NUR 401 practice exam
1. 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: d. Urinary output 15 mL for 2 hours
2. 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: 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. 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: 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. 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: d. Supine with feet elevated - shock position
5. 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: a. Exposure to crowds
1. 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: d. Urinary output 15 mL for 2 hours
2. 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: 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. 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: 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. 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: d. Supine with feet elevated - shock position
5. 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: a. Exposure to crowds
