Lewis Medical Surgical
Nursing Chap 49: Urinary
System Exam Questions with
Answers
User [Date] [Course title]
, . Which question would the nurse ask to assess a patient's dysuria?
a. ―Do you have to urinate at night?‖
b. ―Do you have blood in your urine?‖
c. ―Do you have to urinate frequently?‖
d. ―Do you have pain when you urinate?‖ - Correct Answer: ANS: D Dysuria is painful urination. The
alternate responses can be used to assess other urinary tract symptoms: hematuria, nocturia, and
frequency.
Which action would the nurse take first when a patient's urine dipstick test indicates a small amount of
protein?
a. Send a urine specimen to the laboratory to test for ketones.
b. Obtain a clean-catch urine for culture and sensitivity testing.
c. Inquire about which medications the patient is currently taking.
d. Ask the patient about any family history of chronic renal failure - Correct Answer: ANS: C Normally the
urinalysis will show zero to trace amounts of protein, but some medications may give false-positive
readings. The other actions by the nurse may be appropriate but checking for medications that may
affect the dipstick accuracy should be first.
A hospitalized patient who has possible renal insufficiency after coronary artery bypass surgery will have
a creatinine clearance test. Which item will the nurse need to obtain?
a. Urinary catheter
b. Sterile specimen cup
c. Cleansing towelettes
d. Large urine container - Correct Answer: ANS: D Because creatinine clearance testing involves a 24-
hour urine specimen, the nurse should obtain a large container for the urine collection. Catheterization,
cleaning of the perineum with antiseptic towelettes, and a sterile specimen cup are not needed for this
test.
A young adult employed as a hair stylist who has a 15 pack-year history of cigarette smoking arrives for
an annual physical examination. Which area of increased risk would the nurse plan to teach the patient?
a. Renal failure
b. Kidney stones
c. Pyelonephritis
Nursing Chap 49: Urinary
System Exam Questions with
Answers
User [Date] [Course title]
, . Which question would the nurse ask to assess a patient's dysuria?
a. ―Do you have to urinate at night?‖
b. ―Do you have blood in your urine?‖
c. ―Do you have to urinate frequently?‖
d. ―Do you have pain when you urinate?‖ - Correct Answer: ANS: D Dysuria is painful urination. The
alternate responses can be used to assess other urinary tract symptoms: hematuria, nocturia, and
frequency.
Which action would the nurse take first when a patient's urine dipstick test indicates a small amount of
protein?
a. Send a urine specimen to the laboratory to test for ketones.
b. Obtain a clean-catch urine for culture and sensitivity testing.
c. Inquire about which medications the patient is currently taking.
d. Ask the patient about any family history of chronic renal failure - Correct Answer: ANS: C Normally the
urinalysis will show zero to trace amounts of protein, but some medications may give false-positive
readings. The other actions by the nurse may be appropriate but checking for medications that may
affect the dipstick accuracy should be first.
A hospitalized patient who has possible renal insufficiency after coronary artery bypass surgery will have
a creatinine clearance test. Which item will the nurse need to obtain?
a. Urinary catheter
b. Sterile specimen cup
c. Cleansing towelettes
d. Large urine container - Correct Answer: ANS: D Because creatinine clearance testing involves a 24-
hour urine specimen, the nurse should obtain a large container for the urine collection. Catheterization,
cleaning of the perineum with antiseptic towelettes, and a sterile specimen cup are not needed for this
test.
A young adult employed as a hair stylist who has a 15 pack-year history of cigarette smoking arrives for
an annual physical examination. Which area of increased risk would the nurse plan to teach the patient?
a. Renal failure
b. Kidney stones
c. Pyelonephritis
