Exam 3 NCLEX questions:
1. A patient is preparing to go down for a CT with IV contrast. Which of the following is
not something a nurse must consider prior to sending her patient down for that test?
a. Does that patient have an allergy to shellfish?
b. Is the patient showing any signs of impaired kidney function?
c. Does the patient have any metal implants?
d. Does the patient have an IV already placed?
2. A nurse is concerned her patient may have an infection based on a recent temperature she
obtained. What lab work does she anticipate the physician to order that might confirm the
presence of an infection? Select all that apply.
a. CBC
b. CMP
c. Blood cultures
d. BMP
3. A nurse notes her patient has many of the symptoms of a UTI, including dysuria,
frequency, and urgency. Which diagnostic test would she anticipate the physician to
order?
a. Urinalysis (UA)
b. Urine culture (UC)
c. KUB
d. Cystoscopy
4. A patient has a suspected brain bleed. He has a pacemaker in placed. What imaging
would be best for the physician to order?
a. CT
b. MRI
c. PET
d. Xray
5. A new nurse is preparing a patient for a paracentesis to drain extra fluid from his
abdomen. Which of the following observations would require the nurse preceptor to
intervene?
a. The nurse has the patient empty his bladder prior to the procedure.
b. The nurse ensures the consent form has been signed and is in the patients chart.
c. The nurse monitors blood pressure before and after the procedure.
d. The nurse brings in equipment for a chest tube in case of possible complications
from the procedure.
6. A nurse is caring for a client who complains that she loses control of her urine whenever
she coughs, laughs, or sneezes. What intervention would be appropriate for the nurse to
suggest to help control the incontinence?
a. Limit total daily fluid intake.
b. Decrease or avoid caffeine in the diet.
, c. Take calcium supplements.
d. Splint the abdomen prior to any activities that increase intraabdominal pressure.
7. A client who has an indwelling catheter reports a need to urinate. Which of the following
actions should the nurse take?
a. Check to see if the catheter is in the patient;
b. Reassure the client that it is not possible for her to urinate around the catheter.
c. Re-catheterize the bladder with a larger-gauge catheter.
d. Collect a urine specimen and send for analysis.
8. A nurse is caring for a client who has 24 hr urine specimen ordered. What action is most
appropriate for the nurse to take?
a. Discard the first void.
b. Keep urine in a single container at room temperature.
c. Empty foley bag into a sterile jug at the 24 hr mark and then transport the
specimen on ice.
d. Ask the client to urinate into the toilet, stop midstream, and finish urinating into
the specimen container.
9. A nurse is reviewing risk factors that increase the risk of UTIs. which of the following
would not be considered a risk factor?
a. Location of the urethra in relation to the anus in female patients
b. Frequent catheterization
c. Wiping from back to front
d. Maintaining fluid intake of at least 2 liters per day
10. A nurse is preparing to initiate a bladder retraining program for a client. Which of the
following actions is not appropriate for bladder retraining?
a. Record urination times and outputs
b. Gradually increase intervals between voids
c. Put patient on fluid restriction of <1000 ml per day
d. Tell the client to ensure they hold their urine until the next scheduled interval
11. A patient on strict bedrest is having difficulty voiding. What action is appropriate for the
nurse to take at this time?
a. Perform a straight catheter on the patient and document the output
b. Assist the client to sit up
c. Call the provider and request an order for a foley catheter
d. Encourage the client to drink caffeinated beverages
12. A physician has ordered a nurse obtain a urine specimen from a patient that has an
indwelling foley catheter. What action is most appropriate at this time?
a. Obtain the specimen from the drainage bag
b. Withdraw urine using a sterile syringe from the specimen port
c. Disconnect the tubing from the bag and allow urine to drip into the specimen cup
1. A patient is preparing to go down for a CT with IV contrast. Which of the following is
not something a nurse must consider prior to sending her patient down for that test?
a. Does that patient have an allergy to shellfish?
b. Is the patient showing any signs of impaired kidney function?
c. Does the patient have any metal implants?
d. Does the patient have an IV already placed?
2. A nurse is concerned her patient may have an infection based on a recent temperature she
obtained. What lab work does she anticipate the physician to order that might confirm the
presence of an infection? Select all that apply.
a. CBC
b. CMP
c. Blood cultures
d. BMP
3. A nurse notes her patient has many of the symptoms of a UTI, including dysuria,
frequency, and urgency. Which diagnostic test would she anticipate the physician to
order?
a. Urinalysis (UA)
b. Urine culture (UC)
c. KUB
d. Cystoscopy
4. A patient has a suspected brain bleed. He has a pacemaker in placed. What imaging
would be best for the physician to order?
a. CT
b. MRI
c. PET
d. Xray
5. A new nurse is preparing a patient for a paracentesis to drain extra fluid from his
abdomen. Which of the following observations would require the nurse preceptor to
intervene?
a. The nurse has the patient empty his bladder prior to the procedure.
b. The nurse ensures the consent form has been signed and is in the patients chart.
c. The nurse monitors blood pressure before and after the procedure.
d. The nurse brings in equipment for a chest tube in case of possible complications
from the procedure.
6. A nurse is caring for a client who complains that she loses control of her urine whenever
she coughs, laughs, or sneezes. What intervention would be appropriate for the nurse to
suggest to help control the incontinence?
a. Limit total daily fluid intake.
b. Decrease or avoid caffeine in the diet.
, c. Take calcium supplements.
d. Splint the abdomen prior to any activities that increase intraabdominal pressure.
7. A client who has an indwelling catheter reports a need to urinate. Which of the following
actions should the nurse take?
a. Check to see if the catheter is in the patient;
b. Reassure the client that it is not possible for her to urinate around the catheter.
c. Re-catheterize the bladder with a larger-gauge catheter.
d. Collect a urine specimen and send for analysis.
8. A nurse is caring for a client who has 24 hr urine specimen ordered. What action is most
appropriate for the nurse to take?
a. Discard the first void.
b. Keep urine in a single container at room temperature.
c. Empty foley bag into a sterile jug at the 24 hr mark and then transport the
specimen on ice.
d. Ask the client to urinate into the toilet, stop midstream, and finish urinating into
the specimen container.
9. A nurse is reviewing risk factors that increase the risk of UTIs. which of the following
would not be considered a risk factor?
a. Location of the urethra in relation to the anus in female patients
b. Frequent catheterization
c. Wiping from back to front
d. Maintaining fluid intake of at least 2 liters per day
10. A nurse is preparing to initiate a bladder retraining program for a client. Which of the
following actions is not appropriate for bladder retraining?
a. Record urination times and outputs
b. Gradually increase intervals between voids
c. Put patient on fluid restriction of <1000 ml per day
d. Tell the client to ensure they hold their urine until the next scheduled interval
11. A patient on strict bedrest is having difficulty voiding. What action is appropriate for the
nurse to take at this time?
a. Perform a straight catheter on the patient and document the output
b. Assist the client to sit up
c. Call the provider and request an order for a foley catheter
d. Encourage the client to drink caffeinated beverages
12. A physician has ordered a nurse obtain a urine specimen from a patient that has an
indwelling foley catheter. What action is most appropriate at this time?
a. Obtain the specimen from the drainage bag
b. Withdraw urine using a sterile syringe from the specimen port
c. Disconnect the tubing from the bag and allow urine to drip into the specimen cup
