NR 325 Exam 1 Test Questions and Answers Rated A+
To assess whether there is any improvement in a a large container for the urine collection.
patient's dysuria, which question will the nurse
ask?
A 32-year-old patient who is employed as a
a."Do you have to urinate at night?" hairdresser and has a 15 pack-year history of
cigarette smoking is scheduled for an annual
b."Do you have blood in your urine?" physical examination. The nurse will plan to
teach the patient about the increased risk for
c."Do you have to urinate frequently?"
a. renal failure.
d."Do you have pain when you urinate?" - b. kidney stones.
ANSWER -D. Dysuria is painful urination. c. pyelonephritis.
d. bladder cancer. - ANSWER -ANS: D
Exposure to the chemicals involved with working
When a patient's urine dipstick test indicates a as a hairdresser and in smoking both increase
small amount of protein, the nurse's next action the risk of bladder cancer, and the nurse should
should be to: assess whether the patient understands this risk.
a. send a urine specimen to the laboratory to test
for ketones. Which medication taken at home by a 47-year-
old patient with decreased renal function will be
b. obtain a clean-catch urine for culture and of most concern to the nurse?
sensitivity testing.
a. ibuprofen (Motrin)
c. inquire about which medications the patient is b. warfarin (Coumadin)
currently taking. c. folic acid (vitamin B9)
d. penicillin (Bicillin LA) - ANSWER -ANS: A
d. ask the patient about any family history of The nonsteroidal antiinflammatory medications
chronic renal failure. - ANSWER -ANS: C (NSAIDs) are nephrotoxic and should be avoided
Normally the urinalysis will show zero to trace in patients with impaired renal function.
amounts of protein, but some medications may
give false-positive readings.
A 79-year-old man has been admitted with
benign prostatic hyperplasia. What is most
A hospitalized patient with possible renal appropriate to include in the nursing plan of care?
insufficiency after coronary artery bypass surgery
is scheduled for a creatinine clearance test. a. Limit fluid intake to no more than 1000 mL/day.
Which equipment will the nurse need to obtain?
b. Leave a light on in the bathroom during the
a. Urinary catheter night.
b. Cleaning towelettes
c. Large container for urine c. Ask the patient to use a urinal so that urine can
d. Sterile urine specimen cup - ANSWER - be measured.
ANS: C
Because creatinine clearance testing involves a d. Pad the patient's bed to accommodate
24-hour urine specimen, the nurse should obtain overflow incontinence. - ANSWER -ANS: B
,NR 325 Exam 1 Test Questions and Answers Rated A+
The patient's age and diagnosis indicate a percussion of the CVA and asking about pain.
likelihood of nocturia, so leaving the light on in
the bathroom is appropriate. Fluids should be
encouraged because dehydration is more What glomerular filtration rate (GFR) would the
common in older patients. nurse estimate for a 30-year-old patient with a
creatinine clearance result of 60 mL/min?
The nurse completing a physical assessment for a. 60 mL/min
a newly admitted male patient is unable to feel b. 90 mL/min
either kidney on palpation. Which action should c. 120 mL/min
the nurse take next? d. 180 mL/min - ANSWER -ANS: A
The creatinine clearance approximates the GFR.
a. Obtain a urine specimen to check for
hematuria.
The nurse assessing the urinary system of a 45-
b. Document the information on the assessment year-old female would use auscultation to
form.
a. determine kidney position.
c. Ask the patient about any history of recent b. identify renal artery bruits.
sore throat. c. check for ureteral peristalsis.
d. assess for bladder distention. -
d. Ask the health care provider about scheduling ANSWER -ANS: B
a renal ultrasound. - ANSWER -ANS: B The presence of a bruit may indicate problems
The kidneys are protected by the abdominal such as renal artery tortuosity or abdominal aortic
organs, ribs, and muscles of the back, and may aneurysm.
not be palpable under normal circumstances, so
no action except to document the assessment
information is needed. A patient gives the nurse health information
before a scheduled intravenous pyelogram (IVP).
Which item has the most immediate implications
How will the nurse assess for flank tenderness in for the patient's care?
a 30-year-old female patient with suspected
pyelonephritis? a. The patient has not had food or drink for 8
hours.
a. Palpate along both sides of the lumbar
vertebral column. b. The patient lists allergies to shellfish and
penicillin.
b. Strike a flat hand covering the costovertebral
angle (CVA). c. The patient complains of costovertebral angle
(CVA) tenderness.
c. Push fingers upward into the two lowest
intercostal spaces. d. The patient used a bisacodyl (Dulcolax) tablet
the previous night. - ANSWER -ANS: B
d. Percuss between the iliac crest and ribs along Iodine-based contrast dye is used during IVP and
the midaxillary line. - ANSWER -ANS: B for many computed tomography (CT) scans. The
Checking for flank pain is best performed by nurse will need to notify the health care provider
, NR 325 Exam 1 Test Questions and Answers Rated A+
before the procedures so that the patient can
receive medications such as antihistamines or
corticosteroids before the procedures are started. A patient has elevated blood urea nitrogen (BUN)
and serum creatinine levels. Which bowel
preparation order would the nurse question for
A patient passing bloody urine is scheduled for a this patient who is scheduled for a renal
cystoscopy with cystogram. Which description of arteriogram?
