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Renal and Urinary System Disorders & Endocrine System
Diagnostics,
Adult Medical-Surgical Nursing curriculum
Download now
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
, Page 2 of 40
Which statements will the nurse include when teaching a patient who is
scheduled for oral glucose tolerance testing in the outpatient clinic (select all
that apply)?
a. "You will need to avoid smoking before the test."
b. "Exercise should be avoided until the testing is complete."
c. "Several blood samples will be obtained during the testing."
d. "You should follow a low-calorie diet the day before the test."
e. "The test requires that you fast for at least 8 hours before testing."
ACE
A patient returns to the clinic with recurrent dysuria after being treated with
trimethoprim and sulfamethoxazole (Bactrim) for 3 days. Which action will the
nurse plan to take?
a. Remind the patient about the need to drink 1000 mL of fluids daily.
b. Obtain a midstream urine specimen for culture and sensitivity testing.
c. Teach the patient to take the prescribed Bactrim for at least 3 more days.
d. Suggest that the patient use acetaminophen (Tylenol) to treat the
symptoms.
B. Obtain a midstream urine specimen for culture and sensitivity testing
Since uncomplicated urinary tract infections (UTIs) are usually successfully treated
with 3 days of antibiotic therapy, this patient will need a urine culture and sensitivity
to determine appropriate antibiotic therapy. Tylenol would not be as effective as
other over-the-counter (OTC) medications such as phenazopyridine (Pyridium) in
treating dysuria. The fluid intake should be increased to at least 1800 mL/day. Since
the UTI has persisted after treatment with Bactrim, the patient is likely to need a
different antibiotic.
DIF: Cognitive Level: Application REF: 1123-1125
The nurse determines that instruction regarding prevention of future urinary
tract infections (UTIs) for a patient with cystitis has been effective when the
patient states,
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a. "I can use vaginal sprays to reduce bacteria."
b. "I will drink a quart of water or other fluids every day."
c. "I will wash with soap and water before sexual intercourse."
d. "I will empty my bladder every 3 to 4 hours during the day."
D. "I will empty my bladder every 3 to 4 hours during the day"
Voiding every 3 to 4 hours is recommended to prevent UTIs. Use of vaginal sprays is
dis-
couraged. The bladder should be emptied before and after intercourse, but cleaning
with soap and water is not necessary. A quart of fluids is insufficient to provide
adequate urine output to decrease risk for UTI.
Which information will the nurse include when teaching the patient with a
urinary tract infection (UTI) about the use of phenazopyridine (Pyridium)?
a. Take the medication for at least 7 days.
b. Use sunscreen while taking the Pyridium.
c. The urine may turn a reddish-orange color.
d. Use the Pyridium before sexual intercourse.
C. The urine may turn a reddish-orange color.
Patients should be taught that Pyridium will color the urine deep orange. Urinary
analgesics should only be needed for a few days until the prescribed antibiotics
decrease the bacterial count. Taking Pyridium before intercourse will not be helpful
in reducing the risk for UTI. Pyridium does not cause photosensitivity.
A 72-year-old who has benign prostatic hyperplasia is admitted to the hospital
with chills, fever, and vomiting. Which finding by the nurse will be most helpful
in determining whether the patient has an upper urinary tract infection (UTI)?
a. Suprapubic pain
b. Bladder distention
c. Foul-smelling urine
d. Costovertebral tenderness
D. Costovertebral tenderness
Costovertebral tenderness is characteristic of pyelonephritis. The other symptoms
are characteristic of lower UTI and are likely to be present if the patient also has an
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upper UTI.
DIF: Cognitive Level: Application REF: 1128
After teaching a patient with interstitial cystitis about management of the
condition, the nurse determines that further instruction is needed when the
patient says,
a. "I will have to stop having coffee and orange juice for breakfast."
b. "I should start taking a high potency multiple vitamin every morning."
c. "I will buy some calcium glycerophosphate (Prelief) at the pharmacy."
d. "I should call the doctor about increased bladder pain or odorous urine."
B. "I should start taking a high potency multiple vitamin every morning"
High-potency multiple vitamins may irritate the bladder and increase symptoms. The
other patient statements indicate good understanding of the teaching.
When admitting a patient with acute glomerulonephritis, it is most important
that the nurse ask the patient about
a. recent sore throat and fever.
b. history of high blood pressure.
c. frequency of bladder infections.
d. family history of kidney stones.
A. recent sore throat and fever
Acute glomerulonephritis frequently occurs after a streptococcal infection such as
strep throat. It is not caused by hypertension, urinary tract infection (UTI), or kidney
stones.
Which finding by the nurse for a patient admitted with glomerulonephritis
indicates that treatment has been effective?
a. The patient denies pain with voiding.
b. The urine dipstick is negative for nitrites.
c. Peripheral and periorbital edema is resolved.
d. The antistreptolysin-O (ASO) titer is decreased.
