NUR 3262-3-4/KAHOOT/ATI EXAM QUESTIONS AND
ANSWERS 100% CORRECT
A nurse is teaching a client who has chronic kidney disease about the process of
continuous ambulatory peritoneal dialysis (CAPD). Which of the following information
should the nurse include in the teaching?
A. CAPD filters the client's blood through an artificial device called a dialyzer.
B. CAPD is the dialysis treatment of choice for clients who have a history of abdominal
surgery.
C. CAPD requires the client to follow fewer dietary and fluid restrictions than
hemodialysis requires.
D. CAPD requires a rigid schedule of exchange times. - ANSWER C. CAPD requires the
client to follow fewer dietary and fluid restrictions than hemodialysis requires.
Rationale: CAPD's advantages include fewer dietary and fluid restrictions as compared
to hemodialysis.
A nurse is providing teaching to a female client who has type 2 diabetes and a new
prescription for pioglitazone. Which of the following instructions should the nurse
include in the teaching? (Select all that apply.)
A. Expect urine to be darkened.
B. Monitor weight daily
C. Increase calcium intake.
D. Use oral contraceptives to avoid pregnancy.
E. Take tablets whole. - ANSWER B. Monitor weight daily. Rational: Pioglitazone may
lead to fluid retention and worsen heart failure. Clients should monitor weight and
report any rapid gains to the provider.
C. Increase calcium intake. Rational: Pioglitazone increases the risk of fractures in
women. Clients should be advised to exercise and ensure adequate intake of vitamin D
and calcium to protect bone health.
A nurse in a public clinic is planning a health fair for older adult clients in the community.
In teaching medication safety, which of the following foods should the nurse advise the
clients to avoid when taking their prescriptions?
A. Carbonated beverage
,B. Milk
C. Orange juice
D. Grapefruit juice - ANSWER D. Grapefruit juice
Rational: There is a high rate of food-drug interactions between grapefruit juice and
many medications frequently taken by older adults, especially lipid-lowering agents. It is
thought that one or more of the chemicals (most likely flavonoids) in grapefruit juice
alter the activity of specific enzymes (such as CYP3A4 and CYP1A2) in the intestinal
tract. These enzymes decrease the rate at which medications enter the systemic
circulation. This could allow a larger amount of these drugs to reach the bloodstream,
resulting in increased drug levels and possibly toxicity.
A nurse is assessing a client to identify risk factors for disease. Which of the following
findings is a risk factor for metabolic syndrome?
A. History of asthma
B. Large waist size
C. Hypotension
D. Hypoglycemia - ANSWER B. Large waist size
Rational: Central obesity due to excessive abdominal fat is a risk factor for metabolic
syndrome. Metabolic syndrome increases the risk for the development of diabetes and
coronary artery disease.
A nurse is teaching a client who has chronic kidney failure about planning a low-protein
diet. The client states, "Why do I have to be concerned about protein?" Which of the
following responses should the nurse make?
A. "a low-protein diet reduces the risk for uremia"
B. "A low-protein diet reduces the risk for edema"
C. "A low-protein diet will reduce the risk for hyperkalemia"
D. "A low-protein diet will increase the nitrogenous wastes in the blood" - ANSWER A. "a
low-protein diet reduces the risk for uremia"
Rational: Urea is a waste product of protein breakdown and can accumulate in clients
who have kidney failure, causing uremia.
A nurse is admitting a client who has partial hearing loss. Which of the following is the
priority action by the nurse?
A. Speak using his usual tone of voice.
B. Stand directly in front of the client
,C. Rephrase statements the client does not hear.
D. Determine if the client uses hearing aids. - ANSWER D. Determine if the client uses
hearing aids.
Rational: The first action the nurse should take using the nursing process is to assess
the client. The nurse should find out if the client has hearing aids and whether they are
in place and functioning.
A nurse is evaluating teaching with a client who is receiving continuous subcutaneous
insulin via and external insulin pump. Which of the following statements by the client
indicates a need for further teaching?
