NUR401 practice exam-Questions & ANSWERS
100% RATED CORRECT- SURE PASS!! | Newest
2025
1. Which of the following nursing interventions will be included for a client
experiencing an acute sickle cell crisis?
a. Administration of platelets & monitoring vitals
b. Heparin therapy & iron replacement
c. Blood transfusion & monitoring of CBC
d. Administration of oxygen & pain management - ✔✔d. Administration of oxygen &
pain management
They don't need platelets, just RBCs are affected, could use heparin to dissolve possible
clots from sickled cells but iron isn't needed so this rules out option B, blood
transfusions doesn't make sense, they do need oxygen and pain management so D is
most correct.
2. A client is diagnosed with acute kidney failure. He is complaining of nausea,
pain in the abdomen, diarrhea, and muscular weakness. Also, the nurse notes an
irregularity in pulse. Based on these findings, which imbalance is this indicative of?
a. Hyponatremia
b. Hypercalcemia
c. Hyperkalemia
d. Hypouricemia - ✔✔b. Hypercalcemia
,the other ones don't make sense, definitely not C or D, and hyponatremia doesn't cause
muscle weakness
3. Taking into consideration Canadian national statistics, which of the following clients
has the highest risk factors present for spinal cord injury?
a. An 65 year old man being discharged home after having his hip replaced, that
Has a prescription for corticosteroids and pain medications
b. A 32 year old woman who receives dialysis three times per week, who likes to play
hockey on the weekend
c. A 10 year old female diagnosed with diabetes, who enjoys riding her bicycle
d. A 19 year old male who has a history of asthma, that tells you about his new car that
his grandparents bought for him as a graduation present - ✔✔d. A 19 year old male
who has a history of asthma, that tells you about his new car that his grandparents
bought for him as a graduation present
4. A client is diagnosed with stage 3 chronic kidney disease (CKD). The client is
treated with conservative management, including erythropoietin injections. After
teaching the
client about management of CKD, the nurse determines that teaching has been effective
when the client states which of the following?
a. "I need to take the erythropoietin to boost my immune system and help prevent
infection."
b. "I will try to increase my intake of fruits and vegetables."
c. "I will measure my urinary output each day to help calculate the amount I can drink."
,d. "I need to try to get more protein from dairy products." - ✔✔c. "I will measure my
urinary output each day to help calculate the amount I can drink."
Rationale: The patient with CKD who is not receiving dialysis is generally taught to
restrict fluids. The patient would need to measure urine output and then add 600 ml for
insensible losses to calculate an appropriate oral intake. Erythropoietin is given to
increase red blood cell count and will not offer any benefit for immune function. Dairy
products are restricted because of the high phosphate level. Many fruits and vegetables
are high in potassium and should be restricted in the patient with CKD.
5. In preparation for hemodialysis, a client has an arteriovenous native fistula
created in the left forearm.
To assess and maintain the patency of the fistula postoperatively, what should the nurse
do?
a. Irrigate the fistula site daily with low-dose heparin.
b. Assess the blood pressure in the affected arm.
c. Auscultate the fistula site for a bruit.
d. Assess the rate and quality of the radial pulse. - ✔✔c. Auscultate the fistula site for
a bruit.
6. The nurse is preparing to administer a unit of blood to a client who is anemic.
What is the maximum safe administration time?
a. 6 hours
b. 1 hour
c. 2 hours
d. 4 hours - ✔✔d. 4 hours
, 7. Which of the following assessment findings would the nurse expect in the
client with a lower urinary tract infection (UTI)?
a. Dysuria
b. Flank pain
c. Nausea
d. Oliguria - ✔✔a. Dysuria
8. When the nurse discusses foods high in iron with a client who has iron-
deficiency anemia, the client tells the nurse that she prepares low-cholesterol foods for
her family and probably does not eat enough meat to meet her iron requirements. It is
an appropriate goal for the client to increase dietary intake of which of the following?
a. Nuts and cornmeal
b. Eggs and fish
c. Milk and milk products
d. Legumes and dried fruit - ✔✔d. Legumes and dried fruit
Legumes and dried fruits are high in iron and low in fat and cholesterol.
