NUR301 EXAM 3 PRACTICE QUESTIONS
AND ANSWERS 2026 VERIFIED.
An older male patient complains to the physician of urinary frequency, urgency, and dysuria. A
cystoscopy is performed. After the cystoscopy, which of the following nursing actions has the
highest priority?
a) Obtain the patient's vital signs:
b) Report any nausea to the physician
c) Review the patient's written discharge instructions
d) Administer a sedative - ANS a) Obtain the patient's vital signs
rationale: assess for bleeding and infection. Monitor urine volume and color should be pink
tinged. Abnormal pelvic pain indicates trauma.
-notify if blood clots or urinary output decreases
-sedative given before procedure
When preparing a patient for peritoneal dialysis, which of the following nursing actions should
be taken FIRST?
a) Assess for bruit:
b) Warm the dialysate
c) Position the patient on the left side
d) Insert a Foley catheter - ANS b) Warm the dialysate
rationale:: should be warmed to body temperature to not disrupt tissue temperature.
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 65
,-A:auscultate the bruit over an AV fistula or AV graft during hemodialysis
-C:it depends on where the tube is inserted. Repositioning helps with outflow of dialysate
D:do not perform unless there is a proven need; for example if the patient has a full bladder and
is not urinating
the nurse provides care for a client dx with a group A beta-hemolytic streptococcal bacterial
infection. The nurse knows the client is at high risk to develop which condition?
1) myoglobinuria
2) acute glomerulonephritis
3) renal calculi
4) uremic encephalopathy - ANS 2) acute glomerulonephritis
RATIONALE:: results from entrapment and collection of antigen antibody complexes. The
immune complexes become lodged in the glomerular capillaries causing glomerular damage
Which finding in the urine of the client diagnosed with chronic kidney disease is expected by the
nurse?
a) Hematuria
b) Polyuria
c) Dysuria
d) Oliguria - ANS d) Oliguria
RATIONALE: urine production less than 400 ml a day is a sign of kidney failure
A: caused by glomerulonephritis
C: : this would be s/s of uti
The client is admitted to the hospital with a diagnosis of acute kidney injury. The nurse
understands which explanation is the MOST accurate description of the client's condition?
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 65
,a) A sudden loss of kidney function due to failure of the renal system circulation or to
glomerular or tubular damage
b) A progressive deterioration in kidney function that ends fatally when uremia develops
c) An inflammation of the kidney pelvis, tubules, and interstitial tissues of one or both kidneys
d) An inflammation process precipitated by chemical changes in the glomeruli of both kidneys -
ANS a) A sudden loss of kidney function due to failure of the renal system circulation or to
glomerular or tubular damage
RATIONALE:acute kidney injury is sudden cessation of kidney function caused by renal failure or
by glomerular or tubular damage
Which of the following urine outputs BEST indicates to the nurse that a patient's kidneys are
functioning normally?
a) 555 mL in 2 hr
b) 30 mL in one hr
c) 1,500 mL in 24 hr
d) 800 mL in 24 hr - ANS c) 1,500 mL in 24 hr
RATIONALE: normal urine output is 800-2000 ml in a 24 hour period with an intake of about 2
liters
a) 555 mL in 2 hr: polyuria is an indication of infection, diabetes, kidney failure or kidney stones
b) 30 mL in one hr: this may indicate kidney failure or an obstruction
d) 800 mL in 24 hr: this would be minimum urine output unless there is an obstruction or kidney
failure
The nurse cares for a client after a traditional cholecystectomy. The nurse contacts the health
care provider if which observation is made?
a. 800 mL bloody drainage the first day postop
b. The client frequently reports abdominal pain during the first 24 hours.
c. Nasogastric tube connected to intermittent suction the first day postop
@COPYRIGHT ALL RIGHTS RESERVED PAGE 3 OF 65
, d. Temperature elevation to 100F (37.8C) the evening of surgery - ANS a. 800 mL bloody
drainage the first day postop
RATIONALE: 50 ml is an appropriate amount of drainage. Too much drainage indicates
hemorrhage
b. The client frequently reports abdominal pain during the first 24 hours. : incisional pain is
common and treated with morphine using a patient controlled pump
c. Nasogastric tube connected to intermittent suction the first day postop: decompress
stomach, tube removed when peristalsis returns
d. Temperature elevation to 100F (37.8C) the evening of surgery: not unusual to have a slightly
elevated temperature evening of surgery
The nurse cares for a client diagnosed with cholelithiasis. It is MOST important to instruct the
client to avoid which of the following foods? SELECT ALL
a. Apples
B. Brocoli
C lettuce
d. Cheese
e. Bacon
f carrots - ANS b. Brocoli: avoid vegetables that cause gas including cabbage, beans and
onions
d. Cheese: high in cholesterol and fat. Cream, butter, whole milk and icecream should be
avoided. Avoid fried foods with high amounts of calories too
e. Bacon: bacon and other meats high in fat and cholesterol should be avoided
The nurse provides care for a pt with acute pancreatitis. The nurse administers morphine IV for
pain. Which behavior indicates the medication is effective?
a. Pt sleeps for one hour
B: pt frequently changes position in bed
C: pt states there is less nausea
@COPYRIGHT ALL RIGHTS RESERVED PAGE 4 OF 65
AND ANSWERS 2026 VERIFIED.
