NR 325 Exam 1 2023 QUESTIONS AND
ANSWERS GRADED A+ VERIFIED
To assess whether there is any improvement in a patient's dysuria, which question
will the nurse ask?
a."Do you have to urinate at night?"
b."Do you have blood in your urine?"
c."Do you have to urinate frequently?"
d."Do you have pain when you urinate?" - ANS D. Dysuria is painful urination.
When a patient's urine dipstick test indicates a small amount of protein, the nurse's
next action should be to:
a. send a urine specimen to the laboratory to test for ketones.
b. obtain a clean-catch urine for culture and sensitivity testing.
c. inquire about which medications the patient is currently taking.
d. ask the patient about any family history of chronic renal failure. - ANS ANS: C
Normally the urinalysis will show zero to trace amounts of protein, but some
medications may give false-positive readings.
A hospitalized patient with possible renal insufficiency after coronary artery bypass
surgery is scheduled for a creatinine clearance test. Which equipment will the nurse
need to obtain?
a. Urinary catheter
b. Cleaning towelettes
c. Large container for urine
d. Sterile urine specimen cup - ANS ANS: C
,NR 325 Exam 1 2023 QUESTIONS AND
ANSWERS GRADED A+ VERIFIED
Because creatinine clearance testing involves a 24-hour urine specimen, the nurse
should obtain a large container for the urine collection.
A 32-year-old patient 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. - ANS ANS: D
Exposure to the chemicals involved with working as a hairdresser and in smoking
both increase the risk of bladder cancer, and the nurse should assess whether the
patient understands this risk.
Which medication taken at home by a 47-year-old patient with decreased renal
function will be of most concern to the nurse?
a. ibuprofen (Motrin)
b. warfarin (Coumadin)
c. folic acid (vitamin B9)
d. penicillin (Bicillin LA) - ANS ANS: A
The nonsteroidal antiinflammatory medications (NSAIDs) are nephrotoxic and
should be avoided in patients with impaired renal function.
A 79-year-old man has been admitted with benign prostatic hyperplasia. What is
most appropriate 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.
,NR 325 Exam 1 2023 QUESTIONS AND
ANSWERS GRADED A+ VERIFIED
d. Pad the patient's bed to accommodate overflow incontinence. - ANS 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.
The nurse completing a physical assessment for a newly admitted male patient is
unable to feel either kidney on palpation. Which action should the nurse take next?
a. Obtain a urine specimen to check for hematuria.
b. Document the information on the assessment form.
c. Ask the patient about any history of recent sore throat.
d. Ask the health care provider about scheduling a renal ultrasound. - ANS ANS:
B
The kidneys are protected by the abdominal organs, ribs, and muscles of the back,
and may not be palpable under normal circumstances, so no action except to
document the assessment information is needed.
How will the nurse assess for flank tenderness in a 30-year-old female patient with
suspected pyelonephritis?
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 along the midaxillary line. - ANS
ANS: B
Checking for flank pain is best performed by percussion of the CVA and asking
about pain.
, NR 325 Exam 1 2023 QUESTIONS AND
ANSWERS GRADED A+ VERIFIED
What glomerular filtration rate (GFR) would the nurse estimate for a 30-year-old
patient with a creatinine clearance result of 60 mL/min?
a. 60 mL/min
b. 90 mL/min
c. 120 mL/min
d. 180 mL/min - ANS ANS: A
The creatinine clearance approximates the GFR.
The nurse assessing the urinary system of a 45-year-old female would use
auscultation to
a. determine kidney position.
b. identify renal artery bruits.
c. check for ureteral peristalsis.
d. assess for bladder distention. - ANS ANS: B
The presence of a bruit may indicate problems such as renal artery tortuosity or
abdominal aortic aneurysm.
A patient gives the nurse health information before a scheduled intravenous
pyelogram (IVP). Which item has the most immediate implications for the patient's
care?
