RN TARGETED MEDICAL SURGICAL RENAL AND URINARY EXAM
LATEST 2025 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
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A nurse is providing dietary teaching to a client who has heart
failure and is receiving furosemide. Which of the following foods
should the nurse recommend as containing the greatest amount
of potassium?
a. 1/2 cup chopped celery
b. 1 cup plain yogurt
c. 1 slice whole grain bread
d. 1/2 cup cooked tofu - ANSWER-1 cup plain yogurt
One cup of plain yogurt contains 380 g of potassium.
Therefore, the nurse should recommend this food as
containing the greatest amount of potassium.
A nurse is caring for a client who reports difficulty breathing and
tingling in both hands. His respiratory rate is 36/min and he
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appears very restless. Which of the following values should the
nurse anticipate to be outside the expected reference range if the
client is experiencing respiratory alkalosis?
a. PaO2
b. PaCO2
c. Sodium
d. Bicarbonate - ANSWER-PaCo2
With respiratory alkalosis, the PaCO2 level is decreased.
A nurse is assessing a client who has a serum calcium level of
8.1 mg/dL. Which of the following findings is the priority for the
nurse to assess?
a. Deep-tendon reflexes
b. Cardiac rhythm
c. Peripheral sensation
d. Bowel sounds - ANSWER-Cardiac rhythm
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When using the airway, breathing, circulation approach to
client care, the nurse should determine that assessing the
cardiac rhythm is the priority. Calcium levels below the
expected reference range can cause ECG changes,
bradycardia, or tachycardia.
A nurse is assessing a client who has hyperkalemia. Which of the
following findings should the nurse expect?
a. Decreased muscle strength
b. Decreased gastric motility
c. Increased heart rate
d. Increased blood pressure - ANSWER-Decreased muscle
strength
Hyperkalemia can cause muscle weakness. The nurse should
monitor the client's muscle strength.
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A nurse is assessing a client who has a phosphorus level of 2.4
mg/dL. Which of the following findings should the nurse expect?
a. Hepatic failure
b. Abdominal pain
c. Slow peripheral pulses
d. Increase in cardiac output - ANSWER-Slow peripheral pulses
Hypophosphatemia causes slow peripheral pulses that are
difficult to detect and can eventually result in cardiac muscle
damage.
A nurse is caring for a client who is scheduled for a coronary
artery bypass graft in 2 hr. Which of the following client
statements indicates a need for further clarification by the nurse?
A. "My arthritis is really bothering me because I haven't taken my
aspiring in a week."
b. "My blood pressure shouldn't be high because I took my BP
medication this morning."
c. "I took my warfarin last night according to my usually schedule."