, NUR 265 Exam 1 – Medical-Surgical Nursing –
Actual Questions & Answers (GCN) 100%
Guarantee Pass
Q1: The nurse caring for a client with nephrotic
syndrome with severe proteinuria should take which of
the following actions?
A) Administer furosemide
B) Administer lisinopril
C) Restrict fluids
D) Increase protein intake
Answer: B) Administer lisinopril
Rationale: ACE inhibitors like lisinopril reduce proteinuria
by lowering intraglomerular pressure, which slows kidney
damage progression in nephrotic syndrome. They are
standard therapy to decrease urinary protein loss .
Q2: The nurse is reviewing labs of assigned clients.
Which client requires priority follow-up with the
primary healthcare provider?
A) Temperature of 99.8°F
,B) Temperature of 101.4°F
C) Mild fatigue
D) Slight nausea
Answer: B) Temperature of 101.4°F
Rationale: Fever above 101°F post-dialysis indicates
possible infection and requires prompt assessment and
intervention. The nurse should assess for other signs of
infection and notify the provider immediately .
Q3: Which finding in a client who had hemodialysis
yesterday requires immediate follow-up?
A) Temperature of 99.8°F
B) Temperature of 101.4°F
C) Mild fatigue
D) Slight nausea
Answer: B) Temperature of 101.4°F
Rationale: Fever post-hemodialysis is a red flag for sepsis
or access-related infection. The nurse should assess for
other signs of infection and notify the provider
immediately .
, Q4: Which client statement about dietary sodium needs
further teaching for a client with CKD on hemodialysis 3
times weekly?
A) "I try and limit my intake of dietary sodium to 5 grams
per day."
B) "I avoid adding salt to my food."
C) "I read labels on processed foods for sodium content."
D) "I avoid salt substitutes containing potassium."
Answer: A) "I try and limit my intake of dietary sodium
to 5 grams per day."
Rationale: Sodium intake should be restricted to 2-4
grams per day in hemodialysis to help manage
hypertension and fluid balance. Five grams exceeds the
recommended limit .
Q5: The nurse is reviewing the lab results of a client
with acute pancreatitis. Which result does the nurse
expect to find?
A) Platelet count of 300,000 mm³
B) Increased calcium level of 12 mg/dL
Actual Questions & Answers (GCN) 100%
Guarantee Pass
Q1: The nurse caring for a client with nephrotic
syndrome with severe proteinuria should take which of
the following actions?
A) Administer furosemide
B) Administer lisinopril
C) Restrict fluids
D) Increase protein intake
Answer: B) Administer lisinopril
Rationale: ACE inhibitors like lisinopril reduce proteinuria
by lowering intraglomerular pressure, which slows kidney
damage progression in nephrotic syndrome. They are
standard therapy to decrease urinary protein loss .
Q2: The nurse is reviewing labs of assigned clients.
Which client requires priority follow-up with the
primary healthcare provider?
A) Temperature of 99.8°F
,B) Temperature of 101.4°F
C) Mild fatigue
D) Slight nausea
Answer: B) Temperature of 101.4°F
Rationale: Fever above 101°F post-dialysis indicates
possible infection and requires prompt assessment and
intervention. The nurse should assess for other signs of
infection and notify the provider immediately .
Q3: Which finding in a client who had hemodialysis
yesterday requires immediate follow-up?
A) Temperature of 99.8°F
B) Temperature of 101.4°F
C) Mild fatigue
D) Slight nausea
Answer: B) Temperature of 101.4°F
Rationale: Fever post-hemodialysis is a red flag for sepsis
or access-related infection. The nurse should assess for
other signs of infection and notify the provider
immediately .
, Q4: Which client statement about dietary sodium needs
further teaching for a client with CKD on hemodialysis 3
times weekly?
A) "I try and limit my intake of dietary sodium to 5 grams
per day."
B) "I avoid adding salt to my food."
C) "I read labels on processed foods for sodium content."
D) "I avoid salt substitutes containing potassium."
Answer: A) "I try and limit my intake of dietary sodium
to 5 grams per day."
Rationale: Sodium intake should be restricted to 2-4
grams per day in hemodialysis to help manage
hypertension and fluid balance. Five grams exceeds the
recommended limit .
Q5: The nurse is reviewing the lab results of a client
with acute pancreatitis. Which result does the nurse
expect to find?
A) Platelet count of 300,000 mm³
B) Increased calcium level of 12 mg/dL
