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.
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.
