NEW UPDATED 2024/2025 MED SURG
EXAM 4
,NEW UPDATED 2024/2025 MED SURG
EXAM 4
1. 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?" - CORRECT ANSWERSD
2. 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 - CORRECT ANSWERSC
3. 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 - CORRECT ANSWERSC
7. 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. - CORRECT ANSWERSB
8. 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. - CORRECT ANSWERSB
10. 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 - CORRECT ANSWERSB
12. A patient passing bloody urine is scheduled for a cystoscopy with cystogram. Which description of
the procedure by the nurse is accurate?
a.
"Your doctor will place a catheter into an artery in your groin and inject a dye that will visualize the
blood supply to the kidneys."
b.
"Your doctor will insert a lighted tube into the bladder, and little catheters will be inserted through the
tube into your kidney."
c.
"Your doctor will insert a lighted tube into the bladder through your urethra, inspect the bladder, and
instill a dye that will outline your bladder on x-ray."
d.
"Your doctor will inject a radioactive solution into a vein in your arm and the distribution of the isotope
in your kidneys and bladder will be checked." - CORRECT ANSWERSC
13. The nurse caring for a patient after cystoscopy plans that the patient
a.
learns to request narcotics for pain.
b.
understands to expect blood-tinged urine.
c.
EXAM 4
,NEW UPDATED 2024/2025 MED SURG
EXAM 4
1. 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?" - CORRECT ANSWERSD
2. 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 - CORRECT ANSWERSC
3. 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 - CORRECT ANSWERSC
7. 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. - CORRECT ANSWERSB
8. 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. - CORRECT ANSWERSB
10. 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 - CORRECT ANSWERSB
12. A patient passing bloody urine is scheduled for a cystoscopy with cystogram. Which description of
the procedure by the nurse is accurate?
a.
"Your doctor will place a catheter into an artery in your groin and inject a dye that will visualize the
blood supply to the kidneys."
b.
"Your doctor will insert a lighted tube into the bladder, and little catheters will be inserted through the
tube into your kidney."
c.
"Your doctor will insert a lighted tube into the bladder through your urethra, inspect the bladder, and
instill a dye that will outline your bladder on x-ray."
d.
"Your doctor will inject a radioactive solution into a vein in your arm and the distribution of the isotope
in your kidneys and bladder will be checked." - CORRECT ANSWERSC
13. The nurse caring for a patient after cystoscopy plans that the patient
a.
learns to request narcotics for pain.
b.
understands to expect blood-tinged urine.
c.