A. "I will change the needle every 3 days."
B. "I should store all unused insulin in the refrigerator."
C. "If I skip lunch, I will skip my mealtime dose of insulin."
D. "I will use insulin glargine in my insulin pump." - ANSWER D. "I will use insulin
glargine in my insulin pump."
Rational: The client should use a short-acting insulin in the insulin pump. The insulin
pump is designed to administer rapid-acting or short-acting insulin 24 hr a day. Insulin
glargine is classified as a long-acting insulin and is administered at the same time each
day to maintain stable blood glucose concentration for a 24-hr period.
A nurse is preparing to obtain a daily weight from a client who has chronic kidney
disease. Which of the following actions should the nurse implement?
A. Use any available scale to weigh the client.
B. Balance the scale at minus two before weighing the client.
C. Obtain the weight each day at a time most convenient for the client.
D. Weigh the client after he has voided. - ANSWER D. Weigh the client after he has
voided.
, Rational: The nurse should have the client void before obtaining a daily weight.
A nurse is teaching a client who has CKD and a new prescription for epoetin alfa. the
nurse should instruct the client to increase dietary intake of which of the following
substances.
A. Iron
B. Protein
C. Potassium
D. Sodium - ANSWER A. Iron
Rational: Epoetin alfa is a synthetic form of erythropoietin, a substance produced by the
kidneys that stimulates the bone marrow to produce red blood cells. Increased iron is
needed for the production of hemoglobin and red blood cells by the bone marrow.
A nurse is reviewing the medical record of a client who reports drinking three to four
glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of the
following laboratory values is the priority for the nurse to assess?
A. Amylase
B. Creatinine
C. Aspartate aminotransferase (AST)
D. Antidiuretic hormone (ADH) - ANSWER C. Aspartate aminotransferase (AST)
Rational: The greatest risk to this client is liver injury from the combined adverse effects
of alcohol and acetaminophen. Therefore, the priority laboratory value for the nurse to
evaluate is AST because an elevated level is an indication of liver damage.
A nurse is caring for a 44-year-old client who was admitted with an elevated
temperature and abdominal pain.
Medical History:
ANSWERS 100% CORRECT
A nurse is teaching a client who has chronic kidney disease about the process of
continuous ambulatory peritoneal dialysis (CAPD). Which of the following information
should the nurse include in the teaching?
A. CAPD filters the client's blood through an artificial device called a dialyzer.
B. CAPD is the dialysis treatment of choice for clients who have a history of abdominal
surgery.
C. CAPD requires the client to follow fewer dietary and fluid restrictions than
hemodialysis requires.
D. CAPD requires a rigid schedule of exchange times. - ANSWER C. CAPD requires the
client to follow fewer dietary and fluid restrictions than hemodialysis requires.
Rationale: CAPD's advantages include fewer dietary and fluid restrictions as compared
to hemodialysis.
A nurse is providing teaching to a female client who has type 2 diabetes and a new
prescription for pioglitazone. Which of the following instructions should the nurse
include in the teaching? (Select all that apply.)
A. Expect urine to be darkened.
B. Monitor weight daily
C. Increase calcium intake.
D. Use oral contraceptives to avoid pregnancy.
E. Take tablets whole. - ANSWER B. Monitor weight daily. Rational: Pioglitazone may
lead to fluid retention and worsen heart failure. Clients should monitor weight and
report any rapid gains to the provider.
C. Increase calcium intake. Rational: Pioglitazone increases the risk of fractures in
women. Clients should be advised to exercise and ensure adequate intake of vitamin D
and calcium to protect bone health.
A nurse in a public clinic is planning a health fair for older adult clients in the community.
In teaching medication safety, which of the following foods should the nurse advise the
clients to avoid when taking their prescriptions?
A. Carbonated beverage
,B. Milk
C. Orange juice
D. Grapefruit juice - ANSWER D. Grapefruit juice
Rational: There is a high rate of food-drug interactions between grapefruit juice and
many medications frequently taken by older adults, especially lipid-lowering agents. It is
thought that one or more of the chemicals (most likely flavonoids) in grapefruit juice
alter the activity of specific enzymes (such as CYP3A4 and CYP1A2) in the intestinal
tract. These enzymes decrease the rate at which medications enter the systemic
circulation. This could allow a larger amount of these drugs to reach the bloodstream,
resulting in increased drug levels and possibly toxicity.
