NSG 3800 EXAM 3 REVIEW UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Question:
1. Which medication taken by a patient with decreased renal function will be of most concern to the nurse?
A. warfarin
B. folic acid
C. ibuprofen
D. penicillin
Answer:
C. ibuprofen
Question:
2. A patient gives the admitting nurse health information before a scheduled intravenous pyelogram (IVP).
Which item requires the nurse to intervene before the procedure?
A. The patient has not had food or drink for 8 hours.
B. The patient used a bisacodyl (Dulcolax) tablet the previous night.
C. The patient reports taking metformin this morning.
D. The patient reports costovertebral angle (CVA) tenderness.
Answer:
C. The patient reports taking metformin this morning.
Question:
3. The nurse is caring for a hospitalized patient with a decreased glomerular filtration rate who is scheduled
for an intravenous pyelogram (IVP). Which action will be included in the plan of care?
A. Give oral contrast solution before the procedure.
B. Insert a large size urinary catheter before the IVP.
C. Assist with monitored anesthesia care (MAC).
D. Monitor the urine output after the procedure.
Answer:
D. Monitor the urine output after the procedure.
Question:
4. A male patient in the clinic provides a urine sample that is red-orange in color. Which action should the
nurse take?
A. Question the patient about urinary tract infection risk factors.
B. Notify the patient's health care provider.
C. Teach correct midstream urine collection.
D. Ask the patient about current medications.
Answer:
D. Ask the patient about current medications.
, Question:
5. A female patient being admitted with pneumonia has a history of neurogenic bladder due to a spinal
cord injury. Which action will the nurse plan to take first?
A. Ask about the usual urinary pattern and any measures used for bladder control.
B. Check the patient for urinary incontinence every 2 hours to maintain skin integrity.
C. Use intermittent catheterization on a regular schedule to avoid the risk of infection.
D. Assist the patient to the toilet at scheduled times to help ensure bladder emptying.
Answer:
A. Ask about the usual urinary pattern and any measures used for bladder control.
Question:
6. Which statement by a 22-yr-old female patient with cystitis indicates to the nurse that instruction
regarding prevention of future urinary tract infections (UTls) has been effective?
A. "I will empty my bladder every 2-3 hours during the day."
B. "I will drink a quart of water or other fluids every day."
C. "I will wash with soap and water before sexual intercourse."
D. "I can use vaginal antiseptic sprays to reduce bacteria."
Answer:
A. "I will empty my bladder every 2-3 hours during the day."
Question:
7. Which information will the nurse include when teaching the patient with a urinary tract infection (UTI)
about the use of phenazopyridine?
A. Take phenazopyridine before sexual intercourse.
B. Phenazopyridine may cause photosensitivity.
C. Phenazopyridine may change the urine color.
D. Take phenazopyridine for at least 7 days.
Answer:
C. Phenazopyridine may change the urine color.
Question:
8. Which finding by the nurse will be most helpful in determining whether a 67-yr-old patient with benign
prostatic hyperplasia has an upper urinary tract infection (UTI)?
A. Foul-smelling urine
B. Bladder distention
C. Suprapubic discomfort
D. Costovertebral angle tenderness
Answer:
D. Costovertebral angle tenderness
Question:
9. What should the nurse ask the patient about to determine possible causes of acute glomerulonephritis?
A. Recent sore throat and fever
B. History of high blood pressure
C. Recent bladder infection
D. History of kidney stones
QUESTIONS AND CORRECT ANSWERS
Question:
1. Which medication taken by a patient with decreased renal function will be of most concern to the nurse?
A. warfarin
B. folic acid
C. ibuprofen
D. penicillin
Answer:
C. ibuprofen
Question:
2. A patient gives the admitting nurse health information before a scheduled intravenous pyelogram (IVP).
Which item requires the nurse to intervene before the procedure?
A. The patient has not had food or drink for 8 hours.
B. The patient used a bisacodyl (Dulcolax) tablet the previous night.
C. The patient reports taking metformin this morning.
D. The patient reports costovertebral angle (CVA) tenderness.
Answer:
C. The patient reports taking metformin this morning.
Question:
3. The nurse is caring for a hospitalized patient with a decreased glomerular filtration rate who is scheduled
for an intravenous pyelogram (IVP). Which action will be included in the plan of care?
A. Give oral contrast solution before the procedure.
B. Insert a large size urinary catheter before the IVP.
C. Assist with monitored anesthesia care (MAC).
D. Monitor the urine output after the procedure.
Answer:
D. Monitor the urine output after the procedure.
Question:
4. A male patient in the clinic provides a urine sample that is red-orange in color. Which action should the
nurse take?
A. Question the patient about urinary tract infection risk factors.
B. Notify the patient's health care provider.
C. Teach correct midstream urine collection.
D. Ask the patient about current medications.
Answer:
D. Ask the patient about current medications.
, Question:
5. A female patient being admitted with pneumonia has a history of neurogenic bladder due to a spinal
cord injury. Which action will the nurse plan to take first?
A. Ask about the usual urinary pattern and any measures used for bladder control.
B. Check the patient for urinary incontinence every 2 hours to maintain skin integrity.
C. Use intermittent catheterization on a regular schedule to avoid the risk of infection.
D. Assist the patient to the toilet at scheduled times to help ensure bladder emptying.
Answer:
A. Ask about the usual urinary pattern and any measures used for bladder control.
Question:
6. Which statement by a 22-yr-old female patient with cystitis indicates to the nurse that instruction
regarding prevention of future urinary tract infections (UTls) has been effective?
A. "I will empty my bladder every 2-3 hours during the day."
B. "I will drink a quart of water or other fluids every day."
C. "I will wash with soap and water before sexual intercourse."
D. "I can use vaginal antiseptic sprays to reduce bacteria."
Answer:
A. "I will empty my bladder every 2-3 hours during the day."
Question:
7. Which information will the nurse include when teaching the patient with a urinary tract infection (UTI)
about the use of phenazopyridine?
A. Take phenazopyridine before sexual intercourse.
B. Phenazopyridine may cause photosensitivity.
C. Phenazopyridine may change the urine color.
D. Take phenazopyridine for at least 7 days.
Answer:
C. Phenazopyridine may change the urine color.
Question:
8. Which finding by the nurse will be most helpful in determining whether a 67-yr-old patient with benign
prostatic hyperplasia has an upper urinary tract infection (UTI)?
A. Foul-smelling urine
B. Bladder distention
C. Suprapubic discomfort
D. Costovertebral angle tenderness
Answer:
D. Costovertebral angle tenderness
Question:
9. What should the nurse ask the patient about to determine possible causes of acute glomerulonephritis?
A. Recent sore throat and fever
B. History of high blood pressure
C. Recent bladder infection
D. History of kidney stones