Page 10 - Exhibit No. 11 Samples of teacher-made tests in the current school year
P. 10

and vomiting and abdominal cramps. Her vital signs are blood pressure 100/70 mm
                   Hg, pulse 110, respirations 30, and oral temperature 100.4°F (38°C). Her electrolytes
                   are sodium 120 mEq/L, potassium 5.2 mEq/L; her urinary output for the first 8 hours
                   is 50 ml. The client is displaying signs of which electrolyte imbalance?
                   A.  Hyponatremia
                   B.  Hyperkalemia
                   C.  Hypophosphatemia
                   D.  Hypercalcemia

               52. Nurse Cezar John, is correct when he identifies that the client with renal failure should
                   be on which type of diet?
                   A.  Low calorie, limited protein, low carbohydrate
                   B.  High protein, high carbohydrate, low calorie
                   C.  Limited protein, low carbohydrate, adequate calorie intake
                   D.  Adequate calorie intake, high carbohydrate, limited protein

               53. Nurse  Mariel,  is  monitoring  the  urine  output  of  her  patient.  She  is  correct  if  she
                   identifies that the normal minimum output in ml/hr is:
                   A.  35
                   B.  30
                   C.  40
                   D.  45

               54. Nurse Steffie, is a charge nurse assigned in the care for a client with acute renal failure
                   and hypernatremia to her, a newly graduated RN. Which actions can she delegate to
                   the nursing assistant?
                   A.  Assess daily weights for trends
                   B.  Administer 0.45% saline by IV line
                   C.  Monitor for indications of dehydration
                   D.  Provide oral care every 3-4 hours

               55. The  cause  of                 failure  is  impaired  blood  supply  to  the  kidney  (Fluid
                   Volume Deficit, hemorrhage, heart failure, shock).
                   A.  Postrenal
                   B.  Intrarenal
                   C.  Prerenal
                   D.  Perirenal

               56.                  is a treatment for renal failure in which blood id continuously circulated
                   (artery to vein or vein to vein) and filtered, allowing excess water and solutes to empty
                   into a collecting device. Fluid may be replaced with a balanced electrolyte solution as
                   needed during treatment.
                   A.  Continuous Renal Replacement Therapy
                   B.  Hemodialysis
                   C.  Continuous ambulatory peritoneal dialysis
                   D.  Continuous cyclic peritoneal dialysis

               57. When the kidneys have too few nephrons to excrete metabolic wastes and regulate
                   fluid and electrolyte balance adequately, the client is said to have                 , the
                   final stage of Chronic Renal Failure.
                   A.  Renal insufficiency
                   B.  End-stage renal disease (ESRD)
                   C.  Acute tubular necrosis
                   D.  Dialysis

               58. Nurse Marvin, is caring for a patient with chronic renal failure reports pruritus. Which
                   instruction should Nurse Marvin include in this patient’s teaching plan?
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