NUR 265 – Exam 1
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REWRITTEN=NCLEX-Style=Practice=Questions
1
Which=statement=made=by=a=client=newly=diagnosed=with=nephrotic=syndrome=indicates=that
=further=teaching=is=not=required?
A. “I=will=monitor=myself=closely=for=signs=of=infection.”
B. “I=should=avoid=foods=high=in=potassium.”
C. “I=need=to=complete=all=antibiotic=prescriptions.”
D. “I=can=use=salt=substitutes=freely.”
2
Which=postoperative=client=finding=requires=immediate=follow-up=by=the=nurse?
A. Mechanical=valve=replacement=client=with=INR=of=3.2
B. Cardiac=surgery=client=on=enoxaparin=with=platelets=175,000
C. Client=48=hours=post-AAA=repair=with=creatinine=increased=to=2.5
D. Client=on=digoxin=with=BUN=of=19
3
A=client=hospitalized=with=acute=kidney=injury=has=several=abnormal=findings.=Which=finding=
should=the=nurse=report=first?
A. ECG=showing=tall,=peaked=T=waves
B. BUN=of=67=mg/dL
C. Creatinine=of=3.0=mg/dL
D. Decreased=GFR
4
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,A=client=receiving=IV=gentamicin=develops=oliguria=and=elevated=blood=pressure.=What=is=the
=nurse’s=priority=action?
A. Insert=an=indwelling=urinary=catheter
B. Elevate=the=head=of=the=bed
C. Obtain=urine=specific=gravity
D. Request=gentamicin=peak=and=trough=levels
5
A=client=with=chronic=kidney=disease=reports=tingling=in=the=hands,=muscle=weakness,=and=dia
rrhea.=What=should=the=nurse=do=first?
A. Contact=the=provider
B. Review=dialysis=schedule
C. Check=recent=electrolyte=values
D. Measure=urine=output
6
Which=statement=by=a=hemodialysis=client=requires=follow-up=teaching?
A. “My=breath=sometimes=smells=unpleasant.”
B. “My=skin=sometimes=looks=powdery.”
C. “I=limit=sodium=intake=to=5=grams=per=day.”
D. “I=eat=at=least=50=grams=of=protein=daily.”
7
Which=statement=indicates=a=correct=understanding=of=teaching=for=late-stage=CKD?
A. “Dialysis=will=give=me=more=energy=immediately.”
B. “I=should=get=most=protein=from=dairy.”
C. “I=should=report=fatigue=or=weakness=promptly.”
D. “Dialysis=is=done=twice=weekly.”
8
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, A=client=returns=from=hemodialysis.=Which=finding=requires=immediate=nursing=action?
A. Blood=pressure=90/58=mm=Hg
B. Potassium=decreased=from=6.1=to=5.1
C. Fatigue=and=decreased=appetite
D. Temperature=99.4°F=(37.4°C)
9
Which=nursing=action=is=appropriate=during=peritoneal=dialysis?
A. Assisting=the=client=to=ambulate=during=infusion
B. Wearing=a=mask=during=PD=exchanges
C. Applying=pressure=to=the=AV=fistula=site
D. Drawing=blood=from=the=fistula
10
Which=action=demonstrates=correct=peritoneal=dialysis=technique?
A. Administering=an=enema=before=dialysis
B. Positioning=the=client=in=high-Fowler’s
C. Warming=dialysate=in=the=microwave
D. Starting=infusion=before=site=care
11
Which=assessment=finding=is=expected=in=a=client=with=acute=pancreatitis?
A. Spider=angiomas
B. Hypertension
C. Bradycardia
D. Referred=shoulder=pain
12
Which=laboratory=results=are=expected=in=acute=pancreatitis?=(Se
lect=the=best=combination.)
Downloaded=by=harun=mburu=(
= = = =
REWRITTEN=NCLEX-Style=Practice=Questions
1
Which=statement=made=by=a=client=newly=diagnosed=with=nephrotic=syndrome=indicates=that
=further=teaching=is=not=required?
A. “I=will=monitor=myself=closely=for=signs=of=infection.”
B. “I=should=avoid=foods=high=in=potassium.”
C. “I=need=to=complete=all=antibiotic=prescriptions.”
D. “I=can=use=salt=substitutes=freely.”
2
Which=postoperative=client=finding=requires=immediate=follow-up=by=the=nurse?
A. Mechanical=valve=replacement=client=with=INR=of=3.2
B. Cardiac=surgery=client=on=enoxaparin=with=platelets=175,000
C. Client=48=hours=post-AAA=repair=with=creatinine=increased=to=2.5
D. Client=on=digoxin=with=BUN=of=19
3
A=client=hospitalized=with=acute=kidney=injury=has=several=abnormal=findings.=Which=finding=
should=the=nurse=report=first?
A. ECG=showing=tall,=peaked=T=waves
B. BUN=of=67=mg/dL
C. Creatinine=of=3.0=mg/dL
D. Decreased=GFR
4
Downloaded=by=harun=mburu=(
,A=client=receiving=IV=gentamicin=develops=oliguria=and=elevated=blood=pressure.=What=is=the
=nurse’s=priority=action?
A. Insert=an=indwelling=urinary=catheter
B. Elevate=the=head=of=the=bed
C. Obtain=urine=specific=gravity
D. Request=gentamicin=peak=and=trough=levels
5
A=client=with=chronic=kidney=disease=reports=tingling=in=the=hands,=muscle=weakness,=and=dia
rrhea.=What=should=the=nurse=do=first?
A. Contact=the=provider
B. Review=dialysis=schedule
C. Check=recent=electrolyte=values
D. Measure=urine=output
6
Which=statement=by=a=hemodialysis=client=requires=follow-up=teaching?
A. “My=breath=sometimes=smells=unpleasant.”
B. “My=skin=sometimes=looks=powdery.”
C. “I=limit=sodium=intake=to=5=grams=per=day.”
D. “I=eat=at=least=50=grams=of=protein=daily.”
7
Which=statement=indicates=a=correct=understanding=of=teaching=for=late-stage=CKD?
A. “Dialysis=will=give=me=more=energy=immediately.”
B. “I=should=get=most=protein=from=dairy.”
C. “I=should=report=fatigue=or=weakness=promptly.”
D. “Dialysis=is=done=twice=weekly.”
8
Downloaded=by=harun=mburu=(
, A=client=returns=from=hemodialysis.=Which=finding=requires=immediate=nursing=action?
A. Blood=pressure=90/58=mm=Hg
B. Potassium=decreased=from=6.1=to=5.1
C. Fatigue=and=decreased=appetite
D. Temperature=99.4°F=(37.4°C)
9
Which=nursing=action=is=appropriate=during=peritoneal=dialysis?
A. Assisting=the=client=to=ambulate=during=infusion
B. Wearing=a=mask=during=PD=exchanges
C. Applying=pressure=to=the=AV=fistula=site
D. Drawing=blood=from=the=fistula
10
Which=action=demonstrates=correct=peritoneal=dialysis=technique?
A. Administering=an=enema=before=dialysis
B. Positioning=the=client=in=high-Fowler’s
C. Warming=dialysate=in=the=microwave
D. Starting=infusion=before=site=care
11
Which=assessment=finding=is=expected=in=a=client=with=acute=pancreatitis?
A. Spider=angiomas
B. Hypertension
C. Bradycardia
D. Referred=shoulder=pain
12
Which=laboratory=results=are=expected=in=acute=pancreatitis?=(Se
lect=the=best=combination.)
Downloaded=by=harun=mburu=(
