med-surg exam 4 Questions with CORRECT Answers
(Grade A+)
Question 1:
When assessing a patient suspected of
disorder, the nurse would ask which question
confirm the diagnosis? Select all that apply.
"Do you have a history of hypertension?"
"Do you have a history of kidney stones?"
"Do you have a family history of diabetes
"Do you have a family history of cardiovascular
ease?"
"Do you have a family history of any autoimmune
eases?"
Answer:
having a kidney "Do you have a history of
to help hypertension?"
"Do you have a history of
kidney stones?"
mellitus?"
dis-
dis-
Question 2:
Which priority intervention would the nurse imple-
ment when providing care for a patient with a
glomerular filtration rate (GFR) of 45 mL/min sec-
ondary to kidney disease?
Encourage voiding of urine.
Maintain an adequate fluid intake.
Report data to the primary health care provider.
Consider the data normal, and do not take any action.
Answer:
Maintain an adequate flu-
id intake
Question 3:
,Which laboratory test would the nurse associate
the best indicator of kidney function?
Creatinine
Alkaline phosphatase
Blood urea nitrogen (BUN)
Aspartate aminotransferase (AST)
Answer:
with Creatinine
Question 4:
Which technique would the nurse use when obtain-
ing a sterile urine specimen from a patient's urinary
drainage catheter?
Use a sterile syringe to withdraw urine from the urine
collection bag.
Answer:
Clamp the tubing, attach
a syringe to the specimen,
and withdraw at least 5 mL
of urine.
and collect urine directly from the Foley catheter.
Remove the existing catheter, and obtain a sample
during the process of inserting a new Foley catheter.
Clamp the tubing, attach a syringe to the specimen,
and withdraw at least 5 mL of urine.
Question 5:
Which urinalysis finding indicates
urinary tract infection (UTI)? Select
Casts
Red blood cells
White blood cells
Combination of a positive leukocyte
trate
Presence of more than 20 epithelial
field
Answer:
, the presence of a Casts
all that apply. Red blood cells
White blood cells
Combination of a positive
leukocyte esterase and ni-
esterase and ni- trate
cells/high-power
Question 6:
Which term would the nurse use to document a pa-
tient's report of discomfort and pain when voiding?
Anuria
Dysuria
Oliguria
Polyuria
Answer:
Dysuria
Question 7:
When the nurse is reviewing the urinalysis
patient, which finding supports the nurse's
tion that the patient may have cystitis?
Increased protein
Increased glucose
Increased ketones
Increased red blood cells
Answer:
report of a Increased red blood cells
interpreta-
form a physical assessment of a patient's kidneys and the costovertebral angle
bladder? (CVA).
Inspect for asymmetry in the costovertebral angle
(CVA).
Start percussion from the umbilicus to the lower ab-
domen.
Begin by lightly palpating the areas of pain and tender-
ness.
Palpate the left kidney lightly with the patient in a
(Grade A+)
Question 1:
When assessing a patient suspected of
disorder, the nurse would ask which question
confirm the diagnosis? Select all that apply.
"Do you have a history of hypertension?"
"Do you have a history of kidney stones?"
"Do you have a family history of diabetes
"Do you have a family history of cardiovascular
ease?"
"Do you have a family history of any autoimmune
eases?"
Answer:
having a kidney "Do you have a history of
to help hypertension?"
"Do you have a history of
kidney stones?"
mellitus?"
dis-
dis-
Question 2:
Which priority intervention would the nurse imple-
ment when providing care for a patient with a
glomerular filtration rate (GFR) of 45 mL/min sec-
ondary to kidney disease?
Encourage voiding of urine.
Maintain an adequate fluid intake.
Report data to the primary health care provider.
Consider the data normal, and do not take any action.
Answer:
Maintain an adequate flu-
id intake
Question 3:
,Which laboratory test would the nurse associate
the best indicator of kidney function?
Creatinine
Alkaline phosphatase
Blood urea nitrogen (BUN)
Aspartate aminotransferase (AST)
Answer:
with Creatinine
Question 4:
Which technique would the nurse use when obtain-
ing a sterile urine specimen from a patient's urinary
drainage catheter?
Use a sterile syringe to withdraw urine from the urine
collection bag.
Answer:
Clamp the tubing, attach
a syringe to the specimen,
and withdraw at least 5 mL
of urine.
and collect urine directly from the Foley catheter.
Remove the existing catheter, and obtain a sample
during the process of inserting a new Foley catheter.
Clamp the tubing, attach a syringe to the specimen,
and withdraw at least 5 mL of urine.
Question 5:
Which urinalysis finding indicates
urinary tract infection (UTI)? Select
Casts
Red blood cells
White blood cells
Combination of a positive leukocyte
trate
Presence of more than 20 epithelial
field
Answer:
, the presence of a Casts
all that apply. Red blood cells
White blood cells
Combination of a positive
leukocyte esterase and ni-
esterase and ni- trate
cells/high-power
Question 6:
Which term would the nurse use to document a pa-
tient's report of discomfort and pain when voiding?
Anuria
Dysuria
Oliguria
Polyuria
Answer:
Dysuria
Question 7:
When the nurse is reviewing the urinalysis
patient, which finding supports the nurse's
tion that the patient may have cystitis?
Increased protein
Increased glucose
Increased ketones
Increased red blood cells
Answer:
report of a Increased red blood cells
interpreta-
form a physical assessment of a patient's kidneys and the costovertebral angle
bladder? (CVA).
Inspect for asymmetry in the costovertebral angle
(CVA).
Start percussion from the umbilicus to the lower ab-
domen.
Begin by lightly palpating the areas of pain and tender-
ness.
Palpate the left kidney lightly with the patient in a
