NSG 4100 EXAM 1 Exam Actual Complete Real
Exam Questions and Answers Practice Questions
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A nurse is caring for a client who is in the diuresis phase of acute kidney injury. The
nurse should closely monitor the client for what complication during this phase?
A. Hypokalemia
B. Hypocalcemia
C. Dehydration
D. Acute flank pain - ANSWER-C. Dehydration
The nurse is caring for a client postoperative day 4 following a kidney transplant.
When assessing for potential signs and symptoms of rejection, what assessment should
the nurse prioritize?
A. Assessment of the quantity of the client's urine output
B. Assessment of the client's incision
C. Assessment of the client's abdominal girth
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D. Assessment for flank or abdominal pain - ANSWER-A. Assessment of the quantity
of the client's urine output
The nurse is caring for a client's status after a motor vehicle accident. The client has
developed AKI. What are the nurse's roles in caring for this client? Select all that
apply.
A. Providing emotional support for the family
B. Monitoring for complications
C. Participating in emergency treatment of fluid and electrolyte imbalances
D. Providing nursing care for primary disorder (trauma)
E. Directing nutritional interventions - ANSWER-A. Providing emotional support for
the family
B. Monitoring for complications
C. Participating in emergency treatment of fluid and electrolyte imbalances
D. Providing nursing care for primary disorder (trauma)
A 76-year-old client with ESKD has been told by the health care provider that it is
time to consider hemodialysis until a transplant can be found. The client tells the nurse
about feeling unsure about undergoing a kidney transplant. What would be an
appropriate response for the nurse to make?
A. "The decision is certainly yours to make, but be sure not to make a mistake."
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B. "Kidney transplants in peoples your age are as successful as they are in
younger clients."
C. "I understand your hesitancy to commit to a transplant surgery. Success is
relatively rare."
D. "Have you talked this over with your family?" - ANSWERB. "Kidney
transplants in peoples your age are as successful as they are in younger clients."
The nurse has identified the nursing diagnosis of "Risk for Infection" in a client who
undergoes peritoneal dialysis. What nursing action best addresses this risk?
A. Maintain aseptic technique when administering dialysate.
B. Wash the skin surrounding the catheter site with soap and water prior to each
exchange.
C. Add antibiotics to the dialysate as prescribed.
D. Administer prophylactic antibiotics by mouth or IV as prescribed. - ANSWER-A.
Maintain aseptic technique when administering dialysate.
The nurse is caring for a client who has returned to the postsurgical suite after
postanesthetic recovery from a nephrectomy. The nurse's most recent assessment
reveals increased sedation, shortness of breath, hypotension, and low urine output over
the last 2 hours. What is the nurse's best response? A. Assess the client for signs of
bleeding and inform the primary provider.
B. Perform a full neurological assessment and notify the primary care provider. C.
Increase the frequency of taking vital signs, monitor urine output, and notify the
provider.