PN 3006 Final Exam With Answers
A condom catheter is to be used for an adult male client in the extended care facility.
Which of the following techniques is appropriate for the nurse to use in applying the
condom catheter?
Select one:
a. Using sterile gloves
b. Wrapping the adhesive tape securely around the base of the penis
c. Leaving a 2.5- to 5-cm space between the tip of the penis and the end of the catheter
d. Taping the tubing tightly to the thigh and attaching the drainage bag to the bed frame
- ANSWER- Leaving a 2.5- to 5-cm space between the tip of the penis and the end of
the catheter
The unit manager is evaluating the care of a new nursing staff member. Which of the
following techniques is appropriate for the nurse to implement to obtain a clean-voided
urine specimen?
Select one:
a. Apply sterile gloves for the procedure.
b. Restrict fluids before the specimen collection.
c. Place the specimen in a clean urinalysis container.
d. Collect the specimen after the initial stream of urine has passed. - ANSWER- Collect
the specimen after the initial stream of urine has passed.
A timed urine specimen collection is ordered. The test will need to be restarted if which
one of the following occurs?
Select one:
a. The client voids in the toilet.
b. The urine specimen is kept cold.
c. The first voided urine is discarded.
d. The preservative is placed in the collection container. - ANSWER- The client voids in
the toilet.
An order is written for the client's indwelling urinary catheterization to be discontinued.
While observing the new staff nurse providing care to this client and implementing the
prescriber's order, the unit manager determines that further instruction about catheter
removal is required for the new nurse if he or she does which one of the following?
Select one:
a. Drapes the female client between the thighs
b. Obtains a specimen before removal
c. Cuts the catheter to deflate the balloon
,d. Checks the client's output for 24 hours after removal - ANSWER- Cuts the catheter to
deflate the balloon
The nurse is working with a client who has a urinary diversion. Included in the plan of
care for this client is which of the following instructions?
Select one:
a. Special clothing will need to be ordered to fit around the diversion.
b. A stomal bag will need to be worn only at night.
c. A reduction in physical activity will be planned.
d. Special skin care is a priority. - ANSWER- Special skin care is a priority.
Immediately after an intravenous pyelogram (IVP), the nurse should observe the client
for which of the following symptoms?
Select one:
a .Infection in the urinary bladder
b. An allergic reaction to the contrast material
c. Urinary suppression caused by injury to kidney tissues
d. Incontinence as a result of paralysis of the urinary sphincter - ANSWER- An allergic
reaction to the contrast material
The nurse suspects that the client has a urinary tract infection (UTI) based on the client
exhibiting which of the following early signs or symptoms?
Select one:
a. Chills
b. Dysuria
c. Flank pain
d. Lower back pain - ANSWER- Dysuria
In determining the client's urinary status, which of the following does the nurse
anticipate the urinary output for an average adult should be?
Select one:
a. 800 to 1000 mL per day
b. 1000 to 1200 mL per day
c. 1500 to 1600 mL per day
d. 2000 to 2300 mL per day - ANSWER- 1500 to 1600 mL per day
Urinary elimination may be altered with different pathophysiological conditions. For the
client with diabetes mellitus, the nurse anticipates which of the following initial urinary
signs or symptoms?
Select one:
a. Urgency
, b. Dysuria
c. Hematuria
d. Polyuria - ANSWER- Polyuria
A postpartum client has been unable to void since her delivery of a baby this morning.
Which of the following nursing measures would be beneficial for the client initially?
Select one:
a. Increase the client's fluid intake to 3500 mL.
b. Insert indwelling Foley catheter.
c. Pour warm water over the client's perineum.
d. Apply firm pressure over the client's bladder. - ANSWER- Pour warm water over the
client's perineum.
A 3-year-old child is visiting the pediatric clinic. The nurse suspects that the child has a
urinary tract infection (UTI). Which of the following methods is appropriate for the nurse
to implement to obtain a urine specimen from the child?
Select one:
a. Use an indwelling catheter.
b. Offer fluids 30 minutes in advance.
c. Apply pressure over the urinary bladder.
d. Place a diaper on the child and squeeze out the specimen. - ANSWER- Offer fluids
30 minutes in advance.
In the assessment of a client with reflex incontinence, which of the following does the
nurse expect to find?
Select one:
a. The client has a constant dribbling of urine.
b. The client has an uncontrollable loss of urine when coughing or sneezing.
c. The client has no urge to void and an unawareness of bladder filling.
d. The client has an immediate urge to void but not enough time to reach the bathroom.
- ANSWER- The client has no urge to void and an unawareness of bladder filling.
Which one of the following measures should be included in a bladder-retraining program
for a client in an extended care facility?
Select one:
a. Providing negative reinforcement when the client is incontinent
b. Having the client wear adult diapers as a preventive measure
c. Initiating a voiding schedule
d. Promoting the intake of caffeine to stimulate voiding - ANSWER- Initiating a voiding
schedule
A condom catheter is to be used for an adult male client in the extended care facility.
