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Exam (elaborations)

NUR 256 Exam 3 – 100 Q&A | Renal, UTI, GI Disorders, Dialysis, IBD, Diagnostics

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This expertly structured document contains 100 verified exam questions and answers for NUR 256: Medical-Surgical Nursing, specifically covering renal, urological, gastrointestinal, and endocrine content for the 2025–2026 academic year at Nursing School USA. It serves as a complete and high-yield study guide for nursing students preparing for Exam 3. Core topics include kidney function, urine diagnostic testing, and detailed comparisons between acute kidney injury (AKI) and chronic kidney disease (CKD). The guide explains procedures like 24-hour urine collection, clean catch, and creatinine clearance, alongside treatments such as hemodialysis and peritoneal dialysis—with in-depth content on AV fistulas, peritoneal phases, dialysis complications, and safety protocols. In the gastrointestinal section, students will find concise explanations of upper and lower GI anatomy, diagnostic tests (e.g., colonoscopy, barium swallow, EGD, liver biopsy), and GI ulcer types (gastric, duodenal), including risk factors like H. pylori and medications such as PPIs, H2 blockers, and mucosal healing agents. Complex GI topics such as dumping syndrome, gastrectomy procedures (Billroth I & II), bowel obstructions, and fecal occult testing are covered in detail. The final sections delve into Inflammatory Bowel Diseases (IBD), with direct comparisons between Crohn’s Disease and Ulcerative Colitis, including hallmark symptoms, diagnostic differences, and interventions. This document is ideal for: – Nursing students in ADN, ASN, BSN, and accelerated nursing programs – Learners enrolled in Medical-Surgical Nursing, Renal Nursing, GI Nursing, or Advanced Adult Health courses – Candidates preparing for NCLEX-RN, HESI, or ATI assessments Whether you're studying renal function, preparing for GI diagnostics, or mastering dialysis protocols, this resource delivers a complete and focused review to enhance your exam success and clinical readiness. Keywords: renal function, kidney labs, creatinine clearance, clean catch urine, UTIs, dialysis, peritoneal dialysis, hemodialysis, AKI, CKD, GI disorders, ulcer types, dumping syndrome, Billroth procedure, liver biopsy, colonoscopy, fecal occult blood test, Crohn’s disease, ulcerative colitis, bowel obstruction, medical surgical nursing, NCLEX prep

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Institution
NUR 256
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Uploaded on
October 10, 2025
Number of pages
27
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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NUR 256 EXAM 3 2025/2026 EXAM
QUESTIONS AND ANSWERS | 100%
PASS



What are the kidney functions? - 🧠 ANSWER ✔✔excrete toxins, filter blood,

produce erthropoeitin, RAAS system for blood pressure, activates calcium


What labs tell kidney production? - 🧠 ANSWER ✔✔creatnine and BUN


0.7-1.4, 10-20

Why is creatnine more effective in showing kidney function? - 🧠 ANSWER

✔✔Because it is not affected by activity or diet


Why does physical activity affect other labs for kidney function? - 🧠

ANSWER ✔✔it releases proteins from muscles, and could give false

positive results

,What aids the kidneys in activating calcium? - 🧠 ANSWER ✔✔vitamin D

(calcitrol), parathyroid hormone


How much can the bladder hold? - 🧠 ANSWER ✔✔400-600mL


Ureters are how long? - 🧠 ANSWER ✔✔6-12 inches


How long are the urethras for male and female? - 🧠 ANSWER ✔✔Female:

3-4 inches

Male: 6-8 inches


How do to a clean catch urinalysis? - 🧠 ANSWER ✔✔clean urethra, pee in

toilet for 15-30mL, catch mid-stream in sterile cup, void remainder in cup

How to clean urethra for male/female in clean catch? - 🧠 ANSWER

✔✔Female: spread labia, clean front to back




Male: pull back foreskin, clean in circular motion


Normal urine should be? - 🧠 ANSWER ✔✔Acidic (4.5-8), straw colored,

negative for: leukesterase, nitrates, protien, blood, and glucose

, When should a reflex urine culture be taken? - 🧠 ANSWER ✔✔when urine

comes back positive for nitrates and/or leukerstase, blood


Procedure for taking urine sample from catheter bag? - 🧠 ANSWER ✔✔Old

catheter: clean port, take from there w/ syringe




New catheter: collect from bag


When do you FIRST do a self breast exam? - 🧠 ANSWER ✔✔after first

period starts - "menarchy"


When to do a self breast exam? - 🧠 ANSWER ✔✔7-10 days from the day

period starts, DO ONCE A MONTH


Names of self breast exam search patterns? - 🧠 ANSWER ✔✔Wedge,

circles, lines

What are you looking for in a self breast exam? - 🧠 ANSWER

✔✔Asymmetry, dimpling, orange peel skin, drainage


What else should you do in a self breast exam? - 🧠 ANSWER ✔✔Palpate

the tail of spence (armpit muscle), pinch nipple gently to check for drainage


How often to do a clinical self breast exam? - 🧠 ANSWER ✔✔Once a year

COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
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