NUR401 EXAM 2025 LATEST QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) | A+ GRADE STUDY
RESOURCE
1. When caring for a client who has just been admitted
with septic shock, which of these assessment data will be
of greatest concern to the nurse?
a. Arterial oxygen saturation 90%
b. Apical pulse 110 beats/min
c. Blood pressure 88/56 mm Hg
d. Urinary output 15 mL for 2 hours Correct Answer d.
Urinary output 15 mL for 2 hours
2. A client is recovering from a cystoscopy. The nurse
would expect to assess
which of the following regarding the client's urine after the
procedure?
a. Hematuria
b. Blood clots
c. Pink-tinged
d. Anuria Correct Answer c. Pink-tinged
Explanation: The bladder and urethra are usually
irritated as a result of the procedure. This causes
pink-tinged urine. Large amounts of blood in the urine,
,anuria, or blood clots are not expected findings after
this procedure.
3. A client with congestive heart failure and pulmonary
edema develops early symptoms of acute renal failure
(ARF). The nurse plans care for the client based on the
knowledge that collaborative care of the renal failure will
be directed towards which of the following goals?
a. Diluting nephrotoxic substances
b. Replacing fluid volume
c. Promoting diuresis
d. Maintaining cardiac output Correct Answer d.
Maintaining cardiac output
Rationale: The primary goal of treatment for ARF is to
eliminate the cause and provide supportive care while
the kidneys recover. Because this patient's heart
failure is causing ARF, the care will be directed toward
treatment of the heart failure. For renal failure caused
by hypertension, hypovolemia, or nephrotoxins, the
other responses would be correct.
4. Which of the following is the proper positioning for a
client experiencing hypovolemic shock?
a. Trendelenburg
b. Reverse Trendelenburg
c. Supine with head on a pillow
d. Supine with feet elevated Correct Answer d. Supine
with feet elevated - shock position
,5. During discharge teaching for the client with sickle cell
anemia, which of the following precipitating factors for
sickle cell crisis should the nurse instruct the client to
avoid?
a. Exposure to crowds
b. Limiting fluids to 2 L per day
c. Excessive dietary iron intake
d. Caffeine and alcohol intake Correct Answer a. Exposure
to crowds
rationale: Exposure to crowds increases the patient's
risk for infection, the most common cause of sickle
cell crisis. There is no restriction on caffeine use. Iron
supplementation is generally not recommended. A
high-fluid intake is recommended.
6. A client with chronic lymphocytic leukemia is
hospitalized for the treatment of severe hemolytic anemia.
Which of the following is an appropriate nursing
intervention for the client?
a. Plan care to alternate periods of rest and activity.
b. Isolate the client from visitors and other clients.
c. Encourage increased intake of fluid and fibre in the diet.
d. Provide a diet high in vitamin K and folic acid. Correct
Answer a. Plan care to alternate periods of rest and
activity.
, Rationale: Nursing care for patients with anemia
should alternate periods of rest and activity to
maintain patient mobility without causing undue
fatigue. High vitamin K diets might be used for a
patient with a bleeding disorder. There is no indication
that the patient is neutropenic, so isolation is not
needed. Increased intake of fluid and fiber will not
improve the anemia.
7. A client is scheduled for a fistula creation due to end-
stage renal disease. The
nurse would include which of the following in teaching the
client about the fistula?
a. A vein and an artery will be attached surgically.
b. The fistula can be used 2 to 4 weeks after the surgery
for dialysis treatment.
c. The arm should be immobilized for 4 to 6 weeks.
d. One needle will be inserted for each dialysis treatment.
Correct Answer d. One needle will be inserted for each
dialysis treatment
couldn't find on google, seems right though
8. A 12 years old is admitted to the emergency department
after being stung by a
bee. The client's mother tells the nurse that her son has an
allergy to bees and he has been stung before. In what
order of priority will the nurse address the complications?
