NURS 309 QUIZ 12 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
676. A nurse is caring for a client with end stage renal disease. Which clinical indicators of end stage renal
disease should the nurse expect? select all
a. polyuria
b. jaundice
c. azotemia
d. hypertension
e. polycythemia
Answer:
cd
Question:
686. A nurse is caring for a client with acute kidney failure who is receiving a protein restricted diet. The
client asks why this diet is necessary. What information should the nurse include in a response to the
clients questions?
a. a high protein diet ensures an adequate daily supply of amino acids to compensate for losses
b. essential and nonessential amino acids are necessary in the diet to supply materials for tissue protein
synthesis
c. this supplies only essential amino acids, reducing the amount of metabolic waste products, thus
decreasing stress on the kidneys
d. urea nitrogen can't be used to synthesize amino acids in the body so the nitrogen for amino acid
synthesis must come from the dietary protein
Answer:
c
Question:
687. A client with acute kidney failure states why am i twitching and my fingers and toes tingling? The
nurse should respond "this is caused by"
a. acidosis
b. calcium depletion
c. potassium retention
d. sodium chloride depletion
Answer:
b
Question:
688. a client with acute kidney failure becomes confused and irritable. Which does the nurse determine is
the most likely cause of this behavior?
a. hyperkalemia
b. hypernatremia
c. a limited fluid intake
d. an increased BUN level
,Answer:
d
Question:
689. A nurse is caring for a client with chronic kidney failure. Which clinical findings should the nurse
expect when assessing this client? select all
a. polyuria
b. lethargy
c. hypotension
d. muscle twitching
e. respiratory acidosis
Answer:
bd
Question:
690. A student nurse is caring for a client with chronic kidney failure who is to be treated with continuous
ambulatory peritoneal dialysis (CAPD). Which statement by the student nurse indicates to the primary
nurse that the student nurse understands the purpose of this therapy?
a. it provides continuous contact of dialyzer and blood to clear toxins by ultrafiltration
b. it exchanges and cleanses blood by correction of electrolytes and excretion of creatinine
c. it decreases the need for immobility because it clears toxins in short and intermittent periods
d. it uses the peritoneum as a semipermeable membrane to clear toxins by osmosis and diffusion
Answer:
d
Question:
232. A client is admitted to a medical unit with the dx of acute kidney failure. The nurse reviews the
client's lab data, performs a physical assessment, and obtains the client's vital signs. What should the nurse
conclude the client is most likely experiencing?
a. hyperkalemia
b. hyponatremia
c. hypouricemia
d. hypercalcemia
Answer:
a
Question:
233. A nurse is caring for a client with chronic kidney failure. What should the nurse teach the client to
limit the intake of to help control uremia associated with end stage renal disease (ESRD)
a. fluid
b. protein
c. sodium
d. potassium
Answer:
b
, Question:
234. What should the nurse do when caring for a client who is receiving peritoneal dialysis?
a. maintain the client in the supine position during the procedure
b. position the client from side to side if fluid isn't draining adequately
c. remove the cannula at the end of the procedure and apply a dry, sterile dressing
d. notify the health care provider if there is a deficit of 200mL in the drainage return
Answer:
b
Question:
19. You are providing nursing care for a patient with acute kidney failure for whom a nursing dx of excess
fluid volume related to compromised regulatory mechanisms has been identified. Which actions should
you delegate to an experienced UAP? select all
a. measuring and recording vital sign values every 4 hours
b. weighing the pt every morning using a standing scale
c. administering furosemide (lasix) 40 mg orally twice a day
d. reminding the pt to save all urine for intake and output measurement
e. assessing breath sounds every 4 hours
f. ensuring that the pts urinal is within reach
Answer:
abdf
Question:
20. A UAP reports to you that a pt with acute kidney failure has had a urine output of 350ml over the past
24 hrs after receiving furosemide 40mg IV push. The UAP asks you how this can happen. What is your
best response?
a. during the oliguric phase of acute kidney failure, pts often don't respond well to either fluid challenges or
diuretics
b. there must be some sort of error. Someone must have failed to record the urine output
c. a pt with acute kidney failure retains sodium and water, which counteracts the action of the furosemide
d. the gradual accumulation of nitrogenous waste products results in the retention of water and sodium
Answer:
a
Question:
21. you are the charge nurse. Which pt will you assign to a nurse floated to your unit from the surgical
ICU?
