NR 464 - Exam 1 Questions (BoostGrade) Questions With
Complete Solutions
A 22-year-old female patient seen in the clinic for a bladder
infection describes the following symptoms. Which information
is most important for the nurse to report to the health care
provider?
a. Urinary urgency
b. Left-sided flank pai
c. Intermittent hematuria
d. Burning with urination Correct Answers b. Left-sided flank
pain
Flank pain indicates that the patient may have developed
pyelonephritis as a complication of the bladder infection. The
other clinical manifestations are consistent with a lower urinary
tract infection (UTI).
A 23-year-old has been admitted with acute liver failure. Which
assessment data are most important for the nurse to
communicate to the health care provider?
a. Asterixis and lethargy
b. Jaundiced sclera and skin
c. Elevated total bilirubin level
d. Liver 3 cm below costal margin Correct Answers a.
Asterixis and lethargy
The patient's findings of asterixis and lethargy are consistent
with grade 2 hepatic encephalopathy. Patients with acute liver
,failure can deteriorate rapidly from grade 1 or 2 to grade 3 or 4
hepatic encephalopathy and need early transfer to a transplant
center. The other findings are typical of patients with hepatic
failure and would be reported but would not indicate a need for
an immediate change in the therapeutic plan.
A 24-year-old female contracts hepatitis from contaminated
food. During the acute (icteric) phase of the patient's illness, the
nurse would expect serologic testing to reveal
a. antibody to hepatitis D (anti-HDV).
b. hepatitis B surface antigen (HBsAg).
c. anti-hepatitis A virus immunoglobulin G (anti-HAV IgG).
d. anti-hepatitis A virus immunoglobulin M (anti-HAV IgM).
Correct Answers d. anti-hepatitis A virus immunoglobulin M
(anti-HAV IgM).
Hepatitis A is transmitted through the oral-fecal route, and
antibody to HAV IgM appears during the acute phase of
hepatitis A
A 25-year-old male patient has been admitted with a severe
crushing injury after an industrial accident. Which laboratory
result will be most important to report to the health care
provider?
a. Serum creatinine level 2.1 mg/dL
b. Serum potassium level 6.5 mEq/L
c. White blood cell count 11,500/µL
d. Blood urea nitrogen (BUN) 56 mg/dL Correct Answers b.
Serum potassium level 6.5 mEq/L
,The hyperkalemia associated with crushing injuries may cause
cardiac arrest and should be treated immediately. The nurse also
will report the other laboratory values, but abnormalities in these
are not immediately life threatening.
A 32-year-old patient who is employed as a hairdresser and has
a 15 pack-year history of cigarette smoking is scheduled for an
annual physical examination. The nurse will plan to teach the
patient about the increased risk for
a. renal failure.
b. kidney stones.
c. pyelonephritis.
d. bladder cancer. Correct Answers d. bladder cancer.
Exposure to the chemicals involved with working as a
hairdresser and in smoking both increase the risk of bladder
cancer, and the nurse should assess whether the patient
understands this risk. The patient is not at increased risk for
renal failure, pyelonephritis, or kidney stones.
A 34-year old patient with chronic hepatitis C infection has
several medications prescribed. Which medication requires
further discussion with the health care provider before
administration?
a. Ribavirin (Rebetol, Copegus) 600 mg PO bid
b. Pegylated a-interferon (PEG-Intron, Pegasys) SQ daily
c. Diphenhydramine (Benadryl) 25 mg PO every 4 hours PRN
itching
, d. Dimenhydrinate (Dramamine) 50 mg PO every 6 hours PRN
nausea Correct Answers b. Pegylated a-interferon (PEG-
Intron, Pegasys) SQ daily
Pegylated a-interferon is administered weekly. The other
medications are appropriate for a patient with chronic hepatitis
C infection.
A 36-year-old female patient is receiving treatment for chronic
hepatitis C with pegylated interferon (PEG-Intron, Pegasys),
ribavirin (Rebetol), and telaprevir (Incivek). Which finding is
most important to communicate to the health care provider?
a. Weight loss of 2 lb (1 kg)
b. Positive urine pregnancy test
c. Hemoglobin level of 10.4 g/dL
d. Complaints of nausea and anorexia Correct Answers b.
Positive urine pregnancy test
Because ribavirin is teratogenic, the medication will need to be
discontinued immediately. Anemia, weight loss, and nausea are
common adverse effects of the prescribed regimen and may
require actions such as patient teaching, but they would not
require immediate cessation of the therapy.
A 36-year-old male patient in the outpatient clinic is diagnosed
with acute hepatitis C (HCV) infection. Which action by the
nurse is appropriate?
a. Schedule the patient for HCV genotype testing.
b. Administer the HCV vaccine and immune globulin.
