MSN 377 FINAL EXAM QUESTIONS|| 60
QUESTIONS AND VERIFIED ANSWERS ||
A+
When a patient with acute kidney injury (AKI) has an arterial blood pH
of 7.30, which response by the patient will the nurse expect to see?
a. Persistent skin tenting
b. Hot, flushed face and neck
c. Rapid, deep respirations
d. Bounding peripheral pulses - ANSWER- c. Rapid, deep respirations
A patient who has acute glomerulonephritis is hospitalized with
hyperkalemia. Which information will the nurse monitor to evaluate the
effectiveness of the prescribed calcium gluconate IV?
,a. Urine volume
b. Cardiac rhythm
c. Calcium level
d. Neurologic status - ANSWER- b. Cardiac rhythm
A patient with diabetes who has bacterial pneumonia is being treated
with IV gentamicin 60 mg IV BID. The nurse will monitor for adverse
effects of the medication by evaluating the patient's
a. Serum creatinine
b. Blood glucose
c. Urine osmolality
d. Serum potassium - ANSWER- a. Serum creatinine
A 42-yr-old patient admitted with acute kidney injury due to dehydration
has oliguria, anemia, and hyperkalemia. Which prescribed action should
the nurse take first?
a. Insert urinary retention catheter
b. Place the pt on a cardiac monitor
c. Administer epoetin alpha (Epogen, Procrit)
d. Give sodium polystyrene sulfonate (Kayexalate) - ANSWER- b. Place
the pt on a cardiac monitor
, A 62-yr-old female patient has been hospitalized for 4 days with acute
kidney injury (AKI) caused by dehydration. Which information will be
most important for the nurse to report to the health care provider?
a. Creatinine level is 3.0 mg/dL
b. UO over an 8 hr period is 2500 mL
c. BUN is 67 mg/dL
d. GFR < 30 mL/min/1.73 m2 - ANSWER- b. UO over an 8 hr period is
2500 mL
On admission to the burn unit, a patient with an approximate 25% total
body surface area (TBSA) burn has the following initial laboratory
results: Hct 58%, Hgb 18.2 mg/dL, serum K+ 4.9 mEq/L, and serum
Na+ 135 mEq/L. Which of the following prescribed actions should be
the nurse's priority?
A. Monitoring urine output every 4 hours.
B. Continuing to monitor the laboratory results.
C. Increasing the rate of the ordered IV solution.
D. Typing and crossmatching for a blood transfusion. - ANSWER- C.
Increasing the rate of the ordered IV solution.
Which intervention would the nurse implement first when doing a
dressing change for a partial-thickness burn wound on a patient's chest?
A. Apply sterile gauze dressing.
QUESTIONS AND VERIFIED ANSWERS ||
A+
When a patient with acute kidney injury (AKI) has an arterial blood pH
of 7.30, which response by the patient will the nurse expect to see?
a. Persistent skin tenting
b. Hot, flushed face and neck
c. Rapid, deep respirations
d. Bounding peripheral pulses - ANSWER- c. Rapid, deep respirations
A patient who has acute glomerulonephritis is hospitalized with
hyperkalemia. Which information will the nurse monitor to evaluate the
effectiveness of the prescribed calcium gluconate IV?
,a. Urine volume
b. Cardiac rhythm
c. Calcium level
d. Neurologic status - ANSWER- b. Cardiac rhythm
A patient with diabetes who has bacterial pneumonia is being treated
with IV gentamicin 60 mg IV BID. The nurse will monitor for adverse
effects of the medication by evaluating the patient's
a. Serum creatinine
b. Blood glucose
c. Urine osmolality
d. Serum potassium - ANSWER- a. Serum creatinine
A 42-yr-old patient admitted with acute kidney injury due to dehydration
has oliguria, anemia, and hyperkalemia. Which prescribed action should
the nurse take first?
a. Insert urinary retention catheter
b. Place the pt on a cardiac monitor
c. Administer epoetin alpha (Epogen, Procrit)
d. Give sodium polystyrene sulfonate (Kayexalate) - ANSWER- b. Place
the pt on a cardiac monitor
, A 62-yr-old female patient has been hospitalized for 4 days with acute
kidney injury (AKI) caused by dehydration. Which information will be
most important for the nurse to report to the health care provider?
a. Creatinine level is 3.0 mg/dL
b. UO over an 8 hr period is 2500 mL
c. BUN is 67 mg/dL
d. GFR < 30 mL/min/1.73 m2 - ANSWER- b. UO over an 8 hr period is
2500 mL
On admission to the burn unit, a patient with an approximate 25% total
body surface area (TBSA) burn has the following initial laboratory
results: Hct 58%, Hgb 18.2 mg/dL, serum K+ 4.9 mEq/L, and serum
Na+ 135 mEq/L. Which of the following prescribed actions should be
the nurse's priority?
A. Monitoring urine output every 4 hours.
B. Continuing to monitor the laboratory results.
C. Increasing the rate of the ordered IV solution.
D. Typing and crossmatching for a blood transfusion. - ANSWER- C.
Increasing the rate of the ordered IV solution.
Which intervention would the nurse implement first when doing a
dressing change for a partial-thickness burn wound on a patient's chest?
A. Apply sterile gauze dressing.