1. Airway swelling
AND CORRECT ANSWERS (VERIFIED
ANSWERS) | A+ GRADE STUDY
RESOURCE
1. When caring for a client who has just been admitted
with septic shock, which of these assessment data will be
of greatest concern to the nurse?
a. Arterial oxygen saturation 90%
b. Apical pulse 110 beats/min
c. Blood pressure 88/56 mm Hg
d. Urinary output 15 mL for 2 hours Correct Answer d.
Urinary output 15 mL for 2 hours
2. A client is recovering from a cystoscopy. The nurse
would expect to assess
which of the following regarding the client's urine after the
procedure?
a. Hematuria
b. Blood clots
c. Pink-tinged
d. Anuria Correct Answer c. Pink-tinged
Explanation: The bladder and urethra are usually
irritated as a result of the procedure. This causes
pink-tinged urine. Large amounts of blood in the urine,
,anuria, or blood clots are not expected findings after
this procedure.
3. A client with congestive heart failure and pulmonary
edema develops early symptoms of acute renal failure
(ARF). The nurse plans care for the client based on the
knowledge that collaborative care of the renal failure will
be directed towards which of the following goals?
a. Diluting nephrotoxic substances
b. Replacing fluid volume
c. Promoting diuresis
d. Maintaining cardiac output Correct Answer d.
Maintaining cardiac output
Rationale: The primary goal of treatment for ARF is to
eliminate the cause and provide supportive care while
the kidneys recover. Because this patient's heart
failure is causing ARF, the care will be directed toward
treatment of the heart failure. For renal failure caused
by hypertension, hypovolemia, or nephrotoxins, the
other responses would be correct.
4. Which of the following is the proper positioning for a
client experiencing hypovolemic shock?
a. Trendelenburg
b. Reverse Trendelenburg
c. Supine with head on a pillow
d. Supine with feet elevated Correct Answer d. Supine
with feet elevated - shock position
,5. During discharge teaching for the client with sickle cell
anemia, which of the following precipitating factors for
sickle cell crisis should the nurse instruct the client to
avoid?
a. Exposure to crowds
b. Limiting fluids to 2 L per day
c. Excessive dietary iron intake
d. Caffeine and alcohol intake Correct Answer a. Exposure
to crowds
rationale: Exposure to crowds increases the patient's
risk for infection, the most common cause of sickle
cell crisis. There is no restriction on caffeine use. Iron
supplementation is generally not recommended. A
high-fluid intake is recommended.
6. A client with chronic lymphocytic leukemia is
hospitalized for the treatment of severe hemolytic anemia.
Which of the following is an appropriate nursing
intervention for the client?
a. Plan care to alternate periods of rest and activity.
b. Isolate the client from visitors and other clients.
c. Encourage increased intake of fluid and fibre in the diet.
d. Provide a diet high in vitamin K and folic acid. Correct
Answer a. Plan care to alternate periods of rest and
activity.
, Rationale: Nursing care for patients with anemia
should alternate periods of rest and activity to
maintain patient mobility without causing undue
fatigue. High vitamin K diets might be used for a
patient with a bleeding disorder. There is no indication
that the patient is neutropenic, so isolation is not
needed. Increased intake of fluid and fiber will not
improve the anemia.
7. A client is scheduled for a fistula creation due to end-
stage renal disease. The
nurse would include which of the following in teaching the
client about the fistula?
a. A vein and an artery will be attached surgically.
b. The fistula can be used 2 to 4 weeks after the surgery
for dialysis treatment.
c. The arm should be immobilized for 4 to 6 weeks.
d. One needle will be inserted for each dialysis treatment.
Correct Answer d. One needle will be inserted for each
dialysis treatment
couldn't find on google, seems right though
8. A 12 years old is admitted to the emergency department
after being stung by a
bee. The client's mother tells the nurse that her son has an
allergy to bees and he has been stung before. In what
order of priority will the nurse address the complications?
1. Airway swelling
