NSG 316
MAXE · LANIF
★ ★
N Health Assessment & Nursing Care
EST. 2020
E XC E L L E N C E I N N U RS I N G E D U C AT I O N
NSG 316 FINAL EXAM
H E A LT H A SS E SS M E N T & N U RS I N G C A R E
INSTITUTION NSG 316 Nursing Program COURSE CODE NSG 316
PROGRAM Bachelor of Science in Nursing ACADEMIC YEAR
EXAM TITLE NSG 316 FINAL EXAM TOTAL QUESTIONS 128 Questions
COURSE TITLE Health Assessment & Nursing Care FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise instructed.
▸ Genitourinary, respiratory, immune, inflammatory, and rheumatologic conditions are all testable
content.
▸ Key terms and definitions from the course are emphasized throughout.
▸ Correct answers and detailed rationales appear below each question for board review purposes.
▸ All content reflects current nursing education standards.
, SECTION I — COMPREHENSIVE NURSING ASSESSMENT Questions 1 – 128
1. What is BPH (Benign Prostatic Hyperplasia)?
A. Hypertrophy of the prostate gland due to testosterone having a greater stimulation to the
receptors causing growth of cells
B. A malignant tumor of the prostate gland
C. Inflammation of the prostate gland
D. A congenital abnormality of the prostate
CORRECT ANSWER A — Hypertrophy of the prostate gland due to testosterone having a greater
stimulation to the receptors causing growth of cells
RATIONALE BPH is hypertrophy of the prostate gland due to testosterone having a greater
stimulation to the receptors, causing growth of cells. This benign enlargement of
the prostate is common in older men and can lead to urinary symptoms including
frequency, urgency, and hesitancy.
2. What OTC medications can worsen symptoms of BPH?
A. Phenylephrine, antihistamines, anabolic steroids
B. Acetaminophen, ibuprofen, aspirin
C. Antacids, laxatives, vitamins
D. Antibiotics, antifungals, antivirals
CORRECT ANSWER A — Phenylephrine, antihistamines, anabolic steroids
RATIONALE OTC medications that can worsen symptoms of BPH include phenylephrine,
antihistamines, and anabolic steroids. These medications can cause urinary
retention by affecting smooth muscle tone in the bladder neck and prostate.
,3. What are renal stones composed of?
A. Calcium oxalate or calcium phosphate
B. Sodium chloride or potassium citrate
C. Uric acid or cystine
D. Magnesium ammonium phosphate
CORRECT ANSWER A — Calcium oxalate or calcium phosphate
RATIONALE Renal stones are composed of calcium oxalate or calcium phosphate. These are
the most common types of kidney stones. Other types include uric acid stones,
cystine stones, and struvite stones (magnesium ammonium phosphate).
4. What can cause renal stones?
A. Dehydration, excessive salt intake, excessive protein intake
B. Excessive fluid intake, low protein intake
C. High calcium intake, low sodium intake
D. Excessive vitamin D, low vitamin C
CORRECT ANSWER A — Dehydration, excessive salt intake, excessive protein intake
RATIONALE Renal stones can be caused by dehydration (lack of fluids), excessive salt intake
(insoluble salt), and excessive protein intake. These factors contribute to the
concentration of stone-forming substances in the urine.
5. What is gross hematuria?
A. Presence of blood that can be detected without magnification
B. Presence of blood that can only be detected with a microscope
C. Presence of protein in the urine
D. Presence of white blood cells in the urine
CORRECT ANSWER A — Presence of blood that can be detected without magnification
RATIONALE Gross hematuria is the presence of blood that can be detected without
magnification. It is visible to the naked eye and indicates bleeding in the urinary
tract. This is a significant finding that requires prompt evaluation.
, 6. What is hydronephrosis?
A. The dilation (swelling) of one or both kidneys due to obstructed urine flow
B. Inflammation of the renal pelvis
C. Infection of the kidney tissue
D. A tumor in the kidney
CORRECT ANSWER A — The dilation (swelling) of one or both kidneys due to obstructed urine
flow
RATIONALE Hydronephrosis is the dilation (swelling) of one or both kidneys due to obstructed
urine flow. Urine accumulation leads to infection related to urinary stasis and
damage to collecting/proximal tubules and glomeruli. It is a serious complication
of urinary tract obstruction.
7. What is lithotripsy?
A. Sound or shock waves administered to crush a stone
B. Incision into the ureter to remove a stone
C. Surgical incision of the renal pelvis to remove a stone
D. A procedure to dissolve kidney stones with medication
CORRECT ANSWER A — Sound or shock waves administered to crush a stone
RATIONALE Lithotripsy is the use of sound or shock waves to crush a kidney stone into smaller
pieces that can be passed more easily. It is a non-invasive treatment option for
kidney stones.
