NURS 317 MIDTERM EXAM 2026/2027 – QUESTIONS, STUDY
GUIDE & PRACTICE REVIEW
A client is on a 1500 ml fluid restriction for 24 hrs. At 3p, the client consumed 2/3 of the fluid
allowance for 24 hrs. What are the maximum ml of fluid remaining that the client can consume
during the evening shift? - Correct answer ✔✔ 500
The class of diuretics that act to block the chloride pump in the distal convoluted tubules and
leads to a loss of sodium and potassium and a minor loss of water is what?
A)
Carbonic anhydrase inhibitors
B)
Osmotic diuretics
C)
Potassium-sparing diuretics
D)
Thiazide diuretics - Correct answer ✔✔ thiazide
A client with a diagnosis of chronic kidney disease may require the administration of which of
the following drugs to treat co exisiting conditions that carry a high mortality - Correct answer
✔✔ antihypertensive medications
a chronic kidney disease client asks the nurse, "why do i Itch all the time?. The nurse bases her
response on which of the following integumentary physiologic factors that causes pruritiis? -
Correct answer ✔✔ decrease in perspiration
elevated serum phosphate levels
, a client's sodium intake for one meal was 0.004g and 0.152 g. How many grams, to the nearest
hundreths, of sodium was consumed? - Correct answer ✔✔ 0.16
a patient with benign prostate hypertrophy has just begun to take pentosan polysulfate sodium.
The nurse would notify the physician if the patient exhibited which symptoms. - Correct answer
✔✔ blood in the urine
petechiae
decreased blood pressure
a 50 year old man calls the clinic nurse and complains of gi upset after taking nitrofurantoin on
an empty stomach. What recommendaton should the nurse make? - Correct answer ✔✔ taking
the medicine with or after meals
a drug abuser was found unconscious after shooting up heroin 2 days prior. Because of the
pressure placed on the hip and arm, the client has developed rhabdomyolysis. The nurse knows
this can: - Correct answer ✔✔ obstruct the renal tubules with mygoglobin and damage tubular
cells
which of the following clients is likely at the greatest risk of developing a urinary tract infection?
- Correct answer ✔✔ a 79 year old client with an indwelling catheter for urinary incontience
glomerunephritis is usually caused by - Correct answer ✔✔ antigen - antibody complexes
a client reports drinking 45% of a 12 ounce can of soda. How many ounces are documented? -
Correct answer ✔✔ 5.4
a child is recovering from a bout with group A B-hemolytic Streptococcus infection. They return
to the clinic a week later complaining of decrease in urine output with puffiness and edema
noted in the face and hands. The health care provider suspects the child has developed: -
Correct answer ✔✔ acute postinfectious glomeruulonephritis
GUIDE & PRACTICE REVIEW
A client is on a 1500 ml fluid restriction for 24 hrs. At 3p, the client consumed 2/3 of the fluid
allowance for 24 hrs. What are the maximum ml of fluid remaining that the client can consume
during the evening shift? - Correct answer ✔✔ 500
The class of diuretics that act to block the chloride pump in the distal convoluted tubules and
leads to a loss of sodium and potassium and a minor loss of water is what?
A)
Carbonic anhydrase inhibitors
B)
Osmotic diuretics
C)
Potassium-sparing diuretics
D)
Thiazide diuretics - Correct answer ✔✔ thiazide
A client with a diagnosis of chronic kidney disease may require the administration of which of
the following drugs to treat co exisiting conditions that carry a high mortality - Correct answer
✔✔ antihypertensive medications
a chronic kidney disease client asks the nurse, "why do i Itch all the time?. The nurse bases her
response on which of the following integumentary physiologic factors that causes pruritiis? -
Correct answer ✔✔ decrease in perspiration
elevated serum phosphate levels
, a client's sodium intake for one meal was 0.004g and 0.152 g. How many grams, to the nearest
hundreths, of sodium was consumed? - Correct answer ✔✔ 0.16
a patient with benign prostate hypertrophy has just begun to take pentosan polysulfate sodium.
The nurse would notify the physician if the patient exhibited which symptoms. - Correct answer
✔✔ blood in the urine
petechiae
decreased blood pressure
a 50 year old man calls the clinic nurse and complains of gi upset after taking nitrofurantoin on
an empty stomach. What recommendaton should the nurse make? - Correct answer ✔✔ taking
the medicine with or after meals
a drug abuser was found unconscious after shooting up heroin 2 days prior. Because of the
pressure placed on the hip and arm, the client has developed rhabdomyolysis. The nurse knows
this can: - Correct answer ✔✔ obstruct the renal tubules with mygoglobin and damage tubular
cells
which of the following clients is likely at the greatest risk of developing a urinary tract infection?
- Correct answer ✔✔ a 79 year old client with an indwelling catheter for urinary incontience
glomerunephritis is usually caused by - Correct answer ✔✔ antigen - antibody complexes
a client reports drinking 45% of a 12 ounce can of soda. How many ounces are documented? -
Correct answer ✔✔ 5.4
a child is recovering from a bout with group A B-hemolytic Streptococcus infection. They return
to the clinic a week later complaining of decrease in urine output with puffiness and edema
noted in the face and hands. The health care provider suspects the child has developed: -
Correct answer ✔✔ acute postinfectious glomeruulonephritis
