BSNC 2000 FINAL PRACTICE TEST
QUESTIONS WITH COMPLETE
SOLUTIONS
Serum osmolality is largely determined by the concentration of in the blood.
A) potassium
B) calcium
C) sodium
D) urea
E) phosphate - Answer-C
A red blood cell is placed in a hypotonic solution. The red blood cell will:
A) lose water.
B) gain water.
C) gain solutes.
D) shrink.
E) not change shape - Answer-B
A hypertonic solution has a(n) osmolality compared to the ICF.
A) higher
B) lower
C) equal - Answer-A
The primary goal of nursing care for a client with stress incontinence is to:
A.Help the client adjust to the frequent episodes of incontinence.
B.Prevent the development of UTI's.
C.Eliminate all episodes of incontinence
D.Decrease the number of incontinence episodes - Answer-D
Toilet seeking occurs when there is 100mL of urine in the bladder.
A. True
B. False - Answer-B
150-250mL
,Sympathetic innervation of the bladder dominates during bladder filling.
A. True
B. False - Answer-A
no peeing = sympathetic
peeing = parasympathetic
The external urethral sphincter is smooth muscle and involuntary
A. True
B. False - Answer-B
Skeletal muscle- somatic, voluntary control
When the bladder contracts the external urethral sphincter relaxes.
A. True
B. Falser - Answer-A
What is Chronic Pain?
A. Pain lasting longer than 3 weeks
B. Pain lasting longer than 1 year
C. Pain lasting longer than 3 months
D. Pain lasting longer than 9 months - Answer-C
The nurse notices a patient grimacing as he moves from the bed to the chair. The
patient tells the nurse that he is not experiencing any pain. The nurse's response is to:
A. Clarify the patient's report by addressing the patient's nonverbal behavior
B. Confront the patient's denial of pain
C. Obtain an order for pain medication
D. Support the patient's stoic behavior - Answer-A
Edema is an excess in the interstitial fluid volume. What mechanisms play a part in the
formation of edema? (Mark all that apply.)
a. Mechanisms that increase capillary permeability
b. Mechanisms that increase capillary filtration pressure
c. Mechanisms that increase capillary colloidal osmotic pressure
d. Mechanisms that produce obstruction to the flow of lymph
e. Mechanisms that decrease capillary colloidal osmotic pressure - Answer-A,B,D,E
, The effective circulating volume is the major regulator of water balance in the body.
What else does it regulate?
a. Sodium
b. Magnesium
c. Calcium
d. Potassium - Answer-A
The nurse is teaching an older female patient how to manage stress incontinence at
home. She instructs her to contract her pelvic floor muscles for at least 10 seconds
followed by a brief period of relaxation. What is this intervention called?
1) Prompted voiding
2) Crede technique
3) Valsalva maneuver
4) Kegel exercises - Answer-4
What should the nurse teach the client to do to prevent stress incontinence? Select all
that apply.
A) Use techniques that strengthen the sphincter and structural supports of the bladder,
such as Kegel exercises.
B) Avoid dietary irritants (e.g., caffeine, alcoholic beverages).
C) Not to laugh when in social gatherings.
D) Carry an extra incontinence pad when away from home
E) Obtain a fluid intake of 500 mL/ day. - Answer-A,B
The physician prescribes the patient a thiazide diuretic. The patient is experiencing
increased urination. As the nurse you know that this medication causes this type of
affect by how it affects the nephron. It does this by?
A. inhibiting the sodium-potassium-chloride cotransporter in the distal convoluted tubule
B. inhibiting the sodium-chloride cotransporter in the distal convoluted tubule
C. inhibiting the water reabsorption in the distal convoluted tubule
D. inhibiting the sodium-potassium transporter in the distal convoluted tubule - Answer-
B
When the cell presents with the same concentration on the inside and outside with no
shifting of fluids this is called?
A. Hypotonic
B. Hypertonic
C. Isotonic
D. Osmosis - Answer-C
QUESTIONS WITH COMPLETE
SOLUTIONS
Serum osmolality is largely determined by the concentration of in the blood.
A) potassium
B) calcium
C) sodium
D) urea
E) phosphate - Answer-C
A red blood cell is placed in a hypotonic solution. The red blood cell will:
A) lose water.
B) gain water.
C) gain solutes.
D) shrink.
E) not change shape - Answer-B
A hypertonic solution has a(n) osmolality compared to the ICF.
A) higher
B) lower
C) equal - Answer-A
The primary goal of nursing care for a client with stress incontinence is to:
A.Help the client adjust to the frequent episodes of incontinence.
B.Prevent the development of UTI's.
C.Eliminate all episodes of incontinence
D.Decrease the number of incontinence episodes - Answer-D
Toilet seeking occurs when there is 100mL of urine in the bladder.
A. True
B. False - Answer-B
150-250mL
,Sympathetic innervation of the bladder dominates during bladder filling.
A. True
B. False - Answer-A
no peeing = sympathetic
peeing = parasympathetic
The external urethral sphincter is smooth muscle and involuntary
A. True
B. False - Answer-B
Skeletal muscle- somatic, voluntary control
When the bladder contracts the external urethral sphincter relaxes.
A. True
B. Falser - Answer-A
What is Chronic Pain?
A. Pain lasting longer than 3 weeks
B. Pain lasting longer than 1 year
C. Pain lasting longer than 3 months
D. Pain lasting longer than 9 months - Answer-C
The nurse notices a patient grimacing as he moves from the bed to the chair. The
patient tells the nurse that he is not experiencing any pain. The nurse's response is to:
A. Clarify the patient's report by addressing the patient's nonverbal behavior
B. Confront the patient's denial of pain
C. Obtain an order for pain medication
D. Support the patient's stoic behavior - Answer-A
Edema is an excess in the interstitial fluid volume. What mechanisms play a part in the
formation of edema? (Mark all that apply.)
a. Mechanisms that increase capillary permeability
b. Mechanisms that increase capillary filtration pressure
c. Mechanisms that increase capillary colloidal osmotic pressure
d. Mechanisms that produce obstruction to the flow of lymph
e. Mechanisms that decrease capillary colloidal osmotic pressure - Answer-A,B,D,E
, The effective circulating volume is the major regulator of water balance in the body.
What else does it regulate?
a. Sodium
b. Magnesium
c. Calcium
d. Potassium - Answer-A
The nurse is teaching an older female patient how to manage stress incontinence at
home. She instructs her to contract her pelvic floor muscles for at least 10 seconds
followed by a brief period of relaxation. What is this intervention called?
1) Prompted voiding
2) Crede technique
3) Valsalva maneuver
4) Kegel exercises - Answer-4
What should the nurse teach the client to do to prevent stress incontinence? Select all
that apply.
A) Use techniques that strengthen the sphincter and structural supports of the bladder,
such as Kegel exercises.
B) Avoid dietary irritants (e.g., caffeine, alcoholic beverages).
C) Not to laugh when in social gatherings.
D) Carry an extra incontinence pad when away from home
E) Obtain a fluid intake of 500 mL/ day. - Answer-A,B
The physician prescribes the patient a thiazide diuretic. The patient is experiencing
increased urination. As the nurse you know that this medication causes this type of
affect by how it affects the nephron. It does this by?
A. inhibiting the sodium-potassium-chloride cotransporter in the distal convoluted tubule
B. inhibiting the sodium-chloride cotransporter in the distal convoluted tubule
C. inhibiting the water reabsorption in the distal convoluted tubule
D. inhibiting the sodium-potassium transporter in the distal convoluted tubule - Answer-
B
When the cell presents with the same concentration on the inside and outside with no
shifting of fluids this is called?
A. Hypotonic
B. Hypertonic
C. Isotonic
D. Osmosis - Answer-C
