or
children who were not eligible for private insurance because of
catastrophic illnesses such as cancer.
c. It provided preventive care for women, infants, and children.
d. It ensured that individuals with end-stage renal disease had
health care insurance. Correct Answer D
A client has an elevated serum ammonia concentration and is
exhibiting changes in mental status. The nurse should suspect
which condition? Correct Answer hepatic encephalopathy
,A client has just had a central line catheter placed that is specific
for hemodialysis. What is the most appropriate action by the
nurse?
a. Use the catheter for the next laboratory blood draw.
b. Monitor the central venous pressure through this line.
c. Access the line for the next intravenous medication.
d. Place a heparin or heparin/saline dwell after hemodialysis.
Correct Answer D
A client is admitted with acute kidney injury (AKI) and a urine
output of 2000 mL/day. What is the major concern of the nurse
regarding this clients care?
a. Edema and pain
b. Electrolyte and fluid imbalance
c. Cardiac and respiratory status
d. Mental health status Correct Answer B
A client is assessed by the nurse after a hemodialysis session.
The nurse notes bleeding from the clients nose and around the
intravenous catheter. What action by the nurse is the priority?
a. Hold pressure over the clients nose for 10 minutes.
b. Take the clients pulse, blood pressure, and temperature.
c. Assess for a bruit or thrill over the arteriovenous fistula.
d. Prepare protamine sulfate for administration. Correct
Answer D
A client is placed on fluid restrictions because of chronic kidney
disease (CKD). Which assessment finding would alert the nurse
that the clients fluid balance is stable at this time?
a. Decreased calcium levels
b. Increased phosphorus levels
, c. No adventitious sounds in the lungs
d. Increased edema in the legs Correct Answer C
A client is recovering from a kidney transplant. The clients urine
output was 1500 mL over the last 12-hour period since
transplantation. What is the priority assessment by the nurse?
a. Checking skin turgor
b. Taking blood pressure
c. Assessing lung sounds
d. Weighing the client Correct Answer B
A client is taking furosemide (Lasix) 40 mg/day for
management of chronic kidney disease (CKD). To detect the
positive effect of the medication, what action of the nurse is
best?
a. Obtain daily weights of the client.
b. Auscultate heart and breath sounds.
c. Palpate the clients abdomen.
d. Assess the clients diet history. Correct Answer A
A client is undergoing hemodialysis. The clients blood pressure
at the beginning of the procedure was 136/88 mm Hg, and now
it is 110/54 mm Hg. What actions should the nurse perform to
maintain blood pressure? (Select all that apply.)
a. Adjust the rate of extracorporeal blood flow.
b. Place the client in the Trendelenburg position.
c. Stop the hemodialysis treatment.
d. Administer a 250-mL bolus of normal saline.
e. Contact the health care provider for orders. Correct Answer
A, B, D
A 59-year-old patient with a history of alcohol abuse spanning
15 years has been diagnosed with cirrhosis. The patient will be
undergoing abdominal paracentesis today. Which assessment
finding alerts the nurse that the paracentesis has been
successful?
A.Decrease in post-procedure weight
B.No residual obtained during procedure
C.Substantial decrease in blood pressure
D.Immediate sensation of a need to urinate Correct Answer A
A client asks the nurse, "Can you explain the amendment to the
Social Security Act called Title XVIII to me?" The nurse
demonstrates an understanding of this legislation when
providing what response?
a. It led to many hospital closings, along with a decrease in acute
care hospital-based nursing care.
b. It provided medical insurance to those younger adults or
children who were not eligible for private insurance because of
catastrophic illnesses such as cancer.
c. It provided preventive care for women, infants, and children.
d. It ensured that individuals with end-stage renal disease had
health care insurance. Correct Answer D
A client has an elevated serum ammonia concentration and is
exhibiting changes in mental status. The nurse should suspect
which condition? Correct Answer hepatic encephalopathy
,A client has just had a central line catheter placed that is specific
for hemodialysis. What is the most appropriate action by the
nurse?
a. Use the catheter for the next laboratory blood draw.
b. Monitor the central venous pressure through this line.
c. Access the line for the next intravenous medication.
d. Place a heparin or heparin/saline dwell after hemodialysis.
Correct Answer D
A client is admitted with acute kidney injury (AKI) and a urine
output of 2000 mL/day. What is the major concern of the nurse
regarding this clients care?
a. Edema and pain
b. Electrolyte and fluid imbalance
c. Cardiac and respiratory status
d. Mental health status Correct Answer B
A client is assessed by the nurse after a hemodialysis session.
The nurse notes bleeding from the clients nose and around the
intravenous catheter. What action by the nurse is the priority?
a. Hold pressure over the clients nose for 10 minutes.
b. Take the clients pulse, blood pressure, and temperature.
c. Assess for a bruit or thrill over the arteriovenous fistula.
d. Prepare protamine sulfate for administration. Correct
Answer D
A client is placed on fluid restrictions because of chronic kidney
disease (CKD). Which assessment finding would alert the nurse
that the clients fluid balance is stable at this time?
a. Decreased calcium levels
b. Increased phosphorus levels
, c. No adventitious sounds in the lungs
d. Increased edema in the legs Correct Answer C
A client is recovering from a kidney transplant. The clients urine
output was 1500 mL over the last 12-hour period since
transplantation. What is the priority assessment by the nurse?
a. Checking skin turgor
b. Taking blood pressure
c. Assessing lung sounds
d. Weighing the client Correct Answer B
A client is taking furosemide (Lasix) 40 mg/day for
management of chronic kidney disease (CKD). To detect the
positive effect of the medication, what action of the nurse is
best?
a. Obtain daily weights of the client.
b. Auscultate heart and breath sounds.
c. Palpate the clients abdomen.
d. Assess the clients diet history. Correct Answer A
A client is undergoing hemodialysis. The clients blood pressure
at the beginning of the procedure was 136/88 mm Hg, and now
it is 110/54 mm Hg. What actions should the nurse perform to
maintain blood pressure? (Select all that apply.)
a. Adjust the rate of extracorporeal blood flow.
b. Place the client in the Trendelenburg position.
c. Stop the hemodialysis treatment.
d. Administer a 250-mL bolus of normal saline.
e. Contact the health care provider for orders. Correct Answer
A, B, D
