HCIV Unit 3 Exam Questions With Complete Solutions
______________ is solely filtered from the bloodstream via the
glomerulus and is NOT reabsorbed back into the bloodstream
but is excreted through the urine.
(RegisteredNurseRN AKI Quiz)
A) Urea
B) Creatinine
C) Potassium
D) Magnesium Correct Answer B) Creatinine
A 25-year-old patient was exposed to the Hepatitis A virus at a
local restaurant one week ago. What education is important to
provide to this patient?
(RegisteredNurseRN Hepatitis A,B,C,D,E Quiz)
A) Inform the patient to notify the physician when signs and
symptoms of viral Hepatitis start to appear
B) Reassure the patient the chance of acquiring the virus is very
low
C) Inform the patient it is very important to obtain the Hepatitis
A vaccine immediately to prevent infection
D) Inform the patient to promptly go to the local health
department to receive immune globulin Correct Answer D)
Inform the patient to promptly go to the local health department
to receive immune globulin
A 36-year-old male patient is diagnosed with acute kidney
injury. The patient is voiding 4 L/day of urine. What
complication can arise based on the stage of AKI this patient is
in? SATA.
(RegisteredNurseRN AKI Quiz)
,A) Water intoxication
B) Hypotension
C) Low urine specific gravity
D) Hypokalemia
E) Normal GFR Correct Answer B, C, D
A 55 year old male patient is diagnosed with chronic kidney
disease. The patient's recent GFR was 25 mL/min. What stage of
chronic kidney disease is this known as?
(RegisteredNurseRN CKD Quiz)
A) Stage 1
B) Stage 3
C) Stage 4
D) Stage 5 Correct Answer C) Stage 4
A 55-year-old male patient is admitted with a massive GI bleed.
The patient is at risk for what type of acute kidney injury?
(RegisteredNurseRN AKI Quiz)
A) Post-renal
B) Intra-renal
C) Pre-renal
D) Intrinsic renal Correct Answer C) Pre-renal
A 65-year-old male patient has a glomerular filtration rate of 55
mL/min. The patient has a history of uncontrolled hypertension
and coronary artery disease. You're assessing the new
medication orders received for this patient. Which medication
ordered by the physician will help treat the patient's
hypertension along with providing a protective mechanism to
the kidneys?
(RegisteredNurseRN CKD Quiz)
,A) Lisinopril
B) Metoprolol
C) Amlodipine
D) Verapamil Correct Answer A) Lisinopril
A client diagnosed with chronic kidney disease is prescribed a
low-protein diet. The nurse understands this diet is prescribed
for which reason?
(Kaplan)
A) To decrease fluid retention
B) To increase diaphoresis
C) To prevent hypovolemic shock
D) To preserve renal function Correct Answer D) To preserve
renal function
Rationale: A low-protein diet has favorable metabolic effects
that can preserve or save kidney function.
A client had a liver biopsy 1 hour ago. What should the nurse do
first?
(Lippincott Test 7 pg 470)
A) Auscultate lung sounds
B) Check for fever
C) Obtain a CBC
D) Apply packing to the biopsy site Correct Answer A)
Auscultate lung sounds
Rationale: Because the biopsy needle insertion site is close to
the lung, there is a risk of lung puncture and pneumothorax;
therefore, immediately after the procedure, the nurse should
determine diminished or absent lung sounds in the right lung.
, A client has advanced cirrhosis of the liver. The client's spouse
asks the nurse why his abdomen is swollen, making it very
difficult for him to fasten his pants. How should the nurse
respond to provide the most accurate explanation of the disease
process?
(Lippincott Test 7 pg 471)
A) "He must have been eating too many foods with salt in them.
Salt pulls water with it."
B) "The swelling in his ankles must have moved up closer to his
heart so the fluid circulates better."
C) "He must have forgotten to take his daily water pill."
D) "Blood is not able to flow readily through the liver now, and
the liver cannot make protein to keep fluid inside the blood
vessels." Correct Answer D) "Blood is not able to flow readily
through the liver now, and the liver cannot make protein to keep
fluid inside the blood vessels."
A client is diagnosed with a diagnosis of acute kidney injury.
The nurse understands which explanation is the most accurate
description of the client's condition?
(Kaplan)
A) A sudden loss of kidney function due to failure of the renal
system circulation or to glomerular or tubular damage
B) A progressive deterioration in kidney function that ends
fatally when uremia develops
C) An inflammation of the kidney pelvis, tubules, and interstitial
tissues of one or both kidneys
D) An inflammatory process precipitated by chemical changes
in the glomeruli of both kidneys Correct Answer A) A sudden
______________ is solely filtered from the bloodstream via the
glomerulus and is NOT reabsorbed back into the bloodstream
but is excreted through the urine.
