NR325Exam1withcorrectanswers
Toassesswhetherthereisanyimprovementinapatient'sdysuria,whichquestionwill thenurseask?
a."Doyouhavetourinateatnight?"
b."Doyouhavebloodinyoururine?"
c."Doyouhavetourinatefrequently?"
d."Doyouhavepainwhenyouurinate?"-correct answer✔✔D.Dysuriaispainfulurination.
Whenapatient'surine dipsticktestindicatesasmall amountofprotein,thenurse'snextactionshould
beto:
a.sendaurinespecimentothelaboratorytotestforketones.
b.obtainaclean-catchurineforculture andsensitivitytesting.
c.inquireaboutwhichmedicationsthepatientiscurrentlytaking.
d.askthepatientaboutanyfamilyhistoryofchronic renalfailure.-correct answer✔✔ANS:C
Normallytheurinalysiswillshowzerototraceamountsofprotein,butsomemedicationsmaygive
false-positive readings.
,Ahospitalizedpatientwithpossiblerenal insufficiencyaftercoronaryarterybypasssurgeryis
scheduledforacreatinine clearancetest.Whichequipmentwillthenurseneedtoobtain?
a.Urinarycatheter
b.Cleaningtowelettes
c.Largecontainerforurine
d.Sterileurine specimencup-correct answer✔✔ANS:C
Becausecreatinineclearance testinginvolvesa24-hoururine specimen, thenurseshouldobtaina
large containerfortheurine collection.
A32-year-old patientwhoisemployedasahairdresser andhasa15pack-yearhistoryofcigarette
smokingisscheduledforanannual physical examination.Thenursewill plantoteachthepatientabout
theincreasedriskfor
a.renalfailure.
b.kidneystones.
c.pyelonephritis.
d.bladdercancer.-correct answer✔✔ANS:D
Exposure tothechemicalsinvolvedwithworkingasahairdresser andinsmokingbothincrease therisk
ofbladdercancer,andthenurseshouldassesswhetherthepatientunderstandsthisrisk.
Whichmedicationtakenathomebya47-year-oldpatientwithdecreasedrenalfunctionwillbeofmost
concerntothenurse?
a.ibuprofen(Motrin)
b.warfarin(Coumadin)
c.folicacid(vitaminB9)
d.penicillin(BicillinLA)-correct answer✔✔ANS:A
,Thenonsteroidalantiinflammatory medications(NSAIDs)arenephrotoxicandshouldbeavoidedin
patientswithimpairedrenalfunction.
A79-year-old manhasbeenadmittedwithbenignprostatichyperplasia.Whatismostappropriateto
includeinthenursingplanofcare?
a.Limitfluidintaketonomorethan1000mL/day.
b.Leavealightoninthebathroomduringthenight.
c.Askthepatienttouseaurinalsothaturinecanbemeasured.
d.Padthepatient'sbedtoaccommodateoverflowincontinence.-correct answer✔✔ANS:B
Thepatient'sageanddiagnosisindicatealikelihoodofnocturia,soleavingthelightoninthebathroomis
appropriate.Fluidsshouldbeencouragedbecausedehydrationismorecommoninolderpatients.
Thenursecompletingaphysical assessmentforanewlyadmittedmalepatientisunabletofeel either
kidneyonpalpation.Whichactionshouldthenursetakenext?
a.Obtainaurine specimentocheckforhematuria.
b.Documenttheinformationontheassessmentform.
c.Askthepatientaboutanyhistoryofrecentsorethroat.
d.Askthehealthcareprovideraboutschedulingarenalultrasound.-correct answer✔✔ANS:B
, Thekidneysareprotectedbytheabdominalorgans,ribs,andmusclesoftheback,andmaynotbe
palpable undernormal circumstances,sonoactionexcepttodocumenttheassessmentinformationis
needed.
Howwillthenurseassessforflanktendernessina30-year-old femalepatientwithsuspected
pyelonephritis?
a.Palpatealongbothsidesofthelumbarvertebralcolumn.
b.Strike aflathandcoveringthecostovertebralangle(CVA).
c.Pushfingersupwardintothetwolowestintercostal spaces.
d.Percussbetweentheiliac crestandribsalongthemidaxillaryline.-correct answer✔✔ANS:B
CheckingforflankpainisbestperformedbypercussionoftheCVAandaskingaboutpain.
Whatglomerular filtrationrate(GFR)wouldthenurseestimatefora30-year-oldpatientwitha
creatinine clearanceresultof60mL/min?
a.60mL/min
b.90mL/min
c.120mL/min
d.180mL/min-correct answer✔✔ANS:A
Thecreatinine clearanceapproximatestheGFR.
