Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 54 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A headache.
B no symptoms.
C fever.
D polyuria.
Question #2
A Stroke
B Seizure
C Peripheral neuropathy
D Nosebleed
Question #3
A Perform deep-breathing exercises vigorously.
B Avoid carrying heavy items.
C Auscultate the lungs frequently.
D Wear a mask when performing exchanges.
Question #4
A Azotemia
B Hematuria
C Uremia
D Proteinuria
Question #5
A weight loss.
B increased blood pressure.
C hematuria.
D increased urine output.
Question #6
A 1.0 lb
B 0.5 lb
C 1.5 lb
D 2 lb
Question #7
A Hold the medications until after dialysis.
B Ask if the client wants to take the medications.
C Administer the medications as ordered.
D Check with the dialysis nurse about the medications.
Question #8
A Peritoneal dialysis
B Continuous venovenous hemofiltration (CVVH)
C Hemodialysis
D Continuous arteriovenous hemofiltration (CAVH)
Question #9
A Recovery
B Oliguria
C Diuresis
D Initiation
Question #10
A The client is placed on a transplant list at the local hospital.
B Donors are selected from compatible living donors.
C Donors must be relatives.
D Donors with hypertension may qualify.
Question #11
A anaphylaxis
B myoglobinuria secondary to burns
C polycystic disease
D ureteral stricture
Question #12
A Polycystic disease
B Ureteral stricture
C Septic shock
D Prostatic hypertrophy
Question #13
A Limiting fluid intake
B Providing pain-relief measures
C Encouraging coughing and deep breathing
D Promoting carbohydrate intake
Question #14
A Azotemia
B Uremia
C Hematuria
D Proteinuria
Question #15
A This type of dialysis will provide more independence.”
B The risk of peritonitis is greater with this type of dialysis.”
C Peritoneal dialysis will require more work for you.”
D Peritoneal dialysis does not work well for every client.”
Question #16
A limiting iron and folic acid intake.
B eating protein liberally.
C allowing liberal use of sodium.
D restricting sources of potassium usually found in fresh fruits and vegetables.
Question #17
A pyuria.
B polyuria.
C No option is correct.
D proteinuria.
Question #18
A Initiation
B Oliguric
C Diuretic
D Recovery
Question #19
A Acute tubular necrosis
B Diuresis
C Oliguria
D Restored glomerular function
Question #20
A Dehydration
B Hypertension
C Crackles
D Hyperkalemia
Question #21
A Decreased urine sodium
B Decreased creatinine
C Increased BUN
D High specific gravity
Question #22
A Uremia
B Metabolic alkalosis
C Polycythemia
D Hypotension
Question #23
A fatigue and weakness.
B dyspnea and cyanosis.
C thrush and circumoral pallor.
D nausea and vomiting.
Question #24
A 2 hours before meals
B With food
C 2 hours after meals
D At bedtime with 8 ounces of fluid
Question #25
A Administration of a loop diuretic
B Administration of sodium polystyrene sulfonate [Kayexalate])
C Administration of sodium bicarbonate
D Administration of an insulin drip
Question #26
A Administering Garamycin (gentamicin) prophylactically
B Performing the test without contrast
C Hydrating with saline intravenously before the test
D Administering sodium bicarbonate after the procedure
Question #27
A 1.5 L
B 1.0 L
C Less than 400 mL
D Less than 50 mL
Question #28
A pH 7.47, PaCO2 45, HCO3 33
B pH 7.31, PaCO2 48, HCO3 24–
C pH 7.50, PaCO2 29, HCO3 22–
D pH 7.20, PaCO2 36, HCO3 14–
Question #29
A Fever
B Hypertension
C Flank pain
D Periorbital edema
Question #30
A History of osteoporosis
B History of hyperparathyroidism
C Previous episode of acute pyelonephritis
D Recent history of streptococcal infection
Question #31
A Peripheral neuropathy
B Cola-colored urine
C Hypotension
D Hyperalbuminemia
Question #32
A BUN of 18 mg/dL.
B Blood urea nitrogen (BUN)-to-creatinine ratio (BUN:Cr) >20.
C Serum creatinine of 1.2 mg/dL.
D Glomerular filtration rate (GFR) of 100 mL/min.
Question #33
A A GFR of 90 mL/min/1.73 m2
B A GFR of 30–59 mL/min/1.73 m2
C A GFR of 85 mL/min/1.73 m2
D A GFR of 120 mL/min/1.73 m2
Question #34
A Sodium
B Phosphorus
C Magnesium
D Calcium
Question #35
A High specific gravity
B Decreased urine sodium
C Decreased creatinine
D Increased BUN
Question #36
A Urine output of 35 to 40 mL/hour
B Pain of 3 out of 10, 1 hour after analgesic administration
C SpO2 at 90% with fine crackles in the lung bases
D Blood tinged drainage in Jackson-Pratt drainage tube
Question #37
A Peripheral edema
B Presence of albumin in the urine
C Dark smoky colored urine
D Blurred vision
Question #38
A Cleanse site b.i.d.
