NUR 168 Ch 37 & 39 Exam #2 Review #2 Questions With
Complete Solutions
A decreased rate of air movement in the lungs Correct Answers
Hypoventilation
A delay or difficulty in initiating voiding Correct Answers
Hesitancy
A male patient is being transferred to the hospital from a long-
term care facility with a diagnosis of dehydration and urinary
bladder infection. His skin is also excoriated from urinary
incontinence. Which nursing diagnosis is most appropriate for
this patient? Correct Answers Impaired skin integrity related to
urinary bladder infection and dehydration
A nurse assessing an older adult finds that the patient has had
four urinary tract infections in the past year. Which physiologic
change of aging would the nurse suspect is the cause? Correct
Answers Decreased bladder contractility
A nurse auscultates the lungs of a patient with asthma. Which
lung sound is characteristic of this condition? Correct Answers
Wheezes
A nurse is assessing the freshly voided urine of a patient. What
characteristics of the urine would indicate a urinary problem?
Correct Answers -The urine smells like ammonia
-There is pus in the urine
-The urine is cloudy
, A nurse is collecting a urine specimen for urinalysis. What
factors should the nurse consider when performing this
procedure? Correct Answers -Sterile urine specimens may be
obtained by catheterizing the patient's bladder
-Strict aseptic technique must be used when collecting and
handling urine specimens
-A clean-catch specimen of urine may be collected mid-stream
A nurse is inserting a catheter into a female bladder. Which
nursing action is performed correctly? Correct Answers Use
dominant hand to inflate the catheter balloon, and inject entire
volume of sterile water supplied in prefilled syringe
A nurse is performing a physical assessment of a patient's
urinary system. Which nursing actions are appropriate during
this assessment? Correct Answers -If using a bedside scanner,
the nurse places the patient in a supine position
-The nurse inspects the urethral orifice for any signs of
inflammation, discharge, or foul odor
-The nurse retracts the foreskin of an uncircumcised male
patient to visualize the meatus
-The nurse assesses the patient's urine for color, odor, clarity,
and the presence of any sediment
A nurse is performing CPR on a patient who is in cardiac arrest.
What action would the nurse perform second? Correct Answers
Activate the emergency response system
A nurse suctioning a patient through a tracheostomy tube should
be careful not to occlude the Y-Port when inserting the
Complete Solutions
A decreased rate of air movement in the lungs Correct Answers
Hypoventilation
A delay or difficulty in initiating voiding Correct Answers
Hesitancy
A male patient is being transferred to the hospital from a long-
term care facility with a diagnosis of dehydration and urinary
bladder infection. His skin is also excoriated from urinary
incontinence. Which nursing diagnosis is most appropriate for
this patient? Correct Answers Impaired skin integrity related to
urinary bladder infection and dehydration
A nurse assessing an older adult finds that the patient has had
four urinary tract infections in the past year. Which physiologic
change of aging would the nurse suspect is the cause? Correct
Answers Decreased bladder contractility
A nurse auscultates the lungs of a patient with asthma. Which
lung sound is characteristic of this condition? Correct Answers
Wheezes
A nurse is assessing the freshly voided urine of a patient. What
characteristics of the urine would indicate a urinary problem?
Correct Answers -The urine smells like ammonia
-There is pus in the urine
-The urine is cloudy
, A nurse is collecting a urine specimen for urinalysis. What
factors should the nurse consider when performing this
procedure? Correct Answers -Sterile urine specimens may be
obtained by catheterizing the patient's bladder
-Strict aseptic technique must be used when collecting and
handling urine specimens
-A clean-catch specimen of urine may be collected mid-stream
A nurse is inserting a catheter into a female bladder. Which
nursing action is performed correctly? Correct Answers Use
dominant hand to inflate the catheter balloon, and inject entire
volume of sterile water supplied in prefilled syringe
A nurse is performing a physical assessment of a patient's
urinary system. Which nursing actions are appropriate during
this assessment? Correct Answers -If using a bedside scanner,
the nurse places the patient in a supine position
-The nurse inspects the urethral orifice for any signs of
inflammation, discharge, or foul odor
-The nurse retracts the foreskin of an uncircumcised male
patient to visualize the meatus
-The nurse assesses the patient's urine for color, odor, clarity,
and the presence of any sediment
A nurse is performing CPR on a patient who is in cardiac arrest.
What action would the nurse perform second? Correct Answers
Activate the emergency response system
A nurse suctioning a patient through a tracheostomy tube should
be careful not to occlude the Y-Port when inserting the
