Med Surg Exam 4
st st st
1.stTostassessstwhethersttherestisstanystimprovementstinstastpatient'sstdysuria,stw
hichstquestionstwillstthestnursestask?
a.
"Dostyousthavesttosturinatestatstnight?"
b.
"Dostyousthavestbloodstinstyoursturine?"
c.
"Dostyousthavesttosturinatestfrequently?"
d.
"Dostyousthavestpainstwhenstyousturinate?"st-stcorrectstanswer✔ ✔ D
2.stWhenstastpatient'ssturinestdipstickstteststindicatesstastsmallstamountstofstprote
in,stthestnurse'sstnextstactionstshouldstbestto
a.
sendstasturinestspecimensttostthestlaboratorysttostteststforstketones.
b.
obtainstastclean-catchsturinestforstculturestandstsensitivitysttesting.
c.
inquirestaboutstwhichstmedicationsstthestpatientstisstcurrentlysttaking.
,d.
askstthestpatientstaboutstanystfamilysthistorystofstchronicstrenalstfailurest-
stcorrectstanswer✔ ✔ C
3.stAsthospitalizedstpatientstwithstpossiblestrenalstinsufficiencystafterstcoronar
ystarterystbypassstsurgerystisstscheduledstforstastcreatininestclearancesttest.stWhi
chstequipmentstwillstthestnursestneedsttostobtain?
a.
Urinarystcatheter
b.
Cleaningsttowelettes
c.
Largestcontainerstforsturine
d.
Sterilesturinestspecimenstcupst-stcorrectstanswer✔ ✔ C
7.stThestnursestcompletingstastphysicalstassessmentstforstastnewlystadmittedstma
lestpatientstisstunablesttostfeelsteitherstkidneystonstpalpation.stWhichstactionstsho
uldstthestnursesttakestnext?
a.
Obtainstasturinestspecimensttostcheckstforsthematuria.
b.
,Documentstthestinformationstonstthestassessmentstform.
c.
Askstthestpatientstaboutstanysthistorystofstrecentstsorestthroat.
d.
Askstthesthealthstcarestproviderstaboutstschedulingstastrenalstultrasound.st-
stcorrectstanswer✔ ✔ B
8.stHowstwillstthestnursestassessstforstflanksttendernessstinstast30-year-
oldstfemalestpatientstwithstsuspectedstpyelonephritis?
a.
Palpatestalongstbothstsidesstofstthestlumbarstvertebralstcolumn.
b.
Strikestastflatsthandstcoveringstthestcostovertebralstanglest(CVA).
c.
Pushstfingersstupwardstintostthesttwostloweststintercostalstspaces.
d.
Percussstbetweenstthestiliacstcreststandstribsstalongstthestmidaxillarystline.st-
stcorrectstanswer✔ ✔ B
10.stThestnursestassessingstthesturinarystsystemstofstast45-year-
oldstfemalestwouldstusestauscultationstto
a.
, determinestkidneystposition.
b.
identifystrenalstarterystbruits.
c.
checkstforstureteralstperistalsis.
d.
assessstforstbladderstdistentionst-stcorrectstanswer✔ ✔ B
12.stAstpatientstpassingstbloodysturinestisstscheduledstforstastcystoscopystwithstc
ystogram.stWhichstdescriptionstofstthestprocedurestbystthestnursestisstaccurate?
a.
"Yourstdoctorstwillstplacestastcatheterstintostanstarterystinstyourstgroinstandstinjec
tstastdyestthatstwillstvisualizestthestbloodstsupplysttostthestkidneys."
b.
"Yourstdoctorstwillstinsertstastlightedsttubestintostthestbladder,standstlittlestcathet
ersstwillstbestinsertedstthroughstthesttubestintostyourstkidney."
c.
"Yourstdoctorstwillstinsertstastlightedsttubestintostthestbladderstthroughstyoursture
thra,stinspectstthestbladder,standstinstillstastdyestthatstwillstoutlinestyourstbladderst
onstx-ray."
d.
st st st
1.stTostassessstwhethersttherestisstanystimprovementstinstastpatient'sstdysuria,stw
hichstquestionstwillstthestnursestask?
a.