Thenurseassessingtheurinarysystemofa45-year-oldfemale woulduseauscultationto
Toassesswhetherthereisanyimprovementinapatient'sdysuria,whichquestionwill thenurseask?
a."Doyouhavetourinateatnight?"
b."Doyouhavebloodinyoururine?"
c."Doyouhavetourinatefrequently?"
d."Doyouhavepainwhenyouurinate?"-correct answer✔✔D.Dysuriaispainfulurination.
Whenapatient'surine dipsticktestindicatesasmall amountofprotein,thenurse'snextactionshould
beto:
a.sendaurinespecimentothelaboratorytotestforketones.
b.obtainaclean-catchurineforculture andsensitivitytesting.
c.inquireaboutwhichmedicationsthepatientiscurrentlytaking.
d.askthepatientaboutanyfamilyhistoryofchronic renalfailure.-correct answer✔✔ANS:C
Normallytheurinalysiswillshowzerototraceamountsofprotein,butsomemedicationsmaygive
false-positive readings.
,Ahospitalizedpatientwithpossiblerenal insufficiencyaftercoronaryarterybypasssurgeryis
scheduledforacreatinine clearancetest.Whichequipmentwillthenurseneedtoobtain?
a.Urinarycatheter
b.Cleaningtowelettes
c.Largecontainerforurine
d.Sterileurine specimencup-correct answer✔✔ANS:C
Becausecreatinineclearance testinginvolvesa24-hoururine specimen, thenurseshouldobtaina
large containerfortheurine collection.
A32-year-old patientwhoisemployedasahairdresser andhasa15pack-yearhistoryofcigarette
smokingisscheduledforanannual physical examination.Thenursewill plantoteachthepatientabout
theincreasedriskfor
a.renalfailure.
b.kidneystones.
c.pyelonephritis.
d.bladdercancer.-correct answer✔✔ANS:D
Exposure tothechemicalsinvolvedwithworkingasahairdresser andinsmokingbothincrease therisk
ofbladdercancer,andthenurseshouldassesswhetherthepatientunderstandsthisrisk.
Whichmedicationtakenathomebya47-year-oldpatientwithdecreasedrenalfunctionwillbeofmost
concerntothenurse?
a.ibuprofen(Motrin)
b.warfarin(Coumadin)
c.folicacid(vitaminB9)
d.penicillin(BicillinLA)-correct answer✔✔ANS:A
,Thenonsteroidalantiinflammatory medications(NSAIDs)arenephrotoxicandshouldbeavoidedin
patientswithimpairedrenalfunction.
A79-year-old manhasbeenadmittedwithbenignprostatichyperplasia.Whatismostappropriateto
includeinthenursingplanofcare?
a.Limitfluidintaketonomorethan1000mL/day.
b.Leavealightoninthebathroomduringthenight.
c.Askthepatienttouseaurinalsothaturinecanbemeasured.
d.Padthepatient'sbedtoaccommodateoverflowincontinence.-correct answer✔✔ANS:B
Thepatient'sageanddiagnosisindicatealikelihoodofnocturia,soleavingthelightoninthebathroomis
appropriate.Fluidsshouldbeencouragedbecausedehydrationismorecommoninolderpatients.
Thenursecompletingaphysical assessmentforanewlyadmittedmalepatientisunabletofeel either
kidneyonpalpation.Whichactionshouldthenursetakenext?
a.Obtainaurine specimentocheckforhematuria.
b.Documenttheinformationontheassessmentform.
c.Askthepatientaboutanyhistoryofrecentsorethroat.
d.Askthehealthcareprovideraboutschedulingarenalultrasound.-correct answer✔✔ANS:B
, Thekidneysareprotectedbytheabdominalorgans,ribs,andmusclesoftheback,andmaynotbe
palpable undernormal circumstances,sonoactionexcepttodocumenttheassessmentinformationis
needed.
Howwillthenurseassessforflanktendernessina30-year-old femalepatientwithsuspected
pyelonephritis?
a.Palpatealongbothsidesofthelumbarvertebralcolumn.
b.Strike aflathandcoveringthecostovertebralangle(CVA).
c.Pushfingersupwardintothetwolowestintercostal spaces.
d.Percussbetweentheiliac crestandribsalongthemidaxillaryline.-correct answer✔✔ANS:B
CheckingforflankpainisbestperformedbypercussionoftheCVAandaskingaboutpain.
Whatglomerular filtrationrate(GFR)wouldthenurseestimatefora30-year-oldpatientwitha
creatinine clearanceresultof60mL/min?
a.60mL/min
b.90mL/min
c.120mL/min
d.180mL/min-correct answer✔✔ANS:A
Thecreatinine clearanceapproximatestheGFR.
Thenurseassessingtheurinarysystemofa45-year-oldfemale woulduseauscultationto
