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Exam (elaborations)

NUR401 Exam Questions with Answers

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NUR401 Exam Questions with Answers

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NUR401 Exam Questions with Answers
Which drug is used to treat mixed urge and stress incontinence?
A. Ditropan
B. Doxazosin
C. Imipramine

D. Topical estrogen - ✔✔C. Imipramine


A patient with urge incontinence is treated with high doses of antispasmodics. Which action of
the nurse is beneficial to the patient?
A. Administer pessaries
B. Advise the patient to perform reflex voiding
C. Provide intermittent catheterization

D. Instruct the patient to avoid fluid intake 1 hour before sleep - ✔✔C. Provide intermittent
catheterization


Which describes the action of antispasmodics in treating urinary incontinence? Select all that
apply.
A. Promote urethral relaxation
B. Promote bladder relaxation
C. Restore moisture of the urethra
D. Promote the action of anticholinergics

E. Block impulses from the parasympathetic nervous system - ✔✔B. Promote bladder relaxation

E. Block impulses from the parasympathetic nervous system


The nurse is providing dietary instructions to a patient treated for kidney stones to reduce the
risk of stone formation. Which statement made by the patient indicates effective learning?
A. "I should avoid citrus fruits"

,B. "I should reduce water intake"
C. "I should increase salt intake in my food"

D. "I should avoid tea, coffee, and chocolates" - ✔✔D. "I should avoid tea, coffee, and
chocolates"


The nurse is reviewing the patient's reports to determine his or her condition. Which
observations would lead to the suspicion of a urinary tract infection? Select all that apply.
A. Cloudy urine
B. Hydronephrosis
C. 2-mm stones in ureters
D. Nitrites in urine cultures

E. 120,000 colony forming units (CFUs) of Escherichia coli - ✔✔A. Cloudy urine

D. Nitrites in urine cultures
E. 120,000 colony forming units (CFUs) of Escherichia coli


Which is true regarding urinary tract infections (UTIs)?
A. They are more common in men than in women.
B. The common age group for UTIs in women is 18 to 50 years.
C. Conditions such as pelvic organ prolapse increase the risk of a UTI.
D. Enterobacter is a common intestinal bacterium responsible for 80% of uncomplicated UTIs. -
✔✔C. Conditions such as pelvic organ prolapse increase the risk of a UTI.


A 28-year-old male patient with a history of diabetes is diagnosed with a urinary tract infection
(UTI)? Which treatment option is most suitable for the patient?
A. Colporrhaphy
B. 3-day course of ciprofloxacin
C. Transurethral resection of the prostate

D. 7-day course of trimethoprim/sulfamethoxazole - ✔✔D. 7-day course of
trimethoprim/sulfamethoxazole

, A patient is prescribed a 10-day course of ciprofloxacin for the treatment of a urinary tract
infection (UTI). Which complication is the patient likely to develop if he or she does not
complete the course of ciprofloxacin as prescribed?
A. Pyelonephritis
B. Peripheral neuropathy
C. Backflow of infected urine

D. Irreversible renal damage - ✔✔A. Pyelonephritis


Which is the diagnostic test of choice for urinary stones?
A. X-ray
B. Computed tomography (CT) scan
C. Cystometrogram

D. Urine culture test - ✔✔B. Computed tomography (CT) scan


A patient diagnosed with urolithiasis is prescribed tamsulosin. Which instruction is most
important for the patient in this condition?
A. "Follow a low-sodium diet."
B. "Avoid chocolate and nuts."
C. "Rise slowly from a seated position."

D. "Do not worry if your urine is orange- or red-colored." - ✔✔C. "Rise slowly from a seated
position."


While assessing the computed tomography scan reports of a patient, the nurse observes the
presence of 4-mm-sized stones in the ureteropelvic junction. Which is the priority treatment
provided to the patient? Select all that apply.
A. Narcotics
B. Antiemetics
C. Alpha-adrenergic blockers

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