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NUR401 practice exam Questions and Correct Answers from Actual Exam 2026. A + SCORE.THE ULTIMATE STUDY GUIDE.pdf

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NUR401 practice exam Questions and Correct Answers from Actual Exam 2026. A + SCORE.THE ULTIMATE STUDY GUIDE.pdf

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1. When caring for a client who has just been admitted d
with septic shock, which of these assessment data will be
of greatest concern to the nurse?


a. Arterial oxygen saturation 90%
b. Apical pulse 110 beats/min
c. Blood pressure 88/56 mm Hg
d. Urinary output 15 mL for 2 hours


2. A client is recovering from a cystoscopy. The nurse c
would expect to assess
which of the following regarding the client's urine after
the procedure?


a. Hematuria
b. Blood clots
c. Pink-tinged
d. Anuria


3. A client with congestive heart failure and pulmonary d
edema develops early symptoms of acute renal failure
(ARF). The nurse plans care for the client based on the
knowledge that collaborative care of the renal failure will
be directed towards which of the following goals?


a. Diluting nephrotoxic substances
b. Replacing fluid volume
c. Promoting diuresis
d. Maintaining cardiac output

,4. Which of the following is the proper positioning for a d
client experiencing hypovolemic shock?


a. Trendelenburg
b. Reverse Trendelenburg
c. Supine with head on a pillow
d. Supine with feet elevated


5. During discharge teaching for the client with sickle cell a
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


6. A client with chronic lymphocytic leukemia is a
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.


7. A client is scheduled for a fistula creation due to end- d
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.

, 8. A 12 years old is admitted to the emergency c
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


9. A client with multiple trauma is brought to the d
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


10. A client asks the nurse what effect dialysis will have on a
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


11. Which of the following nursing interventions will be d
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

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