MEDICAL-SURGICAL NURSING 2 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS GRADED A+
D. All of the above. Correct Answer 1. In chronic renal failure
(end-stage renal disease), decreased glomerular filtration leads
to:
A. Increased pH.
B. Decreased creatinine clearance.
C. Increased BUN.
D. All of the above.
C. Protein Correct Answer 2. A patient with diabetes has had
many renal calculi over the past 20 years and now has chronic
renal failure. Which
substance must be reduced in this patient's diet?
A. Carbohydrates
B. Fats
C. Protein
D. Vitamin C
,D. Keep fingernails short and clean Correct Answer 3. Your
patient with chronic renal failure reports pruritus. Which instruction
should you include in this patient's teaching
plan?
A. Rub the skin vigorously with a towel
B. Take frequent baths
C. Apply alcohol-based emollients to the skin
D. Keep fingernails short and clean
B. Creatinine clearance level. Correct Answer 4. A major sensitive
indicator of kidney disease is:
A. BUN level.
B. Creatinine clearance level.
C. Serum potassium level.
D. Uric acid level.
A. Anemia. Correct Answer 5. Decreased levels of erythropoietin,
a substance normally secreted by the kidneys, leads to which
serious complication
of chronic renal failure?
A. Anemia.
B. Acidosis.
C. Hyperkalemia.
,D. Pericarditis.
D. All of the above. Correct Answer 6. In chronic renal failure
(end-stage renal disease), decreased glomerular filtration leads
to:
A. Increased pH.
B. Decreased creatinine clearance.
C. Increased BUN.
D. All of the above.
B. Fluid volume excess Correct Answer 7. What is the most
important nursing diagnosis for a patient in end-stage renal
disease?
A. Risk for injury
B. Fluid volume excess
C. Altered nutrition: less than body requirements
D. Activity intolerance
D. Check the patient's latest potassium level Correct Answer 8.
Frequent PVCs are noted on the cardiac monitor of a patient with
end-stage renal disease. The priority intervention is:
A. Call the doctor immediately
B. Give the patient IV lidocaine (Xylocaine)
C. Prepare to defibrillate the patient
, D. Check the patient's latest potassium level
B. Fluid volume excess Correct Answer 9. What is the most
important nursing diagnosis for a patient in end-stage renal
disease?
A. Risk for injury
B. Fluid volume excess
C. Altered nutrition: less than body requirements
D. Activity intolerance
A. 15 minutes Correct Answer 10. What is the appropriate infusion
time for the dialysate in your 38 y.o. patient with chronic renal
failure?
A. 15 minutes
B. 30 minutes
C. 1 hour
D. 2 to 3 hours
C. Time of onset of current stroke. Correct Answer 1. A client
arrives in the emergency department with an ischemic stroke and
receives tissue plasminogen activator (t-PA)
administration. Which is the priority nursing assessment?
A. Complete physical and history.
B. Upcoming surgical procedures.
EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS GRADED A+
D. All of the above. Correct Answer 1. In chronic renal failure
(end-stage renal disease), decreased glomerular filtration leads
to:
A. Increased pH.
B. Decreased creatinine clearance.
C. Increased BUN.
D. All of the above.
C. Protein Correct Answer 2. A patient with diabetes has had
many renal calculi over the past 20 years and now has chronic
renal failure. Which
substance must be reduced in this patient's diet?
A. Carbohydrates
B. Fats
C. Protein
D. Vitamin C
,D. Keep fingernails short and clean Correct Answer 3. Your
patient with chronic renal failure reports pruritus. Which instruction
should you include in this patient's teaching
plan?
A. Rub the skin vigorously with a towel
B. Take frequent baths
C. Apply alcohol-based emollients to the skin
D. Keep fingernails short and clean
B. Creatinine clearance level. Correct Answer 4. A major sensitive
indicator of kidney disease is:
A. BUN level.
B. Creatinine clearance level.
C. Serum potassium level.
D. Uric acid level.
A. Anemia. Correct Answer 5. Decreased levels of erythropoietin,
a substance normally secreted by the kidneys, leads to which
serious complication
of chronic renal failure?
A. Anemia.
B. Acidosis.
C. Hyperkalemia.
,D. Pericarditis.
D. All of the above. Correct Answer 6. In chronic renal failure
(end-stage renal disease), decreased glomerular filtration leads
to:
A. Increased pH.
B. Decreased creatinine clearance.
C. Increased BUN.
D. All of the above.
B. Fluid volume excess Correct Answer 7. What is the most
important nursing diagnosis for a patient in end-stage renal
disease?
A. Risk for injury
B. Fluid volume excess
C. Altered nutrition: less than body requirements
D. Activity intolerance
D. Check the patient's latest potassium level Correct Answer 8.
Frequent PVCs are noted on the cardiac monitor of a patient with
end-stage renal disease. The priority intervention is:
A. Call the doctor immediately
B. Give the patient IV lidocaine (Xylocaine)
C. Prepare to defibrillate the patient
, D. Check the patient's latest potassium level
B. Fluid volume excess Correct Answer 9. What is the most
important nursing diagnosis for a patient in end-stage renal
disease?
A. Risk for injury
B. Fluid volume excess
C. Altered nutrition: less than body requirements
D. Activity intolerance
A. 15 minutes Correct Answer 10. What is the appropriate infusion
time for the dialysate in your 38 y.o. patient with chronic renal
failure?
A. 15 minutes
B. 30 minutes
C. 1 hour
D. 2 to 3 hours
C. Time of onset of current stroke. Correct Answer 1. A client
arrives in the emergency department with an ischemic stroke and
receives tissue plasminogen activator (t-PA)
administration. Which is the priority nursing assessment?
A. Complete physical and history.
B. Upcoming surgical procedures.
