Question

Please select the correct answer:

1. The patient ask nurse : how can I prevent the reoccurrence of urinary tract infection?. The nurse uses evidenced-based practice and advised patient about which of the following?

A – Take anaphylactic antibiotics

B – Urinate regularly every 3 hours

C – Consume cranberry juice

D – Obtain a urinalysis monthly

2. A patient with acute kidney injury is undergoing dialysis for the first time. The charge nurse monitor the patient closely for dialysis equilibrium syndrome. Which of the following features should the nurse observe?

A – Confusion, Headache and seizures.

B – Acute pain and confusion

C – Weakness, tingling and cardiac arrhythmias

D – Hypotension, tachycardia and tachypnea

3. 44-year old patient is admitted to the hospital with bacterial meningitis. As a charge nurse, you assign which of the following room for this patient?

A – A two-bed room with a patient who previously had bacterial meningitis

B – A semi-private room with a patient who has viral meningitis

C – An isolation room nears the nurses' station

D – A private room six doors from the nurses' station

4. A physician ordered to increase oral hydration for a patient with renal stone. Unless contraindicated, which amount of oral intake should the nurse recommend to help in stone removal ?

A – 100 ml per hour

B – 75 ml per hour

C – 120 ml per hour

D – 150 ml per hour

5. A patient with end stage kidney disease (ESKD) is receiving a hemodialysis session. The nurse expects which of the following post-dialysis findings reflect the efficiency of this session?

A – Increase urine output.

B – Decrease in the patient weight

C – Improvement in hemoglobin level

D – Soothing of skin itching

6. A nurse reported a nursing diagnosis of impaired swallowing for a patient admitted with hemorrhagic stroke, which of the following nursing intervention should be included in the plan of care?

A- Offer the patient clear fluid such as milk

B- Consult with the respiratory therapist

C- Offer the patient thickened liquids or pureed diet

D- Have patient ear in the lateral position

7. Which of the following term refers to the rejection of a transplanted kidney within 24 hours after transplant

A- Chronic rejection

B- Acute rejection

C- Simple rejection

D- Hyper-acute rejection

8. What should the nurse do for a patient who just has cataract surgery?

A- Instruct the patient to avoid driving for several weeks

B- Advise the patient to abstain from vigorous brushing of the teeth

C- Encourage the patient to perform eye exercise to strengthen the ocular musculature

D- Teach the patient coughing and deep breathing techniques

9. A nurse is providing care for a patient with acute kidney injury during the oliguric phase. The nurse should monitor the patient for which of the following ?

A- Hypotension

B- Hypernatremia

C- Signs of potassium imbalance

D- Signs of metabolic alkalosis

10. Which of the following clinical indicator would a nurse most likely to identify when obtaining the history of a patient with open-angle glaucoma.

A- Impairment of peripheral vision

B- Sudden attacks of acute pain

C- Sudden, complete loss of vision

D- Constant blurring

11. which of the following is the best nursing intervention for a patient with an oliguric phase of acute kidney injury?

A- Providing pain-relief measures

B- Encouraging coughing and deep breathing

C- Limiting fluid intake

D- Promoting carbohydrate intake

12. The nurse is reviewing the laboratory results of four patients. Which of the following findings would be reported to the physician immediately?

A- A patient with end stage kidney disease with serum creatinine 4.6 mg per dL

B- A patient with gastroenteritis with a hematocrit %52

C- A patient with a rheumatic fever with a positive C reactive protein

D- A patient with epilepsy with white blood cells 16000 mm3

13. a patient who has been treated for renal impairment is ready for discharge. The nurse should reinforce which of the following dietary instructions ?

A- Drink plenty of fluids, and use a salt substitute

B- Increase your carbohydrate intake

C- Monitor your fruit intake, and eat plenty of bananas

D- Be sure to eat meat at every meal

14. Which of the following is the rationale to why Azathioprine (Imuran), or Cyclsoprine is given to a patient undergone kidney transplantation?

A- To enhance the immune system preventing rejection

B- To enhance kidney function

C- To suppress the immune system preventing rejection

D- To protect the newly transplanted kidney from invading pathogens

15. A patient is seen in the outpatient clinic, to suspect urinary tract infection. The nurse would be most concerned if the patient made which of the following statements?

A- It is hard for me to start the flow of urine

B- I urinate in the morning and again before bedtime

C- I pass a lot of urine

D- I feel burns when I urinate

16. After completing the nursing assessment for a patient with a brain attack (stroke), the nurse notes that the patient has receptive aphasia. Which of the following is an appropriate nursing diagnosis for this patient?

A- Imbalance nutrition

B- Ineffective communication

C- Risk for aspiration

D- Alter thermoregulation

17. A patient has been diagnosed recently with end stage kidney disease. The patient has been receiving dialysis through double lumen cuffed jugular catheter. Besides dialysis access, the nurse can utilize this catheter for which of following?

A- Infusion of normal saline

B- The jugular catheter use just for dialysis

C- Infusion of medication

D- Drawing blood sample

18. Which of the following visual disturbance is associated with ischemic stroke?

A- Astigmatism

B- Myopia

C- Hyperopia

D- Hemianopia

19. A nurse working in the out-patient clinic is evaluating a patient with Bell's palsy, the nurse report which of the following health problems associated with this condition?

A- Bilateral facial weakness

B- Flat forehead

C- A weakness of face, arm and leg

D- Self not accepting

20. What is the rationale to give low protein for a patient with end stage kidney disease?

A- A high-protein diet decrease albumin production

B- A high-protein diet depletes calcium and phosphorus

C- High protein increase potassium and sodium

D- Protein breaks down into blood urea nitrogen

Answer 1

Please select the correct answer:

1. The patient asks the nurse: how can I prevent the reoccurrence of urinary tract infection?. The nurse uses evidenced-based practice and advised the patient about which of the following?

A – Take anaphylactic antibiotics

B – Urinate regularly every 3 hours

C – Consume cranberry juice

D – Obtain a urinalysis monthly

Answer:

C-Consume cranberry juice

Why answer C?

Cranberry juice contains active metabolites in the juice which prevents E. coli from sticking to other bacteria, limiting its ability to grow and multiply within 8 hrs.

Why not A?

Anaphylactic antibiotics are antibodies giving rise to a severe allergic reaction called anaphylaxis. So, nothing to do with UTI prevention.

Why not B?

Urination capacity is different for different people and depends on your water intake. But we can't decide the hourly urination for the person. You must avoid keeping bladder full, as it may increase the chances of any infection.

Why not D?

Unless and until you have any symptoms regarding UTI, it is not advisable to have monthly urine analysis.

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