NUR 100 Exam 2 CH 39-41 Exam
Questions with Complete Answers
a - Answer-A patient with an indwelling catheter reports a need to void. What is the
priority intervention for the nurse to perform?
a. Check to see if the catheter is patent.
b. Reassure the patient that it is not possible to void while catheterized.
c. Catheterize the patient again with a larger-gauge catheter.
d. Notify the primary care provider (PCP).
b - Answer-Which nursing instruction is correct when a urine specimen is collected for
culture and sensitivity testing from a patient without a urinary catheter?
a. Tell the patient to void and pour the urine into a labeled specimen container.
b. Ask the patient to void first into the toilet, stop midstream, and finish voiding into the
sterile specimen container.
c. Instruct the patient to discard the first void and collect the next void for the specimen.
d. Have the patient keep all voided urine for 24 hours in a chilled, opaque collection
container.
d - Answer-A female patient has had frequent urinary tract infections. Which statement
by the patient indicates that the nurse's teaching on prevention has been effective?
a. "I will limit my fluid intake to 40 ounces per day."
b. "I will use bubble bath when bathing."
c. "I will wait to wear my tight jeans until after my urine is clear."
d. "I will wipe from the front to back after voiding."
b - Answer-A patient is scheduled for an intravenous pyelogram (IVP). Which piece of
data would be most important to know before the procedure is carried out?
a. Urinalysis showing negative results on testing for sugar and acetone
b. History of allergies
c. History of a recent thyroid scan
d. Frequency of urination
a, b, c, d - Answer-When emptying a patient's catheter drainage bag, the nurse notes
that the urine appears to be discolored. The nurse understands that what factors may
change the color of urine? (Select all that apply.)
a. Taking the urinary tract analgesic phenazopyridine (Pyridium)
b. A diet that includes a large amount of beets or blackberries
c. An enlarged prostate or kidney stones
d. High concentrations of bilirubin secondary to liver disease
e. Increased carbohydrate intake
c - Answer-What self-care measure is most important for the nurse to include in the
teaching plan for a patient who will be discharged with a urostomy?
,a. Change the appliance before going to bed.
b. Cut the wafer 1 inch larger than the stoma.
c. Cleanse the peristomal skin with mild soap and water.
d. Use firm pressure to attach the wafer to the skin.
b - Answer-An indwelling catheter is ordered for a postoperative patient who is unable to
void. What is the primary concern of the nurse performing the procedure?
a. Teaching deep-breathing techniques
b. Maintaining strict aseptic technique
c. Medicating the patient for pain before the procedure
d. Positioning the patient for comfort during the procedure
b - Answer-The nurse is assessing a patient with an indwelling catheter and finds that
the catheter is not draining and the patient's bladder is distended. What action should
the nurse take next?
a. Notify the primary care provider (PCP).
b. Assess the tubing for kinks and ensure downward flow.
c. Change the catheter as soon as possible.
d. Aspirate the stagnant urine in the catheter for culture.
b - Answer-The nurse is placing an indwelling catheter in a female patient. She inserts
the catheter into the vagina. What is the next action for the nurse to implement?
a. Collect a urine specimen and notify the PCP.
b. Leave the catheter in place and insert a new catheter into the urethra.
c. Remove the catheter from the vagina and place it into the urethra.
d. Ask another nurse to attempt the catheterization of the patient.
d - Answer-What symptom is most likely to be exhibited by the patient who complains of
voiding small amounts of urine in relation to his fluid intake?
a. Nocturia
b. Polyuria
c. Anuria
d. Oliguria
a - Answer-Which organism is responsible for the majority of urinary tract infections in
female patients?
a. Escherichia coli
b. Nesseria gonorrhea
c. Candida albicans
d. Haemophilus influenza
d - Answer-A patient is experiencing acute renal failure. What is the most common
cause of this critical illness?
a. Hypovolemia
, b. Cardiogenic shock
c. Nephrotoxic substances
d. Urethral obstruction
a - Answer-Nursing interventions for the patient who suffers from stress incontinence
include
a. kegel exercises.
b. surgical interventions.
c. bowel retraining.
d. intermittent catheterization.
b - Answer-Average urine pH is
a. 4
b. 6
c. 7
d. 9
a - Answer-The nurse is inserting an indwelling catheter into a male patient. While
initially passing the catheter through the urethra, resistance is met. What action should
the nurse take next?
a. Notify the primary care provider to place a coudé catheter.
b. Straighten the penis and attempt to progress the catheter again.
c. Remove the catheter and insert one with a smaller lumen.
d. Inflate the balloon and wait for urine passage.
paralytic ileus - Answer-Stoppage of peristalsis, usually after anesthesia and intestinal
surgery
Colonoscopy - Answer-Procedure performed to visualize inflamed tissue, ulcers, and
abnormal growths in the anus, rectum, and colon
Valsalva maneuver - Answer-Consists of "bearing down" while holding the breath
Impaction - Answer-Presence of a hard fecal mass in the rectum or colon that the
patient is incapable of expelling
incontinence - Answer-Loss of voluntary control of fecal and gaseous discharges
through the anus
defecation - Answer-Process by which solid, semisolid, or liquid waste is expelled by the
body
Questions with Complete Answers
a - Answer-A patient with an indwelling catheter reports a need to void. What is the
priority intervention for the nurse to perform?