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. - ANS ANS:
B
Iodine-based contrast dye is used during IVP and for many computed tomography
(CT) scans. The nurse will need to notify the health care provider before the
ANSWERS GRADED A+ VERIFIED
To assess whether there is any improvement in a patient's dysuria, which question
will the nurse ask?
a."Do you have to urinate at night?"
b."Do you have blood in your urine?"
c."Do you have to urinate frequently?"
d."Do you have pain when you urinate?" - ANS D. Dysuria is painful urination.
When a patient's urine dipstick test indicates a small amount of protein, the nurse's
next action should be to:
a. send a urine specimen to the laboratory to test for ketones.
b. obtain a clean-catch urine for culture and sensitivity testing.
c. inquire about which medications the patient is currently taking.
d. ask the patient about any family history of chronic renal failure. - ANS ANS: C
Normally the urinalysis will show zero to trace amounts of protein, but some
medications may give false-positive readings.
A hospitalized patient with possible renal insufficiency after coronary artery bypass
surgery is scheduled for a creatinine clearance test. Which equipment will the nurse
need to obtain?
a. Urinary catheter
b. Cleaning towelettes
c. Large container for urine
d. Sterile urine specimen cup - ANS ANS: C
,NR 325 Exam 1 2023 QUESTIONS AND
ANSWERS GRADED A+ VERIFIED
Because creatinine clearance testing involves a 24-hour urine specimen, the nurse
should obtain a large container for the urine collection.
A 32-year-old patient 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. - ANS ANS: D
Exposure to the chemicals involved with working as a hairdresser and in smoking
both increase the risk of bladder cancer, and the nurse should assess whether the
patient understands this risk.
Which medication taken at home by a 47-year-old patient with decreased renal
function will be of most concern to the nurse?
a. ibuprofen (Motrin)
b. warfarin (Coumadin)
c. folic acid (vitamin B9)
d. penicillin (Bicillin LA) - ANS ANS: A
The nonsteroidal antiinflammatory medications (NSAIDs) are nephrotoxic and
should be avoided in patients with impaired renal function.
A 79-year-old man has been admitted with benign prostatic hyperplasia. What is
most appropriate 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.
,NR 325 Exam 1 2023 QUESTIONS AND
ANSWERS GRADED A+ VERIFIED
d. Pad the patient's bed to accommodate overflow incontinence. - ANS 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.
The nurse completing a physical assessment for a newly admitted male patient is
unable to feel either kidney on palpation. Which action should the nurse take next?
a. Obtain a urine specimen to check for hematuria.
b. Document the information on the assessment form.
c. Ask the patient about any history of recent sore throat.
d. Ask the health care provider about scheduling a renal ultrasound. - ANS ANS:
B
The kidneys are protected by the abdominal organs, ribs, and muscles of the back,
and may not be palpable under normal circumstances, so no action except to
document the assessment information is needed.
How will the nurse assess for flank tenderness in a 30-year-old female patient with
suspected pyelonephritis?
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 along the midaxillary line. - ANS
ANS: B
Checking for flank pain is best performed by percussion of the CVA and asking
about pain.
, NR 325 Exam 1 2023 QUESTIONS AND
ANSWERS GRADED A+ VERIFIED
What glomerular filtration rate (GFR) would the nurse estimate for a 30-year-old
patient with a creatinine clearance result of 60 mL/min?
a. 60 mL/min
b. 90 mL/min
c. 120 mL/min
d. 180 mL/min - ANS ANS: A
The creatinine clearance approximates the GFR.
The nurse assessing the urinary system of a 45-year-old female would use
auscultation to
a. determine kidney position.
b. identify renal artery bruits.
c. check for ureteral peristalsis.
d. assess for bladder distention. - ANS ANS: B
The presence of a bruit may indicate problems such as renal artery tortuosity or
abdominal aortic aneurysm.
A patient gives the nurse health information before a scheduled intravenous
pyelogram (IVP). Which item has the most immediate implications for the patient's
care?
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. - ANS ANS:
B
Iodine-based contrast dye is used during IVP and for many computed tomography
(CT) scans. The nurse will need to notify the health care provider before the