A nurse is assessing a client to identify risk factors for disease. Which of the following
findings is a risk factor for metabolic syndrome?
A. History of asthma
B. Large waist size
C. Hypotension
D. Hypoglycemia - ANSWER B. Large waist size
Rational: Central obesity due to excessive abdominal fat is a risk factor for metabolic
syndrome. Metabolic syndrome increases the risk for the development of diabetes and
coronary artery disease.
A nurse is teaching a client who has chronic kidney failure about planning a low-protein
diet. The client states, "Why do I have to be concerned about protein?" Which of the
following responses should the nurse make?
A. "a low-protein diet reduces the risk for uremia"
B. "A low-protein diet reduces the risk for edema"
C. "A low-protein diet will reduce the risk for hyperkalemia"
D. "A low-protein diet will increase the nitrogenous wastes in the blood" - ANSWER A. "a
low-protein diet reduces the risk for uremia"
Rational: Urea is a waste product of protein breakdown and can accumulate in clients
who have kidney failure, causing uremia.
A nurse is admitting a client who has partial hearing loss. Which of the following is the
priority action by the nurse?
A. Speak using his usual tone of voice.
B. Stand directly in front of the client
,C. Rephrase statements the client does not hear.
D. Determine if the client uses hearing aids. - ANSWER D. Determine if the client uses
hearing aids.
Rational: The first action the nurse should take using the nursing process is to assess
the client. The nurse should find out if the client has hearing aids and whether they are
in place and functioning.
A nurse is evaluating teaching with a client who is receiving continuous subcutaneous
insulin via and external insulin pump. Which of the following statements by the client
indicates a need for further teaching?
A. "I will change the needle every 3 days."
B. "I should store all unused insulin in the refrigerator."
C. "If I skip lunch, I will skip my mealtime dose of insulin."
D. "I will use insulin glargine in my insulin pump." - ANSWER D. "I will use insulin
glargine in my insulin pump."
Rational: The client should use a short-acting insulin in the insulin pump. The insulin
pump is designed to administer rapid-acting or short-acting insulin 24 hr a day. Insulin
glargine is classified as a long-acting insulin and is administered at the same time each
day to maintain stable blood glucose concentration for a 24-hr period.
A nurse is preparing to obtain a daily weight from a client who has chronic kidney
disease. Which of the following actions should the nurse implement?
A. Use any available scale to weigh the client.
B. Balance the scale at minus two before weighing the client.
C. Obtain the weight each day at a time most convenient for the client.
D. Weigh the client after he has voided. - ANSWER D. Weigh the client after he has
voided.
, Rational: The nurse should have the client void before obtaining a daily weight.
A nurse is teaching a client who has CKD and a new prescription for epoetin alfa. the
nurse should instruct the client to increase dietary intake of which of the following
substances.
A. Iron
B. Protein
C. Potassium
D. Sodium - ANSWER A. Iron
Rational: Epoetin alfa is a synthetic form of erythropoietin, a substance produced by the
kidneys that stimulates the bone marrow to produce red blood cells. Increased iron is
needed for the production of hemoglobin and red blood cells by the bone marrow.
A nurse is reviewing the medical record of a client who reports drinking three to four
glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of the
following laboratory values is the priority for the nurse to assess?
A. Amylase
B. Creatinine
C. Aspartate aminotransferase (AST)
D. Antidiuretic hormone (ADH) - ANSWER C. Aspartate aminotransferase (AST)
Rational: The greatest risk to this client is liver injury from the combined adverse effects
of alcohol and acetaminophen. Therefore, the priority laboratory value for the nurse to
evaluate is AST because an elevated level is an indication of liver damage.
A nurse is caring for a 44-year-old client who was admitted with an elevated
temperature and abdominal pain.
Medical History:
