NU 185 EXAM 4 TEST BANK QUESTIONS & ANSWERS | GALEN COLLEGE LPN REVIEW 2026… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NU 185 Exam 4 Test Bank
Questions & Answers | Galen
College LPN Review 2026/2027
Verified Answers Exam Ready With Rationales
66 QUESTIONS
DOCUMENT OVERVIEW
This document includes 66 exam questions with correct answers and detailed rationales, focusing on
nursing concepts relevant to LPN practice. It serves as a comprehensive resource for students preparing for
exams or certifications in nursing, enabling effective study and review of essential clinical knowledge and
skills.
CONTENTS
01 Urinary Tract Infections Q1–Q7
02 Diabetes Management Q8–Q18
03 Syndrome of Inappropriate Antidiuretic Hormone (SIADH) Q19–Q26
04 Diabetes Insipidus Q27–Q31
05 Adrenal Disorders Q32–Q38
06 Endocrine Disorders Q39–Q45
07 Renal Failure and Dialysis Q46–Q51
08 Emergency Response Q52–Q60
09 Additional Questions Q61–Q66
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 66
A nurse prepares to collect a midstream clean-catch urine specimen from a patient exhibiting symptoms of a urinary tract
infection (UTI). What should the nurse prioritize to ensure the specimen is appropriate for culture and sensitivity testing?
A) Instruct the patient to begin urinating and then stop to collect the specimen.
B) Ensure the patient cleans the perineal area with antiseptic wipes before collection.
C) Advise the patient to collect the first portion of urine directly into the container.
D) Have the patient drink a large volume of water before specimen collection.
CORRECT ANSWER
B) Ensure the patient cleans the perineal area with antiseptic wipes before collection.
RATIONALE
Proper perineal cleansing reduces contaminant bacteria in the specimen, ensuring accurate culture results for diagnosing UTIs,
which is critical for targeted antibiotic therapy.
Q2 QUESTION 2 OF 66
In the context of urinary tract infections, which term accurately describes the symptom characterized by discomfort
during the act of urination?
A) Hematuria
B) Dysuria
C) Polyuria
D) Oliguria
CORRECT ANSWER
B) Dysuria
RATIONALE
Dysuria refers to the painful sensation experienced during urination, commonly associated with urinary tract infections, where
inflammation can lead to discomfort and a burning sensation. Prompt identification of dysuria is crucial for early intervention and
management of potential infections.
Q3 QUESTION 3 OF 66
A patient presents to the clinic with a complaint of burning during urination and a noted urinary frequency. The healthcare
provider prescribes phenazopyridine. What is the primary indication for this medication in this patient's care?
Page 2
, A) To reduce the risk of urinary tract infection
B) To alleviate pain associated with dysuria
C) To enhance urine output during infection
D) To provide immediate antibacterial action against pathogens
CORRECT ANSWER
B) To alleviate pain associated with dysuria
RATIONALE
Phenazopyridine is specifically indicated for the relief of pain, burning, and discomfort associated with dysuria, acting as a local
anesthetic on the urinary tract lining rather than addressing the underlying infection.
Q4 QUESTION 4 OF 66
A nurse is assessing an 82-year-old patient in a long-term care facility who presents with sudden onset confusion and
increased incontinence over the past 24 hours. Which nursing action should be prioritized to address these symptoms?
A) Initiate a urinalysis to check for urinary tract infection.
B) Administer prescribed medications for anxiety.
C) Encourage the patient to increase fluid intake.
D) Schedule a consultation with the geriatric psychiatrist.
CORRECT ANSWER
A) Initiate a urinalysis to check for urinary tract infection.
RATIONALE
Sudden confusion and incontinence in older adults often indicate a urinary tract infection, which can lead to serious complications
if untreated; therefore, obtaining a urinalysis is essential for timely diagnosis and intervention.
Q5 QUESTION 5 OF 66
A patient is instructed to collect a 24-hour urine specimen to assess renal function. Before beginning the collection, the
nurse reminds the patient to discard the first void. What is the next critical action the nurse must ensure during the
collection period?
A) Instruct the patient to keep the collection container at room temperature.
