NUR401 practice exam Questions Solved 100%
Correct| Verified Solutions-Newest 2025
1. 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
. 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 use. Iron
supplementation is generally not recommended. A high-fluid intake is recommended.
. 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.
. A client is scheduled for a fistula creation due to end-stage renal disease. The
nurse would include which of the following in teaching the client about the fistula?
a. A vein and an artery will be attached surgically.
b. The fistula can be used 2 to 4 weeks after the surgery for dialysis treatment.
c. The arm should be immobilized for 4 to 6 weeks.
d. One needle will be inserted for each dialysis treatment. - ✔✔d. One needle will be
inserted for each dialysis treatment
couldn't find on google, seems right though
. A 12 years old is admitted to the emergency department after being stung by a
bee. The client's mother tells the nurse that her son has an allergy to bees and he has
been stung before. In what order of priority will the nurse address the complications?
1. Airway swelling
2. Hypotension
,3. Tachypnea
4. Tachycardia
a. 2, 4, 1, 3
b. 1, 2, 3, 4
c. 1, 3 ,2, 4
d. 3, 1, 2, 4 - ✔✔c. 1, 3 ,2, 4
1. Airway swelling
3. Tachypnea
2. Hypotension
4. Tachycardia
. A client with multiple trauma is brought to the emergency department. The
nurse initiates two peripheral intravenous (IV) sites and begins fluid resuscitation with
which of the following fluids?
a. Dextran
b. 3.0% saline
c. Dextrose 5% in water in one-half normal saline
d. 0.9% saline - ✔✔d. 0.9% saline
Fluid resuscitation is accomplished by using normal saline, that is, 0.9% saline.
. A client asks the nurse what effect dialysis will have on the medications he is
currently taking. What is the nurse's best response?
, a. Dangerously low blood pressure may occur if antihypertensives are taken before
dialysis
b. Once-daily medications are best taken before dialysis treatments
c. Dialysis treatments remove all medications from the blood.
d. Medications are not removed during dialysis treatments - ✔✔a. Dangerously low
blood pressure may occur if antihypertensives are taken before dialysis
Couldn't find, but seems most correct. Once daily medications should be taken after
dialysis if possible, dialysis treatments don't remove all medications from the blood, and
some medications are removed during dialysis.
. Which of the following nursing interventions will be included for a client
experiencing an acute sickle cell crisis?
a. Administration of platelets & monitoring vitals
b. Heparin therapy & iron replacement
c. Blood transfusion & monitoring of CBC
d. Administration of oxygen & pain management - ✔✔d. Administration of oxygen &
pain management
They don't need platelets, just RBCs are affected, could use heparin to dissolve possible
clots from sickled cells but iron isn't needed so this rules out option B, blood
transfusions doesn't make sense, they do need oxygen and pain management so D is
most correct.
. A client is diagnosed with acute kidney failure. He is complaining of nausea,
Correct| Verified Solutions-Newest 2025
1. 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
. 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 use. Iron
supplementation is generally not recommended. A high-fluid intake is recommended.
. 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.
. A client is scheduled for a fistula creation due to end-stage renal disease. The
nurse would include which of the following in teaching the client about the fistula?
a. A vein and an artery will be attached surgically.
b. The fistula can be used 2 to 4 weeks after the surgery for dialysis treatment.
c. The arm should be immobilized for 4 to 6 weeks.
d. One needle will be inserted for each dialysis treatment. - ✔✔d. One needle will be
inserted for each dialysis treatment
couldn't find on google, seems right though
. A 12 years old is admitted to the emergency department after being stung by a
bee. The client's mother tells the nurse that her son has an allergy to bees and he has
been stung before. In what order of priority will the nurse address the complications?
1. Airway swelling
2. Hypotension
,3. Tachypnea
4. Tachycardia
a. 2, 4, 1, 3
b. 1, 2, 3, 4
c. 1, 3 ,2, 4
d. 3, 1, 2, 4 - ✔✔c. 1, 3 ,2, 4
1. Airway swelling
3. Tachypnea
2. Hypotension
4. Tachycardia
. A client with multiple trauma is brought to the emergency department. The
nurse initiates two peripheral intravenous (IV) sites and begins fluid resuscitation with
which of the following fluids?
a. Dextran
b. 3.0% saline
c. Dextrose 5% in water in one-half normal saline
d. 0.9% saline - ✔✔d. 0.9% saline
Fluid resuscitation is accomplished by using normal saline, that is, 0.9% saline.
. A client asks the nurse what effect dialysis will have on the medications he is
currently taking. What is the nurse's best response?
, a. Dangerously low blood pressure may occur if antihypertensives are taken before
dialysis
b. Once-daily medications are best taken before dialysis treatments
c. Dialysis treatments remove all medications from the blood.
d. Medications are not removed during dialysis treatments - ✔✔a. Dangerously low
blood pressure may occur if antihypertensives are taken before dialysis
Couldn't find, but seems most correct. Once daily medications should be taken after
dialysis if possible, dialysis treatments don't remove all medications from the blood, and
some medications are removed during dialysis.
. Which of the following nursing interventions will be included for a client
experiencing an acute sickle cell crisis?
a. Administration of platelets & monitoring vitals
b. Heparin therapy & iron replacement
c. Blood transfusion & monitoring of CBC
d. Administration of oxygen & pain management - ✔✔d. Administration of oxygen &
pain management
They don't need platelets, just RBCs are affected, could use heparin to dissolve possible
clots from sickled cells but iron isn't needed so this rules out option B, blood
transfusions doesn't make sense, they do need oxygen and pain management so D is
most correct.
. A client is diagnosed with acute kidney failure. He is complaining of nausea,
