1|Page
NUR 155 FINAL EXAM ALL QUESTIONS
AND CORRECT ANSWERS
The physician orders oral neomycin as well as a neomycin enema for a
client with cirrhosis. The nurse understands that the purpose of this therapy
isto: *
a. reduce abdominal
pressure
b. b. block ammonia
formation.
c. prevents straining during defecation
d. reduce bleeding within the intestine.
The nursing management of the patient with cholecystitis associated
with cholelithiasis is based on the knowledge that *
a. a low-fat diet is recommended.
b. gallstones once removed tend not to recur.
c. Meperidine (Demerol) is used in the management of colic pain.
d. the disorder can be successfully treated with oral bile salts that
dissolvegallstones in just a week.
• The nurse is caring for a patient with cirrhosis. The patient suddenly
presents confusion, agitation and asterixis. A diagnosis of Disturbed
,2|Page
thoughtprocesses is formulated. This is due to: *
a. massive ascites formation
b. fluid volume excess
c. increase serum ammonia.
d. portal hypertension
• Which of the following is NOT the major role of the kidneys in
normalhealthy adults? *
a. Excretion of nitrogen-containing wastes
b. Maintenance of water and electrolyte balance in the blood
c. Conversion of ammonia to bicarbonate ion to maintain the normal pH
of theblood
d. Prevention of bleeding, infection, and anemia
!
• A nurse interviews the parents of a child recently diagnosed with
glomerulonephritis. The nurse understands that which information
collectedduring the assessment is most often associated with the
diagnosis of glomerulonephritis? *
a. Streptococcal throat infection 2 weeks prior to diagnosis.
b. Child fell off a bike onto the handlebars.
c. Nausea and vomiting for the last 24 hours.
d. Urticaria and itching for 1 week prior to diagnosis.
,3|Page
• You are caring for a woman who is on hemodialysis. She has an
AVF.0/1
Which of the following is expected when assessing the fistula? *
a. Ecchymotic area
b. Pulselessness
c. Redness
d. Enlarged veins
• How do kidneys control Na+ and K+ levels? *
a. Kidneys release aldosterone which controls renin. Renin causes
therelease of angiotensin. Angiotensin controls the levels of Na+
b. Th e k i d n e y s release renin, which controls angiotensin. The angiotensin
and K + .
controls aldosterone. Aldosterone controls the levels of Na+ and K+.
c. The kidneys release renin which controls K+. The kidneys
releaseangiotensin which causes Na+ release.
d. None of the above.
• The nurse helps the client develop a home diet plan with the goal of
D.
, 4|Page
helping him maintain adequate nutritional status. Which of the following
dietswould be most APPROPRIATE for a client with chronic renal failure?
*
a. High carbohydrate, high protein.
b. High calcium, high potassium, high
protein.
c. Low protein, low sodium, low
potassium.
d. Low protein, high potassium
• A patient is admitted with electrolyte imbalance. He has carpopedal
spasm, ECG changes, and a positive Chvostek’s sign. The nurse
suspects adeficit of: *
a. calcium.
b. magnesium.
c. phosphorus.
d. sodium.
• To prevent complications associated with hypercalcemia, which
of the following health teachings should the nurse instruct a patient
with thiselectrolyte imbalance? *
a. Monitoring the patient for signs of decreasing sensorium
b. Taking anti-diarrheals as prescribed to manage increased GI
motility aspart of the disease process
D.
NUR 155 FINAL EXAM ALL QUESTIONS
AND CORRECT ANSWERS
The physician orders oral neomycin as well as a neomycin enema for a
client with cirrhosis. The nurse understands that the purpose of this therapy
isto: *
a. reduce abdominal
pressure
b. b. block ammonia
formation.
c. prevents straining during defecation
d. reduce bleeding within the intestine.
The nursing management of the patient with cholecystitis associated
with cholelithiasis is based on the knowledge that *
a. a low-fat diet is recommended.
b. gallstones once removed tend not to recur.
c. Meperidine (Demerol) is used in the management of colic pain.
d. the disorder can be successfully treated with oral bile salts that
dissolvegallstones in just a week.
• The nurse is caring for a patient with cirrhosis. The patient suddenly
presents confusion, agitation and asterixis. A diagnosis of Disturbed
,2|Page
thoughtprocesses is formulated. This is due to: *
a. massive ascites formation
b. fluid volume excess
c. increase serum ammonia.
d. portal hypertension
• Which of the following is NOT the major role of the kidneys in
normalhealthy adults? *
a. Excretion of nitrogen-containing wastes
b. Maintenance of water and electrolyte balance in the blood
c. Conversion of ammonia to bicarbonate ion to maintain the normal pH
of theblood
d. Prevention of bleeding, infection, and anemia
!
• A nurse interviews the parents of a child recently diagnosed with
glomerulonephritis. The nurse understands that which information
collectedduring the assessment is most often associated with the
diagnosis of glomerulonephritis? *
a. Streptococcal throat infection 2 weeks prior to diagnosis.
b. Child fell off a bike onto the handlebars.
c. Nausea and vomiting for the last 24 hours.
d. Urticaria and itching for 1 week prior to diagnosis.
,3|Page
• You are caring for a woman who is on hemodialysis. She has an
AVF.0/1
Which of the following is expected when assessing the fistula? *
a. Ecchymotic area
b. Pulselessness
c. Redness
d. Enlarged veins
• How do kidneys control Na+ and K+ levels? *
a. Kidneys release aldosterone which controls renin. Renin causes
therelease of angiotensin. Angiotensin controls the levels of Na+
b. Th e k i d n e y s release renin, which controls angiotensin. The angiotensin
and K + .
controls aldosterone. Aldosterone controls the levels of Na+ and K+.
c. The kidneys release renin which controls K+. The kidneys
releaseangiotensin which causes Na+ release.
d. None of the above.
• The nurse helps the client develop a home diet plan with the goal of
D.
, 4|Page
helping him maintain adequate nutritional status. Which of the following
dietswould be most APPROPRIATE for a client with chronic renal failure?
*
a. High carbohydrate, high protein.
b. High calcium, high potassium, high
protein.
c. Low protein, low sodium, low
potassium.
d. Low protein, high potassium
• A patient is admitted with electrolyte imbalance. He has carpopedal
spasm, ECG changes, and a positive Chvostek’s sign. The nurse
suspects adeficit of: *
a. calcium.
b. magnesium.
c. phosphorus.
d. sodium.
• To prevent complications associated with hypercalcemia, which
of the following health teachings should the nurse instruct a patient
with thiselectrolyte imbalance? *
a. Monitoring the patient for signs of decreasing sensorium
b. Taking anti-diarrheals as prescribed to manage increased GI
motility aspart of the disease process
D.