NR 325 EXAM 1 (CHAMBERLAIN) NEWEST 2026/ 2027
ACTUAL EXAM TEST BANK| NR325 ADULT HEALTH
II EXAM 1 REVIEW WITH COMPLETE 200 REAL
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
Section 1: Renal & Urinary System (Questions 1-45)
Q1: A 79-year-old man has been admitted with benign prostatic hyperplasia. What
is most appropriate to include in the nursing plan of care?
A. Limit fluid intake to no more than 1000 mL/day
B. Leave a light on in the bathroom during the night
C. Ask the patient to use a urinal so that urine can be measured
D. Pad the patient's bed to accommodate overflow incontinence
Answer: B — The patient's age and diagnosis indicate a likelihood of nocturia; leaving
the light on reduces fall risk.
Q2: A patient gives health information before a scheduled intravenous pyelogram
(IVP). Which item has the most immediate implications for the patient's care?
A. The patient has not had food or drink for 8 hours
B. The patient lists allergies to shellfish and penicillin
C. The patient complains of costovertebral angle (CVA) tenderness
D. The patient used a bisacodyl tablet the previous night
Answer: B — Iodine-based contrast dye is used during IVP; the provider must be
notified so the patient can receive antihistamines or corticosteroids before the
procedure.
,Q3: A patient passing bloody urine is scheduled for a cystoscopy with cystogram.
Which description of the procedure by the nurse is accurate?
A. "Your doctor will place a catheter into an artery in your groin and inject a dye that will
visualize the blood supply to the kidneys"
B. "Your doctor will insert a lighted tube into the bladder, and little catheters will be
inserted through the tube into your kidney"
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 bladder on x-ray"
D. "Your doctor will place a catheter into your bladder through your abdomen"
Answer: C — Cystoscopy involves a lighted tube through the urethra to inspect the
bladder.
Q4: The client is admitted with polyuria secondary to diabetes mellitus. Urine
output is 80-100 mL/hour. Assessment reveals hyperreflexia in the patellar and
Achilles tendons. What lab test must be checked?
A. Sodium
B. Potassium
C. Calcium
D. Magnesium
Answer: C — Hyperreflexia may indicate hypocalcemia; calcium levels should be
monitored.
,Q5: What diagnostic test helps identify if there are microorganisms in the urine?
A. Urinalysis
B. Urine culture and sensitivity
C. Complete blood count
D. Renal ultrasound
Answer: B — Urine culture and sensitivity identifies microorganisms and appropriate
antibiotics.
Q6: What are the nursing actions vital to perform prior to an intravenous
pyelogram? (Select all that apply)
A. Hold metformin 48 hours prior
B. Assess BUN and creatinine
C. Assess for iodine/shellfish allergies
D. Encourage clear liquid diet only
Answer: A, B, C — Metformin is held to prevent lactic acidosis; renal function and
allergies must be assessed prior to contrast administration.
Q7: Which conditions can cause or lead to altered urinary elimination? (Select all
that apply)
A. Pyelonephritis
B. Coronary artery disease
C. Benign prostatic hyperplasia
, D. Strep throat
E. Chronic kidney disease
Answer: A, C, E — Pyelonephritis, BPH, and CKD directly affect urinary elimination.
Q8: Which parameters can measure the ability of the kidneys to filter? (Select all
that apply)
A. Glomerular filtration rate (GFR)
B. Creatinine
C. Blood urea nitrogen (BUN)
D. Serum sodium
Answer: A, B, C — GFR, creatinine, and BUN are direct indicators of kidney function.
Q9: Which acid-base imbalance commonly occurs when a client has altered urinary
elimination due to kidney failure?
A. Metabolic alkalosis
B. Respiratory acidosis
C. Metabolic acidosis
D. Respiratory alkalosis
Answer: C — Kidney failure results in metabolic acidosis due to inability to excrete
hydrogen ions and reabsorb bicarbonate.
ACTUAL EXAM TEST BANK| NR325 ADULT HEALTH
II EXAM 1 REVIEW WITH COMPLETE 200 REAL
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
Section 1: Renal & Urinary System (Questions 1-45)
Q1: A 79-year-old man has been admitted with benign prostatic hyperplasia. What
is most appropriate to include in the nursing plan of care?
A. Limit fluid intake to no more than 1000 mL/day
B. Leave a light on in the bathroom during the night
C. Ask the patient to use a urinal so that urine can be measured
D. Pad the patient's bed to accommodate overflow incontinence
Answer: B — The patient's age and diagnosis indicate a likelihood of nocturia; leaving
the light on reduces fall risk.
Q2: A patient gives health information before a scheduled intravenous pyelogram
(IVP). Which item has the most immediate implications for the patient's care?
A. The patient has not had food or drink for 8 hours
B. The patient lists allergies to shellfish and penicillin
C. The patient complains of costovertebral angle (CVA) tenderness
D. The patient used a bisacodyl tablet the previous night
Answer: B — Iodine-based contrast dye is used during IVP; the provider must be
notified so the patient can receive antihistamines or corticosteroids before the
procedure.
,Q3: A patient passing bloody urine is scheduled for a cystoscopy with cystogram.
Which description of the procedure by the nurse is accurate?
A. "Your doctor will place a catheter into an artery in your groin and inject a dye that will
visualize the blood supply to the kidneys"
B. "Your doctor will insert a lighted tube into the bladder, and little catheters will be
inserted through the tube into your kidney"
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 bladder on x-ray"
D. "Your doctor will place a catheter into your bladder through your abdomen"
Answer: C — Cystoscopy involves a lighted tube through the urethra to inspect the
bladder.
Q4: The client is admitted with polyuria secondary to diabetes mellitus. Urine
output is 80-100 mL/hour. Assessment reveals hyperreflexia in the patellar and
Achilles tendons. What lab test must be checked?
A. Sodium
B. Potassium
C. Calcium
D. Magnesium
Answer: C — Hyperreflexia may indicate hypocalcemia; calcium levels should be
monitored.
,Q5: What diagnostic test helps identify if there are microorganisms in the urine?
A. Urinalysis
B. Urine culture and sensitivity
C. Complete blood count
D. Renal ultrasound
Answer: B — Urine culture and sensitivity identifies microorganisms and appropriate
antibiotics.
Q6: What are the nursing actions vital to perform prior to an intravenous
pyelogram? (Select all that apply)
A. Hold metformin 48 hours prior
B. Assess BUN and creatinine
C. Assess for iodine/shellfish allergies
D. Encourage clear liquid diet only
Answer: A, B, C — Metformin is held to prevent lactic acidosis; renal function and
allergies must be assessed prior to contrast administration.
Q7: Which conditions can cause or lead to altered urinary elimination? (Select all
that apply)
A. Pyelonephritis
B. Coronary artery disease
C. Benign prostatic hyperplasia
, D. Strep throat
E. Chronic kidney disease
Answer: A, C, E — Pyelonephritis, BPH, and CKD directly affect urinary elimination.
Q8: Which parameters can measure the ability of the kidneys to filter? (Select all
that apply)
A. Glomerular filtration rate (GFR)
B. Creatinine
C. Blood urea nitrogen (BUN)
D. Serum sodium
Answer: A, B, C — GFR, creatinine, and BUN are direct indicators of kidney function.
Q9: Which acid-base imbalance commonly occurs when a client has altered urinary
elimination due to kidney failure?
A. Metabolic alkalosis
B. Respiratory acidosis
C. Metabolic acidosis
D. Respiratory alkalosis
Answer: C — Kidney failure results in metabolic acidosis due to inability to excrete
hydrogen ions and reabsorb bicarbonate.
