ADN 120 Final Exam – Questions And Accurate
Answers
The nurse notes documentation in a client's medical record that the
client is experiencing anuria. Based on this notation, what
determination should the nurse make?
A. The client is unable to produce urine.
B. The client has a diminished capacity to form urine.
C. The client has difficulty having a bowel movement.
D. The client has episodes of alternating constipation and diarrhea.
Correct Answer - A. The client is unable to produce urine.
The nurse is caring for a client who has a fever and is diaphoretic.
The nurse monitors the client's intake and output and expects which
finding?
A. The client's urine is diluted.
B. The client's output is decreased.
C. The client's urine production is increased.
D. The majority of the client's fluid is excreted through the skin.
Correct Answer - B. The client's output is decreased.
The nurse instructs a client taking a potassium-retaining diuretic
about foods high in potassium that need to be avoided. The nurse
determines that the client needs further instruction if the client
states that which food is high in potassium?
A. Kiwi
B. Celery
C. Oranges
D. Dried fruit Correct Answer - B. Celery
,A clear liquid diet has been prescribed for a client. The nurse should
offer which item to the client?
A. Apple juice
B. Orange juice
C. Tomato juice
D. Ice cream without nuts Correct Answer - A. Apple juice
The nurse caring for a client following a bowel resection notes that
the client is restless. The nurse takes the client's vital signs and
notes that the client's pulse rate has increased and that the blood
pressure has dropped significantly since the previous readings. The
nurse suspects that the client is going into shock and should take
which immediate action?
A. Check the client's oxygen saturation level.
B. Recheck the vital signs to verify the findings.
C. Raise the client's legs above the level of the heart.
D. Slow the rate of the intravenous (IV) fluid infusing. Correct
Answer - C. Raise the client's legs above the level of the heart.
The client has been diagnosed with polycystic kidney disease. The
nurse should assess the client for which manifestation that is most
common for this disorder?
A. Headache
B. Hypotension
C. Flank pain and hematuria
D. Complaints of low pelvic pain Correct Answer - C. Flank pain
and hematuria
A client with chronic kidney disease returns to the nursing unit after
receiving his second hemodialysis treatment; the nurse is
,monitoring the client closely for signs of disequilibrium syndrome.
What is a sign of this syndrome?
A. Irritability
B. Tachycardia
C. Hypothermia
D. Mental confusion Correct Answer - D. Mental confusion
A hospitalized client with chronic kidney disease has returned to the
nursing unit after a hemodialysis treatment. The nurse should check
predialysis and postdialysis documentation of which parameters to
determine the effectiveness of the procedure?
A. Blood pressure and weight
B. Weight and blood urea nitrogen
C. Potassium level and creatinine levels
D. Blood urea nitrogen and creatinine levels Correct Answer -
A. Blood pressure and weight
The nurse notes that a child with Hirschsprung disease who is
scheduled for surgery has inadequate fluid volume. The nurse
should plan to implement which intervention to stabilize the child's
hydration status before surgery?
A. Monitor daily weight.
B. Monitor intake and output.
C. Administer tap water enemas.
D. Administer intravenous fluids and electrolytes. Correct Answer
- D. Administer intravenous fluids and electrolytes
The nurse is preparing to care for a pediatric client with an
intravenous solution infusing. The nurse should ensure that which
item is in place to prevent fluid overload in this client?
, A. Armboard
B. Infusion pump
C. Macrodrip infusion set
D. Large-bore intravenous catheter Correct Answer - B.
Infusion pump
A client is taking amiloride hydrochloride daily. The nurse should
tell the client to take the dose at what time?
A. At bedtime
B. On an empty stomach
C. Between lunch and dinner
D. In the morning with breakfast Correct Answer - D. In the
morning with breakfast
A client with acute kidney injury has been treated with sodium
polystyrene sulfonate by mouth. The nurse should evaluate this
therapy as most effective if which value was noted on follow-up
laboratory testing?
A. Calcium 9.8 mg/dL (2.5 mmol/L))
B. Sodium 142 mEq/L (142 mmol/L)
C. Potassium 4.9 mEq/L (4.9 mmol/L)
D. Phosphorus 3.9 mg/dL (1.26 mmol/L) Correct Answer - C.
Potassium 4.9 mEq/L (4.9 mmol/L)
The nurse is caring for a client who is receiving a potassium-
retaining diuretic. The nurse should monitor for which side effect of
the medication?
