University of Alabama NUR 529;NUR529 Exam 2 Question & Answers Updated fall 2025.

NUR 529 Exam 2 Question & Answers Updated fall 2025. A nurse has noted the high incidence of urinary tract obstructions of a variety of etiologies. Which of the following individuals are at risk of developing urinary obstructions? Select all that apply. A) A 43-year-old male with an acid-base imbalance secondary to malnutrition B) A 29-year-old female, pregnant for the first time C) A 69-year-old female with anemia secondary to insufficient erythropoietin production D) A 70-year-old male with benign prostatic hyperplasia (BPH) E) A 58-year-old male with renal calculi F) A 28-year-old male with a neurogenic bladder secondary to spinal cord injury A female client with suspected glomerular disease has been referred to a nephrologist. The nurse knows that which of the following clinical manifestations may be present with the diagnosis of acute nephritic syndrome? Select all that apply. A) Sudden onset of hematuria B) Proteinuria C) Flank pain D) Excess urine output E) Edema What are appropriate interventions in the care of a client diagnosed with renal calculi? Select all that apply. -Straining the client's urine -Addressing the client's pain -Restricting the client's oral fluid intake -Keeping track of intake and output -Inserting a Foley catheter A middle-aged woman is admitted with acute pyelonephritis. Which assessment finding correlates with this diagnosis? Acute postinfectious glomerulonephritis, as its name implies, follows an acute infection somewhere else in the body. What is the most common cause of acute postinfectious glomerulonephritis? A client is diagnosed with chronic kidney disease (CKD). The nurse will monitor for which manifestations of this disorder? Select all that apply. A. Increased nitrogenous waste in blood B. Hypercalcemia C. Anemia D. Right ventricular dysfunction E. Osteodystrophy A client with chronic kidney disease (CKD) is anemic. The nurse will attempt to alleviate the anemia in order to prevent which of the following? Select all that apply. A. Fatigue B. Tachycardia C. Increased blood viscosity D. Decreased myocardial oxygen E. Hypersomnia A client is diagnosed with acute renal injury. The nurse will evaluate the client for which possible causes of this disorder? Select all that apply. A. Nephrotoxic substances B. Nonischemic reduced renal blood flow C. Obstruction of urinary outflow D. Ischemic injury E. Hormonal imbalance Hypertension frequently accompanies chronic kidney disease (CKD). The nurse knows that which mechanisms can contribute to this hypertension? Select all that apply. A. Renin-angiotensin-aldosterone (RAAS) activation B. Increased vasodilator prostaglandins C. Sodium retention D. Increased vasoconstriction E. Increased blood volume The nurse is preparing to auscultate for a mitral valve stenosis murmur. Where is the best location to place the stethoscope? Heart failure can increase one's risk for developing manifestations related to which complications? Select all that apply. Which statements regarding causes of systolic and diastolic dysfunction are most accurate? Select all that apply. A client who has progressed to late-stage heart failure is experiencing sympathetic stimulation. The nurse would correlate which manifestations with sympathetic response? Select all that apply. The pathophysiology of heart failure involves an interaction between decreased pumping ability and the to maintain cardiac output. Following several weeks of increasing fatigue and a subsequent diagnostic workup, a client has been diagnosed with mitral valve regurgitation. Failure of this heart valve would have which hemodynamic consequences? A. Backflow from the right ventricle to the right atrium during systole B. Backflow from the left ventricle to left atrium C. Inhibition of the SA node's normal action potential D. Backup of blood from the right atrium into the superior vena cava Which client is at the greatest risk of developing rheumatic heart disease? A. Child with impetigo on the face B. Teenager with untreated strep throat C. Young adult with viral meningitis D. Older adult with shingles In heart failure, what causes the increase in renal secretion of renin? A telehealth nurse is talking with a client who has a history of right-sided heart failure. The nurse should question the client about which assessment finding that would indicate the client's condition is worsening? A. Weight gain B. Copious urination C. Shortness of breath D. Decreased blood pressure Which of the following describes surgical correction of tetralogy of Fallot? A newborn is diagnosed with Tetralogy of Fallot. Prior to surgery, which abnormality should be corrected to prevent a stroke? A. Weight of 3200 grams B. Frequent liquid-pasty stools C. Iron deficiency anemia D. Urine output 8 times/day C. Iron deficiency anemia Acute pulmonary edema often occurs with heart failure. Which signs of acute pulmonary edema should the nurse monitor their clients for? Select all that apply. A client suffered a laceration in his workshop and lost a significant amount of blood. The clots that formed have begun to retract. The process of clot dissolution has begun, which starts with: With the exception of the first two steps, what element is required in all steps of the clotting process? A client has an impaired platelet function that may have developed from inheritance, drugs, disease, or extracorporeal circulation. The health care provider would document this as: The process of clot retraction squeezes serum from the clot, thereby joining the edges of the broken vessel. Through the action of actin and myosin, filaments in platelets contribute to clot retraction. Failure of clot retraction is indicative of: A client with iron-deficiency anemia asks, "What does this low mean corpuscular volume (MCV) level mean?" Which response by the nurse is most accurate? A nurse is assessing a client who displays pale skin and nail beds. Which laboratory data should the nurse evaluate? The nurse is teaching a client about the signs and symptoms of anemia. If the client has a diminished oxygen-carrying capacity of hemoglobin (Hgb), then which manifestation should be assessed? Hemolytic anemia is characterized by: