Nursing Concepts 1 Final Questions
1. Which clinical manifestation will the nurse expect to observe in a patient with
excessive white blood cells present in the urine?
a. Reduced urine specific gravity
b. Increased blood pressure
c. Abnormal blood sugar
d. Fever with chills Ans: D. fever with chills
2. A nurse is reviewing results from a urine specimen. What will the nurse expect
to see in a patient with a urinary tract infection?
a. Casts
b. Protein
c. Crystals
d. Bacteria Ans: D. Bacteria
Also white blood cells
3. The nurse, upon reviewing the history, discovers the patient has dysuria. Which
assessment finding is consistent with dysuria?
a. Blood in the urine
b. Burning upon urination
,c. Immediate, strong desire to void
d. Awakes from sleep due to urge to void Ans: b. Burning upon urination
4. While receiving a shift report on a patient, the nurse is informed that the patient
has urinary incontinence. Upon assessment, which finding will the nurse expect?
a. An indwelling Foley catheter
b. Reddened irritated skin on buttocks
c. Tiny blood clots in the patient's urine
d. Foul-smelling discharge indicative of infection Ans: b. Reddened irritated skin on
buttocks
5. The patient has just been started on an enteral feeding and has developed diarrhea
after being on the feeding for 2 hours. What does the nurse suspect is the most likely
cause of the diarrhea?
a. Antibiotic therapy
b. Clostridium difficile
c. Formula intolerance
d. Bacterial contamination Ans: c. Formula
intolerance Slow the feeding to build up tolerance
,6. The patient has just started on enteral feedings, and the patient is reporting
abdominal cramping and diarrhea. Which action will the nurse take next?
a. Slow the rate of tube feeding.
b. Instill cold formula to "numb" the stomach.
c. Change the tube feeding to a high-fat formula.
d. Consult with the health care provider about prokinetic medication. Ans: a. Slow
the rate of tube feeding
7. The nurse is caring for a patient with hyperkalemia. Which body system
assessment is the priority?
a. Gastrointestinal
b. Neurological
c. Respiratory
d. Cardiac Ans: d. Cardiac
Potassium, Sodium, and Calcium is very important to heart
8. A nurse is assessing a patient who is receiving a blood transfusion and finds that
the patient is anxiously fidgeting in bed. The patient is afebrile and dyspneic. The
nurse auscultates crackles in both lung bases and sees jugular vein distention. On
which transfusion complication will the nurse focus interventions?
, a. Fluid volume overload
b. Hemolytic reaction
c. Anaphylactic shock
d. Septicemia Ans: a. Fluid volume overload
9. A patient has an acute intravascular hemolytic reaction to a blood trans- fusion.
After discontinuing the blood transfusion, which is the nurse's next action?
a. Discontinue the IV catheter.
b. Return the blood to the blood bank.
c. Run normal saline through the existing tubing.
d. Start normal saline at TKO rate using new tubing. Ans: d. Start normal saline at
TKO rate using new tubing
send blood bag back to blood bank
1. Which clinical manifestation will the nurse expect to observe in a patient with
excessive white blood cells present in the urine?
a. Reduced urine specific gravity
b. Increased blood pressure
c. Abnormal blood sugar
d. Fever with chills Ans: D. fever with chills
2. A nurse is reviewing results from a urine specimen. What will the nurse expect
to see in a patient with a urinary tract infection?
a. Casts
b. Protein
c. Crystals
d. Bacteria Ans: D. Bacteria
Also white blood cells
3. The nurse, upon reviewing the history, discovers the patient has dysuria. Which
assessment finding is consistent with dysuria?
a. Blood in the urine
b. Burning upon urination
,c. Immediate, strong desire to void
d. Awakes from sleep due to urge to void Ans: b. Burning upon urination
4. While receiving a shift report on a patient, the nurse is informed that the patient
has urinary incontinence. Upon assessment, which finding will the nurse expect?
a. An indwelling Foley catheter
b. Reddened irritated skin on buttocks
c. Tiny blood clots in the patient's urine
d. Foul-smelling discharge indicative of infection Ans: b. Reddened irritated skin on
buttocks
5. The patient has just been started on an enteral feeding and has developed diarrhea
after being on the feeding for 2 hours. What does the nurse suspect is the most likely
cause of the diarrhea?
a. Antibiotic therapy
b. Clostridium difficile
c. Formula intolerance
d. Bacterial contamination Ans: c. Formula
intolerance Slow the feeding to build up tolerance
,6. The patient has just started on enteral feedings, and the patient is reporting
abdominal cramping and diarrhea. Which action will the nurse take next?
a. Slow the rate of tube feeding.
b. Instill cold formula to "numb" the stomach.
c. Change the tube feeding to a high-fat formula.
d. Consult with the health care provider about prokinetic medication. Ans: a. Slow
the rate of tube feeding
7. The nurse is caring for a patient with hyperkalemia. Which body system
assessment is the priority?
a. Gastrointestinal
b. Neurological
c. Respiratory
d. Cardiac Ans: d. Cardiac
Potassium, Sodium, and Calcium is very important to heart
8. A nurse is assessing a patient who is receiving a blood transfusion and finds that
the patient is anxiously fidgeting in bed. The patient is afebrile and dyspneic. The
nurse auscultates crackles in both lung bases and sees jugular vein distention. On
which transfusion complication will the nurse focus interventions?
, a. Fluid volume overload
b. Hemolytic reaction
c. Anaphylactic shock
d. Septicemia Ans: a. Fluid volume overload
9. A patient has an acute intravascular hemolytic reaction to a blood trans- fusion.
After discontinuing the blood transfusion, which is the nurse's next action?
a. Discontinue the IV catheter.
b. Return the blood to the blood bank.
c. Run normal saline through the existing tubing.
d. Start normal saline at TKO rate using new tubing. Ans: d. Start normal saline at
TKO rate using new tubing
send blood bag back to blood bank
