NSG 333: Final Exam Review D
Questions with Actual Detailed
Answers 2026 Edition.
Which question should the nurse ask to assess a patient's dysuria?
a. "Do you have blood in your urine?"
b. "Do you have pain when you urinate?"
c. "Do you have to urinate frequently?"
d. "Do you have to urinate at night?" - Answer ANS:
Dysuria is painful urination. The alternate responses are used to assess other urinary tract
symptoms: hematuria, nocturia, and frequency.
A young adult who is employed as a hairdresser and has a 15 pack-year history of cigarette
smoking is scheduled for
an annual physical examination. The nurse will plan to teach the patient about the increased
risk for
a. renal failure
b. kidney stones
c. pyelonephritis
d. bladder cancer - Answer ANS: D
Exposure to the chemicals involved with working as a hairdresser and in smoking both increase
the riskof bladder cancer, and the nurse should assess whether the patient understands this
risk. The patient is not at increased risk for renal failure, pyelonephritis, or kidney stones.
Which medication taken at home by a patient with decreased renal function will be ofmost
concern to the nurse?
a. ibuprofen (Motrin)
b. warfarin (Coumadin)
c. folic acid (vitamin B9)
d. penicillin (Bicillin C-R) - Answer ANS: A
The nonsteroidal antiinflammatory medications (NSAIDs) are nephrotoxic and should be
avoided in patients with impaired renal function. The nurse should also ask about reasons the
patient is taking the other medications, but the medication of most concern is the ibuprofen.
A 78-yr-old patient has been admitted with benign prostatic hyperplasia. What is
mostappropriate to include in the nursing plan of care?
a. Limit fluid intake to no more than 1000 mL/day.
, b. Leave a light on in the bathroom during the night.
c. Ask the patient to use a urinal so that urine can be measured.
d. Pad the patient's bed to accommodate overflow incontinence. - Answer ANS: B
The patient's age and diagnosis indicate a likelihood of nocturia, so leaving the light on in the
bathroom is appropriate. Fluids should be encouraged because dehydration is more common in
older patients. Theinformation in the question does not indicate that measurement of the
patient's output is necessary or thatthe patient has overflow incontinence.
How will the nurse assess for flank tenderness in a patient with suspectedpyelonephritis?
a. Palpate along both sides of the lumbar vertebral column.
b. Strike a flat hand covering the costovertebral angle (CVA).
c. Push fingers upward into the two lowest intercostal spaces.
d. Percuss between the iliac crest and ribs at the midaxillary line. - Answer ANS: B
Checking for flank pain is best performed by percussion of the CVA and asking about pain. The
other techniques would not assess for flank pain.
A patient gives the admitting nurse health information before a scheduled
intravenouspyelogram (IVP). Which item requires the nurse to intervene before the procedure?
a. The patient has not had food or drink for 8 hours.
b. The patient lists allergies to shellfish and penicillin.
c. The patient complains of costovertebral angle (CVA) tenderness.
d. The patient used a bisacodyl (Dulcolax) tablet the previous night. - Answer ANS: B
Iodine-based contrast dye is used during IVP and for many CT scans. The nurse will need to
notify thehealth care provider before the procedures so that the patient can receive
medications such asantihistamines or corticosteroids before the procedures are started. The
other information is also important to note and document but does not have immediate
implications for the patient's care during the procedures.
The nurse caring for a patient after cystoscopy plans that the patient
a. the patient learns to request narcotics for pain
b. the patient understands to expect blood-tinged urine
c. the patient restricts activity to bed rest for 4-6 hours
d. the patient remains NPO for 8 hours to prevent vomiting - Answer ANS: B
Pink-tinged urine and urinary frequency are expected after cystoscopy. Burning on urination is
common, but pain that requires opioids for relief is not expected. A good fluid intake is
encouraged after this procedure. Bed rest is not required following cystoscopy.
A female patient with a suspected urinary tract infection (UTI) is to provide a clean-catch urine
specimen for culture and sensitivity testing. To obtain the specimen, the nurse will
Questions with Actual Detailed
Answers 2026 Edition.
