NURS 317 Exam Midterm Questions and
answers 2025
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 .remaini
ng .that .the .client .can .consume .during .the .evening .shift? .- .ANS✓✓-500
The .class .of .diuretics .that .act .to .block .the .chloride .pump .in .the .distal .convolut
ed .tubules .and .leads .to .a .loss .of .sodium .and .potassium .and .a .minor .loss .of .w
ater .is .what?
A)
Carbonic .anhydrase .inhibitors
B)
Osmotic .diuretics
C)
Potassium-sparing .diuretics
D)
Thiazide .diuretics .- .ANS✓✓-thiazide
A .client .with .a .diagnosis .of .chronic .kidney .disease .may .require .the .administrati
on .of .which .of .the .following .drugs .to .treat .co .exisiting .conditions .that .carry .a .
high .mortality .- .ANS✓✓-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? .- .ANS✓✓-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? .- .ANS✓✓-0.16
a .patient .with .benign .prostate .hypertrophy .has .just .begun .to .take .pentosan .pol
ysulfate .sodium. .The .nurse .would .notify .the .physician .if .the .patient .exhibited .w
hich .symptoms. .- .ANS✓✓-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 .m
ake? .- .ANS✓✓-taking .the .medicine .with .or .after .meals
a .drug .abuser .was .found .unconscious .after .shooting .up .heroin .2 .days .prior. .B
ecause .of .the .pressure .placed .on .the .hip .and .arm, .the .client .has .developed .rha
bdomyolysis. .The .nurse .knows .this .can: .- .ANS✓✓-
obstruct .the .renal .tubules .with .mygoglobin .and .damage .tubular .cells
which .of .the .following .clients .is .likely .at .the .greatest .risk .of .developing .a .urina
ry .tract .infection? .- .ANS✓✓-
a .79 .year .old .client .with .an .indwelling .catheter .for .urinary .incontience
glomerunephritis .is .usually .caused .by .- .ANS✓✓-antigen .- .antibody .complexes
a .client .reports .drinking .45% .of .a .12 .ounce .can .of .soda. .How .many .ounces .are
.documented? .- .ANS✓✓-5.4
a .child .is .recovering .from .a .bout .with .group .A .B-
hemolytic .Streptococcus .infection. .They .return .to .the .clinic .a .week .later .compla
ining .of .decrease .in .urine .output .with .puffiness .and .edema .noted .in .the .face .an
d .hands. .The .health .care .provider .suspects .the .child .has .developed: .- .ANS✓✓-
acute .postinfectious .glomeruulonephritis
the .nurse .is .caring .for .a .patient .who .has .just .been .diagnosed .with .essential .hy
pertension. .The .nurse .is .aware .that .the .health .care .provider .will .begin .therapy .
with .which .classification .of .diuretics? .- .ANS✓✓-
thaizide .and .thizide .like .diuretics
a .client .who .has .had .recurrent .UTIs .asks .the .nurse .about .the .old .wise .tale .of .d
rinking .cranberry .juice .daily. .The .nurse .can .respond: .- .ANS✓✓-
research .suggests .cranberry .juice .will .reduce .bacterial .adherence .to .the .lining .
of .the .urinary .tract
a .clinic .patient .has .been .prescribed .phenzopyridine .for .aid .in .treating .a .UTI. .Th
is .patient .should .be .informed .that .Pyridium .will .turn .urine .what .color? .- .ANS✓
✓-reddish-orange
answers 2025
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 .remaini
ng .that .the .client .can .consume .during .the .evening .shift? .- .ANS✓✓-500
The .class .of .diuretics .that .act .to .block .the .chloride .pump .in .the .distal .convolut
ed .tubules .and .leads .to .a .loss .of .sodium .and .potassium .and .a .minor .loss .of .w
ater .is .what?
A)
Carbonic .anhydrase .inhibitors
B)
Osmotic .diuretics
C)
Potassium-sparing .diuretics
D)
Thiazide .diuretics .- .ANS✓✓-thiazide
A .client .with .a .diagnosis .of .chronic .kidney .disease .may .require .the .administrati
on .of .which .of .the .following .drugs .to .treat .co .exisiting .conditions .that .carry .a .
high .mortality .- .ANS✓✓-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? .- .ANS✓✓-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? .- .ANS✓✓-0.16
a .patient .with .benign .prostate .hypertrophy .has .just .begun .to .take .pentosan .pol
ysulfate .sodium. .The .nurse .would .notify .the .physician .if .the .patient .exhibited .w
hich .symptoms. .- .ANS✓✓-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 .m
ake? .- .ANS✓✓-taking .the .medicine .with .or .after .meals
a .drug .abuser .was .found .unconscious .after .shooting .up .heroin .2 .days .prior. .B
ecause .of .the .pressure .placed .on .the .hip .and .arm, .the .client .has .developed .rha
bdomyolysis. .The .nurse .knows .this .can: .- .ANS✓✓-
obstruct .the .renal .tubules .with .mygoglobin .and .damage .tubular .cells
which .of .the .following .clients .is .likely .at .the .greatest .risk .of .developing .a .urina
ry .tract .infection? .- .ANS✓✓-
a .79 .year .old .client .with .an .indwelling .catheter .for .urinary .incontience
glomerunephritis .is .usually .caused .by .- .ANS✓✓-antigen .- .antibody .complexes
a .client .reports .drinking .45% .of .a .12 .ounce .can .of .soda. .How .many .ounces .are
.documented? .- .ANS✓✓-5.4
a .child .is .recovering .from .a .bout .with .group .A .B-
hemolytic .Streptococcus .infection. .They .return .to .the .clinic .a .week .later .compla
ining .of .decrease .in .urine .output .with .puffiness .and .edema .noted .in .the .face .an
d .hands. .The .health .care .provider .suspects .the .child .has .developed: .- .ANS✓✓-
acute .postinfectious .glomeruulonephritis
the .nurse .is .caring .for .a .patient .who .has .just .been .diagnosed .with .essential .hy
pertension. .The .nurse .is .aware .that .the .health .care .provider .will .begin .therapy .
with .which .classification .of .diuretics? .- .ANS✓✓-
thaizide .and .thizide .like .diuretics
a .client .who .has .had .recurrent .UTIs .asks .the .nurse .about .the .old .wise .tale .of .d
rinking .cranberry .juice .daily. .The .nurse .can .respond: .- .ANS✓✓-
research .suggests .cranberry .juice .will .reduce .bacterial .adherence .to .the .lining .
of .the .urinary .tract
a .clinic .patient .has .been .prescribed .phenzopyridine .for .aid .in .treating .a .UTI. .Th
is .patient .should .be .informed .that .Pyridium .will .turn .urine .what .color? .- .ANS✓
✓-reddish-orange
