Rasmussen College :NURSING NU278/NUR2 Exam 3 Questions and Answers LATEST 2021
1. When assessing a client diagnosed with acromegaly, which signs,
... [Show More] symptoms, or history with is nurse likely find? (Select all that apply):
Selected
Answers: Cardiomyopathy
Large tongue
(Macroglossia)
Answers:
Oily skin
Cardiomyopathy Anorexia
Large tongue (Macroglossia)
Hypoglycemia Oily skin
2. When differentiating between the causes of pyelonephritis vs. glomerulonephritis, the nurse understands that one cause of glomerulonephritis is:
Selected
Answer: Group A beta-hemolytic
streptococcus
Answers:
Group A beta-hemolytic streptococcus
Urine backflow Kidney stones
Urinary tract infections
3. The nurse is planning care for a client diagnosed with Graves’ disease. Which of the following nursing interventions would be appropriate for this client’s care?
Selected
Answer: Provide small, frequent
meals.
Answers: Administer a stool
softener.
Provide extra blankets.
Provide small, frequent meals.
Restrict the caloric intake.
A nurse is caring for a client diagnosed with rhabdomyolysis. Which of the following labs will the nurse consider priority?
Selected
Answer: BUN and creatinine
Answers:
BUN and creatinine
Hemoglobin and hematocrit
ALT and AST HGB A1C
4. The nurse is caring for a client with new onset of elevated BUN and
creatinine, oliguria, hypotension and diarrhea for one week. The nurse suspect which disease process?
Selected
Answer: Acute renal failure
Answers: Pyelonephritis
Acute renal failure
Hepatic encephalopathy
End stage renal disease
A nurse is caring for a client with nephrotic syndrome. Which of the following would the nurse expect for this condition?
Selected
Answers:
Edema, hypoalbuminemia and proteinuria; follow a salt restricted diet
Cystic, enlarged kidneys; onset renal failure; interventions include supportive care
Oliguria, proteinuria, uremia, electrolyte imbalances; interventions include low protein diet and dialysis
CVA tenderness, dysuria, hematuria; interventions include antimicrobials
5.A Health Department RN is teaching community courses on the prevention of kidney disease. Which of the following are discussed as risk factors for chronic kidney disease? (Select all that apply):
Selected
Answers: Diabetes insipidus
hypertension
nephrotoxic medications
Recurrent infections
Answers: Diabetes insipidus
hypertension
nephrotoxic
medications
renal artery
stenosis
Recurrent
infections
6.A client tells the nurse he is “so thirsty” that he has already consumed four pitchers of water. The client’s urine output is 3500 mL in an 8-hour period. The client is recovering from surgery on the pituitary gland. What endocrine disorder is the client most likely experiencing?
Selected Answer:
Answers:
Diabetes insipidus Diabetes mellitus Myxedema
Syndrome of inappropriate antidiuretic hormone secretion
7. When caring for the client diagnosed with diabetes insipidus, the nurse will anticipate administering which one of these mediations?
Selected
Answer: Vasopressin
Answers:
Vasopressin
Levothyroxi ne
Fludrocortis one
Furosemide
8. The nurse is caring for a client with exophthalmos. Which of the following nursing interventions will the nurse do?
Selected
Answer: Apply artificial tears to reduce dryness
Answers: Assess for hypokalemia
Assess for thalamus dysfunction
Maintain head of bed (HOB) at 45 degrees
Apply artificial tears to reduce dryness
9.A nurse is educating a client who is newly diagnosed with nephrotic syndrome. The nurse correctly educates the client when which statement is made?
Selected
Answer: There is an increased oncotic pressure where fluid shifts to the intravascular space
Answers: This condition seldom leads to renal failure
Damage has been done to the glomerular capillary membrane
Most cases have an excellent prognosis
There is an increased oncotic pressure where fluid shifts to the intravascular space
10.A client is diagnosed with rhabdomyolysis. The nurse understands this may be a consequence of which condition?
Selected
Answer: Compartment syndrome
Answers: Core pulmonale
Disseminated intravascular coagulation
Hypertension
Compartment syndrome
11. Care of the client following a thyroidectomy includes which one of the following interventions?
Selected
Answer: Assess for bleeding at surgical sight; respiratory difficulty; pain
Answers: HOB up 10 degrees
Assess for bleeding at surgical sight; respiratory difficulty; pain
Assess for hypercalcemia
Keep emergency intubation equipment at bedside
A client is newly diagnosed with Addison’s disease, and asks the nurse “What is that?” The nurse correctly responds by stating Addison’s disease occurs when there is a(n) in the body. Fill in the blank.
Selected
Answers: “decrease in secretion of SIADH”
“increase in secretion of aldosterone and cortisol”
“increase in secretion of SIADH”
“decrease in secretion of aldosterone and cortisol”
12. Management of the client on hemodialysis includes all of the following except:
Selected
Answer: Have vitamin K ready to reverse Coumadin if needed
Answers: Monitoring for disequilibrium syndrome Administer anticoagulants as prescribed
Have vitamin K ready to reverse Coumadin if needed
Assess for bleeding at the site of needle insertion
Treatment for Addison’s disease will include which of these medications?
Selected
Answer: Fludrocortis one
Answers:
Fludrocortis one
Cabergoline
Levothyroxi ne
Vasopressin
13.A client diagnosed with lung cancer is admitted for SIADH. The expected findings for this client would be:
Selected
Answer: Fluid volume excess
Answers:
Fluid volume excess
Polyuria Hypernatremia Dehydration
14.The nurse is caring for a client newly diagnosed with hypothyroidism. The nurse expects to provide teaching instructions for which medication?
