1. A client arrives at the ambulatory care clinic with Blow or trauma to th
low abdominal pain. A routine urine specimen reveals bladder or abdomen
hematuria. The client does not have a fever. The nurse
would next ask the client about a history of which
condition?
2. A client is admitted to the surgical nursing unit follow- Blood pressure of 1
ing transurethral resection of the prostate (TURP) for mm Hg, pulse 110 b
benign prostatic hypertrophy. The client has a bladder per minute
irrigation infusing, and output is light cherry colored.
The blood pressure is 134/82 mm Hg, the pulse is
84 beats per minute, and the client is afebrile with a
respiratory rate of 18 breaths per minute. The licensed
practical nurse (LPN) assisting in caring for the client
collects assessment data 1 hour after admission to
the nursing unit. The LPN notifies the registered nurse
(RN) if which is noted on data collection?
3. A client newly diagnosed with chronic kidney disease Explain that the pain
will be receiving peritoneal dialysis. During the infu- subside after the firs
sion of the dialysate, the client complains of abdomi- exchanges
nal pain. Which action by the nurse is appropriate?
4. After having a transurethral resection of the prostate - Check the bladder
(TURP), a client has a continuous bladder irrigation distention
(CBI) postoperatively. The nurse notes that fluid is - Review intake and
entering the bladder, but none appears to be draining. record
Select the appropriate nursing interventions. Select all - Check to ensure
that apply. drainage tubing is n
kinked
- Ask the client abou
, der spasms and dis
fort.
5. The nurse is reviewing the history and physical exam- 1,2,5
ination on a client diagnosed with polycystic kidney
disease. Which data would the nurse expect to see?
Select all that apply.
6. The nurse is assessing the patency of an arteriove- Palpation of a thrill o
nous fistula in the left arm of a client who is receiving the fistula
hemodialysis for the treatment of chronic kidney dis-
ease. Which finding indicates that the fistula is patent?
7. The nurse notes that a client's urinalysis report con- diabetes mellitus
tains a notation of positive red blood cells (RBCs). The
nurse interprets that this finding is unrelated to which
information in the client's medical record?
8. A client with end-stage kidney disease (ESKD) under- 1,2,5
goes a surgical procedure to create an arteriovenous
fistula for hemodialysis in the upper extremity. The
nurse would take which actions when the client re-
turns from surgery? Select all that apply.
9. A client who has calcium phosphate kidney stones 2,4,5
tells the nurse, "Tell me what I can do so that I never
have this pain again." Which instructions would the
nurse plan to include in the reinforcement of dietary
instructions? Select all that apply.
10. A male client has a history of urinary tract infections 1
due to urinary retention. Which intervention would
the nurse implement to decrease the risk of infection?
, 11. The nurse is reviewing the client's record and notes 1,3,5
that the primary health care provider (PHCP) has doc-
umented that the client has a renal disorder. Which
laboratory results would indicate a decrease in renal
function? Select all that apply.
12. The client is prescribed trimethoprim-sulfamethoxa- 4
zole for a recurrent urinary tract infection (UTI). The
nurse would reinforce which most appropriate in-
structions to the client regarding this medication?
13. The nurse is reviewing the laboratory results and 2,3,5
physical examination of a client with acute glomeru-
lonephritis. Which data would the nurse see? Select all
that apply.
14. The nurse is collecting data from a client who has had 4
benign prostatic hyperplasia (BPH) in the past. To de-
termine whether the client is currently experiencing
exacerbation of BPH, the nurse would ask the client
about the presence of which early symptom?
15. A long-term care nurse notes that an older client who 1,6
is normally alert has become progressively confused
and irritable. What diagnostic tests would the nurse
anticipate the primary health care provider to pre-
scribe? Select all that apply.
16. The nurse is talking with a client who has an arteri- "I sleep on my left s
ovenous fistula in the left arm. What statement by the with my arm tucked
client indicates a need for further teaching? my pillow."