Which question should the nurse ask to assess a patient's dysuria?
a. "Do you have blood in your urine?"
b. "Do you have pain when you urinate?"
c. "Do you have to urinate frequently?"
d. "Do you have to urinate at night?" - Answer ANS:
Dysuria is painful urination. The alternate responses are used to assess other urinary tract
symptoms: hematuria, nocturia, and frequency.
A young adult who is employed as a hairdresser and has a 15 pack-year history of cigarette
smoking is scheduled for
an annual physical examination. The nurse will plan to teach the patient about the increased
risk for
a. renal failure
b. kidney stones
c. pyelonephritis
d. bladder cancer - Answer ANS: D
Exposure to the chemicals involved with working as a hairdresser and in smoking both increase
the riskof bladder cancer, and the nurse should assess whether the patient understands this
risk. The patient is not at increased risk for renal failure, pyelonephritis, or kidney stones.
Which medication taken at home by a patient with decreased renal function will be ofmost
concern to the nurse?
a. ibuprofen (Motrin)
b. warfarin (Coumadin)
c. folic acid (vitamin B9)
d. penicillin (Bicillin C-R) - Answer ANS: A
The nonsteroidal antiinflammatory medications (NSAIDs) are nephrotoxic and should be
avoided in patients with impaired renal function. The nurse should also ask about reasons the
patient is taking the other medications, but the medication of most concern is the ibuprofen.
A 78-yr-old patient has been admitted with benign prostatic hyperplasia. What is
mostappropriate to include in the nursing plan of care?
a. Limit fluid intake to no more than 1000 mL/day.
, b. Leave a light on in the bathroom during the night.
c. Ask the patient to use a urinal so that urine can be measured.
d. Pad the patient's bed to accommodate overflow incontinence. - Answer ANS: B
The patient's age and diagnosis indicate a likelihood of nocturia, so leaving the light on in the
bathroom is appropriate. Fluids should be encouraged because dehydration is more common in
older patients. Theinformation in the question does not indicate that measurement of the
patient's output is necessary or thatthe patient has overflow incontinence.
How will the nurse assess for flank tenderness in a patient with suspectedpyelonephritis?
a. Palpate along both sides of the lumbar vertebral column.
b. Strike a flat hand covering the costovertebral angle (CVA).
c. Push fingers upward into the two lowest intercostal spaces.
d. Percuss between the iliac crest and ribs at the midaxillary line. - Answer ANS: B
Checking for flank pain is best performed by percussion of the CVA and asking about pain. The
other techniques would not assess for flank pain.
A patient gives the admitting nurse health information before a scheduled
intravenouspyelogram (IVP). Which item requires the nurse to intervene before the procedure?
a. The patient has not had food or drink for 8 hours.
b. The patient lists allergies to shellfish and penicillin.
c. The patient complains of costovertebral angle (CVA) tenderness.
d. The patient used a bisacodyl (Dulcolax) tablet the previous night. - Answer ANS: B
Iodine-based contrast dye is used during IVP and for many CT scans. The nurse will need to
notify thehealth care provider before the procedures so that the patient can receive
medications such asantihistamines or corticosteroids before the procedures are started. The
other information is also important to note and document but does not have immediate
implications for the patient's care during the procedures.
The nurse caring for a patient after cystoscopy plans that the patient
a. the patient learns to request narcotics for pain
b. the patient understands to expect blood-tinged urine
c. the patient restricts activity to bed rest for 4-6 hours
d. the patient remains NPO for 8 hours to prevent vomiting - Answer ANS: B
Pink-tinged urine and urinary frequency are expected after cystoscopy. Burning on urination is
common, but pain that requires opioids for relief is not expected. A good fluid intake is
encouraged after this procedure. Bed rest is not required following cystoscopy.
A female patient with a suspected urinary tract infection (UTI) is to provide a clean-catch urine
specimen for culture and sensitivity testing. To obtain the specimen, the nurse will