Which of the following techniques is appropriate for the nurse to use in applying the
condom catheter?
Select one:
a. Using sterile gloves
b. Wrapping the adhesive tape securely around the base of the penis
c. Leaving a 2.5- to 5-cm space between the tip of the penis and the end of the catheter
d. Taping the tubing tightly to the thigh and attaching the drainage bag to the bed frame
- ANSWER- Leaving a 2.5- to 5-cm space between the tip of the penis and the end of
the catheter
The unit manager is evaluating the care of a new nursing staff member. Which of the
following techniques is appropriate for the nurse to implement to obtain a clean-voided
urine specimen?
Select one:
a. Apply sterile gloves for the procedure.
b. Restrict fluids before the specimen collection.
c. Place the specimen in a clean urinalysis container.
d. Collect the specimen after the initial stream of urine has passed. - ANSWER- Collect
the specimen after the initial stream of urine has passed.
A timed urine specimen collection is ordered. The test will need to be restarted if which
one of the following occurs?
Select one:
a. The client voids in the toilet.
b. The urine specimen is kept cold.
c. The first voided urine is discarded.
d. The preservative is placed in the collection container. - ANSWER- The client voids in
the toilet.
An order is written for the client's indwelling urinary catheterization to be discontinued.
While observing the new staff nurse providing care to this client and implementing the
prescriber's order, the unit manager determines that further instruction about catheter
removal is required for the new nurse if he or she does which one of the following?
Select one:
a. Drapes the female client between the thighs
b. Obtains a specimen before removal
c. Cuts the catheter to deflate the balloon
,d. Checks the client's output for 24 hours after removal - ANSWER- Cuts the catheter to
deflate the balloon
The nurse is working with a client who has a urinary diversion. Included in the plan of
care for this client is which of the following instructions?
Select one:
a. Special clothing will need to be ordered to fit around the diversion.
b. A stomal bag will need to be worn only at night.
c. A reduction in physical activity will be planned.
d. Special skin care is a priority. - ANSWER- Special skin care is a priority.
Immediately after an intravenous pyelogram (IVP), the nurse should observe the client
for which of the following symptoms?
Select one:
a .Infection in the urinary bladder
b. An allergic reaction to the contrast material
c. Urinary suppression caused by injury to kidney tissues
d. Incontinence as a result of paralysis of the urinary sphincter - ANSWER- An allergic
reaction to the contrast material
The nurse suspects that the client has a urinary tract infection (UTI) based on the client
exhibiting which of the following early signs or symptoms?
Select one:
a. Chills
b. Dysuria
c. Flank pain
d. Lower back pain - ANSWER- Dysuria
In determining the client's urinary status, which of the following does the nurse
anticipate the urinary output for an average adult should be?
Select one:
a. 800 to 1000 mL per day
b. 1000 to 1200 mL per day
c. 1500 to 1600 mL per day
d. 2000 to 2300 mL per day - ANSWER- 1500 to 1600 mL per day
Urinary elimination may be altered with different pathophysiological conditions. For the
client with diabetes mellitus, the nurse anticipates which of the following initial urinary
signs or symptoms?
Select one:
a. Urgency
, b. Dysuria
c. Hematuria
d. Polyuria - ANSWER- Polyuria
A postpartum client has been unable to void since her delivery of a baby this morning.
Which of the following nursing measures would be beneficial for the client initially?
Select one:
a. Increase the client's fluid intake to 3500 mL.
b. Insert indwelling Foley catheter.
c. Pour warm water over the client's perineum.
d. Apply firm pressure over the client's bladder. - ANSWER- Pour warm water over the
client's perineum.
A 3-year-old child is visiting the pediatric clinic. The nurse suspects that the child has a
urinary tract infection (UTI). Which of the following methods is appropriate for the nurse
to implement to obtain a urine specimen from the child?
Select one:
a. Use an indwelling catheter.
b. Offer fluids 30 minutes in advance.
c. Apply pressure over the urinary bladder.
d. Place a diaper on the child and squeeze out the specimen. - ANSWER- Offer fluids
30 minutes in advance.
In the assessment of a client with reflex incontinence, which of the following does the
nurse expect to find?
Select one:
a. The client has a constant dribbling of urine.
b. The client has an uncontrollable loss of urine when coughing or sneezing.
c. The client has no urge to void and an unawareness of bladder filling.
d. The client has an immediate urge to void but not enough time to reach the bathroom.
- ANSWER- The client has no urge to void and an unawareness of bladder filling.
Which one of the following measures should be included in a bladder-retraining program
for a client in an extended care facility?
Select one:
a. Providing negative reinforcement when the client is incontinent
b. Having the client wear adult diapers as a preventive measure
c. Initiating a voiding schedule
d. Promoting the intake of caffeine to stimulate voiding - ANSWER- Initiating a voiding
schedule
