NR 325 Exam 1 Questions with Complete
Solutions
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?" - Correct Answers
✅D. Dysuria is painful urination.
When a patient's urine dipstick test indicates a small amount
of protein, the nurse's next action should be to:
a. send a urine specimen to the laboratory to test for ketones.
b. obtain a clean-catch urine for culture and sensitivity
testing.
c. inquire about which medications the patient is currently
taking.
,NR 325 Exam 1 Questions with Complete
Solutions
d. ask the patient about any family history of chronic renal
failure. - Correct Answers ✅ANS: C
Normally the urinalysis will show zero to trace amounts of
protein, but some medications may give false-positive
readings.
A hospitalized patient with possible renal insufficiency after
coronary artery bypass surgery is scheduled for a creatinine
clearance test. Which equipment will the nurse need to
obtain?
a. Urinary catheter
b. Cleaning towelettes
c. Large container for urine
d. Sterile urine specimen cup - Correct Answers ✅ANS: C
Because creatinine clearance testing involves a 24-hour urine
specimen, the nurse should obtain a large container for the
urine collection.
A 32-year-old patient who is employed as a hairdresser and
has a 15 pack-year history of cigarette smoking is scheduled
for an annual physical examination. The nurse will plan to
teach the patient about the increased risk for
a. renal failure.
b. kidney stones.
,NR 325 Exam 1 Questions with Complete
Solutions
c. pyelonephritis.
d. bladder cancer. - Correct Answers ✅ANS: D
Exposure to the chemicals involved with working as a
hairdresser and in smoking both increase the risk of bladder
cancer, and the nurse should assess whether the patient
understands this risk.
Which medication taken at home by a 47-year-old patient
with decreased renal function will be of most concern to the
nurse?
a. ibuprofen (Motrin)
b. warfarin (Coumadin)
c. folic acid (vitamin B9)
d. penicillin (Bicillin LA) - Correct Answers ✅ANS: A
The nonsteroidal antiinflammatory medications (NSAIDs) are
nephrotoxic and should be avoided in patients with impaired
renal function.
A 79-year-old man has been admitted with benign prostatic
hyperplasia. What is most appropriate to include in the
nursing plan of care?
a. Limit fluid intake to no more than 1000 mL/day.
, NR 325 Exam 1 Questions with Complete
Solutions
b. Leave a light on in the bathroom during the night.
c. Ask the patient to use a urinal so that urine can be
measured.
d. Pad the patient's bed to accommodate overflow
incontinence. - Correct Answers ✅ANS: B
The patient's age and diagnosis indicate a likelihood of
nocturia, so leaving the light on in the bathroom is
appropriate. Fluids should be encouraged because
dehydration is more common in older patients.
The nurse completing a physical assessment for a newly
admitted male patient is unable to feel either kidney on
palpation. Which action should the nurse take next?
a. Obtain a urine specimen to check for hematuria.
b. Document the information on the assessment form.
c. Ask the patient about any history of recent sore throat.
d. Ask the health care provider about scheduling a renal
ultrasound. - Correct Answers ✅ANS: B
Solutions
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?" - Correct Answers
✅D. Dysuria is painful urination.
When a patient's urine dipstick test indicates a small amount
of protein, the nurse's next action should be to:
a. send a urine specimen to the laboratory to test for ketones.
b. obtain a clean-catch urine for culture and sensitivity
testing.
c. inquire about which medications the patient is currently
taking.
,NR 325 Exam 1 Questions with Complete
Solutions
d. ask the patient about any family history of chronic renal
failure. - Correct Answers ✅ANS: C
Normally the urinalysis will show zero to trace amounts of
protein, but some medications may give false-positive
readings.
A hospitalized patient with possible renal insufficiency after
coronary artery bypass surgery is scheduled for a creatinine
clearance test. Which equipment will the nurse need to
obtain?
a. Urinary catheter
b. Cleaning towelettes
c. Large container for urine
d. Sterile urine specimen cup - Correct Answers ✅ANS: C
Because creatinine clearance testing involves a 24-hour urine
specimen, the nurse should obtain a large container for the
urine collection.
A 32-year-old patient who is employed as a hairdresser and
has a 15 pack-year history of cigarette smoking is scheduled
for an annual physical examination. The nurse will plan to
teach the patient about the increased risk for
a. renal failure.
b. kidney stones.
,NR 325 Exam 1 Questions with Complete
Solutions
c. pyelonephritis.
d. bladder cancer. - Correct Answers ✅ANS: D
Exposure to the chemicals involved with working as a
hairdresser and in smoking both increase the risk of bladder
cancer, and the nurse should assess whether the patient
understands this risk.
Which medication taken at home by a 47-year-old patient
with decreased renal function will be of most concern to the
nurse?
a. ibuprofen (Motrin)
b. warfarin (Coumadin)
c. folic acid (vitamin B9)
d. penicillin (Bicillin LA) - Correct Answers ✅ANS: A
The nonsteroidal antiinflammatory medications (NSAIDs) are
nephrotoxic and should be avoided in patients with impaired
renal function.
A 79-year-old man has been admitted with benign prostatic
hyperplasia. What is most appropriate to include in the
nursing plan of care?
a. Limit fluid intake to no more than 1000 mL/day.
, NR 325 Exam 1 Questions with Complete
Solutions
b. Leave a light on in the bathroom during the night.
c. Ask the patient to use a urinal so that urine can be
measured.
d. Pad the patient's bed to accommodate overflow
incontinence. - Correct Answers ✅ANS: B
The patient's age and diagnosis indicate a likelihood of
nocturia, so leaving the light on in the bathroom is
appropriate. Fluids should be encouraged because
dehydration is more common in older patients.
The nurse completing a physical assessment for a newly
admitted male patient is unable to feel either kidney on
palpation. Which action should the nurse take next?
a. Obtain a urine specimen to check for hematuria.
b. Document the information on the assessment form.
c. Ask the patient about any history of recent sore throat.
d. Ask the health care provider about scheduling a renal
ultrasound. - Correct Answers ✅ANS: B
