A patient is scheduled for a computed tomography (CT) scan of the abdomen with contrast. The patient has a baseline creatinine of 2.3 mg/dL. In preparing this patient for the procedure, the nurse anticipates what orders?
A) Monitoring the patient's electrolyte values every hour before the procedure
B) Preprocedure hydration and administration of acetylcysteine
C) Hemodialysis immediately prior to the CT scan
D) Obtaining a creatinine clearance by collecting a 24-hour urine specimen
Question 2The admission assessment form on a neurological unit requires the admitting nurse to assess each patient's superficial reflexes. To assess a patient's corneal reflex, the nurse should:
A) Ask the patient to hold his or her eyes open until the urge to blink is felt.
B) Approach the patient's pupils from the side with a penlight.
C) Approach the patient's pupils from the front with a penlight.
D) Lightly touch the patient's sclera with some wisps of cotton.
Question 3A nurse is conducting a neurological assessment of a patient who has just been admitted to the unit. In preparation for assessing the patient for pronator drift, what instructions should the nurse provide to the patient?
A) Please hold your arms straight out with your palms pointing up to the ceiling.
B) Please close your eyes and then walk a few steps with one foot directly in front of the other.
C) Please close your eyes and then touch the tip of your nose with one index finger and then the other.
D) Please lift one leg a few inches off the bed and hold it as still as possible.
Question 4A patient with end-stage renal disease (ESRD) is scheduled for his first hemodialysis treatment. The patient asks the nurse what common complications may occur from the treatment. What would be the nurse's best reply?
A) High blood sugar levels and low protein levels may occur.
B) Bleeding and double vision may occur.
C) Confusion and diarrhea may occur.
D) Low blood pressure and cramping sometimes occur.
Question 5A 45-year-old man with diabetic nephropathy is now in renal failure and is starting dialysis. He asks for information about hemodialysis. What would the nurse include in the teaching for this patient?
A) Hemodialysis is a treatment option that is required three times a week.
B) Hemodialysis is a treatment option that is required daily.
C) The patient will have surgery and a catheter will need to be inserted into the abdomen.
D) Hemodialysis is a treatment that is used for a few months until the patient's kidneys heal
Question 6The nurse is performing a detailed mental status assessment of an older adult patient who has a diagnosis of mild Alzheimer's disease. What assessment most accurately gauges the patient's abstract reasoning?
A) What city and state are we in right now?
B) What would you do if you found a stamped envelope on the street?
C) If you divide 16 by four and then double it, what do you get?
D) How do you believe that Alzheimer's disease is affecting you?
Question 7A patient admitted with nephrotic syndrome is being cared for on a medical unit. When writing this patient's care plan, what nursing diagnoses should the nurse prioritize?
A) Constipation related to immobility
B) Risk for injury related to altered thought processes
C) Hyperthermia related to the inflammatory process
D) Excess fluid volume related to excessive protein losses in the urine
Question 8A nurse has assessed a patient's orientation during the initial head-to-toe assessment near the beginning of a shift. The patient is able to state his own full name and knows the name of the hospital but is unable to identify the month and the year.
How should the nurse best document this assessment finding?
A) Patient is demonstrating signs of decreased neurological function.
B) Patient is disoriented.
C) Patient is oriented to person and place, but unable to state month and year.
D) Patient is oriented to person, oriented to place, but not oriented to time.
Quick Reply
