CSCC Nurs 1871 Exam 2 Questions With Complete
Solutions
1. Which of the following nursing actions do you take after
placing a bedpan under an immobilized patient?
1. Lift the patient's hips off the bed and slide the bedpan under
the patient
2. After positioning the patient on the bedpan, elevate the head
of the bed to a 45-degree angle
3. Adjust the head of the bed so it is lower than the feet and use
gentle but firm pressure to push the bedpan under the patient
4. Have the patient stand beside the bed and then have him or
her sit on the bedpan on the edge of the bed Correct Answer
After positioning the patient on the bedpan, elevate the head of
the bed to a 45-degree angle
12. Which nursing interventions should a nurse implement when
removing an indwelling urinary catheter in an adult patient?
(Select all that apply.)
1. Attach a 3-mL syringe to the inflation port
2. Allow the balloon to drain into the syringe by gravity
3. Initiate a voiding record/bladder diary
4. Pull the catheter quickly
5. Clamp the catheter before removal Correct Answer 2.
Allow the balloon to drain into the syringe by gravity
3. Initiate a voiding record/bladder diary
A nurse is assisting the primary health care provider in assessing
a patient with altered urinary elimination. After assessing the
patient, the primary health care provider suspects that the patient
has an obstruction of the ureters. Which diagnostic test does the
,nurse expect the patient to undergo? Correct Answer An axial
computed tomographic scan is commonly used to identify
anatomic abnormalities, renal tumors and cysts, calculi, and
obstruction of the ureters. Cystoscopy is an invasive procedure
used to detect bladder tumors and obstruction of the bladder
outlet and urethra. An abdominal roentgenogram is commonly
ordered to detect and measure the size of urinary calculi. An
ultrasound scan of the urinary bladder is helpful in the
measurement of the post void residual volume.
A nurse is caring for a patient with an indwelling catheter.
Which nursing action may increase the risk for a catheter-
associated urinary tract infection? Correct Answer An
indwelling catheter is attached to a urinary drainage bag to
collect the continuous flow of urine. The nurse should always
keep the drainage bag below the level of the patient's bladder to
allow urine to drain down out of the bladder, because pooling of
urine in the tubing may increase the risk of a catheter-associated
urinary tract infection. Urine specimens for laboratory
examinations should be collected via a special port in the tubing.
The nurse should ensure that the urinary drainage bag does not
touch the ground; patients may be allowed to wear a leg bag
while ambulating. Backflow of urine from the tubing and bag
into the bladder increases the risk of catheter-associated urinary
tract infection; therefore, the nurse should monitor the system to
prevent such an occurrence.
A nurse is teaching a patient to obtain a specimen for fecal
occult blood testing using fecal immunochemical (FIT) testing at
home. How does the nurse instruct the patient to collect the
specimen?
, 1. Get three fecal smears from one bowel movement.
2. Obtain one fecal smear from an early-morning bowel
movement.
3. Collect one fecal smear from three separate bowel
movements.
4. Get three fecal smears when you see blood in your bowel
movement. Correct Answer Collect one fecal smear from
three separate bowel movements.
A patient has not had a bowel movement for 4 days. Now she
has nausea and severe cramping throughout her abdomen. On
the basis of these findings, what do you suspect is wrong with
the patient?
1. An intestinal obstruction
2. Irritation of the intestinal mucosa
3. Gastroenteritis
4. A fecal impaction Correct Answer 1. An intestinal
obstruction
A patient is scheduled to have an intravenous pyelogram (IVP)
the next morning. Which nursing measures should be
implemented before the test? (Select all that apply.) Correct
Answer Assess for allergies.Assess for dehydration.Cleanse
bowel (see agency or health care provider protocol).Restrict
food and fluid up to 4 hours before test (see agency or health
care provider protocol).After procedure:Assess for delayed
hypersensitivity to the contrast media.Encourage fluids after the
test to dilute and flush dye from the patient.Assess urine output.