"Dostyousthavesttosturinatestatstnight?"
b.
"Dostyousthavestbloodstinstyoursturine?"
c.
"Dostyousthavesttosturinatestfrequently?"
d.
"Dostyousthavestpainstwhenstyousturinate?"st-stcorrectstanswer✔ ✔ D
2.stWhenstastpatient'ssturinestdipstickstteststindicatesstastsmallstamountstofstprote
in,stthestnurse'sstnextstactionstshouldstbestto
a.
sendstasturinestspecimensttostthestlaboratorysttostteststforstketones.
b.
obtainstastclean-catchsturinestforstculturestandstsensitivitysttesting.
c.
inquirestaboutstwhichstmedicationsstthestpatientstisstcurrentlysttaking.
,d.
askstthestpatientstaboutstanystfamilysthistorystofstchronicstrenalstfailurest-
stcorrectstanswer✔ ✔ C
3.stAsthospitalizedstpatientstwithstpossiblestrenalstinsufficiencystafterstcoronar
ystarterystbypassstsurgerystisstscheduledstforstastcreatininestclearancesttest.stWhi
chstequipmentstwillstthestnursestneedsttostobtain?
a.
Urinarystcatheter
b.
Cleaningsttowelettes
c.
Largestcontainerstforsturine
d.
Sterilesturinestspecimenstcupst-stcorrectstanswer✔ ✔ C
7.stThestnursestcompletingstastphysicalstassessmentstforstastnewlystadmittedstma
lestpatientstisstunablesttostfeelsteitherstkidneystonstpalpation.stWhichstactionstsho
uldstthestnursesttakestnext?
a.
Obtainstasturinestspecimensttostcheckstforsthematuria.
b.
,Documentstthestinformationstonstthestassessmentstform.
c.
Askstthestpatientstaboutstanysthistorystofstrecentstsorestthroat.
d.
Askstthesthealthstcarestproviderstaboutstschedulingstastrenalstultrasound.st-
stcorrectstanswer✔ ✔ B
8.stHowstwillstthestnursestassessstforstflanksttendernessstinstast30-year-
oldstfemalestpatientstwithstsuspectedstpyelonephritis?
a.
Palpatestalongstbothstsidesstofstthestlumbarstvertebralstcolumn.
b.
Strikestastflatsthandstcoveringstthestcostovertebralstanglest(CVA).
c.
Pushstfingersstupwardstintostthesttwostloweststintercostalstspaces.
d.
Percussstbetweenstthestiliacstcreststandstribsstalongstthestmidaxillarystline.st-
stcorrectstanswer✔ ✔ B
10.stThestnursestassessingstthesturinarystsystemstofstast45-year-
oldstfemalestwouldstusestauscultationstto
a.
, determinestkidneystposition.
b.
identifystrenalstarterystbruits.
c.
checkstforstureteralstperistalsis.
d.
assessstforstbladderstdistentionst-stcorrectstanswer✔ ✔ B
12.stAstpatientstpassingstbloodysturinestisstscheduledstforstastcystoscopystwithstc
ystogram.stWhichstdescriptionstofstthestprocedurestbystthestnursestisstaccurate?
a.
"Yourstdoctorstwillstplacestastcatheterstintostanstarterystinstyourstgroinstandstinjec
tstastdyestthatstwillstvisualizestthestbloodstsupplysttostthestkidneys."
b.
"Yourstdoctorstwillstinsertstastlightedsttubestintostthestbladder,standstlittlestcathet
ersstwillstbestinsertedstthroughstthesttubestintostyourstkidney."
c.
"Yourstdoctorstwillstinsertstastlightedsttubestintostthestbladderstthroughstyoursture
thra,stinspectstthestbladder,standstinstillstastdyestthatstwillstoutlinestyourstbladderst
onstx-ray."
d.
