NUR 207 final Exam – |! |! |! |! |!
Comprehensive multiple choice |! |! |!
questions with verified |! |! |!
solutions & rationales |! |! |!
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. The alternate responses are used to assess other
|! |! |! |! |! |! |! |! |! |! |! |!
urinary tract |!
symptoms: hematuria, nocturia, and frequency. |! |! |! |!
DIF: Cognitive Level: Understand (comprehension) REF: 1025
|! |! |! |! |! |!
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
|! |! |! |! |! |! |!
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: C
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
Normally the urinalysis will show zero to trace amounts of protein, but some
|! |! |! |! |! |! |! |! |! |! |! |! |!
medications may give false-positive readings. The other actions by the nurse
|! |! |! |! |! |! |! |! |! |! |!
may be appropriate, but checking for medications that may affect the dipstick
|! |! |! |! |! |! |! |! |! |! |!
accuracy should be done first.
|! |! |! |! |!
DIF: Cognitive Level: Analyze (analysis) REF: 1026
|! |! |! |! |! |!
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
|! |! |! |! |! |! |!
A hospitalized patient with possible renal insufficiency after coronary artery
|! |! |! |! |! |! |! |! |! |!
bypass surgery is scheduled for a creatinine clearance test. Which item will
|! |! |! |! |! |! |! |! |! |! |! |!
the nurse need to obtain?
|! |! |! |!
a. Urinary catheter c. Cleansing towelettes
|! |! |! |! |!
b. Sterile specimen cup d. Large urine container - ANS: D
|! |! |! |! |! |! |! |! |! |!
Because creatinine clearance testing involves a 24-hour urine specimen, the
|! |! |! |! |! |! |! |! |! |!
nurse should |!
obtain a large container for the urine collection. Catheterization, cleaning of
|! |! |! |! |! |! |! |! |! |! |!
the perineum
|!
with antiseptic towelettes, and a sterile specimen cup are not needed for this
|! |! |! |! |! |! |! |! |! |! |! |! |!
test.
DIF: Cognitive Level: Understand (comprehension) REF: 1031
|! |! |! |! |! |!
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
|! |! |! |! |! |! |!
A young adult 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. c. pyelonephritis.
|! |! |! |!
b. kidney stones. d. bladder cancer. - 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. The patient is not at increased risk for renal failure,
|! |! |! |! |! |! |! |! |! |! |! |! |!
pyelonephritis, or |!
kidney stones. |!
DIF: Cognitive Level: Apply (application) REF: 1021
|! |! |! |! |! |!
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and
|! |! |! |! |! |! |! |! |!
Maintenance
Which medication taken at home by a patient with decreased renal function
|! |! |! |! |! |! |! |! |! |! |! |!
will be of most concern to the nurse?
|! |! |! |! |! |! |!
a. ibuprofen (Motrin) c. folic acid (vitamin B9)
|! |! |! |! |! |! |!
b. warfarin (Coumadin) d. penicillin (Bicillin C-R) - ANS: A
|! |! |! |! |! |! |! |! |!
The nonsteroidal antiinflammatory medications (NSAIDs) are nephrotoxic
|! |! |! |! |! |! |!
and should be
|! |!
avoided in patients with impaired renal function. The nurse should also ask
|! |! |! |! |! |! |! |! |! |! |! |!
about reasons the |! |!
, patient is taking the other medications, but the medication of most concern is
|! |! |! |! |! |! |! |! |! |! |! |!
the ibuprofen.
|! |!
DIF: Cognitive Level: Analyze (analysis) REF: 1020
|! |! |! |! |! |!
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
|! |! |! |! |! |! |!
A 79-yr-old patient 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.
|! |! |! |! |! |! |! |! |! |! |! |! |!
d. Pad the patient's bed to accommodate overflow incontinence. - 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 information in the question does not indicate that
|! |! |! |! |! |! |! |! |! |! |! |!
measurement of the |! |!
patient's output is necessary or that the patient has overflow incontinence.
|! |! |! |! |! |! |! |! |! |!
DIF: Cognitive Level: Analyze (analysis) REF: 1022
|! |! |! |! |! |!
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
|! |! |! |! |! |! |!
The nurse completing a physical assessment for a newly admitted patient is
|! |! |! |! |! |! |! |! |! |! |! |!
unable to feel |! |!
either kidney on palpation. Which action should the nurse take?
|! |! |! |! |! |! |! |! |!