17. Decongestants
low abdominal pain. A routine urine specimen reveals bladder or abdomen
hematuria. The client does not have a fever. The nurse
would next ask the client about a history of which
condition?
2. A client is admitted to the surgical nursing unit follow- Blood pressure of 1
ing transurethral resection of the prostate (TURP) for mm Hg, pulse 110 b
benign prostatic hypertrophy. The client has a bladder per minute
irrigation infusing, and output is light cherry colored.
The blood pressure is 134/82 mm Hg, the pulse is
84 beats per minute, and the client is afebrile with a
respiratory rate of 18 breaths per minute. The licensed
practical nurse (LPN) assisting in caring for the client
collects assessment data 1 hour after admission to
the nursing unit. The LPN notifies the registered nurse
(RN) if which is noted on data collection?
3. A client newly diagnosed with chronic kidney disease Explain that the pain
will be receiving peritoneal dialysis. During the infu- subside after the firs
sion of the dialysate, the client complains of abdomi- exchanges
nal pain. Which action by the nurse is appropriate?
4. After having a transurethral resection of the prostate - Check the bladder
(TURP), a client has a continuous bladder irrigation distention
(CBI) postoperatively. The nurse notes that fluid is - Review intake and
entering the bladder, but none appears to be draining. record
Select the appropriate nursing interventions. Select all - Check to ensure
that apply. drainage tubing is n
kinked
- Ask the client abou
, der spasms and dis
fort.
5. The nurse is reviewing the history and physical exam- 1,2,5
ination on a client diagnosed with polycystic kidney
disease. Which data would the nurse expect to see?
Select all that apply.
6. The nurse is assessing the patency of an arteriove- Palpation of a thrill o
nous fistula in the left arm of a client who is receiving the fistula
hemodialysis for the treatment of chronic kidney dis-
ease. Which finding indicates that the fistula is patent?
7. The nurse notes that a client's urinalysis report con- diabetes mellitus
tains a notation of positive red blood cells (RBCs). The
nurse interprets that this finding is unrelated to which
information in the client's medical record?
8. A client with end-stage kidney disease (ESKD) under- 1,2,5
goes a surgical procedure to create an arteriovenous
fistula for hemodialysis in the upper extremity. The
nurse would take which actions when the client re-
turns from surgery? Select all that apply.
9. A client who has calcium phosphate kidney stones 2,4,5
tells the nurse, "Tell me what I can do so that I never
have this pain again." Which instructions would the
nurse plan to include in the reinforcement of dietary
instructions? Select all that apply.
10. A male client has a history of urinary tract infections 1
due to urinary retention. Which intervention would
the nurse implement to decrease the risk of infection?
, 11. The nurse is reviewing the client's record and notes 1,3,5
that the primary health care provider (PHCP) has doc-
umented that the client has a renal disorder. Which
laboratory results would indicate a decrease in renal
function? Select all that apply.
12. The client is prescribed trimethoprim-sulfamethoxa- 4
zole for a recurrent urinary tract infection (UTI). The
nurse would reinforce which most appropriate in-
structions to the client regarding this medication?
13. The nurse is reviewing the laboratory results and 2,3,5
physical examination of a client with acute glomeru-
lonephritis. Which data would the nurse see? Select all
that apply.
14. The nurse is collecting data from a client who has had 4
benign prostatic hyperplasia (BPH) in the past. To de-
termine whether the client is currently experiencing
exacerbation of BPH, the nurse would ask the client
about the presence of which early symptom?
15. A long-term care nurse notes that an older client who 1,6
is normally alert has become progressively confused
and irritable. What diagnostic tests would the nurse
anticipate the primary health care provider to pre-
scribe? Select all that apply.
16. The nurse is talking with a client who has an arteri- "I sleep on my left s
ovenous fistula in the left arm. What statement by the with my arm tucked
client indicates a need for further teaching? my pillow."
17. Decongestants