A. Dry skin
B. Constipation
C. Hyperkalemia
D. Hypernatremia Correct Answer - C. Hyperkalemia
Answers
The nurse notes documentation in a client's medical record that the
client is experiencing anuria. Based on this notation, what
determination should the nurse make?
A. The client is unable to produce urine.
B. The client has a diminished capacity to form urine.
C. The client has difficulty having a bowel movement.
D. The client has episodes of alternating constipation and diarrhea.
Correct Answer - A. The client is unable to produce urine.
The nurse is caring for a client who has a fever and is diaphoretic.
The nurse monitors the client's intake and output and expects which
finding?
A. The client's urine is diluted.
B. The client's output is decreased.
C. The client's urine production is increased.
D. The majority of the client's fluid is excreted through the skin.
Correct Answer - B. The client's output is decreased.
The nurse instructs a client taking a potassium-retaining diuretic
about foods high in potassium that need to be avoided. The nurse
determines that the client needs further instruction if the client
states that which food is high in potassium?
A. Kiwi
B. Celery
C. Oranges
D. Dried fruit Correct Answer - B. Celery
,A clear liquid diet has been prescribed for a client. The nurse should
offer which item to the client?
A. Apple juice
B. Orange juice
C. Tomato juice
D. Ice cream without nuts Correct Answer - A. Apple juice
The nurse caring for a client following a bowel resection notes that
the client is restless. The nurse takes the client's vital signs and
notes that the client's pulse rate has increased and that the blood
pressure has dropped significantly since the previous readings. The
nurse suspects that the client is going into shock and should take
which immediate action?
A. Check the client's oxygen saturation level.
B. Recheck the vital signs to verify the findings.
C. Raise the client's legs above the level of the heart.
D. Slow the rate of the intravenous (IV) fluid infusing. Correct
Answer - C. Raise the client's legs above the level of the heart.
The client has been diagnosed with polycystic kidney disease. The
nurse should assess the client for which manifestation that is most
common for this disorder?
A. Headache
B. Hypotension
C. Flank pain and hematuria
D. Complaints of low pelvic pain Correct Answer - C. Flank pain
and hematuria
A client with chronic kidney disease returns to the nursing unit after
receiving his second hemodialysis treatment; the nurse is
,monitoring the client closely for signs of disequilibrium syndrome.
What is a sign of this syndrome?
A. Irritability
B. Tachycardia
C. Hypothermia
D. Mental confusion Correct Answer - D. Mental confusion
A hospitalized client with chronic kidney disease has returned to the
nursing unit after a hemodialysis treatment. The nurse should check
predialysis and postdialysis documentation of which parameters to
determine the effectiveness of the procedure?
A. Blood pressure and weight
B. Weight and blood urea nitrogen
C. Potassium level and creatinine levels
D. Blood urea nitrogen and creatinine levels Correct Answer -
A. Blood pressure and weight
The nurse notes that a child with Hirschsprung disease who is
scheduled for surgery has inadequate fluid volume. The nurse
should plan to implement which intervention to stabilize the child's
hydration status before surgery?
A. Monitor daily weight.
B. Monitor intake and output.
C. Administer tap water enemas.
D. Administer intravenous fluids and electrolytes. Correct Answer
- D. Administer intravenous fluids and electrolytes
The nurse is preparing to care for a pediatric client with an
intravenous solution infusing. The nurse should ensure that which
item is in place to prevent fluid overload in this client?
, A. Armboard
B. Infusion pump
C. Macrodrip infusion set
D. Large-bore intravenous catheter Correct Answer - B.
Infusion pump
A client is taking amiloride hydrochloride daily. The nurse should
tell the client to take the dose at what time?
A. At bedtime
B. On an empty stomach
C. Between lunch and dinner
D. In the morning with breakfast Correct Answer - D. In the
morning with breakfast
A client with acute kidney injury has been treated with sodium
polystyrene sulfonate by mouth. The nurse should evaluate this
therapy as most effective if which value was noted on follow-up
laboratory testing?
A. Calcium 9.8 mg/dL (2.5 mmol/L))
B. Sodium 142 mEq/L (142 mmol/L)
C. Potassium 4.9 mEq/L (4.9 mmol/L)
D. Phosphorus 3.9 mg/dL (1.26 mmol/L) Correct Answer - C.
Potassium 4.9 mEq/L (4.9 mmol/L)
The nurse is caring for a client who is receiving a potassium-
retaining diuretic. The nurse should monitor for which side effect of
the medication?
A. Dry skin
B. Constipation
C. Hyperkalemia
D. Hypernatremia Correct Answer - C. Hyperkalemia
