NURSING EXAMS
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NURSE WISEMAN 2026/2027 MEDICINE
,NURS 120 EXAM II Nurse
Practitioners Review Exam (Latest
2026/ 2027 Update) 100% Verified
Questions & Answers | Grade A+
1) The nurse is caring for an older adult client on a
medical-surgical unit. The client tells the nurse, "I don't
get any sleep at night because I have to get up and use
the bathroom every couple of hours!" When providing an
explanation for the nocturia, which statement by the
nurse is the most appropriate?
A) "As you get older, there is a decrease in number of
nephrons."
B) "As you get older, there is a decrease in the blood
supply to your bladder."
C) "As you get older, you may have a decreased bladder
capacity."
D) "As you get older, there is a decrease in cardiac output,
causing these symptoms." - ✅✅C) Approximately 70%
of older women and 50% of older men have to get up two
or more times during the night to empty their bladders
due to decreased bladder capacity. A decrease in blood
supply causes an increase in urine concentration. A
decrease in the number of nephrons decreases the
filtration rate. A decrease in cardiac output decreases
,peripheral circulation, which would decrease urinary
output day or night.
2) A client is diagnosed with high blood pressure that is
not responding to medications. The nurse suspects renal
stenosis. When assessing for this condition, which
location will the nurse use for auscultation?
A) Renal arteries
B) Bladder
C) Ureters
D) Internal urethral sphincter - ✅✅A) The nurse should
auscultate the renal arteries by placing the bell of the
stethoscope lightly in the areas of the renal arteries,
located in the left and right upper abdominal quadrants.
Systolic bruits ("whooshing" sounds) may indicate renal
artery stenosis.
3) The nurse is caring for a group of clients on a medical-
surgical unit. Which client does the nurse anticipate to be
at the greatest risk for alterations in urinary elimination?
A) The client with hypertension who takes a diuretic to
manage blood pressure
B) An 80-year-old male client reporting frequent urination
at night
, C) A 25-year-old female client with low self-esteem
D) A client who had bladder cancer and now has a newly
created ileal condui - ✅✅problems.
B) The client who is 80 years old with frequent urination
at night may be having problems with his prostate. Older
male adults experience urinary retention due to prostate
enlargement, causing an alteration in urinary elimination.
The 25-year-old experiencing low self-esteem has a
psychological problem and will need therapy to find the
root of the problem. The client who had bladder cancer
and now has an ileal conduit doesn't have kidney
damage, only the bladder removed. Continued urine
production through the ileal conduit will need to be
observed and assessed frequently by the staff. The client
with high blood pressure takes medication to remove
excess fluid from the body, and as long as urine
elimination increases, there should be no problems.
.4) The nurse is caring for a client with a history of urinary
tract infections (UTIs). Which action by the nurse would
decrease the risk of the client experiencing future UTIs?
A) Instruct the client to avoid delaying urination.
B) Tell the client to increase caffeine in the diet.
C) Encourage the client to use the pelvic floor muscles to
force urine flow.
• Nursing Exam Prep Made Easy — Get
Your Documents Today!
NURSE WISEMAN 2026/2027 MEDICINE
,NURS 120 EXAM II Nurse
Practitioners Review Exam (Latest
2026/ 2027 Update) 100% Verified
Questions & Answers | Grade A+
1) The nurse is caring for an older adult client on a
medical-surgical unit. The client tells the nurse, "I don't
get any sleep at night because I have to get up and use
the bathroom every couple of hours!" When providing an
explanation for the nocturia, which statement by the
nurse is the most appropriate?
A) "As you get older, there is a decrease in number of
nephrons."
B) "As you get older, there is a decrease in the blood
supply to your bladder."
C) "As you get older, you may have a decreased bladder
capacity."
D) "As you get older, there is a decrease in cardiac output,
causing these symptoms." - ✅✅C) Approximately 70%
of older women and 50% of older men have to get up two
or more times during the night to empty their bladders
due to decreased bladder capacity. A decrease in blood
supply causes an increase in urine concentration. A
decrease in the number of nephrons decreases the
filtration rate. A decrease in cardiac output decreases
,peripheral circulation, which would decrease urinary
output day or night.
2) A client is diagnosed with high blood pressure that is
not responding to medications. The nurse suspects renal
stenosis. When assessing for this condition, which
location will the nurse use for auscultation?
A) Renal arteries
B) Bladder
C) Ureters
D) Internal urethral sphincter - ✅✅A) The nurse should
auscultate the renal arteries by placing the bell of the
stethoscope lightly in the areas of the renal arteries,
located in the left and right upper abdominal quadrants.
Systolic bruits ("whooshing" sounds) may indicate renal
artery stenosis.
3) The nurse is caring for a group of clients on a medical-
surgical unit. Which client does the nurse anticipate to be
at the greatest risk for alterations in urinary elimination?
A) The client with hypertension who takes a diuretic to
manage blood pressure
B) An 80-year-old male client reporting frequent urination
at night
, C) A 25-year-old female client with low self-esteem
D) A client who had bladder cancer and now has a newly
created ileal condui - ✅✅problems.
B) The client who is 80 years old with frequent urination
at night may be having problems with his prostate. Older
male adults experience urinary retention due to prostate
enlargement, causing an alteration in urinary elimination.
The 25-year-old experiencing low self-esteem has a
psychological problem and will need therapy to find the
root of the problem. The client who had bladder cancer
and now has an ileal conduit doesn't have kidney
damage, only the bladder removed. Continued urine
production through the ileal conduit will need to be
observed and assessed frequently by the staff. The client
with high blood pressure takes medication to remove
excess fluid from the body, and as long as urine
elimination increases, there should be no problems.
.4) The nurse is caring for a client with a history of urinary
tract infections (UTIs). Which action by the nurse would
decrease the risk of the client experiencing future UTIs?
A) Instruct the client to avoid delaying urination.
B) Tell the client to increase caffeine in the diet.
C) Encourage the client to use the pelvic floor muscles to
force urine flow.
