Miderm Practice Qs
1. Nurse is teaching female client who has pyelonephritis about the disorder. Which info
should nurse include to help client prevent recurrence?
a. Douche after vaginal intercourse
b. Wipe front to back after defecation
c. Avoid foods high in phosphate
d. Add yogurt to your diet regularly
2. Nurse is teaching client w/ acute pyelonephritis. Which instruction should nurse include
in teaching?
a. You should complete the entire cycle of antibiotic therapy
b. You should maintain complete bedrest until manifestations decrease
c. You should drink 1000 mL of fluid per day
d. You should avoid using NSAIDs for pain
3. Nurse is teaching client w/ acute pyelonephritis. Which instruction should nurse include
in teaching?
a. Drink up to 1500 mL of fluid per day
b. Avoid use of NSAIDs for pain
c. Check peripheral blood glucose levels twice per day
d. Increase dietary protein intake
4. Nurse in ED is caring for client who reports costovertebral angle tenderness, nausea,
vomiting. Which lab value should nurse report to provider?
a. WBC count 15,000
b. BUN 15
c. Urine specific gravity 1.020
d. Urine pH 5.5
5. Nurse is planning care for group of clients. Which client should nurse plan to monitor for
signs of nephrotoxicity?
a. Client receiving gentamicin for treatment of wound infection
b. Client receiving digoxin for HF
c. Client receiving methylprednisolone for treatment of severe asthma
d. Client receiving propranolol for treatment of HTN
6. Nurse is reviewing med records of 4 clients. Nurse should identify which disorder as risk
factor for chronic pyelonephritis?
a. Parkinson’s disease
b. DM
c. Peptic ulcer disease
d. Gallbladder disease
,7. Nurse is planning care for client who is scheduled for extracorporeal shock wave
lithotripsy to treat urolithiasis. Which action should nurse plan to take?
a. Place client in semi-Fowler’s
b. Prepare to intubate client
c. Monitor urine flow through a nephrostomy tube
d. Apply electrodes for cardiac monitoring
8. Nurse is caring for client who has AKI. Which lab should nurse report to provider?
a. Potassium 5
b. Calcium 9
c. Creatinine 4
d. Amylase 84
9. Nurse is reviewing labs of client w/ AKI. Which findings should nurse expect? (select all
that apply)
a. BUN 30
b. Urine output 40 mL in past 3 hr
c. Potassium 3.6
d. Calcium 9.8
e. Hematocrit 30%
10. Nurse is obtaining a urine specimen for culture & sensitivity from client w/
manifestations of UTI. Which action should nurse take?
a. Collect client’s urine in clean specimen container
b. Instruct client to start urinating then pass container into stream
c. Obtain client’s first morning urine on following day
d. Place client’s urine specimen in container w/ a preservative
11. Nurse is assessing client who has urolithiasis & reports pain in his thigh. This finding
indicates the stone is in which of the following structures?
a. Ureter
b. Bladder
c. Renal pelvis
d. Renal tubes
12. Female client who has recurrent cystitis asks nurse about preventing future episodes.
For which client statement should nurse provide further teaching?
a. I drink at least 2 L of fluid per day
b. I prefer taking tub baths to showering
c. I urinate before and after sex
d. I wipe from front to back after urinating
,13. Nurse is administering ciprofloxacin & phenazopyridine to a client who has a severe UTI.
Client asks why both meds are needed. Which response should nurse make?
a. Phenazopyridine decreases the adverse effects of ciprofloxacin hydrochloride
b. Combining phenazopyridine w/ ciprofloxacin hydrochloride shortens the course
of therapy
c. The use of phenazopyridine allows doc to prescribe a lower dosage of
ciprofloxacin hydrochloride
d. Ciprofloxacin hydrochloride treats the infection & phenazopyridine treats pain
14. Nurse is teaching client about UTIs. Which manifestation should nurse include?
a. Weight gain
b. Back pain
c. Vaginal discharge
d. Muscle cramps
15. Nurse is caring for female adolescent who is being treated for frequent UTIs. Which
statement by adolescent indicates a possible cause of UTIs?
a. I have bowel movements every 4-5 days
b. My mom taught me to wipe from front to back after going to the bathroom
c. I urinate every 2-3 hr during the day
d. I don’t wear nylon underwear
16. Nurse is teaching client w/ history of UTIs. Which client statement indicates need for
additional teaching
a. I will empty my bladder every 4 hr
b. I will drink 2 L of fluids per day
c. I will use a vaginal douche daily
d. I will wear cotton underwear
17. Nurse is caring for client who has diagnosis of renal calculi & reports severe flank pain.
Which is priority nursing action?
a. Relieve client’s pain
b. Encourage client to increase fluid intake
c. Monitor client’s I&O
d. Strain client’s urine
18. Nurse is caring for client who is receiving peritoneal dialysis. Nurse notes client’s
dialysate output is less than the input, and his abdomen is distended. Which action
should nurse take?
a. Insert indwelling urinary catheter
b. Administer pain med to client
c. Change the client’s position
d. Place drainage bag above client’s abdomen
, 19. Nurse is teaching new nurse about caring for client w/ new left arteriovenous fistula.
