NUR 301 EXAM #3 PRACTICE QUESTIONS 2026/2027 – STUDY GUIDE & EXAM
REVIEW
A 32 year-old patient is admitted to your clinic with Severe LUQ pain that radiates to the mid-epigastric
region. She also reports 3 separate episodes of vomiting that did not relieve the pain. Upon assessment,
she recently had a large meal in celebration of her birthday that included multiple alcoholic drinks. It is
also found during assessment that there is a bluish periumbilical discoloration. This periumbilical
discoloration is also known a:
A) Borborygmi
B) Turner's Sign
C) Cullen's Sign
D) Steatorrhea
E) Greg Kempf's Sign - ANS ✔✔C - Cullen's sign; This is a clinical manifestation of a patient with Acute
pancreatitis.
A is increased volume of bowel sounds
B is bluish discoloration located on the flank
D is increased fat in the stool
E is Greg's sign, which is a loud verbalization of "Go Cayuts" or "Cayuts by 90 baby"
A 40 year-old female comes into your clinic with a history of UTI's. She has a past history of COPD, HIV,
Hepatitis C, and Heart failure. She is seeking advice on the best ways to prevent recurrent UTI's. There is
a need for further teaching if she states the following:
A) "I do enjoy warm baths, I feel like that will help the most."
B) "I never knew chocolate had any effect on your urinary tract, I guess I'll have to cut that out of my
diet."
C) "Drinking orange juice because of its acidic content will aid at preventing UTIs."
D) "For most patients it would be a good idea to drink plenty of fluids, but I should monitor my intake
very carefully." - ANS ✔✔C - Citrus juices are one of many bladder irritants
A is correct because there is no mention of bubbles/soaps in the bath.
B is correct because chocolate is a bladder irritant
D is correct because with her history of Heart failure, she cannot simply force fluids, as it is a
contraindication
UTIs, pyelononephritis, etc. Actual Lecture pg 5
, A 23 year-old female comes in to your clinic suspicious that she has a Urinary Tract Infection. Upon a
thorough history and assessment you conclude that she has "emptying symptoms" of a UTI. You know
that emptying symptoms of a UTI include the following: (select all that apply)
A) Hesitancy
B) Frequency
C) Post-void dribbling
D) Dysuria
E) Urgency - ANS ✔✔A, C, and D
B and E are bladder storage symptoms
UTIs, pyelononephritis, etc. Actual Lecture pg 3
A patient's recently passed stone was sent to the lab to analyze its cause. The stone returned as a
Calcium Oxalate kidney stone. The patient asks you what kind of foods contain oxalate. You respond with
a short list that includes the following: (Select all that apply)
A) Peas
B) Apricots
C) Spinach
D) Dried Fruit
E) Beets - ANS ✔✔B, C, and E
A is incorrect because peas are high in fiber, they are low in oxalate
D is incorrect because Dried fruits are also low in oxalate. However, dried fruits are high in calcium.
Lewis Page 1049 Figure 45-12
At your clinic, you are examining a patient with early-stage cirrhosis. Which of the following assessment
findings is expected?
A) Ascites
B) Hepatomegaly
C) Decreased serum albumin and Prothrombin time
D) Asterixis - ANS ✔✔B
A, C, and D are all common findings with *LATE* clinical manifestations of cirrhosis
REVIEW
A 32 year-old patient is admitted to your clinic with Severe LUQ pain that radiates to the mid-epigastric
region. She also reports 3 separate episodes of vomiting that did not relieve the pain. Upon assessment,
she recently had a large meal in celebration of her birthday that included multiple alcoholic drinks. It is
also found during assessment that there is a bluish periumbilical discoloration. This periumbilical
discoloration is also known a:
A) Borborygmi
B) Turner's Sign
C) Cullen's Sign
D) Steatorrhea
E) Greg Kempf's Sign - ANS ✔✔C - Cullen's sign; This is a clinical manifestation of a patient with Acute
pancreatitis.
A is increased volume of bowel sounds
B is bluish discoloration located on the flank
D is increased fat in the stool
E is Greg's sign, which is a loud verbalization of "Go Cayuts" or "Cayuts by 90 baby"
A 40 year-old female comes into your clinic with a history of UTI's. She has a past history of COPD, HIV,
Hepatitis C, and Heart failure. She is seeking advice on the best ways to prevent recurrent UTI's. There is
a need for further teaching if she states the following:
A) "I do enjoy warm baths, I feel like that will help the most."
B) "I never knew chocolate had any effect on your urinary tract, I guess I'll have to cut that out of my
diet."
C) "Drinking orange juice because of its acidic content will aid at preventing UTIs."
D) "For most patients it would be a good idea to drink plenty of fluids, but I should monitor my intake
very carefully." - ANS ✔✔C - Citrus juices are one of many bladder irritants
A is correct because there is no mention of bubbles/soaps in the bath.
B is correct because chocolate is a bladder irritant
D is correct because with her history of Heart failure, she cannot simply force fluids, as it is a
contraindication
UTIs, pyelononephritis, etc. Actual Lecture pg 5
, A 23 year-old female comes in to your clinic suspicious that she has a Urinary Tract Infection. Upon a
thorough history and assessment you conclude that she has "emptying symptoms" of a UTI. You know
that emptying symptoms of a UTI include the following: (select all that apply)
A) Hesitancy
B) Frequency
C) Post-void dribbling
D) Dysuria
E) Urgency - ANS ✔✔A, C, and D
B and E are bladder storage symptoms
UTIs, pyelononephritis, etc. Actual Lecture pg 3
A patient's recently passed stone was sent to the lab to analyze its cause. The stone returned as a
Calcium Oxalate kidney stone. The patient asks you what kind of foods contain oxalate. You respond with
a short list that includes the following: (Select all that apply)
A) Peas
B) Apricots
C) Spinach
D) Dried Fruit
E) Beets - ANS ✔✔B, C, and E
A is incorrect because peas are high in fiber, they are low in oxalate
D is incorrect because Dried fruits are also low in oxalate. However, dried fruits are high in calcium.
Lewis Page 1049 Figure 45-12
At your clinic, you are examining a patient with early-stage cirrhosis. Which of the following assessment
findings is expected?
A) Ascites
B) Hepatomegaly
C) Decreased serum albumin and Prothrombin time
D) Asterixis - ANS ✔✔B
A, C, and D are all common findings with *LATE* clinical manifestations of cirrhosis
