MGRADES
Herzing NSG 521 Fundamentals/Health
Assessment Exam 3 UPDATED ACTUAL
Exam Questions and CORRECT Answers
True or False-
Patients with an indwelling catheter do not require peri care - CORRECT ANSWER -
False (we want to limit risk of infection)
Which of the following statements about toilet training is incorrect?
1)Nightime continence occurs after daytime
2)Girls develop bladder control faster than boys
3)Children must be able to voice the desire to void prior to starting toilet training
4)Bladder control is present at 1 year of age - CORRECT ANSWER - 4)Bladder control is
present at 1 year of age (We usually potty train around 2 years of age.
True or False
You can collect a sterile urine specimen from a foley catheter by draining urine from the
collection bag - CORRECT ANSWER - False (We don't want old urine sitting in the bag.
Need to collect urine from the tube- clamp the tube if there's no urine in the tube, clean the
collection port, collect 10mL for UA and 3mL for urine culture, label sterile cup with patient
identifiers, time/date, and unclamp)
True or False
When performing a rectal exam the patient should be positioned in a semi-fowlers position -
CORRECT ANSWER - False (Semi-Fowlers is semi-reclined/sitting up position) Standing
is best or lying on the left side
Patient may feel the urge to poop or pee during exam
You are performing a focused assessment on a patient's urinary output. Which of the following
findings does not require follow-up? Select all that apply.
1)Pain to lower back with urination
, MGRADES
2)Urine with mucus in it
3)Discharge from the urinary meatus
4)Urine sample with a pH of 4.8 - CORRECT ANSWER - 4)Urine sample with a pH of
4.8
(The pH of urine usually ranges between 4.6 and 8.2- normally 5-6)
(Normal urine specific gravity ranges from 1.005 to 1.030 (concentrated urine, ≥1.025; dilute
urine, ≤1.001 to 1.010)
The nurse is assessing a patient with the following: peaked T waves, irregular rhythm on the
telemetry monitor and patient is complaining of fluttering in the chest. The nurse suspects which
of the following electrolyte disorders?
1)Sodium
2)Calcium
3)Magnesium
4)Potassium - CORRECT ANSWER - 4)Potassium (High potassium, high T waves) (Low
potassium: diuretics, N/V, laxative)
True or False-
Patients on a renal diet should eat foods high in potassium and sodium - CORRECT
ANSWER - False (On renal diet due to renal failure/dialysis)
(Patients that suffer from constipation should be on high fiber diet- beans, vegetables)
If this electrolyte imbalance isn't treated timely, prolonged effects of an elevated level could
cause: kidney stones, kidney failure, osteoporosis, confusion - CORRECT ANSWER -
Calcium
(Hypocalcemia includes: numbness and tingling of fingers, mouth, or feet; tetany; muscle
cramps; and seizures.
Hypercalcemia includes: nausea, vomiting, constipation, bone pain, excessive urination, thirst,
confusion, lethargy, and slurred speech.)
Which of the following body systems influence the acid-base balance to produce compensatory
changes for a patient experiencing metabolic acidosis?
Herzing NSG 521 Fundamentals/Health
Assessment Exam 3 UPDATED ACTUAL
Exam Questions and CORRECT Answers
True or False-
Patients with an indwelling catheter do not require peri care - CORRECT ANSWER -
False (we want to limit risk of infection)
Which of the following statements about toilet training is incorrect?
1)Nightime continence occurs after daytime
2)Girls develop bladder control faster than boys
3)Children must be able to voice the desire to void prior to starting toilet training
4)Bladder control is present at 1 year of age - CORRECT ANSWER - 4)Bladder control is
present at 1 year of age (We usually potty train around 2 years of age.
True or False
You can collect a sterile urine specimen from a foley catheter by draining urine from the
collection bag - CORRECT ANSWER - False (We don't want old urine sitting in the bag.
Need to collect urine from the tube- clamp the tube if there's no urine in the tube, clean the
collection port, collect 10mL for UA and 3mL for urine culture, label sterile cup with patient
identifiers, time/date, and unclamp)
True or False
When performing a rectal exam the patient should be positioned in a semi-fowlers position -
CORRECT ANSWER - False (Semi-Fowlers is semi-reclined/sitting up position) Standing
is best or lying on the left side
Patient may feel the urge to poop or pee during exam
You are performing a focused assessment on a patient's urinary output. Which of the following
findings does not require follow-up? Select all that apply.
1)Pain to lower back with urination
, MGRADES
2)Urine with mucus in it
3)Discharge from the urinary meatus
4)Urine sample with a pH of 4.8 - CORRECT ANSWER - 4)Urine sample with a pH of
4.8
(The pH of urine usually ranges between 4.6 and 8.2- normally 5-6)
(Normal urine specific gravity ranges from 1.005 to 1.030 (concentrated urine, ≥1.025; dilute
urine, ≤1.001 to 1.010)
The nurse is assessing a patient with the following: peaked T waves, irregular rhythm on the
telemetry monitor and patient is complaining of fluttering in the chest. The nurse suspects which
of the following electrolyte disorders?
1)Sodium
2)Calcium
3)Magnesium
4)Potassium - CORRECT ANSWER - 4)Potassium (High potassium, high T waves) (Low
potassium: diuretics, N/V, laxative)
True or False-
Patients on a renal diet should eat foods high in potassium and sodium - CORRECT
ANSWER - False (On renal diet due to renal failure/dialysis)
(Patients that suffer from constipation should be on high fiber diet- beans, vegetables)
If this electrolyte imbalance isn't treated timely, prolonged effects of an elevated level could
cause: kidney stones, kidney failure, osteoporosis, confusion - CORRECT ANSWER -
Calcium
(Hypocalcemia includes: numbness and tingling of fingers, mouth, or feet; tetany; muscle
cramps; and seizures.
Hypercalcemia includes: nausea, vomiting, constipation, bone pain, excessive urination, thirst,
confusion, lethargy, and slurred speech.)
Which of the following body systems influence the acid-base balance to produce compensatory
changes for a patient experiencing metabolic acidosis?