Which statement should nurse make?
a. Check fistula site daily for a vibration
b. Instruct client to restrict movement of his left arm
c. Avoid taking blood pressure on client’s left arm
d. Instruct client to sleep on left side
20. Nurse is teaching client who is preop for cystoscopy. Which statement should nurse
make?
a. You will need to keep the sutures clean after this procedure
b. You will be placed on your left side for this procedure
c. Expect to be on bed rest for 24 hr after t his procedure
d. Expect to have pink-tinged urine after this procedure
21. Nurse is caring for client who is in oliguric-anuric stage of acute kidney injury. Client
reports diarrhea, dull headache, palpitations & muscle tingling & weakness. Which
action should nurse take first/
a. Administer an analgesic to client
b. Check client’s electrolyte values
c. Measure client’s weight
d. Restrict client’s protein intake
22. Nurse is providing dietary teaching to client w/ late stage CKD. Which nutrient should
nurse instruct client to increase in her diet?
a. Calcium
b. Phosphorus
c. Potassium
d. Sodium
23. Nurse is teaching client who is preop for a renal biopsy. Which statement should nurse
make?
a. You will be NPO for 8 hr following the procedure
b. An allergy to shellfish is a contraindication to this procedure
c. You will need to be on best rest following the procedure
d. A creatinine clearance is needed prior to procedure
24. Nurse is assessing client who is 1 week postop following a living donor kidney
transplant. Which finding should indicate to nurse that client is experiencing acute
kidney rejection?
a. BP 160/90
b. Creatinine 0.8
c. Sodium 137
d. Urinary output 100 mL/hr
1. Nurse is teaching female client who has pyelonephritis about the disorder. Which info
should nurse include to help client prevent recurrence?
a. Douche after vaginal intercourse
b. Wipe front to back after defecation
c. Avoid foods high in phosphate
d. Add yogurt to your diet regularly
2. Nurse is teaching client w/ acute pyelonephritis. Which instruction should nurse include
in teaching?
a. You should complete the entire cycle of antibiotic therapy
b. You should maintain complete bedrest until manifestations decrease
c. You should drink 1000 mL of fluid per day
d. You should avoid using NSAIDs for pain
3. Nurse is teaching client w/ acute pyelonephritis. Which instruction should nurse include
in teaching?
a. Drink up to 1500 mL of fluid per day
b. Avoid use of NSAIDs for pain
c. Check peripheral blood glucose levels twice per day
d. Increase dietary protein intake
4. Nurse in ED is caring for client who reports costovertebral angle tenderness, nausea,
vomiting. Which lab value should nurse report to provider?
a. WBC count 15,000
b. BUN 15
c. Urine specific gravity 1.020
d. Urine pH 5.5
5. Nurse is planning care for group of clients. Which client should nurse plan to monitor for
signs of nephrotoxicity?
a. Client receiving gentamicin for treatment of wound infection
b. Client receiving digoxin for HF
c. Client receiving methylprednisolone for treatment of severe asthma
d. Client receiving propranolol for treatment of HTN
6. Nurse is reviewing med records of 4 clients. Nurse should identify which disorder as risk
factor for chronic pyelonephritis?
a. Parkinson’s disease
b. DM
c. Peptic ulcer disease
d. Gallbladder disease
,7. Nurse is planning care for client who is scheduled for extracorporeal shock wave
lithotripsy to treat urolithiasis. Which action should nurse plan to take?
a. Place client in semi-Fowler’s
b. Prepare to intubate client
c. Monitor urine flow through a nephrostomy tube
d. Apply electrodes for cardiac monitoring
8. Nurse is caring for client who has AKI. Which lab should nurse report to provider?
a. Potassium 5
b. Calcium 9
c. Creatinine 4
d. Amylase 84
9. Nurse is reviewing labs of client w/ AKI. Which findings should nurse expect? (select all
that apply)
a. BUN 30
b. Urine output 40 mL in past 3 hr
c. Potassium 3.6
d. Calcium 9.8
e. Hematocrit 30%
10. Nurse is obtaining a urine specimen for culture & sensitivity from client w/
manifestations of UTI. Which action should nurse take?