An older male patient complains to the physician of urinary frequency, urgency, and dysuria. A
cystoscopy is performed. After the cystoscopy, which of the following nursing actions has the
highest priority?
a) Obtain the patient's vital signs:
b) Report any nausea to the physician
c) Review the patient's written discharge instructions
d) Administer a sedative - ANS a) Obtain the patient's vital signs
rationale: assess for bleeding and infection. Monitor urine volume and color should be pink
tinged. Abnormal pelvic pain indicates trauma.
-notify if blood clots or urinary output decreases
-sedative given before procedure
When preparing a patient for peritoneal dialysis, which of the following nursing actions should
be taken FIRST?
a) Assess for bruit:
b) Warm the dialysate
c) Position the patient on the left side
d) Insert a Foley catheter - ANS b) Warm the dialysate
rationale:: should be warmed to body temperature to not disrupt tissue temperature.
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 65
,-A:auscultate the bruit over an AV fistula or AV graft during hemodialysis
-C:it depends on where the tube is inserted. Repositioning helps with outflow of dialysate
D:do not perform unless there is a proven need; for example if the patient has a full bladder and
is not urinating
the nurse provides care for a client dx with a group A beta-hemolytic streptococcal bacterial
infection. The nurse knows the client is at high risk to develop which condition?
1) myoglobinuria
2) acute glomerulonephritis
3) renal calculi
4) uremic encephalopathy - ANS 2) acute glomerulonephritis
RATIONALE:: results from entrapment and collection of antigen antibody complexes. The
immune complexes become lodged in the glomerular capillaries causing glomerular damage
Which finding in the urine of the client diagnosed with chronic kidney disease is expected by the
nurse?
a) Hematuria
b) Polyuria
c) Dysuria
d) Oliguria - ANS d) Oliguria
RATIONALE: urine production less than 400 ml a day is a sign of kidney failure
A: caused by glomerulonephritis
C: : this would be s/s of uti
The client is admitted to the hospital with a diagnosis of acute kidney injury. The nurse
understands which explanation is the MOST accurate description of the client's condition?
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 65
,a) A sudden loss of kidney function due to failure of the renal system circulation or to
glomerular or tubular damage
b) A progressive deterioration in kidney function that ends fatally when uremia develops
c) An inflammation of the kidney pelvis, tubules, and interstitial tissues of one or both kidneys
d) An inflammation process precipitated by chemical changes in the glomeruli of both kidneys -
ANS a) A sudden loss of kidney function due to failure of the renal system circulation or to
glomerular or tubular damage
RATIONALE:acute kidney injury is sudden cessation of kidney function caused by renal failure or
by glomerular or tubular damage
Which of the following urine outputs BEST indicates to the nurse that a patient's kidneys are
functioning normally?
a) 555 mL in 2 hr
b) 30 mL in one hr
c) 1,500 mL in 24 hr
d) 800 mL in 24 hr - ANS c) 1,500 mL in 24 hr
RATIONALE: normal urine output is 800-2000 ml in a 24 hour period with an intake of about 2
liters
a) 555 mL in 2 hr: polyuria is an indication of infection, diabetes, kidney failure or kidney stones
b) 30 mL in one hr: this may indicate kidney failure or an obstruction
d) 800 mL in 24 hr: this would be minimum urine output unless there is an obstruction or kidney
failure
The nurse cares for a client after a traditional cholecystectomy. The nurse contacts the health
care provider if which observation is made?
a. 800 mL bloody drainage the first day postop
b. The client frequently reports abdominal pain during the first 24 hours.
c. Nasogastric tube connected to intermittent suction the first day postop
@COPYRIGHT ALL RIGHTS RESERVED PAGE 3 OF 65
, d. Temperature elevation to 100F (37.8C) the evening of surgery - ANS a. 800 mL bloody
drainage the first day postop
RATIONALE: 50 ml is an appropriate amount of drainage. Too much drainage indicates
hemorrhage
b. The client frequently reports abdominal pain during the first 24 hours. : incisional pain is
common and treated with morphine using a patient controlled pump
c. Nasogastric tube connected to intermittent suction the first day postop: decompress
stomach, tube removed when peristalsis returns
d. Temperature elevation to 100F (37.8C) the evening of surgery: not unusual to have a slightly
elevated temperature evening of surgery
The nurse cares for a client diagnosed with cholelithiasis. It is MOST important to instruct the
client to avoid which of the following foods? SELECT ALL
a. Apples
B. Brocoli
C lettuce
d. Cheese
e. Bacon
f carrots - ANS b. Brocoli: avoid vegetables that cause gas including cabbage, beans and
onions
d. Cheese: high in cholesterol and fat. Cream, butter, whole milk and icecream should be
avoided. Avoid fried foods with high amounts of calories too
e. Bacon: bacon and other meats high in fat and cholesterol should be avoided
The nurse provides care for a pt with acute pancreatitis. The nurse administers morphine IV for
pain. Which behavior indicates the medication is effective?
a. Pt sleeps for one hour
B: pt frequently changes position in bed
C: pt states there is less nausea
@COPYRIGHT ALL RIGHTS RESERVED PAGE 4 OF 65