a. pt with kidney stones scheduled for lithotripsy this morning
b. pt who has just undergone surgery for renal stent placement
c. newly admitted pt with an acute UTI
d. pt with chronic kidney failure who needs teaching on peritoneal dialysis
Answer:
b
CORRECT ANSWERS
Question:
676. A nurse is caring for a client with end stage renal disease. Which clinical indicators of end stage renal
disease should the nurse expect? select all
a. polyuria
b. jaundice
c. azotemia
d. hypertension
e. polycythemia
Answer:
cd
Question:
686. A nurse is caring for a client with acute kidney failure who is receiving a protein restricted diet. The
client asks why this diet is necessary. What information should the nurse include in a response to the
clients questions?
a. a high protein diet ensures an adequate daily supply of amino acids to compensate for losses
b. essential and nonessential amino acids are necessary in the diet to supply materials for tissue protein
synthesis
c. this supplies only essential amino acids, reducing the amount of metabolic waste products, thus
decreasing stress on the kidneys
d. urea nitrogen can't be used to synthesize amino acids in the body so the nitrogen for amino acid
synthesis must come from the dietary protein
Answer:
c
Question:
687. A client with acute kidney failure states why am i twitching and my fingers and toes tingling? The
nurse should respond "this is caused by"
a. acidosis
b. calcium depletion
c. potassium retention
d. sodium chloride depletion
Answer:
b
Question:
688. a client with acute kidney failure becomes confused and irritable. Which does the nurse determine is
the most likely cause of this behavior?
a. hyperkalemia
b. hypernatremia
c. a limited fluid intake
d. an increased BUN level
,Answer:
d
Question:
689. A nurse is caring for a client with chronic kidney failure. Which clinical findings should the nurse
expect when assessing this client? select all
a. polyuria
b. lethargy
c. hypotension
d. muscle twitching
e. respiratory acidosis
Answer:
bd
Question:
690. A student nurse is caring for a client with chronic kidney failure who is to be treated with continuous
ambulatory peritoneal dialysis (CAPD). Which statement by the student nurse indicates to the primary
nurse that the student nurse understands the purpose of this therapy?
a. it provides continuous contact of dialyzer and blood to clear toxins by ultrafiltration
b. it exchanges and cleanses blood by correction of electrolytes and excretion of creatinine
c. it decreases the need for immobility because it clears toxins in short and intermittent periods
d. it uses the peritoneum as a semipermeable membrane to clear toxins by osmosis and diffusion
Answer:
d
Question:
232. A client is admitted to a medical unit with the dx of acute kidney failure. The nurse reviews the
client's lab data, performs a physical assessment, and obtains the client's vital signs. What should the nurse
conclude the client is most likely experiencing?
a. hyperkalemia
b. hyponatremia
c. hypouricemia
d. hypercalcemia
Answer:
a
Question:
233. A nurse is caring for a client with chronic kidney failure. What should the nurse teach the client to
limit the intake of to help control uremia associated with end stage renal disease (ESRD)
a. fluid
b. protein
c. sodium
d. potassium
Answer:
b
, Question:
234. What should the nurse do when caring for a client who is receiving peritoneal dialysis?
a. maintain the client in the supine position during the procedure
b. position the client from side to side if fluid isn't draining adequately
c. remove the cannula at the end of the procedure and apply a dry, sterile dressing
d. notify the health care provider if there is a deficit of 200mL in the drainage return
Answer:
b
Question:
19. You are providing nursing care for a patient with acute kidney failure for whom a nursing dx of excess
fluid volume related to compromised regulatory mechanisms has been identified. Which actions should
you delegate to an experienced UAP? select all
a. measuring and recording vital sign values every 4 hours
b. weighing the pt every morning using a standing scale
c. administering furosemide (lasix) 40 mg orally twice a day
d. reminding the pt to save all urine for intake and output measurement
e. assessing breath sounds every 4 hours
f. ensuring that the pts urinal is within reach
Answer:
abdf
Question:
20. A UAP reports to you that a pt with acute kidney failure has had a urine output of 350ml over the past
24 hrs after receiving furosemide 40mg IV push. The UAP asks you how this can happen. What is your
best response?
a. during the oliguric phase of acute kidney failure, pts often don't respond well to either fluid challenges or
diuretics
b. there must be some sort of error. Someone must have failed to record the urine output
c. a pt with acute kidney failure retains sodium and water, which counteracts the action of the furosemide
d. the gradual accumulation of nitrogenous waste products results in the retention of water and sodium
Answer:
a
Question:
21. you are the charge nurse. Which pt will you assign to a nurse floated to your unit from the surgical
ICU?
a. pt with kidney stones scheduled for lithotripsy this morning
b. pt who has just undergone surgery for renal stent placement
c. newly admitted pt with an acute UTI
d. pt with chronic kidney failure who needs teaching on peritoneal dialysis
Answer:
b
