NR 324/ NR324 EXAM 1: (NEW 2025/2026
UPDATE) ADULT HEALTH NURSING GUIDE |
QUESTIONS & ANSWERS | GRADE A | 100%
CORRECT (VERIFIED SOLUTIONS) –
CHAMBERLAIN
Peritonitis Findings - cloudy dialysis output
How do you know if Epoetin Alpha Effectiveness - Increase in serum hematocrit
LR Infusion Program - 1000 ml LR over 8 hours= 125 ml per hour
What are you checking for a Dialysis PT AV Fistula - Palpate for Thrill/Bruit
Check radial pulse
Ensure sensation and fingers can move
Instruct not to take BP or draw blood in that arm
ESKD (End Stage Kidney Disease) Risk Factors - Diabetics
Poorly controlled hypertension
COVID - ABG for most accurate O2 stats
Fully Compensated Respiratory Acidosis - pH 7.36, CO2 50, HCO3 29
Hypovolemia Symptoms - Tachycardia
syncope
dry mucous membranes
vomiting
diarrhea
Decrease urine output
Dehydration
What kind of fluid will Hypovolemia pt gets? - 0.45 isotonic solution
Isotonic (Fluid does not move)
, Hypertonic (Fluid enter)
Hypotonic (Fluid out) - 0.9% normal saline
3% Saline
0.45 Half saline
What is PAC02 of 29 - Respiratory alkalosis
PT comes in and they are an alcoholic, flat T wave, and prom U wave what electrolyte imbalance
will you see - Low potassium
What will you monitor in Diuresis - Dehydration
CT Scan with Contrast Intervention - Encourage adequate fluids
CKD diet modifications - Wheat toast, blueberry for breakfast
Hemodialysis PT Teaching - Record weight daily
Intake and output
BPH ( Benign prostatic hyperplasia) Symptoms - Weak stream
Urinary frequency
urgency
Stress Incontinence - Occurs with sneezing and urination
Reflex Incontinence - Involuntary due to overdistension overflow
Testicular Cancer Teaching - Teach self-exam
PSA Definition - Prostate specific antigen
Prostate Cancer Screening Frequency - As recommended
Acute Kidney Injury Caution - Avoid nephrotoxicity causing medications
Tamsulosin Purpose - Facilitates urine flow
TERP Nursing Intervention - Monitor patency of catheter suprapubic urine flow
Urinary Frequency Nursing Intervention - Ensure at least 3L of fluids intake
ESWL (Extracorporeal shock wave lithotripsy) Post-Procedure Action - Strain urine for
stones
UPDATE) ADULT HEALTH NURSING GUIDE |
QUESTIONS & ANSWERS | GRADE A | 100%
CORRECT (VERIFIED SOLUTIONS) –
CHAMBERLAIN
Peritonitis Findings - cloudy dialysis output
How do you know if Epoetin Alpha Effectiveness - Increase in serum hematocrit
LR Infusion Program - 1000 ml LR over 8 hours= 125 ml per hour
What are you checking for a Dialysis PT AV Fistula - Palpate for Thrill/Bruit
Check radial pulse
Ensure sensation and fingers can move
Instruct not to take BP or draw blood in that arm
ESKD (End Stage Kidney Disease) Risk Factors - Diabetics
Poorly controlled hypertension
COVID - ABG for most accurate O2 stats
Fully Compensated Respiratory Acidosis - pH 7.36, CO2 50, HCO3 29
Hypovolemia Symptoms - Tachycardia
syncope
dry mucous membranes
vomiting
diarrhea
Decrease urine output
Dehydration
What kind of fluid will Hypovolemia pt gets? - 0.45 isotonic solution
Isotonic (Fluid does not move)
, Hypertonic (Fluid enter)
Hypotonic (Fluid out) - 0.9% normal saline
3% Saline
0.45 Half saline
What is PAC02 of 29 - Respiratory alkalosis
PT comes in and they are an alcoholic, flat T wave, and prom U wave what electrolyte imbalance
will you see - Low potassium
What will you monitor in Diuresis - Dehydration
CT Scan with Contrast Intervention - Encourage adequate fluids
CKD diet modifications - Wheat toast, blueberry for breakfast
Hemodialysis PT Teaching - Record weight daily
Intake and output
BPH ( Benign prostatic hyperplasia) Symptoms - Weak stream
Urinary frequency
urgency
Stress Incontinence - Occurs with sneezing and urination
Reflex Incontinence - Involuntary due to overdistension overflow
Testicular Cancer Teaching - Teach self-exam
PSA Definition - Prostate specific antigen
Prostate Cancer Screening Frequency - As recommended
Acute Kidney Injury Caution - Avoid nephrotoxicity causing medications
Tamsulosin Purpose - Facilitates urine flow
TERP Nursing Intervention - Monitor patency of catheter suprapubic urine flow
Urinary Frequency Nursing Intervention - Ensure at least 3L of fluids intake
ESWL (Extracorporeal shock wave lithotripsy) Post-Procedure Action - Strain urine for
stones