the procedure by the nurse is accurate?
a. Fleet enema
a. "Your doctor will place a catheter into an artery b. Tap-water enema
in your groin and inject a dye that will visualize c. Senna/docusate (Senokot-S)
the blood supply to the kidneys." d. Bisacodyl (Dulcolax) tablets - ANSWER -
ANS: A
b. "Your doctor will insert a lighted tube into the High-phosphate enemas, such as Fleet enemas,
bladder, and little catheters will be inserted should be avoided in patients with elevated BUN
through the tube into your kidney." and creatinine because phosphate cannot be
excreted by patients with renal failure.
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 A female patient with a suspected urinary tract
bladder on x-ray." infection (UTI) is to provide a clean-catch urine
specimen for culture and sensitivity testing. To
d. "Your doctor will inject a radioactive solution obtain the specimen, the nurse will
into a vein in your arm and the distribution of the
isotope in your kidneys and bladder will be a. have the patient empty the bladder completely,
checked." - ANSWER -ANS: C then obtain the next urine specimen that the
In a cystoscope and cystogram procedure, a patient is able to void.
cystoscope is inserted into the bladder for direct
visualization, and then contrast solution is b. teach the patient to clean the urethral area,
injected through the scope so that x-rays can be void a small amount into the toilet, and then void
taken. into a sterile specimen cup.
c. insert a short sterile "mini" catheter attached to
The nurse caring for a patient after cystoscopy a collecting container into the urethra and bladder
plans that the patient to obtain the specimen.
a. learns to request narcotics for pain. d. clean the area around the meatus with a
povidone-iodine (Betadine) swab, and then have
b. understands to expect blood-tinged urine. the patient void into a sterile container. -
ANSWER -ANS: B
c. restricts activity to bed rest for a 4 to 6 hours. This answer describes the technique for
obtaining a clean-catch specimen.clean the area
d. remains NPO for 8 hours to prevent vomiting. - around the meatus with a povidone-iodine
ANSWER -ANS: B (Betadine) swab, and then have the patient void
Pink-tinged urine and urinary frequency are into a sterile container
expected after cystoscopy.
To assess whether there is any improvement in a a large container for the urine collection.
patient's dysuria, which question will the nurse
ask?
A 32-year-old patient who is employed as a
a."Do you have to urinate at night?" hairdresser and has a 15 pack-year history of
cigarette smoking is scheduled for an annual
b."Do you have blood in your urine?" physical examination. The nurse will plan to
teach the patient about the increased risk for
c."Do you have to urinate frequently?"
a. renal failure.
d."Do you have pain when you urinate?" - b. kidney stones.
ANSWER -D. Dysuria is painful urination. c. pyelonephritis.
d. bladder cancer. - ANSWER -ANS: D
Exposure to the chemicals involved with working
When a patient's urine dipstick test indicates a as a hairdresser and in smoking both increase
small amount of protein, the nurse's next action the risk of bladder cancer, and the nurse should
should be to: assess whether the patient understands this risk.
a. send a urine specimen to the laboratory to test
for ketones. Which medication taken at home by a 47-year-
old patient with decreased renal function will be
b. obtain a clean-catch urine for culture and of most concern to the nurse?
sensitivity testing.
a. ibuprofen (Motrin)
c. inquire about which medications the patient is b. warfarin (Coumadin)
currently taking. c. folic acid (vitamin B9)
d. penicillin (Bicillin LA) - ANSWER -ANS: A
d. ask the patient about any family history of The nonsteroidal antiinflammatory medications
chronic renal failure. - ANSWER -ANS: C (NSAIDs) are nephrotoxic and should be avoided
Normally the urinalysis will show zero to trace in patients with impaired renal function.
amounts of protein, but some medications may
give false-positive readings.
A 79-year-old man has been admitted with
benign prostatic hyperplasia. What is most
A hospitalized patient with possible renal appropriate to include in the nursing plan of care?
insufficiency after coronary artery bypass surgery
is scheduled for a creatinine clearance test. a. Limit fluid intake to no more than 1000 mL/day.
Which equipment will the nurse need to obtain?
b. Leave a light on in the bathroom during the
a. Urinary catheter night.
b. Cleaning towelettes
c. Large container for urine c. Ask the patient to use a urinal so that urine can
d. Sterile urine specimen cup - ANSWER - be measured.
