Med Surg: UTI – TestBank Latest Exam
1. A 46-yr-old female patient returns to the clinic with recurrent dysuria after being treated with
trimethoprim and sulfamethoxazole for 3 days. Which action will the nurse plan to take?
a. Remind the patient about the need to drink 1000 mL of fluids daily.
b. Obtain a midstream urine specimen for culture and sensitivity testing.
c. Suggest that the patient use acetaminophen (Tylenol) to relieve symptoms.
d. Teach the patient to take the prescribed trimethoprim and sulfamethoxazole for 3 more days. -
ANSWER-c. Suggest that the patient use acetaminophen (Tylenol) to relieve symptoms.
1. To assess whether there is any improvement in a patient's dysuria, which question will the nurse ask?
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?" - ANSWER-d. "Do you have pain when you urinate?"
10. The nurse assessing the urinary system of a 45-yr-old patient would use palpation to
a. determine kidney function.
b. identify renal artery bruits.
c. check for ureteral peristalsis.
d. assess for bladder distention. - ANSWER-d. assess for bladder distention.
10. To prevent recurrence of uric acid renal calculi, the nurse teaches the patient to avoid eating
a. milk and cheese.
b. sardines and liver.
c. spinach and chocolate
d. legumes and dried fruit. - ANSWER-b. sardines and liver.
- Organ meats and fish such as sardines increase purine levels and uric acid. Spinach, chocolate, and
tomatoes should be avoided in patients who have oxalate stones. Milk, dairy products, legumes, and
dried fruits may increase the incidence of calcium-containing stones.
11. 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 lists allergies to shellfish and penicillin.
c. The patient complains of costovertebral angle (CVA) tenderness.
, Med Surg: UTI – TestBank Latest Exam
d. The patient used a bisacodyl (Dulcolax) tablet the previous night. - ANSWER-b. The patient lists
allergies to shellfish and penicillin.
11. The nurse teaches an adult patient to prevent the recurrence of renal calculi by
a. using a filter to strain all urine.
b. avoiding dietary sources of calcium.
c. drinking 2000 to 3000 mL of fluid each day.
d. choosing diuretic fluids such as coffee and tea. - ANSWER-c. drinking 2000 to 3000 mL of fluid each
day.
12. A patient passing bloody urine is scheduled for a cystoscopy with cystogram. Which description of
the procedure by the nurse is accurate?
a. "Your doctor will place a catheter into an artery in your groin and inject a dye to visualize the blood
supply to the kidneys."
b. "Your doctor will insert a lighted tube into the bladder, and little catheters will be inserted through
the tube into your kidney."
c. "Your doctor will insert a lighted tube in the bladder through your urethra, inspect the bladder, and
instill dye that will outline your bladder on x-ray."
d. "Your doctor will inject a radioactive solution into a vein in your arm, then the distribution of the
isotope in your kidneys and bladder will be visible." - ANSWER-c. "Your doctor will insert a lighted tube
in the bladder through your urethra, inspect the bladder, and instill dye that will outline your bladder on
x-ray."
12. When planning teaching for a patient with benign nephrosclerosis, the nurse should include
instructions regarding
a. preventing bleeding with anticoagulants.
b. monitoring and recording blood pressure.
c. obtaining and documenting daily weights.
d. measuring daily intake and output volumes. - ANSWER-b. monitoring and recording blood pressure.
13. A 28-yr-old male patient is diagnosed with polycystic kidney disease. Which information is most
appropriate for the nurse to include in teaching at this time?
a. Complications of renal transplantation
b. Methods for treating severe chronic pain
c. Options to consider for genetic counseling
d. Differences between hemodialysis and peritoneal dialysis - ANSWER-c. Options to consider for genetic
counseling
1. A 46-yr-old female patient returns to the clinic with recurrent dysuria after being treated with
trimethoprim and sulfamethoxazole for 3 days. Which action will the nurse plan to take?
a. Remind the patient about the need to drink 1000 mL of fluids daily.
b. Obtain a midstream urine specimen for culture and sensitivity testing.
c. Suggest that the patient use acetaminophen (Tylenol) to relieve symptoms.
d. Teach the patient to take the prescribed trimethoprim and sulfamethoxazole for 3 more days. -
ANSWER-c. Suggest that the patient use acetaminophen (Tylenol) to relieve symptoms.
1. To assess whether there is any improvement in a patient's dysuria, which question will the nurse ask?
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?" - ANSWER-d. "Do you have pain when you urinate?"
10. The nurse assessing the urinary system of a 45-yr-old patient would use palpation to
a. determine kidney function.
b. identify renal artery bruits.
c. check for ureteral peristalsis.
d. assess for bladder distention. - ANSWER-d. assess for bladder distention.
10. To prevent recurrence of uric acid renal calculi, the nurse teaches the patient to avoid eating
a. milk and cheese.
b. sardines and liver.
c. spinach and chocolate
d. legumes and dried fruit. - ANSWER-b. sardines and liver.
- Organ meats and fish such as sardines increase purine levels and uric acid. Spinach, chocolate, and
tomatoes should be avoided in patients who have oxalate stones. Milk, dairy products, legumes, and
dried fruits may increase the incidence of calcium-containing stones.
11. 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 lists allergies to shellfish and penicillin.
c. The patient complains of costovertebral angle (CVA) tenderness.
, Med Surg: UTI – TestBank Latest Exam
d. The patient used a bisacodyl (Dulcolax) tablet the previous night. - ANSWER-b. The patient lists
allergies to shellfish and penicillin.
11. The nurse teaches an adult patient to prevent the recurrence of renal calculi by
a. using a filter to strain all urine.
b. avoiding dietary sources of calcium.
c. drinking 2000 to 3000 mL of fluid each day.
d. choosing diuretic fluids such as coffee and tea. - ANSWER-c. drinking 2000 to 3000 mL of fluid each
day.
12. A patient passing bloody urine is scheduled for a cystoscopy with cystogram. Which description of
the procedure by the nurse is accurate?
a. "Your doctor will place a catheter into an artery in your groin and inject a dye to visualize the blood
supply to the kidneys."
b. "Your doctor will insert a lighted tube into the bladder, and little catheters will be inserted through
the tube into your kidney."
c. "Your doctor will insert a lighted tube in the bladder through your urethra, inspect the bladder, and
instill dye that will outline your bladder on x-ray."
d. "Your doctor will inject a radioactive solution into a vein in your arm, then the distribution of the
isotope in your kidneys and bladder will be visible." - ANSWER-c. "Your doctor will insert a lighted tube
in the bladder through your urethra, inspect the bladder, and instill dye that will outline your bladder on
x-ray."
12. When planning teaching for a patient with benign nephrosclerosis, the nurse should include
instructions regarding
a. preventing bleeding with anticoagulants.
b. monitoring and recording blood pressure.
c. obtaining and documenting daily weights.
d. measuring daily intake and output volumes. - ANSWER-b. monitoring and recording blood pressure.
13. A 28-yr-old male patient is diagnosed with polycystic kidney disease. Which information is most
appropriate for the nurse to include in teaching at this time?
a. Complications of renal transplantation
b. Methods for treating severe chronic pain
c. Options to consider for genetic counseling
d. Differences between hemodialysis and peritoneal dialysis - ANSWER-c. Options to consider for genetic
counseling