Selected
Answer: Levothyroxi ne
Answers: Methimazol e
Cabergolin e
Levothyroxi ne
Vasopressi n
15.A nurse is assessing the AV fistula of a client in end stage renal failure. The nurse notes an absence of a bruit and no thrill with palpation. The nurse’s next step is to:
Selected
Answer: Contact the primary care provider and notify them the fistula is not working
Answers: Document the AV fistula is functioning properly
Contact the primary care provider and notify them the fistula is not working
Apply cool compresses to the AV fistula
Wait 30 minutes, then reassess the AV fistula for any
changes
16.A client is being evaluated for a stroke. The nurse knows that one of the easiest and most common diagnostic tests used to differentiate between strokes is:
Selected
Answer: computed tomography (CT)
Answers:
computed tomography (CT)
magnetic resonance imaging (MRI)
electrocardiography (EEG)
positron emission tomography (PET)
A client is admitted for end stage renal disease (ESRD). The nurse anticipates care will include which treatment plans and interventions?
Selected
Answer: Low protein diet
Answers: Identify underlying cause and reverse the renal failure to normal function
Increase fluid intake
Provide sodium supplements
Low protein diet
17.A client complains of brown pigmentation of their skin, changes in body hair distribution, weight loss and profound fatigue. These may indicate which disease process?
Selected
Answer: Addison’s disease
Answers: Grave’s disease
Myxedema Cushing’s
disease
Addison’s disease
18.EMS arrives with an unconscious patient, hypothermic, hypotensive, non- pitting edema to face and extremities. Care is initiated and labs are drawn. Results show absent serum T3 and T4 levels, with elevated TSH levels. The nurse suspect which disease process?
Selected
Answer: myxedema coma
Answers:
myxedema coma
Thyroid storm SIADH
Diabetes insipidus
19.A nurse is caring for a client who is receiving hemodialysis and develops disequilibrium syndrome. Which of the following is an appropriate action by the nurse?
Selected
Answer: Assess level of consciousness.
Answers: Administer an opioid
medication.
Monitor for hypertension.
Assess level of consciousness.
Increase the dialysis exchange rate.
Treatment for hyperthyroidism may include which of the following medications?
Selected
Answers:
Methimaz ole
Cabergolin e
Levothyro xin
Vasopressi n
A nurse is providing teaching to a client who has chronic kidney disease and is starting hemodialysis. Which of the following information should the nurse include in the teaching? Hemodialysis:
Selected
Answer: Restores renal function
Answers: Restores renal function
Replaces hormonal function of the renal system
Allows an unrestricted fluid intake
Returns a balance to serum
electrolytes
20.Which outcome would be most appropriate to include in the plan of care for a client diagnosed with pheochromocytoma?
Selected
Answer: Blood pressure within normal
limits
Answers: Fasting glucose less than
100 mg/dl
Blood pressure within normal limits
Serum sodium greater than 135 mg.
Normal sinus rhythm with no ectopy
21.A nurse is caring for a client with Cushing’s Syndrome. Which of these signs and symptoms does the nurse expect to find? (Select all that apply):
Hirsutism
Purplish striae
Moon Face
Answer Hyperpigmentation of
s: the skin
Hirsutism Purplish striae
Moon Face Hypoglycemia
A client, complaining of weight gain, has thin extremities, a “buffalo hump,” and a protruding abdomen. The nurse realizes that this client is most likely to be diagnosed with which disease process?
Selected
Answer: Cushing’s syndrome
Answers: Addison’s disease
Cretinism
Cushing’s syndrome
Obesity
22.Clinical manifestations of acute renal failure include which one of the following?
Selected
Answer: Hypervolemia
Answers:
Hypervolemia
Low levels of serum uremia
elevated serum RBC’s hypercalcemia
23.A client has been diagnosed with glomerulonephritis. Which of the following orders will the nurse question?
Selected
Answer: IV NS at 250 cc/hr
Answers:
High protein diet
Monitor amylase and lipase
IV NS at 250 cc/hr
Plasmapheresis if in renal failure
24.A client is hospitalized with an ongoing fever. The nurse learns that the client has had a recent infection. Currently the client is restless, diaphoretic, and agitated with the following vital signs: temperature 106°F, pulse 114, blood pressure 180/80 mmHg. Which of the following disorders is the client most likely experiencing?
Selected
Answer: Thyroid storm
Answers: Addisonian crisis
Diabetes Insipidus
Myxedema
Thyroid storm
25.A client diagnosed with chronic renal failure is prescribed a diet low in protein. The rationale for this diet is that:
Selected Answer:
Answers:
protein sources are broken down and converted to urea, which is then filtered by the kidney.
Protein sources are of low biological value Protein increases calcium and sodium levels
Deficit protein metabolism breaks down muscle tissue
During a yearly physical exam, a client complains of constant fatigue, weakness, cold intolerance, constipation and dry skin. The nurse suspects which disease process?
Selected
Answer: Hypothyroid
Answers:
Hypothyroid
Addison’s disease
Myxedema
Pheochromocyt oma
26.A client with a glomerular filtration rate (GFR) of 12 is considered to have:
Selected
Answer: Kidney failure
Answers: Normal kidney function
Kidney disease
Kidney failure
A kidney infection
27.Care of the client who is taking digitalis, and is diagnosed with renal failure should include which intervention?
Selected
Answer: Assess for digitalis toxicity
Answers: Increase digitalis dose to maintain normal serum levels
Assess for digitalis toxicity
Advise client to discontinue the medication Assess for tachydysrhythmias [Show Less]