ADULT HEALTH 1 FINAL EXAM QUESTIONS AND ANSWERS 2025
A patient is suspected to have a UTI. Which lab tests are appropriate in the diagnosis? -
(ANSWER)Urinalysis for culture and sensitivity
The nurse administers which of the following prescribed medications to a client with recurrent UTIs
caused by E. Coli? - (ANSWER)Sulfamethoxazole and Trimethaprim (Bactrim DS)
The nurse instructs a client with pyelonephritis to drink 2.5 to 3L of fluid per day. The nurse understands
the rationale for this self care intervention as? - (ANSWER)To prevent stasis of urine
The nurse is presenting a class on urinary tract infections. Which of the following should be included in
the presentation? (select all that apply) - (ANSWER)- Males and females over the age of 65 are equally
prone to UTIs
- Women of menopausal age have an increased risk of UTIs
- E. Coli is the most common cause of bacterial UTIs
The nurse is teaching a client diagnosed with a urinary tract infection. An intervention that needs to be
followed by the client includes? - (ANSWER)Avoid tight-fitting pants or clothing
Which medication taken at home by a patient with decreased renal function will be of most concern to
the nurse? - (ANSWER)Ibuprofen (motrin)
The nurse completing a physical assessment for a newly admitted patient is unable to feel either kidney
on palpation. Which action should the nurse take? - (ANSWER)Document the information on the
assessment form
The nurse is assessing the urinary system of an older adult female client. Which of the following findings
would be an expected age related change? Select all that apply. - (ANSWER)- palpable bladder after
urination
- stress incontinence
- nocturia
,ADULT HEALTH 1 FINAL EXAM QUESTIONS AND ANSWERS 2025
The nurse is assessing a client who states, "I feel like I am not emptying my bladder completely." Which
of the following would be the best action for the nurse to take? - (ANSWER)Percuss for dullness over the
area of the symphysis pubis.
The nurse is developing the plan of care for a client with urge incontinence. Which of the following
should the nurse understand when developing the plan of care for this client? - (ANSWER)The client will
have the inability to stop urine flow long enough to get to the toilet
The nurse is caring for a client who reports seeing a reddish colored tint in the urine. Which of the
following questions would be most appropriate for the nurse to ask? - (ANSWER)"Do you take
prescribed anticoagulants?"
The nurse is assessing a client diagnosed with acute pyelonephritis. Which of the following assessment
findings should the nurse expect? - (ANSWER)Costovertebral tenderness
The nurse is assessing a group of assigned clients. Which of the following clients has the highest risk of
developing a urinary tract infection? - (ANSWER)56-year-old female client with poorly controlled type 2,
diabetes mellitus.
How do you test for suspected pyelonephritis? - (ANSWER)Check for flank pain by percussion of the CVA
and asking the patient about pain- strike a flat hand covering the costovertebral angle CVA
The nurse is assessing a client who reports having a sharp pain along the costovertebral angles. The
nurse recognizes that this assessment finding might be due to which of the following? - (ANSWER)kidney
inflammation
What is the most common cause of healthcare associated infections? - (ANSWER)Urinary catheterization
The nurse is preparing a staff education program about urinary tract infections (UTIs). Which of the
following information should the nurse include in the education program? Select all that apply. -
(ANSWER)- "Uncomplicated UTIs can occur in a normal urinary tract."
- "Diabetes mellitus is a risk factor for urinary tract infections."
, ADULT HEALTH 1 FINAL EXAM QUESTIONS AND ANSWERS 2025
- "Nitrates on a urine dipstick can indicate the presence of a UTI."