ANS: C
Because creatinine clearance testing involves a d. Pad the patient's bed to accommodate
24-hour urine specimen, the nurse should obtain overflow incontinence. - ANSWER -ANS: B
,NR 325 Exam 1 Test Questions and Answers Rated A+
The patient's age and diagnosis indicate a percussion of the CVA and asking about pain.
likelihood of nocturia, so leaving the light on in
the bathroom is appropriate. Fluids should be
encouraged because dehydration is more What glomerular filtration rate (GFR) would the
common in older patients. nurse estimate for a 30-year-old patient with a
creatinine clearance result of 60 mL/min?
The nurse completing a physical assessment for a. 60 mL/min
a newly admitted male patient is unable to feel b. 90 mL/min
either kidney on palpation. Which action should c. 120 mL/min
the nurse take next? d. 180 mL/min - ANSWER -ANS: A
The creatinine clearance approximates the GFR.
a. Obtain a urine specimen to check for
hematuria.
The nurse assessing the urinary system of a 45-
b. Document the information on the assessment year-old female would use auscultation to
form.
a. determine kidney position.
c. Ask the patient about any history of recent b. identify renal artery bruits.
sore throat. c. check for ureteral peristalsis.
d. assess for bladder distention. -
d. Ask the health care provider about scheduling ANSWER -ANS: B
a renal ultrasound. - ANSWER -ANS: B The presence of a bruit may indicate problems
The kidneys are protected by the abdominal such as renal artery tortuosity or abdominal aortic
organs, ribs, and muscles of the back, and may aneurysm.
not be palpable under normal circumstances, so
no action except to document the assessment
information is needed. A patient gives the nurse health information
before a scheduled intravenous pyelogram (IVP).
Which item has the most immediate implications
How will the nurse assess for flank tenderness in for the patient's care?
a 30-year-old female patient with suspected
pyelonephritis? a. The patient has not had food or drink for 8
hours.
a. Palpate along both sides of the lumbar
vertebral column. b. The patient lists allergies to shellfish and
penicillin.
b. Strike a flat hand covering the costovertebral
angle (CVA). c. The patient complains of costovertebral angle
(CVA) tenderness.
c. Push fingers upward into the two lowest
intercostal spaces. d. The patient used a bisacodyl (Dulcolax) tablet
the previous night. - ANSWER -ANS: B
d. Percuss between the iliac crest and ribs along Iodine-based contrast dye is used during IVP and
the midaxillary line. - ANSWER -ANS: B for many computed tomography (CT) scans. The
Checking for flank pain is best performed by nurse will need to notify the health care provider
, NR 325 Exam 1 Test Questions and Answers Rated A+
before the procedures so that the patient can
receive medications such as antihistamines or
corticosteroids before the procedures are started. A patient has elevated blood urea nitrogen (BUN)
and serum creatinine levels. Which bowel
preparation order would the nurse question for
A patient passing bloody urine is scheduled for a this patient who is scheduled for a renal
cystoscopy with cystogram. Which description of arteriogram?
the procedure by the nurse is accurate?
a. Fleet enema
a. "Your doctor will place a catheter into an artery b. Tap-water enema
in your groin and inject a dye that will visualize c. Senna/docusate (Senokot-S)
the blood supply to the kidneys." d. Bisacodyl (Dulcolax) tablets - ANSWER -
ANS: A
b. "Your doctor will insert a lighted tube into the High-phosphate enemas, such as Fleet enemas,
bladder, and little catheters will be inserted should be avoided in patients with elevated BUN
through the tube into your kidney." and creatinine because phosphate cannot be
excreted by patients with renal failure.
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 A female patient with a suspected urinary tract
bladder on x-ray." infection (UTI) is to provide a clean-catch urine
specimen for culture and sensitivity testing. To
d. "Your doctor will inject a radioactive solution obtain the specimen, the nurse will
into a vein in your arm and the distribution of the
isotope in your kidneys and bladder will be a. have the patient empty the bladder completely,
checked." - ANSWER -ANS: C then obtain the next urine specimen that the
In a cystoscope and cystogram procedure, a patient is able to void.
cystoscope is inserted into the bladder for direct
visualization, and then contrast solution is b. teach the patient to clean the urethral area,
injected through the scope so that x-rays can be void a small amount into the toilet, and then void
taken. into a sterile specimen cup.
c. insert a short sterile "mini" catheter attached to
The nurse caring for a patient after cystoscopy a collecting container into the urethra and bladder
plans that the patient to obtain the specimen.
a. learns to request narcotics for pain. d. clean the area around the meatus with a
povidone-iodine (Betadine) swab, and then have
b. understands to expect blood-tinged urine. the patient void into a sterile container. -
ANSWER -ANS: B
c. restricts activity to bed rest for a 4 to 6 hours. This answer describes the technique for
obtaining a clean-catch specimen.clean the area
d. remains NPO for 8 hours to prevent vomiting. - around the meatus with a povidone-iodine
ANSWER -ANS: B (Betadine) swab, and then have the patient void
Pink-tinged urine and urinary frequency are into a sterile container
expected after cystoscopy.