Comprehensive multiple choice |! |! |!
questions with verified |! |! |!
solutions & rationales |! |! |!
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. The alternate responses are used to assess other
|! |! |! |! |! |! |! |! |! |! |! |!
urinary tract |!
symptoms: hematuria, nocturia, and frequency. |! |! |! |!
DIF: Cognitive Level: Understand (comprehension) REF: 1025
|! |! |! |! |! |!
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
|! |! |! |! |! |! |!
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: C
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
Normally the urinalysis will show zero to trace amounts of protein, but some
|! |! |! |! |! |! |! |! |! |! |! |! |!
medications may give false-positive readings. The other actions by the nurse
|! |! |! |! |! |! |! |! |! |! |!
may be appropriate, but checking for medications that may affect the dipstick
|! |! |! |! |! |! |! |! |! |! |!
accuracy should be done first.
|! |! |! |! |!
DIF: Cognitive Level: Analyze (analysis) REF: 1026
|! |! |! |! |! |!
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
|! |! |! |! |! |! |!
A hospitalized patient with possible renal insufficiency after coronary artery
|! |! |! |! |! |! |! |! |! |!
bypass surgery is scheduled for a creatinine clearance test. Which item will
|! |! |! |! |! |! |! |! |! |! |! |!
the nurse need to obtain?
|! |! |! |!
a. Urinary catheter c. Cleansing towelettes
|! |! |! |! |!
b. Sterile specimen cup d. Large urine container - ANS: D
|! |! |! |! |! |! |! |! |! |!
Because creatinine clearance testing involves a 24-hour urine specimen, the
|! |! |! |! |! |! |! |! |! |!
nurse should |!
obtain a large container for the urine collection. Catheterization, cleaning of
|! |! |! |! |! |! |! |! |! |! |!
the perineum
|!
with antiseptic towelettes, and a sterile specimen cup are not needed for this
|! |! |! |! |! |! |! |! |! |! |! |! |!
test.
DIF: Cognitive Level: Understand (comprehension) REF: 1031
|! |! |! |! |! |!
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
|! |! |! |! |! |! |!
A young adult 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. c. pyelonephritis.
|! |! |! |!
b. kidney stones. d. bladder cancer. - 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. The patient is not at increased risk for renal failure,
|! |! |! |! |! |! |! |! |! |! |! |! |!
pyelonephritis, or |!
kidney stones. |!
DIF: Cognitive Level: Apply (application) REF: 1021
|! |! |! |! |! |!
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and
|! |! |! |! |! |! |! |! |!
Maintenance
Which medication taken at home by a patient with decreased renal function
|! |! |! |! |! |! |! |! |! |! |! |!
will be of most concern to the nurse?
|! |! |! |! |! |! |!
a. ibuprofen (Motrin) c. folic acid (vitamin B9)
|! |! |! |! |! |! |!
b. warfarin (Coumadin) d. penicillin (Bicillin C-R) - ANS: A
|! |! |! |! |! |! |! |! |!
The nonsteroidal antiinflammatory medications (NSAIDs) are nephrotoxic
|! |! |! |! |! |! |!
and should be
|! |!
avoided in patients with impaired renal function. The nurse should also ask
|! |! |! |! |! |! |! |! |! |! |! |!
about reasons the |! |!
, patient is taking the other medications, but the medication of most concern is
|! |! |! |! |! |! |! |! |! |! |! |!
the ibuprofen.
|! |!
DIF: Cognitive Level: Analyze (analysis) REF: 1020
|! |! |! |! |! |!
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
|! |! |! |! |! |! |!
A 79-yr-old patient 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.
|! |! |! |! |! |! |! |! |! |! |! |! |!
d. Pad the patient's bed to accommodate overflow incontinence. - 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 information in the question does not indicate that
|! |! |! |! |! |! |! |! |! |! |! |!
measurement of the |! |!
patient's output is necessary or that the patient has overflow incontinence.
|! |! |! |! |! |! |! |! |! |!
DIF: Cognitive Level: Analyze (analysis) REF: 1022
|! |! |! |! |! |!
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
|! |! |! |! |! |! |!
The nurse completing a physical assessment for a newly admitted patient is
|! |! |! |! |! |! |! |! |! |! |! |!
unable to feel |! |!
either kidney on palpation. Which action should the nurse take?
|! |! |! |! |! |! |! |! |!
