NURS 301 - Test 3 Questions With Complete Solutions
A diagnostic study that evaluates renal blood flow, glomerular
filtration, tubular function, and excretion is a(n)
a. IVP.
b. VCUG.
c. renal scan.
d. loopogram. Correct Answer C
A kidney transplant recipient has had fever, chills, and dysuria
over the past 2 days. What is the first action that the nurse
should take?
a. Assess temperature and initiate workup to rule out infection.
b. Reassure the patient that this is common after transplantation.
c. Provide warm covers to the patient and give 1 gram oral
acetaminophen.
d. Notify the nephrologist that the patient has manifestations of
acute rejection. Correct Answer A
A patient asks, "How does air get into my lungs?" The nurse
bases her answer on knowledge that air moves into the lungs
because of
a. positive intrathoracic pressure.
b. contraction of the accessory abdominal muscles.
c. stimulation of the respiratory muscles by the chemoreceptors.
d. a decrease in intrathoracic pressure from an increase in
thoracic cavity size. Correct Answer D
A patient has been receiving high-dose corticosteroids and
broad-spectrum antibiotics for treatment of an infection after a
,traumatic injury. The nurse plans care for the patient knowing
that the patient is most susceptible to
a. candidiasis.
b. cryptococcosis.
c. histoplasmosis.
d. coccidioidomycosis. Correct Answer A
A patient has had a cystectomy and ileal conduit diversion. Four
days after surgery, you note mucous shreds in the drainage bag.
The nurse should
a. notify the provider.
b. notify the charge nurse.
c. irrigate the drainage tube.
d. document it as a normal observation. Correct Answer D
A patient is admitted to the hospital with chronic kidney disease.
The nurse understands that this condition is characterized by
a. progressive irreversible destruction of the kidneys.
b. a rapid decrease in urine output with an elevated BUN.
c. an increasing creatinine clearance with a decrease in urine
output.
d. prostration, somnolence, and confusion with coma and
imminent death. Correct Answer A
A patient is admitted to the hospital with severe renal colic. The
nurse's first priority in management of the patient is to
a. administer opioids as prescribed.
b. obtain supplies for straining all urine.
c. encourage fluid intake of 3 to 4 L/day.
d. keep the patient NPO in preparation for surgery. Correct
Answer A
, A patient is concerned that he may have asthma. Of the
symptoms that he describes to the nurse, which ones suggest
asthma or risk factors for asthma? (select all that apply)
a. Allergic rhinitis
b. Prolonged inhalation
c. Cough, especially at night
d. Gastric reflux or heartburn
e. History of chronic sinusitis Correct Answer A, C, D, E
A patient is seen at the clinic with fever, muscle aches, sore
throat with yellowish exudate, and headache. The nurse
anticipates that the interprofessional management will include
(select all that apply)
a. antiviral agents to treat influenza.
b. treatment with antibiotics starting ASAP.
c. a throat culture or rapid strep antigen test.
d. supportive care, including cool, bland liquids.
e. comprehensive history to determine possible cause. Correct
Answer C, D, E
A patient is seen in the clinic for a nosebleed, which is
controlled by placement of anterior nasal packing. During
discharge teaching, the nurse teaches the patient to
a. use aspirin for pain relief.
b. remove the packing later that day.
c. avoid vigorous nose blowing and strenuous activity.
d. insert more packing into the nose if rebleeding occurs.
Correct Answer C
A diagnostic study that evaluates renal blood flow, glomerular
filtration, tubular function, and excretion is a(n)
a. IVP.
b. VCUG.
c. renal scan.
d. loopogram. Correct Answer C
A kidney transplant recipient has had fever, chills, and dysuria
over the past 2 days. What is the first action that the nurse
should take?
a. Assess temperature and initiate workup to rule out infection.
b. Reassure the patient that this is common after transplantation.
c. Provide warm covers to the patient and give 1 gram oral
acetaminophen.
d. Notify the nephrologist that the patient has manifestations of
acute rejection. Correct Answer A
A patient asks, "How does air get into my lungs?" The nurse
bases her answer on knowledge that air moves into the lungs
because of
a. positive intrathoracic pressure.
b. contraction of the accessory abdominal muscles.
c. stimulation of the respiratory muscles by the chemoreceptors.
d. a decrease in intrathoracic pressure from an increase in
thoracic cavity size. Correct Answer D
A patient has been receiving high-dose corticosteroids and
broad-spectrum antibiotics for treatment of an infection after a
,traumatic injury. The nurse plans care for the patient knowing
that the patient is most susceptible to
a. candidiasis.
b. cryptococcosis.
c. histoplasmosis.
d. coccidioidomycosis. Correct Answer A
A patient has had a cystectomy and ileal conduit diversion. Four
days after surgery, you note mucous shreds in the drainage bag.
The nurse should
a. notify the provider.
b. notify the charge nurse.
c. irrigate the drainage tube.
d. document it as a normal observation. Correct Answer D
A patient is admitted to the hospital with chronic kidney disease.
The nurse understands that this condition is characterized by
a. progressive irreversible destruction of the kidneys.
b. a rapid decrease in urine output with an elevated BUN.
c. an increasing creatinine clearance with a decrease in urine
output.
d. prostration, somnolence, and confusion with coma and
imminent death. Correct Answer A
A patient is admitted to the hospital with severe renal colic. The
nurse's first priority in management of the patient is to
a. administer opioids as prescribed.
b. obtain supplies for straining all urine.
c. encourage fluid intake of 3 to 4 L/day.
d. keep the patient NPO in preparation for surgery. Correct
Answer A
, A patient is concerned that he may have asthma. Of the
symptoms that he describes to the nurse, which ones suggest
asthma or risk factors for asthma? (select all that apply)
a. Allergic rhinitis
b. Prolonged inhalation
c. Cough, especially at night
d. Gastric reflux or heartburn
e. History of chronic sinusitis Correct Answer A, C, D, E
A patient is seen at the clinic with fever, muscle aches, sore
throat with yellowish exudate, and headache. The nurse
anticipates that the interprofessional management will include
(select all that apply)
a. antiviral agents to treat influenza.
b. treatment with antibiotics starting ASAP.
c. a throat culture or rapid strep antigen test.
d. supportive care, including cool, bland liquids.
e. comprehensive history to determine possible cause. Correct
Answer C, D, E
A patient is seen in the clinic for a nosebleed, which is
controlled by placement of anterior nasal packing. During
discharge teaching, the nurse teaches the patient to
a. use aspirin for pain relief.
b. remove the packing later that day.
c. avoid vigorous nose blowing and strenuous activity.
d. insert more packing into the nose if rebleeding occurs.
Correct Answer C