a. Collect client’s urine in clean specimen container
b. Instruct client to start urinating then pass container into stream
c. Obtain client’s first morning urine on following day
d. Place client’s urine specimen in container w/ a preservative
11. Nurse is assessing client who has urolithiasis & reports pain in his thigh. This finding
indicates the stone is in which of the following structures?
a. Ureter
b. Bladder
c. Renal pelvis
d. Renal tubes
12. Female client who has recurrent cystitis asks nurse about preventing future episodes.
For which client statement should nurse provide further teaching?
a. I drink at least 2 L of fluid per day
b. I prefer taking tub baths to showering
c. I urinate before and after sex
d. I wipe from front to back after urinating
,13. Nurse is administering ciprofloxacin & phenazopyridine to a client who has a severe UTI.
Client asks why both meds are needed. Which response should nurse make?
a. Phenazopyridine decreases the adverse effects of ciprofloxacin hydrochloride
b. Combining phenazopyridine w/ ciprofloxacin hydrochloride shortens the course
of therapy
c. The use of phenazopyridine allows doc to prescribe a lower dosage of
ciprofloxacin hydrochloride
d. Ciprofloxacin hydrochloride treats the infection & phenazopyridine treats pain
14. Nurse is teaching client about UTIs. Which manifestation should nurse include?
a. Weight gain
b. Back pain
c. Vaginal discharge
d. Muscle cramps
15. Nurse is caring for female adolescent who is being treated for frequent UTIs. Which
statement by adolescent indicates a possible cause of UTIs?
a. I have bowel movements every 4-5 days
b. My mom taught me to wipe from front to back after going to the bathroom
c. I urinate every 2-3 hr during the day
d. I don’t wear nylon underwear
16. Nurse is teaching client w/ history of UTIs. Which client statement indicates need for
additional teaching
a. I will empty my bladder every 4 hr
b. I will drink 2 L of fluids per day
c. I will use a vaginal douche daily
d. I will wear cotton underwear
17. Nurse is caring for client who has diagnosis of renal calculi & reports severe flank pain.
Which is priority nursing action?
a. Relieve client’s pain
b. Encourage client to increase fluid intake
c. Monitor client’s I&O
d. Strain client’s urine
18. Nurse is caring for client who is receiving peritoneal dialysis. Nurse notes client’s
dialysate output is less than the input, and his abdomen is distended. Which action
should nurse take?
a. Insert indwelling urinary catheter
b. Administer pain med to client
c. Change the client’s position
d. Place drainage bag above client’s abdomen
, 19. Nurse is teaching new nurse about caring for client w/ new left arteriovenous fistula.
Which statement should nurse make?
a. Check fistula site daily for a vibration
b. Instruct client to restrict movement of his left arm
c. Avoid taking blood pressure on client’s left arm
d. Instruct client to sleep on left side
20. Nurse is teaching client who is preop for cystoscopy. Which statement should nurse
make?
a. You will need to keep the sutures clean after this procedure
b. You will be placed on your left side for this procedure
c. Expect to be on bed rest for 24 hr after t his procedure
d. Expect to have pink-tinged urine after this procedure
21. Nurse is caring for client who is in oliguric-anuric stage of acute kidney injury. Client
reports diarrhea, dull headache, palpitations & muscle tingling & weakness. Which
action should nurse take first/
a. Administer an analgesic to client
b. Check client’s electrolyte values
c. Measure client’s weight
d. Restrict client’s protein intake
22. Nurse is providing dietary teaching to client w/ late stage CKD. Which nutrient should
nurse instruct client to increase in her diet?
a. Calcium
b. Phosphorus
c. Potassium
d. Sodium
23. Nurse is teaching client who is preop for a renal biopsy. Which statement should nurse
make?
a. You will be NPO for 8 hr following the procedure
b. An allergy to shellfish is a contraindication to this procedure
c. You will need to be on best rest following the procedure
d. A creatinine clearance is needed prior to procedure
24. Nurse is assessing client who is 1 week postop following a living donor kidney
transplant. Which finding should indicate to nurse that client is experiencing acute
kidney rejection?
a. BP 160/90
b. Creatinine 0.8
c. Sodium 137
d. Urinary output 100 mL/hr