Less than 30/mL hr increases risk for contrast-induced
nephropathy.Patient teaching: Facial flushing is a normal
Solutions
1. Which of the following nursing actions do you take after
placing a bedpan under an immobilized patient?
1. Lift the patient's hips off the bed and slide the bedpan under
the patient
2. After positioning the patient on the bedpan, elevate the head
of the bed to a 45-degree angle
3. Adjust the head of the bed so it is lower than the feet and use
gentle but firm pressure to push the bedpan under the patient
4. Have the patient stand beside the bed and then have him or
her sit on the bedpan on the edge of the bed Correct Answer
After positioning the patient on the bedpan, elevate the head of
the bed to a 45-degree angle
12. Which nursing interventions should a nurse implement when
removing an indwelling urinary catheter in an adult patient?
(Select all that apply.)
1. Attach a 3-mL syringe to the inflation port
2. Allow the balloon to drain into the syringe by gravity
3. Initiate a voiding record/bladder diary
4. Pull the catheter quickly
5. Clamp the catheter before removal Correct Answer 2.
Allow the balloon to drain into the syringe by gravity
3. Initiate a voiding record/bladder diary
A nurse is assisting the primary health care provider in assessing
a patient with altered urinary elimination. After assessing the
patient, the primary health care provider suspects that the patient
has an obstruction of the ureters. Which diagnostic test does the
,nurse expect the patient to undergo? Correct Answer An axial
computed tomographic scan is commonly used to identify
anatomic abnormalities, renal tumors and cysts, calculi, and
obstruction of the ureters. Cystoscopy is an invasive procedure
used to detect bladder tumors and obstruction of the bladder
outlet and urethra. An abdominal roentgenogram is commonly
ordered to detect and measure the size of urinary calculi. An
ultrasound scan of the urinary bladder is helpful in the
measurement of the post void residual volume.
A nurse is caring for a patient with an indwelling catheter.
Which nursing action may increase the risk for a catheter-
associated urinary tract infection? Correct Answer An
indwelling catheter is attached to a urinary drainage bag to
collect the continuous flow of urine. The nurse should always
keep the drainage bag below the level of the patient's bladder to
allow urine to drain down out of the bladder, because pooling of
urine in the tubing may increase the risk of a catheter-associated
urinary tract infection. Urine specimens for laboratory
examinations should be collected via a special port in the tubing.
The nurse should ensure that the urinary drainage bag does not
touch the ground; patients may be allowed to wear a leg bag
while ambulating. Backflow of urine from the tubing and bag
into the bladder increases the risk of catheter-associated urinary
tract infection; therefore, the nurse should monitor the system to
prevent such an occurrence.
A nurse is teaching a patient to obtain a specimen for fecal
occult blood testing using fecal immunochemical (FIT) testing at
home. How does the nurse instruct the patient to collect the
specimen?
, 1. Get three fecal smears from one bowel movement.
2. Obtain one fecal smear from an early-morning bowel
movement.
3. Collect one fecal smear from three separate bowel
movements.
4. Get three fecal smears when you see blood in your bowel
movement. Correct Answer Collect one fecal smear from
three separate bowel movements.
A patient has not had a bowel movement for 4 days. Now she
has nausea and severe cramping throughout her abdomen. On
the basis of these findings, what do you suspect is wrong with
the patient?
1. An intestinal obstruction
2. Irritation of the intestinal mucosa
3. Gastroenteritis
4. A fecal impaction Correct Answer 1. An intestinal
obstruction
A patient is scheduled to have an intravenous pyelogram (IVP)
the next morning. Which nursing measures should be
implemented before the test? (Select all that apply.) Correct
Answer Assess for allergies.Assess for dehydration.Cleanse
bowel (see agency or health care provider protocol).Restrict
food and fluid up to 4 hours before test (see agency or health
care provider protocol).After procedure:Assess for delayed
hypersensitivity to the contrast media.Encourage fluids after the
test to dilute and flush dye from the patient.Assess urine output.
Less than 30/mL hr increases risk for contrast-induced
nephropathy.Patient teaching: Facial flushing is a normal
