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Herzing NSG 521 Fundamentals Health
Assessment Exam 3 ALL 250 QUESTIONS
AND VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
Herzing NSG 521 Fundamentals Health Assessment Exam 3
QUESTION: True or False
When performing a rectal exam the patient should be positioned in a semi-fowlers position -
ANSWER-False (Semi-Fowlers is semi-reclined/sitting up position) Standing is best or lying on
the left side
Patient may feel the urge to poop or pee during exam
QUESTION: You are performing a focused assessment on a patient's urinary output. Which of
the following findings does not require follow-up? Select all that apply.
1)Pain to lower back with urination
2)Urine with mucus in it
3)Discharge from the urinary meatus
4)Urine sample with a pH of 4.8 - ANSWER-4)Urine sample with a pH of 4.8
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(The pH of urine usually ranges between 4.6 and 8.2- normally 5-6)
(Normal urine specific gravity ranges from 1.005 to 1.030 (concentrated urine, ≥1.025; dilute
urine, ≤1.001 to 1.010)
QUESTION: The nurse is assessing a patient with the following: peaked T waves, irregular
rhythm on the telemetry monitor and patient is complaining of fluttering in the chest. The
nurse suspects which of the following electrolyte disorders?
1)Sodium
2)Calcium
3)Magnesium
4)Potassium - ANSWER-4)Potassium (High potassium, high T waves) (Low potassium: diuretics,
N/V, laxative)
QUESTION: True or False-
Patients on a renal diet should eat foods high in potassium and sodium - ANSWER-False (On
renal diet due to renal failure/dialysis)
(Patients that suffer from constipation should be on high fiber diet- beans, vegetables)
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True or False-
Patients with an indwelling catheter do not require peri care - ANSWER-False (we want to limit
risk of infection)
QUESTION: Which of the following statements about toilet training is incorrect?
1)Nightime continence occurs after daytime
2)Girls develop bladder control faster than boys
3)Children must be able to voice the desire to void prior to starting toilet training
4)Bladder control is present at 1 year of age - ANSWER-4)Bladder control is present at 1 year of
age (We usually potty train around 2 years of age.
QUESTION: True or False
You can collect a sterile urine specimen from a foley catheter by draining urine from the
collection bag - ANSWER-False (We don't want old urine sitting in the bag. Need to collect urine
from the tube- clamp the tube if there's no urine in the tube, clean the collection port, collect
10mL for UA and 3mL for urine culture, label sterile cup with patient identifiers, time/date, and
unclamp)
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QUESTION: If this electrolyte imbalance isn't treated timely, prolonged effects of an elevated
level could cause: kidney stones, kidney failure, osteoporosis, confusion - ANSWER-Calcium
(Hypocalcemia includes: numbness and tingling of fingers, mouth, or feet; tetany; muscle
cramps; and seizures.
Hypercalcemia includes: nausea, vomiting, constipation, bone pain, excessive urination, thirst,
confusion, lethargy, and slurred speech.)
QUESTION: Which of the following body systems influence the acid-base balance to produce
compensatory changes for a patient experiencing metabolic acidosis?
1)Vascular/veins
2)Hepatic/liver
3)Renal/kidneys
4)Respiratory/lungs - ANSWER-4)Respiratory/Lungs
(Metabolic acidosis is an acidotic state in the kidneys, Lungs help compensate and vise versa)
(Respiratory acidosis is an acidotic state in the lungs, Kidneys help compensate)
4
Herzing NSG 521 Fundamentals Health
Assessment Exam 3 ALL 250 QUESTIONS
AND VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
Herzing NSG 521 Fundamentals Health Assessment Exam 3
QUESTION: True or False
When performing a rectal exam the patient should be positioned in a semi-fowlers position -
ANSWER-False (Semi-Fowlers is semi-reclined/sitting up position) Standing is best or lying on
the left side
Patient may feel the urge to poop or pee during exam
QUESTION: You are performing a focused assessment on a patient's urinary output. Which of
the following findings does not require follow-up? Select all that apply.
1)Pain to lower back with urination
2)Urine with mucus in it
3)Discharge from the urinary meatus
4)Urine sample with a pH of 4.8 - ANSWER-4)Urine sample with a pH of 4.8
1
, Page 2 of 42
(The pH of urine usually ranges between 4.6 and 8.2- normally 5-6)
(Normal urine specific gravity ranges from 1.005 to 1.030 (concentrated urine, ≥1.025; dilute
urine, ≤1.001 to 1.010)
QUESTION: The nurse is assessing a patient with the following: peaked T waves, irregular
rhythm on the telemetry monitor and patient is complaining of fluttering in the chest. The
nurse suspects which of the following electrolyte disorders?
1)Sodium
2)Calcium
3)Magnesium
4)Potassium - ANSWER-4)Potassium (High potassium, high T waves) (Low potassium: diuretics,
N/V, laxative)
QUESTION: True or False-
Patients on a renal diet should eat foods high in potassium and sodium - ANSWER-False (On
renal diet due to renal failure/dialysis)
(Patients that suffer from constipation should be on high fiber diet- beans, vegetables)
2
, Page 3 of 42
True or False-
Patients with an indwelling catheter do not require peri care - ANSWER-False (we want to limit
risk of infection)
QUESTION: Which of the following statements about toilet training is incorrect?
1)Nightime continence occurs after daytime
2)Girls develop bladder control faster than boys
3)Children must be able to voice the desire to void prior to starting toilet training
4)Bladder control is present at 1 year of age - ANSWER-4)Bladder control is present at 1 year of
age (We usually potty train around 2 years of age.
QUESTION: True or False
You can collect a sterile urine specimen from a foley catheter by draining urine from the
collection bag - ANSWER-False (We don't want old urine sitting in the bag. Need to collect urine
from the tube- clamp the tube if there's no urine in the tube, clean the collection port, collect
10mL for UA and 3mL for urine culture, label sterile cup with patient identifiers, time/date, and
unclamp)
3
, Page 4 of 42
QUESTION: If this electrolyte imbalance isn't treated timely, prolonged effects of an elevated
level could cause: kidney stones, kidney failure, osteoporosis, confusion - ANSWER-Calcium
(Hypocalcemia includes: numbness and tingling of fingers, mouth, or feet; tetany; muscle
cramps; and seizures.
Hypercalcemia includes: nausea, vomiting, constipation, bone pain, excessive urination, thirst,
confusion, lethargy, and slurred speech.)
QUESTION: Which of the following body systems influence the acid-base balance to produce
compensatory changes for a patient experiencing metabolic acidosis?
1)Vascular/veins
2)Hepatic/liver
3)Renal/kidneys
4)Respiratory/lungs - ANSWER-4)Respiratory/Lungs
(Metabolic acidosis is an acidotic state in the kidneys, Lungs help compensate and vise versa)
(Respiratory acidosis is an acidotic state in the lungs, Kidneys help compensate)
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