C. peripheral and periorbital edema is resolved
Since edema is a common clinical manifestation of glomerulonephritis, resolution of
Renal and Urinary System Disorders & Endocrine System
Diagnostics,
Adult Medical-Surgical Nursing curriculum
Download now
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
, Page 2 of 40
Which statements will the nurse include when teaching a patient who is
scheduled for oral glucose tolerance testing in the outpatient clinic (select all
that apply)?
a. "You will need to avoid smoking before the test."
b. "Exercise should be avoided until the testing is complete."
c. "Several blood samples will be obtained during the testing."
d. "You should follow a low-calorie diet the day before the test."
e. "The test requires that you fast for at least 8 hours before testing."
ACE
A patient returns to the clinic with recurrent dysuria after being treated with
trimethoprim and sulfamethoxazole (Bactrim) for 3 days. Which action will the
nurse plan to take?
a. Remind the patient about the need to drink 1000 mL of fluids daily.
b. Obtain a midstream urine specimen for culture and sensitivity testing.
c. Teach the patient to take the prescribed Bactrim for at least 3 more days.
d. Suggest that the patient use acetaminophen (Tylenol) to treat the
symptoms.
B. Obtain a midstream urine specimen for culture and sensitivity testing
Since uncomplicated urinary tract infections (UTIs) are usually successfully treated
with 3 days of antibiotic therapy, this patient will need a urine culture and sensitivity
to determine appropriate antibiotic therapy. Tylenol would not be as effective as
other over-the-counter (OTC) medications such as phenazopyridine (Pyridium) in
treating dysuria. The fluid intake should be increased to at least 1800 mL/day. Since
the UTI has persisted after treatment with Bactrim, the patient is likely to need a
different antibiotic.
DIF: Cognitive Level: Application REF: 1123-1125
The nurse determines that instruction regarding prevention of future urinary
tract infections (UTIs) for a patient with cystitis has been effective when the
patient states,
, Page 3 of 40
a. "I can use vaginal sprays to reduce bacteria."
b. "I will drink a quart of water or other fluids every day."
c. "I will wash with soap and water before sexual intercourse."
d. "I will empty my bladder every 3 to 4 hours during the day."
D. "I will empty my bladder every 3 to 4 hours during the day"
Voiding every 3 to 4 hours is recommended to prevent UTIs. Use of vaginal sprays is
dis-
couraged. The bladder should be emptied before and after intercourse, but cleaning
with soap and water is not necessary. A quart of fluids is insufficient to provide
adequate urine output to decrease risk for UTI.
Which information will the nurse include when teaching the patient with a
urinary tract infection (UTI) about the use of phenazopyridine (Pyridium)?
a. Take the medication for at least 7 days.
b. Use sunscreen while taking the Pyridium.
c. The urine may turn a reddish-orange color.
d. Use the Pyridium before sexual intercourse.
C. The urine may turn a reddish-orange color.
Patients should be taught that Pyridium will color the urine deep orange. Urinary
analgesics should only be needed for a few days until the prescribed antibiotics
decrease the bacterial count. Taking Pyridium before intercourse will not be helpful
in reducing the risk for UTI. Pyridium does not cause photosensitivity.
A 72-year-old who has benign prostatic hyperplasia is admitted to the hospital
with chills, fever, and vomiting. Which finding by the nurse will be most helpful
in determining whether the patient has an upper urinary tract infection (UTI)?
a. Suprapubic pain
b. Bladder distention
c. Foul-smelling urine
d. Costovertebral tenderness
D. Costovertebral tenderness
Costovertebral tenderness is characteristic of pyelonephritis. The other symptoms
are characteristic of lower UTI and are likely to be present if the patient also has an
, Page 4 of 40
upper UTI.
DIF: Cognitive Level: Application REF: 1128
After teaching a patient with interstitial cystitis about management of the
condition, the nurse determines that further instruction is needed when the
patient says,
a. "I will have to stop having coffee and orange juice for breakfast."
b. "I should start taking a high potency multiple vitamin every morning."
c. "I will buy some calcium glycerophosphate (Prelief) at the pharmacy."
d. "I should call the doctor about increased bladder pain or odorous urine."
B. "I should start taking a high potency multiple vitamin every morning"
High-potency multiple vitamins may irritate the bladder and increase symptoms. The
other patient statements indicate good understanding of the teaching.
When admitting a patient with acute glomerulonephritis, it is most important
that the nurse ask the patient about
a. recent sore throat and fever.
b. history of high blood pressure.
c. frequency of bladder infections.
d. family history of kidney stones.
A. recent sore throat and fever
Acute glomerulonephritis frequently occurs after a streptococcal infection such as
strep throat. It is not caused by hypertension, urinary tract infection (UTI), or kidney
stones.
Which finding by the nurse for a patient admitted with glomerulonephritis
indicates that treatment has been effective?
a. The patient denies pain with voiding.
b. The urine dipstick is negative for nitrites.
c. Peripheral and periorbital edema is resolved.
d. The antistreptolysin-O (ASO) titer is decreased.
C. peripheral and periorbital edema is resolved
Since edema is a common clinical manifestation of glomerulonephritis, resolution of
