200 Practice Questions and
Correct Verified Answers/
Advanced Med Surg Exam 1
Correctly Answered Practice Test
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Advanced Medical Surgical (NUR 265)
, Advanced Med Surg Exam 1
1. The onset of AKI w/in 48h after admin of contrast. Risk Contrast-induced
for this is highest in pts who are older, dehydrated, nephropathy
have pre-existing CKD, or have comorbidities of DM,
HF, or current hypotension
2. should be d/c at least 24 hours before the Metformin
time of a procedure and for at least 48 hours after
iodinated contrast media.
3. When a CT scan w/ contrast is prescribed, report the Reactions
pts Hx of associated w/ the admin of con-
trast media to the radiologist and HCP.
4. pts w/ have been shown to be at greater Asthma
risk for contrast reactions than the general public.
When reactions do occur, they are more likely to be
severe.
5. Contrast reactions have been reported to be high as in High
pts w/ fever or food or drug allergies, especially
to seafood, eggs, milk, or chocolate.
6. The pt w/ a metal implant is not eligible for this test: MRI
Items include pins, pacemaker, joint replacement,
aneurysmal clips.
7. A panel is taken before a kidney biopsy d/t Coag
risk for bleeding.
8. HTN is aggressively managed before a kidney biopsy Bleeding
d/t this factor increasing the risk for .
9. Uremia
, Advanced Med Surg Exam 1
D/t high bleeding risk, dialysis may be prescribed for
before a kidney biopsy.
10. For hours after a kidney biopsy, the RN should 24
monitor VS, dressing site, urine output, and H&H.
11. Careful management of conditions such as diabetes, Slow
hypertension, and heart failure (HF) can the
onset and progression of CKD.
12. Extracellular volume can occur in CKD be- Overload
cause the body loses the capability to excrete sodium.
The pt may have edema, pulmonary crackles, short-
ness of breath, and pleural or pericardial effusion (w/
symptoms of a friction rub and/or decreased breath
sounds or heart sounds).
13. In the later stages of CKD, kidney excretion of sodium Hypernatremia
is reduced as urine production decreases. This leads
to w/ only mild increases in dietary sodi-
um intake.
14. complications from AKI include hy- Metabolic
perkalemia, hyponatremia, hypocalcemia, hypophos-
phatemia, hyperlipidemia, and metabolic acidosis.
15. complications from AKI include edema, Cardiopulmonary
HF, PE, pericarditis, pericardial effusion, HTN, and MI.
16. complications from AKI include neuro- Neurologic
muscular irritability or weakness, asterixis, seizures,
and mental status changes.
17. Immune/infectious