NURS 220 MODULE 4 EXAM 2026
LATEST QUESTIONS MERGED WITH
CORRECT COMPLETE SOLUTIONS ||
ALREADY GRADED A+ ||2026-2027
LATEST UPDATE!!!
The nurse is preparing a patient for an intravenous pyelogram (IVP).
What is the priority nursing action by the nurse?
A. Administer a cathartic or enema
B. Assess patient for allergies to penicillin
C. Keep the patient NPO for 4 hours preprocedural
D. Advise the patient that a metallic taste may occur during procedure
- ANSWER-A. Administer a cathartic or enema
,Rationale: Nursing responsibilities in caring for a patient undergoing
an IVP include administration of a cathartic or enema to empty the
colon of feces and gas. The nurse will also assess the patient for iodine
sensitivity; keep the patient NPO for 8 hours before the procedure;
and advise the patient that warmth, a flushed face, and a salty taste
during injection of contrast material may occur.
In addition to urine function, the nurse recognizes that the kidneys
perform numerous other functions important to the maintenance of
homeostasis. Which physiological processes are performed by the
kidneys (select all that apply).
A. Production of renin
B. Activation of Vitamin D
C. Carbohydrate metabolism
D. Erythropoietin production
E. Hemolysis of old red blood cells (RBCs) - ANSWER-A. Production of
renin
B. Activation of Vitamin D
D. Erythropoietin production
In addition to urine formation, the kidneys release renin to maintain
blood pressure, activate vitamin D to maintain calcium levels, and
produce erythropoietin to stimulate RBC production. Carbohydrate
,metabolism and hemolysis of old RBCs are not physiologic functions
that are performed by the kidneys.
When a patient reports acute, severe, renal colic pain in the lower
abdomen, the nurse suspects that the patient is most likely to have an
obstruction at which area?
A. Kidney
B. Urethra
C. Bladder
D. Ureterovesical junction - ANSWER-D. Ureterovesical junction
Rationale: The ureterovesical junction is the narrowest part of the
urethra and easily obstructed by urinary calculi. With a stone in the
kidney or at the ureteropelvic junction, the pain may be dull
costovertebral flank pain. Stones in the bladder do not cause
obstruction or symptoms unless they are staghorn stones. The urethra
seldom has obstruction related to stones.
A patient has sought care because of recent difficulties in establishing
and maintaining a urine stream as well as pain that occasionally
accompanies urination. How should that nurse document this
abnormal assessment finding?
A. Anuria
B. Dysuria
, C. Oliguria
D. Enuresis - ANSWER-B. Dysuria
Rationale: Painful and difficult urination is characterized as dysuria.
Whereas anuria is an absence of urine production, oliguria is
diminished urine production. Enuresis is involuntary nocturnal
urination.
The nurse is caring for an older adult patient taking bumetanide. What
age-related changes does the nurse inform the patient that may be
experienced?
A. Benign enlargement of prostatic tissues
B. Decrease sensation of bladder capacity
C. Decreased function of the loop of Henle
D. Less absorption in the Bowman's capsule - ANSWER-C. Decreased
function of the loop of Henle
Rationale: Bumetanide (Bumex) is a loop diuretic that acts in the loop
of Henle to decrease reabsorption of sodium and chloride. Because
the loop of Henle loses function with aging, the excretion of drugs
becomes less and less efficient. Thus, the circulating levels of drugs are
increased and their effects prolonged. The benign enlargement of
prostatic tissue, decreased sensation of bladder capacity, and loss of
concentrating ability do not directly affect the action of loop diuretics.
LATEST QUESTIONS MERGED WITH
CORRECT COMPLETE SOLUTIONS ||
ALREADY GRADED A+ ||2026-2027
LATEST UPDATE!!!
The nurse is preparing a patient for an intravenous pyelogram (IVP).
What is the priority nursing action by the nurse?
A. Administer a cathartic or enema
B. Assess patient for allergies to penicillin
C. Keep the patient NPO for 4 hours preprocedural
D. Advise the patient that a metallic taste may occur during procedure
- ANSWER-A. Administer a cathartic or enema
,Rationale: Nursing responsibilities in caring for a patient undergoing
an IVP include administration of a cathartic or enema to empty the
colon of feces and gas. The nurse will also assess the patient for iodine
sensitivity; keep the patient NPO for 8 hours before the procedure;
and advise the patient that warmth, a flushed face, and a salty taste
during injection of contrast material may occur.
In addition to urine function, the nurse recognizes that the kidneys
perform numerous other functions important to the maintenance of
homeostasis. Which physiological processes are performed by the
kidneys (select all that apply).
A. Production of renin
B. Activation of Vitamin D
C. Carbohydrate metabolism
D. Erythropoietin production
E. Hemolysis of old red blood cells (RBCs) - ANSWER-A. Production of
renin
B. Activation of Vitamin D
D. Erythropoietin production
In addition to urine formation, the kidneys release renin to maintain
blood pressure, activate vitamin D to maintain calcium levels, and
produce erythropoietin to stimulate RBC production. Carbohydrate
,metabolism and hemolysis of old RBCs are not physiologic functions
that are performed by the kidneys.
When a patient reports acute, severe, renal colic pain in the lower
abdomen, the nurse suspects that the patient is most likely to have an
obstruction at which area?
A. Kidney
B. Urethra
C. Bladder
D. Ureterovesical junction - ANSWER-D. Ureterovesical junction
Rationale: The ureterovesical junction is the narrowest part of the
urethra and easily obstructed by urinary calculi. With a stone in the
kidney or at the ureteropelvic junction, the pain may be dull
costovertebral flank pain. Stones in the bladder do not cause
obstruction or symptoms unless they are staghorn stones. The urethra
seldom has obstruction related to stones.
A patient has sought care because of recent difficulties in establishing
and maintaining a urine stream as well as pain that occasionally
accompanies urination. How should that nurse document this
abnormal assessment finding?
A. Anuria
B. Dysuria
, C. Oliguria
D. Enuresis - ANSWER-B. Dysuria
Rationale: Painful and difficult urination is characterized as dysuria.
Whereas anuria is an absence of urine production, oliguria is
diminished urine production. Enuresis is involuntary nocturnal
urination.
The nurse is caring for an older adult patient taking bumetanide. What
age-related changes does the nurse inform the patient that may be
experienced?
A. Benign enlargement of prostatic tissues
B. Decrease sensation of bladder capacity
C. Decreased function of the loop of Henle
D. Less absorption in the Bowman's capsule - ANSWER-C. Decreased
function of the loop of Henle
Rationale: Bumetanide (Bumex) is a loop diuretic that acts in the loop
of Henle to decrease reabsorption of sodium and chloride. Because
the loop of Henle loses function with aging, the excretion of drugs
becomes less and less efficient. Thus, the circulating levels of drugs are
increased and their effects prolonged. The benign enlargement of
prostatic tissue, decreased sensation of bladder capacity, and loss of
concentrating ability do not directly affect the action of loop diuretics.
