NUR 3110 EXAM 2 QUESTIONS WITH COMPLETE
SOLUTIONS
A client at the health care facility has been diagnosed with total
urinary incontinence. How could the nurse describe the
condition of the client?
A. need to void is perceived frequently, with short-lived ability
to sustain control of flow
B. loss of small amount of urine when intra-abdominal pressure
rises
C. loss of urine control because a toilet is not accessible
D. loss of urine without any identifiable pattern or warning
Correct Answer D
A client has not voided for 8 hours after surgery. Which finding
indicates the client has a distended bladder?
A. A bulge over the costovertebral region of the flank
B. A bulge between the symphysis pubis and the umbilicus
C. A bulge in the left lower quadrant of the abdomen
D. A bulge between ribs 11 and 12 and the umbilicus Correct
Answer B
A client is brought to the emergency department (ED) after a
seizure. Which type of incontinence does the nurse anticipate the
client may have experienced?
A. total
B. urge
C. stress
D. reflex Correct Answer A
,A client is diagnosed with frequent urinary tract infections.
What would be an appropriate question for the nurse to ask the
client?
A. "How often do you have a bowel movement?"
B. "Are you on any blood pressure medications?"
C. "Are you on any type of special diet at home?"
D. "How frequently do you urinate each day?" Correct Answer
D
A client recovering from abdominal surgery sneezes and then
screams, "My insides are hanging out!" What is the initial
nursing intervention?
a. applying sterile dressings with normal saline over the
protruding organs and tissue
b. assessing for impaired blood flow to the area of evisceration.
c. contacting the surgeon
d. monitoring for pallor and mottled appearance of the wound
Correct Answer a
A client reports acute pain while negative pressure wound
therapy is in place. What should the nurse do first?
a. Notify the health care provider of the pain.
b. Assess the client's wound and vital signs.
c. Administer the prescribed analgesic.
d. Document the pain and vital signs. Correct Answer b
A client scheduled for a colonoscopy is scheduled to receive a
hypertonic enema prior to the procedure. A hypertonic enema is
classified as which type of enema?
A. return-flow enema
B. retention enema
, C. carminative enema
D. cleansing enema Correct Answer D
A client who was injured when stepping on a rusted nail visits
the health care facility. What is the most important assessment
information the nurse needs to obtain?
a. The event leading up to the trauma
b. If there is contamination of dirt and debris
c. The status of the client's tetanus immunization
d. Staging the wound for assessment Correct Answer c
A client with a history of advanced liver disease comes to the
emergency department (ED) with dehydration. White blood cell
count shows elevation in bands and neutrophils. When preparing
to catheterize the client, what color urine does the nurse
anticipate will drain?
A. dark brown, cloudy
B. reddish-brown, clear
C. aromatic, green
D. clear, light yellow Correct Answer A
A client with an emergently placed central venous catheter
(CVC) is to have emergent hemodialysis. Upon assessment of
the CVC the nurse visualizes redness, drainage, and odor to the
area around the CVC. Palpation of the surrounding skin causes
the client pain. Which intervention is the priority?
A. Checking for blood return in the CVC
B. Obtaining laboratory studies
C. Placing the client as N.P.O. status
D. Notifying the health care provider of the assessment findings
Correct Answer D
SOLUTIONS
A client at the health care facility has been diagnosed with total
urinary incontinence. How could the nurse describe the
condition of the client?
A. need to void is perceived frequently, with short-lived ability
to sustain control of flow
B. loss of small amount of urine when intra-abdominal pressure
rises
C. loss of urine control because a toilet is not accessible
D. loss of urine without any identifiable pattern or warning
Correct Answer D
A client has not voided for 8 hours after surgery. Which finding
indicates the client has a distended bladder?
A. A bulge over the costovertebral region of the flank
B. A bulge between the symphysis pubis and the umbilicus
C. A bulge in the left lower quadrant of the abdomen
D. A bulge between ribs 11 and 12 and the umbilicus Correct
Answer B
A client is brought to the emergency department (ED) after a
seizure. Which type of incontinence does the nurse anticipate the
client may have experienced?
A. total
B. urge
C. stress
D. reflex Correct Answer A
,A client is diagnosed with frequent urinary tract infections.
What would be an appropriate question for the nurse to ask the
client?
A. "How often do you have a bowel movement?"
B. "Are you on any blood pressure medications?"
C. "Are you on any type of special diet at home?"
D. "How frequently do you urinate each day?" Correct Answer
D
A client recovering from abdominal surgery sneezes and then
screams, "My insides are hanging out!" What is the initial
nursing intervention?
a. applying sterile dressings with normal saline over the
protruding organs and tissue
b. assessing for impaired blood flow to the area of evisceration.
c. contacting the surgeon
d. monitoring for pallor and mottled appearance of the wound
Correct Answer a
A client reports acute pain while negative pressure wound
therapy is in place. What should the nurse do first?
a. Notify the health care provider of the pain.
b. Assess the client's wound and vital signs.
c. Administer the prescribed analgesic.
d. Document the pain and vital signs. Correct Answer b
A client scheduled for a colonoscopy is scheduled to receive a
hypertonic enema prior to the procedure. A hypertonic enema is
classified as which type of enema?
A. return-flow enema
B. retention enema
, C. carminative enema
D. cleansing enema Correct Answer D
A client who was injured when stepping on a rusted nail visits
the health care facility. What is the most important assessment
information the nurse needs to obtain?
a. The event leading up to the trauma
b. If there is contamination of dirt and debris
c. The status of the client's tetanus immunization
d. Staging the wound for assessment Correct Answer c
A client with a history of advanced liver disease comes to the
emergency department (ED) with dehydration. White blood cell
count shows elevation in bands and neutrophils. When preparing
to catheterize the client, what color urine does the nurse
anticipate will drain?
A. dark brown, cloudy
B. reddish-brown, clear
C. aromatic, green
D. clear, light yellow Correct Answer A
A client with an emergently placed central venous catheter
(CVC) is to have emergent hemodialysis. Upon assessment of
the CVC the nurse visualizes redness, drainage, and odor to the
area around the CVC. Palpation of the surrounding skin causes
the client pain. Which intervention is the priority?
A. Checking for blood return in the CVC
B. Obtaining laboratory studies
C. Placing the client as N.P.O. status
D. Notifying the health care provider of the assessment findings
Correct Answer D