Complete Solutions
A 22-year-old female patient seen in the clinic for a bladder
infection describes the following symptoms. Which information
is most important for the nurse to report to the health care
provider?
a. Urinary urgency
b. Left-sided flank pai
c. Intermittent hematuria
d. Burning with urination Correct Answers b. Left-sided flank
pain
Flank pain indicates that the patient may have developed
pyelonephritis as a complication of the bladder infection. The
other clinical manifestations are consistent with a lower urinary
tract infection (UTI).
A 23-year-old has been admitted with acute liver failure. Which
assessment data are most important for the nurse to
communicate to the health care provider?
a. Asterixis and lethargy
b. Jaundiced sclera and skin
c. Elevated total bilirubin level
d. Liver 3 cm below costal margin Correct Answers a.
Asterixis and lethargy
The patient's findings of asterixis and lethargy are consistent
with grade 2 hepatic encephalopathy. Patients with acute liver
,failure can deteriorate rapidly from grade 1 or 2 to grade 3 or 4
hepatic encephalopathy and need early transfer to a transplant
center. The other findings are typical of patients with hepatic
failure and would be reported but would not indicate a need for
an immediate change in the therapeutic plan.
A 24-year-old female contracts hepatitis from contaminated
food. During the acute (icteric) phase of the patient's illness, the
nurse would expect serologic testing to reveal
a. antibody to hepatitis D (anti-HDV).
b. hepatitis B surface antigen (HBsAg).
c. anti-hepatitis A virus immunoglobulin G (anti-HAV IgG).
d. anti-hepatitis A virus immunoglobulin M (anti-HAV IgM).
Correct Answers d. anti-hepatitis A virus immunoglobulin M
(anti-HAV IgM).
Hepatitis A is transmitted through the oral-fecal route, and
antibody to HAV IgM appears during the acute phase of
hepatitis A
A 25-year-old male patient has been admitted with a severe
crushing injury after an industrial accident. Which laboratory
result will be most important to report to the health care
provider?
a. Serum creatinine level 2.1 mg/dL
b. Serum potassium level 6.5 mEq/L
c. White blood cell count 11,500/µL
d. Blood urea nitrogen (BUN) 56 mg/dL Correct Answers b.
Serum potassium level 6.5 mEq/L
,The hyperkalemia associated with crushing injuries may cause
cardiac arrest and should be treated immediately. The nurse also
will report the other laboratory values, but abnormalities in these
are not immediately life threatening.
A 32-year-old patient who is employed as a hairdresser and has
a 15 pack-year history of cigarette smoking is scheduled for an
annual physical examination. The nurse will plan to teach the
patient about the increased risk for
a. renal failure.
b. kidney stones.
c. pyelonephritis.
d. bladder cancer. Correct Answers d. bladder cancer.
Exposure to the chemicals involved with working as a
hairdresser and in smoking both increase the risk of bladder
cancer, and the nurse should assess whether the patient
understands this risk. The patient is not at increased risk for
renal failure, pyelonephritis, or kidney stones.
A 34-year old patient with chronic hepatitis C infection has
several medications prescribed. Which medication requires
further discussion with the health care provider before
administration?
a. Ribavirin (Rebetol, Copegus) 600 mg PO bid
b. Pegylated a-interferon (PEG-Intron, Pegasys) SQ daily
c. Diphenhydramine (Benadryl) 25 mg PO every 4 hours PRN
itching
, d. Dimenhydrinate (Dramamine) 50 mg PO every 6 hours PRN
nausea Correct Answers b. Pegylated a-interferon (PEG-
Intron, Pegasys) SQ daily
Pegylated a-interferon is administered weekly. The other
medications are appropriate for a patient with chronic hepatitis
C infection.
A 36-year-old female patient is receiving treatment for chronic
hepatitis C with pegylated interferon (PEG-Intron, Pegasys),
ribavirin (Rebetol), and telaprevir (Incivek). Which finding is
most important to communicate to the health care provider?
a. Weight loss of 2 lb (1 kg)
b. Positive urine pregnancy test
c. Hemoglobin level of 10.4 g/dL
d. Complaints of nausea and anorexia Correct Answers b.
Positive urine pregnancy test
Because ribavirin is teratogenic, the medication will need to be
discontinued immediately. Anemia, weight loss, and nausea are
common adverse effects of the prescribed regimen and may
require actions such as patient teaching, but they would not
require immediate cessation of the therapy.
A 36-year-old male patient in the outpatient clinic is diagnosed
with acute hepatitis C (HCV) infection. Which action by the
nurse is appropriate?
a. Schedule the patient for HCV genotype testing.
b. Administer the HCV vaccine and immune globulin.
