NURS 220 MODULE 4 EXAM LATEST VERSION
2026/2027
The nurse is caring for a 73-yr-old male patient with
a history of benign prostatic hyperplasia and
symptoms of a urinary tract infection. Which
diagnostic finding would support this diagnosis?
A. White blood cell count is 7500 cells/μL.
B. Antistreptolysin-O (ASO) titer is 106 Todd
units/mL.
C. Glucose, protein, and ketones are present in the
urine.
D. Nitrites and leukocyte esterase are present in the
urine. - ANSWER-D. Nitrites and leukocyte esterase
are present in the urine.
Rationale: A diagnosis of urinary tract infection is
suspected if there are nitrites (indicating
bacteriuria), white blood cells (WBCs), and leukocyte
esterase (an enzyme present in WBCs indicating
pyuria). The presence of glucose and ketones
indicate uncontrolled diabetes mellitus. An elevated
,WBC count (>11,000 cells/μL) indicates a bacterial
infection. AASO titer is a blood test to measure
antibodies against streptolysin O, a substance
produced by group A Streptococcus bacteria.
A 21-yr-old female patient came to the clinic for
instruction to prevent recurrence of urinary tract
infections. Which patient statement indicates that
teaching was effective?
A. "I will urinate before and after having
intercourse."
B. "I will use vinegar as a vaginal douche every
week."
C. "I should drink three 8-oz glasses of water daily."
D. "I can stop the antibiotics when symptoms
disappear." - ANSWER-A. "I will urinate before and
after having intercourse."
Rationale: The woman should empty her bladder
before and after sexual intercourse. She should
avoid vaginal douches and maintain adequate oral
fluid intake (15 mL per pound of body weight). All of
,the antibiotics should be taken as prescribed even if
symptoms are no longer present.
Which nursing diagnosis is priority when caring for a
patient with renal calculi?
A. Acute pain
B. Risk for constipation
C. Deficient fluid volume
D. Risk for powerlessness - ANSWER-A. Acute pain
Rationale: Urinary stones are associated with severe
abdominal or flank pain. Whereas deficient fluid
volume is unlikely to result from urinary stones,
constipation is more likely to be an indirect
consequence rather than a primary clinical
manifestation of the problem. The presence of pain
supersedes powerlessness as an immediate focus of
nursing care.
The nurse provides nutritional counseling for a 45-yr-
old man with nephrotic syndrome. The nurse
, determines teaching has been successful if the
patient selects which breakfast menu?
A. Scrambled eggs, milk, yogurt, and sliced ham
B. Oatmeal, nondairy creamer, banana, and orange
juice
C. Cottage cheese, peanut butter, white bread, and
coffee
D. Waffle, bacon strips, tomato juice, and canned
peaches - ANSWER-B. Oatmeal, nondairy creamer,
banana, and orange juice
Rationale: Patients with nephrotic syndrome should
follow a low-sodium (2-3 g/day), low- to moderate-
protein (0.5-0.6 g/kg/day) diet. Ham, milk products,
peanut butter, and bacon are high in sodium. Eggs,
milk products, and peanut butter are high in protein.
A patient with type 2 diabetes is reporting a second
urinary tract infections(UTI)within the past month.
Which medication should the nurse expect to be
ordered for the recurrent infection?
2026/2027
The nurse is caring for a 73-yr-old male patient with
a history of benign prostatic hyperplasia and
symptoms of a urinary tract infection. Which
diagnostic finding would support this diagnosis?
A. White blood cell count is 7500 cells/μL.
B. Antistreptolysin-O (ASO) titer is 106 Todd
units/mL.
C. Glucose, protein, and ketones are present in the
urine.
D. Nitrites and leukocyte esterase are present in the
urine. - ANSWER-D. Nitrites and leukocyte esterase
are present in the urine.
Rationale: A diagnosis of urinary tract infection is
suspected if there are nitrites (indicating
bacteriuria), white blood cells (WBCs), and leukocyte
esterase (an enzyme present in WBCs indicating
pyuria). The presence of glucose and ketones
indicate uncontrolled diabetes mellitus. An elevated
,WBC count (>11,000 cells/μL) indicates a bacterial
infection. AASO titer is a blood test to measure
antibodies against streptolysin O, a substance
produced by group A Streptococcus bacteria.
A 21-yr-old female patient came to the clinic for
instruction to prevent recurrence of urinary tract
infections. Which patient statement indicates that
teaching was effective?
A. "I will urinate before and after having
intercourse."
B. "I will use vinegar as a vaginal douche every
week."
C. "I should drink three 8-oz glasses of water daily."
D. "I can stop the antibiotics when symptoms
disappear." - ANSWER-A. "I will urinate before and
after having intercourse."
Rationale: The woman should empty her bladder
before and after sexual intercourse. She should
avoid vaginal douches and maintain adequate oral
fluid intake (15 mL per pound of body weight). All of
,the antibiotics should be taken as prescribed even if
symptoms are no longer present.
Which nursing diagnosis is priority when caring for a
patient with renal calculi?
A. Acute pain
B. Risk for constipation
C. Deficient fluid volume
D. Risk for powerlessness - ANSWER-A. Acute pain
Rationale: Urinary stones are associated with severe
abdominal or flank pain. Whereas deficient fluid
volume is unlikely to result from urinary stones,
constipation is more likely to be an indirect
consequence rather than a primary clinical
manifestation of the problem. The presence of pain
supersedes powerlessness as an immediate focus of
nursing care.
The nurse provides nutritional counseling for a 45-yr-
old man with nephrotic syndrome. The nurse
, determines teaching has been successful if the
patient selects which breakfast menu?
A. Scrambled eggs, milk, yogurt, and sliced ham
B. Oatmeal, nondairy creamer, banana, and orange
juice
C. Cottage cheese, peanut butter, white bread, and
coffee
D. Waffle, bacon strips, tomato juice, and canned
peaches - ANSWER-B. Oatmeal, nondairy creamer,
banana, and orange juice
Rationale: Patients with nephrotic syndrome should
follow a low-sodium (2-3 g/day), low- to moderate-
protein (0.5-0.6 g/kg/day) diet. Ham, milk products,
peanut butter, and bacon are high in sodium. Eggs,
milk products, and peanut butter are high in protein.
A patient with type 2 diabetes is reporting a second
urinary tract infections(UTI)within the past month.
Which medication should the nurse expect to be
ordered for the recurrent infection?