B) Advise the patient to label the collection container with the start time.
Page 3
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NU 185 Exam 4 Test Bank
Questions & Answers | Galen
College LPN Review 2026/2027
Verified Answers Exam Ready With Rationales
66 QUESTIONS
DOCUMENT OVERVIEW
This document includes 66 exam questions with correct answers and detailed rationales, focusing on
nursing concepts relevant to LPN practice. It serves as a comprehensive resource for students preparing for
exams or certifications in nursing, enabling effective study and review of essential clinical knowledge and
skills.
CONTENTS
01 Urinary Tract Infections Q1–Q7
02 Diabetes Management Q8–Q18
03 Syndrome of Inappropriate Antidiuretic Hormone (SIADH) Q19–Q26
04 Diabetes Insipidus Q27–Q31
05 Adrenal Disorders Q32–Q38
06 Endocrine Disorders Q39–Q45
07 Renal Failure and Dialysis Q46–Q51
08 Emergency Response Q52–Q60
09 Additional Questions Q61–Q66
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 66
A nurse prepares to collect a midstream clean-catch urine specimen from a patient exhibiting symptoms of a urinary tract
infection (UTI). What should the nurse prioritize to ensure the specimen is appropriate for culture and sensitivity testing?
A) Instruct the patient to begin urinating and then stop to collect the specimen.
B) Ensure the patient cleans the perineal area with antiseptic wipes before collection.
C) Advise the patient to collect the first portion of urine directly into the container.
D) Have the patient drink a large volume of water before specimen collection.
CORRECT ANSWER
B) Ensure the patient cleans the perineal area with antiseptic wipes before collection.
RATIONALE
Proper perineal cleansing reduces contaminant bacteria in the specimen, ensuring accurate culture results for diagnosing UTIs,
which is critical for targeted antibiotic therapy.
Q2 QUESTION 2 OF 66
In the context of urinary tract infections, which term accurately describes the symptom characterized by discomfort
during the act of urination?
A) Hematuria
B) Dysuria
C) Polyuria
D) Oliguria
CORRECT ANSWER
B) Dysuria
RATIONALE
Dysuria refers to the painful sensation experienced during urination, commonly associated with urinary tract infections, where
inflammation can lead to discomfort and a burning sensation. Prompt identification of dysuria is crucial for early intervention and
management of potential infections.
Q3 QUESTION 3 OF 66
A patient presents to the clinic with a complaint of burning during urination and a noted urinary frequency. The healthcare
provider prescribes phenazopyridine. What is the primary indication for this medication in this patient's care?
Page 2
, A) To reduce the risk of urinary tract infection
B) To alleviate pain associated with dysuria
C) To enhance urine output during infection
D) To provide immediate antibacterial action against pathogens
CORRECT ANSWER
B) To alleviate pain associated with dysuria
RATIONALE
Phenazopyridine is specifically indicated for the relief of pain, burning, and discomfort associated with dysuria, acting as a local
anesthetic on the urinary tract lining rather than addressing the underlying infection.
Q4 QUESTION 4 OF 66
A nurse is assessing an 82-year-old patient in a long-term care facility who presents with sudden onset confusion and
increased incontinence over the past 24 hours. Which nursing action should be prioritized to address these symptoms?
A) Initiate a urinalysis to check for urinary tract infection.
B) Administer prescribed medications for anxiety.
C) Encourage the patient to increase fluid intake.
D) Schedule a consultation with the geriatric psychiatrist.
CORRECT ANSWER
A) Initiate a urinalysis to check for urinary tract infection.
RATIONALE
Sudden confusion and incontinence in older adults often indicate a urinary tract infection, which can lead to serious complications
if untreated; therefore, obtaining a urinalysis is essential for timely diagnosis and intervention.
Q5 QUESTION 5 OF 66
A patient is instructed to collect a 24-hour urine specimen to assess renal function. Before beginning the collection, the
nurse reminds the patient to discard the first void. What is the next critical action the nurse must ensure during the
collection period?
A) Instruct the patient to keep the collection container at room temperature.
B) Advise the patient to label the collection container with the start time.
Page 3