9. A 21-year-old client is having a sickle cell crisis for the first time in many
years. He asks the nurse why the sickling causes such pain. The nurse should explain that
the pain of sickling is caused by which of the following?
a. Deposition of sickled red cells in the bone marrow
100% RATED CORRECT- SURE PASS!! | Newest
2025
1. Which of the following nursing interventions will be included for a client
experiencing an acute sickle cell crisis?
a. Administration of platelets & monitoring vitals
b. Heparin therapy & iron replacement
c. Blood transfusion & monitoring of CBC
d. Administration of oxygen & pain management - ✔✔d. Administration of oxygen &
pain management
They don't need platelets, just RBCs are affected, could use heparin to dissolve possible
clots from sickled cells but iron isn't needed so this rules out option B, blood
transfusions doesn't make sense, they do need oxygen and pain management so D is
most correct.
2. A client is diagnosed with acute kidney failure. He is complaining of nausea,
pain in the abdomen, diarrhea, and muscular weakness. Also, the nurse notes an
irregularity in pulse. Based on these findings, which imbalance is this indicative of?
a. Hyponatremia
b. Hypercalcemia
c. Hyperkalemia
d. Hypouricemia - ✔✔b. Hypercalcemia
,the other ones don't make sense, definitely not C or D, and hyponatremia doesn't cause
muscle weakness
3. Taking into consideration Canadian national statistics, which of the following clients
has the highest risk factors present for spinal cord injury?
a. An 65 year old man being discharged home after having his hip replaced, that
Has a prescription for corticosteroids and pain medications
b. A 32 year old woman who receives dialysis three times per week, who likes to play
hockey on the weekend
c. A 10 year old female diagnosed with diabetes, who enjoys riding her bicycle
d. A 19 year old male who has a history of asthma, that tells you about his new car that
his grandparents bought for him as a graduation present - ✔✔d. A 19 year old male
who has a history of asthma, that tells you about his new car that his grandparents
bought for him as a graduation present
4. A client is diagnosed with stage 3 chronic kidney disease (CKD). The client is
treated with conservative management, including erythropoietin injections. After
teaching the
client about management of CKD, the nurse determines that teaching has been effective
when the client states which of the following?
a. "I need to take the erythropoietin to boost my immune system and help prevent
infection."
b. "I will try to increase my intake of fruits and vegetables."
c. "I will measure my urinary output each day to help calculate the amount I can drink."
,d. "I need to try to get more protein from dairy products." - ✔✔c. "I will measure my
urinary output each day to help calculate the amount I can drink."
Rationale: The patient with CKD who is not receiving dialysis is generally taught to
restrict fluids. The patient would need to measure urine output and then add 600 ml for
insensible losses to calculate an appropriate oral intake. Erythropoietin is given to
increase red blood cell count and will not offer any benefit for immune function. Dairy
products are restricted because of the high phosphate level. Many fruits and vegetables
are high in potassium and should be restricted in the patient with CKD.
5. In preparation for hemodialysis, a client has an arteriovenous native fistula
created in the left forearm.
To assess and maintain the patency of the fistula postoperatively, what should the nurse
do?
a. Irrigate the fistula site daily with low-dose heparin.
b. Assess the blood pressure in the affected arm.
c. Auscultate the fistula site for a bruit.
d. Assess the rate and quality of the radial pulse. - ✔✔c. Auscultate the fistula site for
a bruit.
6. The nurse is preparing to administer a unit of blood to a client who is anemic.
What is the maximum safe administration time?
a. 6 hours
b. 1 hour
c. 2 hours
d. 4 hours - ✔✔d. 4 hours
, 7. Which of the following assessment findings would the nurse expect in the
client with a lower urinary tract infection (UTI)?
a. Dysuria
b. Flank pain
c. Nausea
d. Oliguria - ✔✔a. Dysuria
8. When the nurse discusses foods high in iron with a client who has iron-
deficiency anemia, the client tells the nurse that she prepares low-cholesterol foods for
her family and probably does not eat enough meat to meet her iron requirements. It is
an appropriate goal for the client to increase dietary intake of which of the following?
a. Nuts and cornmeal
b. Eggs and fish
c. Milk and milk products
d. Legumes and dried fruit - ✔✔d. Legumes and dried fruit
Legumes and dried fruits are high in iron and low in fat and cholesterol.
9. A 21-year-old client is having a sickle cell crisis for the first time in many
years. He asks the nurse why the sickling causes such pain. The nurse should explain that
the pain of sickling is caused by which of the following?
a. Deposition of sickled red cells in the bone marrow