a. Check to see if the catheter is patent.
b. Reassure the patient that it is not possible to void while catheterized.
c. Catheterize the patient again with a larger-gauge catheter.
d. Notify the primary care provider (PCP).
b - Answer-Which nursing instruction is correct when a urine specimen is collected for
culture and sensitivity testing from a patient without a urinary catheter?
a. Tell the patient to void and pour the urine into a labeled specimen container.
b. Ask the patient to void first into the toilet, stop midstream, and finish voiding into the
sterile specimen container.
c. Instruct the patient to discard the first void and collect the next void for the specimen.
d. Have the patient keep all voided urine for 24 hours in a chilled, opaque collection
container.
d - Answer-A female patient has had frequent urinary tract infections. Which statement
by the patient indicates that the nurse's teaching on prevention has been effective?
a. "I will limit my fluid intake to 40 ounces per day."
b. "I will use bubble bath when bathing."
c. "I will wait to wear my tight jeans until after my urine is clear."
d. "I will wipe from the front to back after voiding."
b - Answer-A patient is scheduled for an intravenous pyelogram (IVP). Which piece of
data would be most important to know before the procedure is carried out?
a. Urinalysis showing negative results on testing for sugar and acetone
b. History of allergies
c. History of a recent thyroid scan
d. Frequency of urination
a, b, c, d - Answer-When emptying a patient's catheter drainage bag, the nurse notes
that the urine appears to be discolored. The nurse understands that what factors may
change the color of urine? (Select all that apply.)
a. Taking the urinary tract analgesic phenazopyridine (Pyridium)
b. A diet that includes a large amount of beets or blackberries
c. An enlarged prostate or kidney stones
d. High concentrations of bilirubin secondary to liver disease
e. Increased carbohydrate intake
c - Answer-What self-care measure is most important for the nurse to include in the
teaching plan for a patient who will be discharged with a urostomy?
,a. Change the appliance before going to bed.
b. Cut the wafer 1 inch larger than the stoma.
c. Cleanse the peristomal skin with mild soap and water.
d. Use firm pressure to attach the wafer to the skin.
b - Answer-An indwelling catheter is ordered for a postoperative patient who is unable to
void. What is the primary concern of the nurse performing the procedure?
a. Teaching deep-breathing techniques
b. Maintaining strict aseptic technique
c. Medicating the patient for pain before the procedure
d. Positioning the patient for comfort during the procedure
b - Answer-The nurse is assessing a patient with an indwelling catheter and finds that
the catheter is not draining and the patient's bladder is distended. What action should
the nurse take next?
a. Notify the primary care provider (PCP).
b. Assess the tubing for kinks and ensure downward flow.
c. Change the catheter as soon as possible.
d. Aspirate the stagnant urine in the catheter for culture.
b - Answer-The nurse is placing an indwelling catheter in a female patient. She inserts
the catheter into the vagina. What is the next action for the nurse to implement?
a. Collect a urine specimen and notify the PCP.
b. Leave the catheter in place and insert a new catheter into the urethra.
c. Remove the catheter from the vagina and place it into the urethra.
d. Ask another nurse to attempt the catheterization of the patient.
d - Answer-What symptom is most likely to be exhibited by the patient who complains of
voiding small amounts of urine in relation to his fluid intake?
a. Nocturia
b. Polyuria
c. Anuria
d. Oliguria
a - Answer-Which organism is responsible for the majority of urinary tract infections in
female patients?
a. Escherichia coli
b. Nesseria gonorrhea
c. Candida albicans
d. Haemophilus influenza
d - Answer-A patient is experiencing acute renal failure. What is the most common
cause of this critical illness?
a. Hypovolemia
, b. Cardiogenic shock
c. Nephrotoxic substances
d. Urethral obstruction
a - Answer-Nursing interventions for the patient who suffers from stress incontinence
include
a. kegel exercises.
b. surgical interventions.
c. bowel retraining.
d. intermittent catheterization.
b - Answer-Average urine pH is
a. 4
b. 6
c. 7
d. 9
a - Answer-The nurse is inserting an indwelling catheter into a male patient. While
initially passing the catheter through the urethra, resistance is met. What action should
the nurse take next?
a. Notify the primary care provider to place a coudé catheter.
b. Straighten the penis and attempt to progress the catheter again.
c. Remove the catheter and insert one with a smaller lumen.
d. Inflate the balloon and wait for urine passage.
paralytic ileus - Answer-Stoppage of peristalsis, usually after anesthesia and intestinal
surgery
Colonoscopy - Answer-Procedure performed to visualize inflamed tissue, ulcers, and
abnormal growths in the anus, rectum, and colon
Valsalva maneuver - Answer-Consists of "bearing down" while holding the breath
Impaction - Answer-Presence of a hard fecal mass in the rectum or colon that the
patient is incapable of expelling
incontinence - Answer-Loss of voluntary control of fecal and gaseous discharges
through the anus
defecation - Answer-Process by which solid, semisolid, or liquid waste is expelled by the
body