B Check daily for thrill and bruit.
C Avoid compression of the site.
D No IV or blood pressure taken on extremity with dialysis access
E No tight clothing.
Question #39
A Perform deep-breathing exercises vigorously
B Avoid carrying heavy items.
C Auscultate the lungs frequently.
D Wear a mask when performing exchanges.
Question #40
A Acute glomerulonephritis
B Chronic renal failure
C Nephrotic syndrome
D Acute renal failure
Question #41
A Serum potassium level of 4.9 mEq/L
B Temperature of 99.2° F (37.3° C)
C Serum sodium level of 135 mEq/L
D Urine output of 20 ml/hour
Question #42
A 500 mL of fluid
B 1,500 mL of fluid
C 2,000 mL of fluid
D 1,000 mL of fluid
Question #43
A Pneumonia caused by shallow breathing because of severe incisional pain
B Abdominal distention owing to reflex cessation of intestinal peristalsis
C Paralytic ileus caused by manipulation of the colon during surgery
D Hypovolemic shock caused by hemorrhage
Question #44
A 250 mL
B 750 mL
C 1,000 mL
D 500 mL
Question #45
A IV dextrose 50%
B sodium polystyrene sulfonate (Kayexalate)
C Sorbitol
D Calcium supplements
Question #46
A It is important to use strict aseptic technique.”
B The infusion clamp should be open during infusion.”
C It is appropriate to warm the dialysate in a microwave.”
D The effluent should be allowed to drain by gravity.”
Question #47
A Increase protein, carbohydrates, and fat intake.
B Eliminate fat intake and increase protein intake.
C Increase carbohydrates and limit protein intake.
D Increase fat intake and limit carbohydrates.
Question #48
A As the disease progresses, you will most likely require renal replacement therapy.”
B Draining of the cysts and antibiotic therapy will cure your disease.”
C Genetic testing will determine the best treatment for your condition.”
D Dietary changes can reverse the damage that has occurred in your kidneys.”
Question #49
A Recovery
B Diuresis
C Initiation
D Oliguria
Question #50
A Uric acid analysis 3.5 mg/dL and phenolsulfonphthalein (PSP) excretion 75%
B Blood urea nitrogen (BUN) 100 mg/dL and serum creatinine 6.5 mg/dL
C Increased pH with decreased hydrogen ions
D Increased serum levels of potassium, magnesium, and calcium
Question #51
A Shortened QRS complex
B Multiple spiked P waves
C Prolonged ST segment
D Tall, peaked T waves
Question #52
A Anemia
B Hyperkalemia
C Acidosis
D Pericarditis
Question #53
A Obtaining a blood pressure reading from the right arm
B Obtaining blood samples from the left arm
C Palpating the fistula for a “thrill”
D Placing the client’s watch on the left wrist
Question #54
A The kidneys can improve over a period of months.
B Acute renal failure tends to turn to end-stage failure.
C Once on dialysis, the need will be permanent.
D Kidney function will improve with transplant.
Question #55
A Let’s wait until after the surgery to discuss your treatment plan.”
B The doctor may decide to delay the use of immunosuppressant drugs.”
C Immunosuppressive drugs guarantee organ success.”
D “Even a perfect match does not guarantee organ success.”
Question #56
A Uses moisturizing creams
B Pats skin dry after bathing
C Keeps nails trimmed short
D Brief, hot daily showers
Question #57
A Oliguria
B Diuresis
C Acute tubular necrosis
D Restored glomerular function
Question #58
A Sodium polystyrene sulfonate
B Calcium supplements
C IV dextrose 50%
D Sorbitol
Question #59
A Hyponatremia
B Hypokalemia
C Hypoalbuminemia
D Proteinuria
Question #60
A Urine output of 250 ml/24 hours
B Temperature of 100.2° F (37.8° C)
C Serum creatinine level of 1.2 mg/dl
D Blood urea nitrogen (BUN) level of 22 mg/dl
Question #61
A White rice
B Citrus fruits
C Butter
D Salad oils
Question #62
A Increase in blood sugar levels due to alteration in insulin levels
B Anemia from the decrease in maturation of red blood cells
C Decrease in blood sugar levels due to alteration in insulin levels
D Development of male sex characteristics
Question #63
A eating protein liberally.
B allowing liberal use of sodium
C restricting sources of potassium usually found in fresh fruits and vegetables.
D limiting iron and folic acid intake.
Question #64
A Weight loss
B Absence of pain
C Fever
D Diuresis
Question #65
A Activity intolerance
B Toileting self-care deficit
C Risk for infection
D Impaired urinary elimination