(RegisteredNurseRN AKI Quiz)
A) Urea
B) Creatinine
C) Potassium
D) Magnesium Correct Answer B) Creatinine
A 25-year-old patient was exposed to the Hepatitis A virus at a
local restaurant one week ago. What education is important to
provide to this patient?
(RegisteredNurseRN Hepatitis A,B,C,D,E Quiz)
A) Inform the patient to notify the physician when signs and
symptoms of viral Hepatitis start to appear
B) Reassure the patient the chance of acquiring the virus is very
low
C) Inform the patient it is very important to obtain the Hepatitis
A vaccine immediately to prevent infection
D) Inform the patient to promptly go to the local health
department to receive immune globulin Correct Answer D)
Inform the patient to promptly go to the local health department
to receive immune globulin
A 36-year-old male patient is diagnosed with acute kidney
injury. The patient is voiding 4 L/day of urine. What
complication can arise based on the stage of AKI this patient is
in? SATA.
(RegisteredNurseRN AKI Quiz)
,A) Water intoxication
B) Hypotension
C) Low urine specific gravity
D) Hypokalemia
E) Normal GFR Correct Answer B, C, D
A 55 year old male patient is diagnosed with chronic kidney
disease. The patient's recent GFR was 25 mL/min. What stage of
chronic kidney disease is this known as?
(RegisteredNurseRN CKD Quiz)
A) Stage 1
B) Stage 3
C) Stage 4
D) Stage 5 Correct Answer C) Stage 4
A 55-year-old male patient is admitted with a massive GI bleed.
The patient is at risk for what type of acute kidney injury?
(RegisteredNurseRN AKI Quiz)
A) Post-renal
B) Intra-renal
C) Pre-renal
D) Intrinsic renal Correct Answer C) Pre-renal
A 65-year-old male patient has a glomerular filtration rate of 55
mL/min. The patient has a history of uncontrolled hypertension
and coronary artery disease. You're assessing the new
medication orders received for this patient. Which medication
ordered by the physician will help treat the patient's
hypertension along with providing a protective mechanism to
the kidneys?
(RegisteredNurseRN CKD Quiz)
,A) Lisinopril
B) Metoprolol
C) Amlodipine
D) Verapamil Correct Answer A) Lisinopril
A client diagnosed with chronic kidney disease is prescribed a
low-protein diet. The nurse understands this diet is prescribed
for which reason?
(Kaplan)
A) To decrease fluid retention
B) To increase diaphoresis
C) To prevent hypovolemic shock
D) To preserve renal function Correct Answer D) To preserve
renal function
Rationale: A low-protein diet has favorable metabolic effects
that can preserve or save kidney function.
A client had a liver biopsy 1 hour ago. What should the nurse do
first?
(Lippincott Test 7 pg 470)
A) Auscultate lung sounds
B) Check for fever
C) Obtain a CBC
D) Apply packing to the biopsy site Correct Answer A)
Auscultate lung sounds
Rationale: Because the biopsy needle insertion site is close to
the lung, there is a risk of lung puncture and pneumothorax;
therefore, immediately after the procedure, the nurse should
determine diminished or absent lung sounds in the right lung.
, A client has advanced cirrhosis of the liver. The client's spouse
asks the nurse why his abdomen is swollen, making it very
difficult for him to fasten his pants. How should the nurse
respond to provide the most accurate explanation of the disease
process?
(Lippincott Test 7 pg 471)
A) "He must have been eating too many foods with salt in them.
Salt pulls water with it."
B) "The swelling in his ankles must have moved up closer to his
heart so the fluid circulates better."
C) "He must have forgotten to take his daily water pill."
D) "Blood is not able to flow readily through the liver now, and
the liver cannot make protein to keep fluid inside the blood
vessels." Correct Answer D) "Blood is not able to flow readily
through the liver now, and the liver cannot make protein to keep
fluid inside the blood vessels."
A client is diagnosed with a diagnosis of acute kidney injury.
The nurse understands which explanation is the most accurate
description of the client's condition?
(Kaplan)
A) A sudden loss of kidney function due to failure of the renal
system circulation or to glomerular or tubular damage
B) A progressive deterioration in kidney function that ends
fatally when uremia develops
C) An inflammation of the kidney pelvis, tubules, and interstitial
tissues of one or both kidneys
D) An inflammatory process precipitated by chemical changes
in the glomeruli of both kidneys Correct Answer A) A sudden
