NUR401 Practice Exam (2025) Actual
Exam Questions and Answers A+
Graded
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
2. .Hypotension
3. .Tachypnea
4. .Tachycardia
a. .2, .4, .1, .3
b. .1, .2, .3, .4
c. .1, .3 .,2, .4
d. .3, .1, .2, .4 .- .CORRECT .ANSWER .-c. .1, .3 .,2, .4
1. .Airway .swelling
3. .Tachypnea
2. .Hypotension
4. .Tachycardia
9. .A .client .with .multiple .trauma .is .brought .to .the .emergency .department. .The
nurse .initiates .two .peripheral .intravenous .(IV) .sites .and .begins .fluid
.resuscitation .with .which .of .the .following .fluids?
a. .Dextran
b. .3.0% .saline
c. .Dextrose .5% .in .water .in .one-half .normal .saline
d. .0.9% .saline .- .CORRECT .ANSWER .-d. .0.9% .saline
Fluid .resuscitation .is .accomplished .by .using .normal .saline, .that .is, .0.9% .saline.
10. .A .client .asks .the .nurse .what .effect .dialysis .will .have .on .the .medications .he
.is
currently .taking. .What .is .the .nurse's .best .response?
a. .Dangerously .low .blood .pressure .may .occur .if .antihypertensives .are .taken
.before .dialysis
b. .Once-daily .medications .are .best .taken .before .dialysis .treatments
c. .Dialysis .treatments .remove .all .medications .from .the .blood.
d. .Medications .are .not .removed .during .dialysis .treatments .- .CORRECT
.ANSWER .-a. .Dangerously .low .blood .pressure .may .occur .if .antihypertensives
.are .taken .before .dialysis
Exam Questions and Answers A+
Graded
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
2. .Hypotension
3. .Tachypnea
4. .Tachycardia
a. .2, .4, .1, .3
b. .1, .2, .3, .4
c. .1, .3 .,2, .4
d. .3, .1, .2, .4 .- .CORRECT .ANSWER .-c. .1, .3 .,2, .4
1. .Airway .swelling
3. .Tachypnea
2. .Hypotension
4. .Tachycardia
9. .A .client .with .multiple .trauma .is .brought .to .the .emergency .department. .The
nurse .initiates .two .peripheral .intravenous .(IV) .sites .and .begins .fluid
.resuscitation .with .which .of .the .following .fluids?
a. .Dextran
b. .3.0% .saline
c. .Dextrose .5% .in .water .in .one-half .normal .saline
d. .0.9% .saline .- .CORRECT .ANSWER .-d. .0.9% .saline
Fluid .resuscitation .is .accomplished .by .using .normal .saline, .that .is, .0.9% .saline.
10. .A .client .asks .the .nurse .what .effect .dialysis .will .have .on .the .medications .he
.is
currently .taking. .What .is .the .nurse's .best .response?
a. .Dangerously .low .blood .pressure .may .occur .if .antihypertensives .are .taken
.before .dialysis
b. .Once-daily .medications .are .best .taken .before .dialysis .treatments
c. .Dialysis .treatments .remove .all .medications .from .the .blood.
d. .Medications .are .not .removed .during .dialysis .treatments .- .CORRECT
.ANSWER .-a. .Dangerously .low .blood .pressure .may .occur .if .antihypertensives
.are .taken .before .dialysis