MAXE · LANIF
★ ★
N Health Assessment & Nursing Care
EST. 2020
E XC E L L E N C E I N N U RS I N G E D U C AT I O N
NSG 316 FINAL EXAM
H E A LT H A SS E SS M E N T & N U RS I N G C A R E
INSTITUTION NSG 316 Nursing Program COURSE CODE NSG 316
PROGRAM Bachelor of Science in Nursing ACADEMIC YEAR
EXAM TITLE NSG 316 FINAL EXAM TOTAL QUESTIONS 128 Questions
COURSE TITLE Health Assessment & Nursing Care FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise instructed.
▸ Genitourinary, respiratory, immune, inflammatory, and rheumatologic conditions are all testable
content.
▸ Key terms and definitions from the course are emphasized throughout.
▸ Correct answers and detailed rationales appear below each question for board review purposes.
▸ All content reflects current nursing education standards.
, SECTION I — COMPREHENSIVE NURSING ASSESSMENT Questions 1 – 128
1. What is BPH (Benign Prostatic Hyperplasia)?
A. Hypertrophy of the prostate gland due to testosterone having a greater stimulation to the
receptors causing growth of cells
B. A malignant tumor of the prostate gland
C. Inflammation of the prostate gland
D. A congenital abnormality of the prostate
CORRECT ANSWER A — Hypertrophy of the prostate gland due to testosterone having a greater
stimulation to the receptors causing growth of cells
RATIONALE BPH is hypertrophy of the prostate gland due to testosterone having a greater
stimulation to the receptors, causing growth of cells. This benign enlargement of
the prostate is common in older men and can lead to urinary symptoms including
frequency, urgency, and hesitancy.
2. What OTC medications can worsen symptoms of BPH?
A. Phenylephrine, antihistamines, anabolic steroids
B. Acetaminophen, ibuprofen, aspirin
C. Antacids, laxatives, vitamins
D. Antibiotics, antifungals, antivirals
CORRECT ANSWER A — Phenylephrine, antihistamines, anabolic steroids
RATIONALE OTC medications that can worsen symptoms of BPH include phenylephrine,
antihistamines, and anabolic steroids. These medications can cause urinary
retention by affecting smooth muscle tone in the bladder neck and prostate.
,3. What are renal stones composed of?
A. Calcium oxalate or calcium phosphate
B. Sodium chloride or potassium citrate
C. Uric acid or cystine
D. Magnesium ammonium phosphate
CORRECT ANSWER A — Calcium oxalate or calcium phosphate
RATIONALE Renal stones are composed of calcium oxalate or calcium phosphate. These are
the most common types of kidney stones. Other types include uric acid stones,
cystine stones, and struvite stones (magnesium ammonium phosphate).
4. What can cause renal stones?
A. Dehydration, excessive salt intake, excessive protein intake
B. Excessive fluid intake, low protein intake
C. High calcium intake, low sodium intake
D. Excessive vitamin D, low vitamin C
CORRECT ANSWER A — Dehydration, excessive salt intake, excessive protein intake
RATIONALE Renal stones can be caused by dehydration (lack of fluids), excessive salt intake
(insoluble salt), and excessive protein intake. These factors contribute to the
concentration of stone-forming substances in the urine.
5. What is gross hematuria?
A. Presence of blood that can be detected without magnification
B. Presence of blood that can only be detected with a microscope
C. Presence of protein in the urine
D. Presence of white blood cells in the urine
CORRECT ANSWER A — Presence of blood that can be detected without magnification
RATIONALE Gross hematuria is the presence of blood that can be detected without
magnification. It is visible to the naked eye and indicates bleeding in the urinary
tract. This is a significant finding that requires prompt evaluation.
, 6. What is hydronephrosis?
A. The dilation (swelling) of one or both kidneys due to obstructed urine flow
B. Inflammation of the renal pelvis
C. Infection of the kidney tissue
D. A tumor in the kidney
CORRECT ANSWER A — The dilation (swelling) of one or both kidneys due to obstructed urine
flow
RATIONALE Hydronephrosis is the dilation (swelling) of one or both kidneys due to obstructed
urine flow. Urine accumulation leads to infection related to urinary stasis and
damage to collecting/proximal tubules and glomeruli. It is a serious complication
of urinary tract obstruction.
7. What is lithotripsy?
A. Sound or shock waves administered to crush a stone
B. Incision into the ureter to remove a stone
C. Surgical incision of the renal pelvis to remove a stone
D. A procedure to dissolve kidney stones with medication
CORRECT ANSWER A — Sound or shock waves administered to crush a stone
RATIONALE Lithotripsy is the use of sound or shock waves to crush a kidney stone into smaller
pieces that can be passed more easily. It is a non-invasive treatment option for
kidney stones.