A 72-yr-old patient with a history of benign prostatic hyperplasia (BPH) is admitted with acute urinary
retention and elevated blood urea nitrogen (BUN) and creatinine levels. What action should the nurse
take? - (ANSWER)Insert a urinary catheter
The nurse has taught nutrition management for a client diagnosed with oxalate kidney stones. Which of
the following food choices by the client would indicate that the client requires more teaching? -
(ANSWER)Spinach salad and rhubarb pie
What medication should be given first for patients with renal colic? - (ANSWER)Morphine 2 mg every 4
hr PRN to control pain
How do you teach your patients to prevent recurrence of renal calculi? - (ANSWER)Drink 2000-3000 mL
of fluid per day
During routine hemodialysis, the 68-year-old patient complains of nausea and dizziness. Which action
should the nurse take first? - (ANSWER)Check the patient's BP
During peritoneal dialysis, the effluent starts to appear cloudy. What action should you take? -
(ANSWER)Call the provider immediately (sign of peritonitis, the patient needs to be started on
antibiotics)
When caring for a patient with a left arm arteriovenous fistula, what should you assess? -
(ANSWER)Auscultate for a bruit at the fistula site
For a patient with a femoral vein catheter, what should their activity level be? - (ANSWER)Restrict
physical activity to bed rest to prevent trauma to the vein
What are symptoms of upper UTI? - (ANSWER)CVA tenderness, flank pain, and nausea
A patient is suspected to have a UTI. Which lab tests are appropriate in the diagnosis? -
(ANSWER)Urinalysis for culture and sensitivity
The nurse administers which of the following prescribed medications to a client with recurrent UTIs
caused by E. Coli? - (ANSWER)Sulfamethoxazole and Trimethaprim (Bactrim DS)
The nurse instructs a client with pyelonephritis to drink 2.5 to 3L of fluid per day. The nurse understands
the rationale for this self care intervention as? - (ANSWER)To prevent stasis of urine
The nurse is presenting a class on urinary tract infections. Which of the following should be included in
the presentation? (select all that apply) - (ANSWER)- Males and females over the age of 65 are equally
prone to UTIs
- Women of menopausal age have an increased risk of UTIs
- E. Coli is the most common cause of bacterial UTIs
The nurse is teaching a client diagnosed with a urinary tract infection. An intervention that needs to be
followed by the client includes? - (ANSWER)Avoid tight-fitting pants or clothing
Which medication taken at home by a patient with decreased renal function will be of most concern to
the nurse? - (ANSWER)Ibuprofen (motrin)
The nurse completing a physical assessment for a newly admitted patient is unable to feel either kidney
on palpation. Which action should the nurse take? - (ANSWER)Document the information on the
assessment form
The nurse is assessing the urinary system of an older adult female client. Which of the following findings
would be an expected age related change? Select all that apply. - (ANSWER)- palpable bladder after
urination
- stress incontinence
- nocturia
,ADULT HEALTH 1 FINAL EXAM QUESTIONS AND ANSWERS 2025
The nurse is assessing a client who states, "I feel like I am not emptying my bladder completely." Which
of the following would be the best action for the nurse to take? - (ANSWER)Percuss for dullness over the
area of the symphysis pubis.
The nurse is developing the plan of care for a client with urge incontinence. Which of the following
should the nurse understand when developing the plan of care for this client? - (ANSWER)The client will
have the inability to stop urine flow long enough to get to the toilet
The nurse is caring for a client who reports seeing a reddish colored tint in the urine. Which of the
following questions would be most appropriate for the nurse to ask? - (ANSWER)"Do you take
prescribed anticoagulants?"
The nurse is assessing a client diagnosed with acute pyelonephritis. Which of the following assessment
findings should the nurse expect? - (ANSWER)Costovertebral tenderness
The nurse is assessing a group of assigned clients. Which of the following clients has the highest risk of
developing a urinary tract infection? - (ANSWER)56-year-old female client with poorly controlled type 2,
diabetes mellitus.
How do you test for suspected pyelonephritis? - (ANSWER)Check for flank pain by percussion of the CVA
and asking the patient about pain- strike a flat hand covering the costovertebral angle CVA
The nurse is assessing a client who reports having a sharp pain along the costovertebral angles. The
nurse recognizes that this assessment finding might be due to which of the following? - (ANSWER)kidney
inflammation
What is the most common cause of healthcare associated infections? - (ANSWER)Urinary catheterization
The nurse is preparing a staff education program about urinary tract infections (UTIs). Which of the
following information should the nurse include in the education program? Select all that apply. -
(ANSWER)- "Uncomplicated UTIs can occur in a normal urinary tract."
- "Diabetes mellitus is a risk factor for urinary tract infections."
, ADULT HEALTH 1 FINAL EXAM QUESTIONS AND ANSWERS 2025
- "Nitrates on a urine dipstick can indicate the presence of a UTI."
A 72-yr-old patient with a history of benign prostatic hyperplasia (BPH) is admitted with acute urinary
retention and elevated blood urea nitrogen (BUN) and creatinine levels. What action should the nurse
take? - (ANSWER)Insert a urinary catheter
The nurse has taught nutrition management for a client diagnosed with oxalate kidney stones. Which of
the following food choices by the client would indicate that the client requires more teaching? -
(ANSWER)Spinach salad and rhubarb pie
What medication should be given first for patients with renal colic? - (ANSWER)Morphine 2 mg every 4
hr PRN to control pain
How do you teach your patients to prevent recurrence of renal calculi? - (ANSWER)Drink 2000-3000 mL
of fluid per day
During routine hemodialysis, the 68-year-old patient complains of nausea and dizziness. Which action
should the nurse take first? - (ANSWER)Check the patient's BP
During peritoneal dialysis, the effluent starts to appear cloudy. What action should you take? -
(ANSWER)Call the provider immediately (sign of peritonitis, the patient needs to be started on
antibiotics)
When caring for a patient with a left arm arteriovenous fistula, what should you assess? -
(ANSWER)Auscultate for a bruit at the fistula site
For a patient with a femoral vein catheter, what should their activity level be? - (ANSWER)Restrict
physical activity to bed rest to prevent trauma to the vein
What are symptoms of upper UTI? - (ANSWER)CVA tenderness, flank pain, and nausea
