Med Surg Exam 4 Questions With Complete Solutions
1. A patient has been diagnosed with urinary tract calculi that
are high in uric acid. Which foods will the nurse teach the
patient to avoid (select all that apply)?
a. Milk
b. Liver
c. Spinach
d. Chicken
e. Cabbage
f. Chocolate Correct Answers B, D
1. 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
1. Which finding will the nurse expect when assessing a 58-
year-old patient who has osteoarthritis (OA) of the knee?
a.
Discomfort with joint movement
b.
Heberden's and Bouchard's nodes
c.
Redness and swelling of the knee joint
,d.
Stiffness that increases with movement Correct Answers A
10. The nurse assessing the urinary system of a 45-year-old
female would use auscultation to
a.
determine kidney position.
b.
identify renal artery bruits.
c.
check for ureteral peristalsis.
d.
assess for bladder distention Correct Answers B
12. A patient passing bloody urine is scheduled for a cystoscopy
with cystogram. Which description of the procedure by the nurse
is accurate?
a.
"Your doctor will place a catheter into an artery in your groin
and inject a dye that will visualize the blood supply to the
kidneys."
b.
"Your doctor will insert a lighted tube into the bladder, and little
catheters will be inserted through the tube into your kidney."
c.
"Your doctor will insert a lighted tube into the bladder through
your urethra, inspect the bladder, and instill a dye that will
outline your bladder on x-ray."
d.
,"Your doctor will inject a radioactive solution into a vein in your
arm and the distribution of the isotope in your kidneys and
bladder will be checked." Correct Answers C
13. The nurse caring for a patient after cystoscopy plans that the
patient
a.
learns to request narcotics for pain.
b.
understands to expect blood-tinged urine.
c.
restricts activity to bed rest for a 4 to 6 hours.
d.
remains NPO for 8 hours to prevent vomiting. Correct Answers
B
14. A patient has elevated blood urea nitrogen (BUN) and serum
creatinine levels. Which bowel preparation order would the
nurse question for this patient who is scheduled for a renal
arteriogram?
a.
Fleet enema
b.
Tap-water enema
c.
Senna/docusate (Senokot-S)
d.
Bisacodyl (Dulcolax) tablets Correct Answers A
16. The nurse is caring for a 68-year-old hospitalized patient
with a decreased glomerular filtration rate who is scheduled for
, an intravenous pyelogram (IVP). Which action will be included
in the plan of care?
a.
Monitor the urine output after the procedure.
b.
Assist with monitored anesthesia care (MAC).
c.
Give oral contrast solution before the procedure.
d.
Insert a large size urinary catheter before the IVP Correct
Answers A
2. 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.
d.
ask the patient about any family history of chronic renal failure
Correct Answers C
2. Which assessment finding about a patient who has been using
naproxen (Naprosyn) for 6 weeks to treat osteoarthritis is most
important for the nurse to report to the health care provider?
a.
The patient has gained 3 pounds.
b.
The patient has dark-colored stools.
1. A patient has been diagnosed with urinary tract calculi that
are high in uric acid. Which foods will the nurse teach the
patient to avoid (select all that apply)?
a. Milk
b. Liver
c. Spinach
d. Chicken
e. Cabbage
f. Chocolate Correct Answers B, D
1. 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
1. Which finding will the nurse expect when assessing a 58-
year-old patient who has osteoarthritis (OA) of the knee?
a.
Discomfort with joint movement
b.
Heberden's and Bouchard's nodes
c.
Redness and swelling of the knee joint
,d.
Stiffness that increases with movement Correct Answers A
10. The nurse assessing the urinary system of a 45-year-old
female would use auscultation to
a.
determine kidney position.
b.
identify renal artery bruits.
c.
check for ureteral peristalsis.
d.
assess for bladder distention Correct Answers B
12. A patient passing bloody urine is scheduled for a cystoscopy
with cystogram. Which description of the procedure by the nurse
is accurate?
a.
"Your doctor will place a catheter into an artery in your groin
and inject a dye that will visualize the blood supply to the
kidneys."
b.
"Your doctor will insert a lighted tube into the bladder, and little
catheters will be inserted through the tube into your kidney."
c.
"Your doctor will insert a lighted tube into the bladder through
your urethra, inspect the bladder, and instill a dye that will
outline your bladder on x-ray."
d.
,"Your doctor will inject a radioactive solution into a vein in your
arm and the distribution of the isotope in your kidneys and
bladder will be checked." Correct Answers C
13. The nurse caring for a patient after cystoscopy plans that the
patient
a.
learns to request narcotics for pain.
b.
understands to expect blood-tinged urine.
c.
restricts activity to bed rest for a 4 to 6 hours.
d.
remains NPO for 8 hours to prevent vomiting. Correct Answers
B
14. A patient has elevated blood urea nitrogen (BUN) and serum
creatinine levels. Which bowel preparation order would the
nurse question for this patient who is scheduled for a renal
arteriogram?
a.
Fleet enema
b.
Tap-water enema
c.
Senna/docusate (Senokot-S)
d.
Bisacodyl (Dulcolax) tablets Correct Answers A
16. The nurse is caring for a 68-year-old hospitalized patient
with a decreased glomerular filtration rate who is scheduled for
, an intravenous pyelogram (IVP). Which action will be included
in the plan of care?
a.
Monitor the urine output after the procedure.
b.
Assist with monitored anesthesia care (MAC).
c.
Give oral contrast solution before the procedure.
d.
Insert a large size urinary catheter before the IVP Correct
Answers A
2. 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.
d.
ask the patient about any family history of chronic renal failure
Correct Answers C
2. Which assessment finding about a patient who has been using
naproxen (Naprosyn) for 6 weeks to treat osteoarthritis is most
important for the nurse to report to the health care provider?
a.
The patient has gained 3 pounds.
b.
The patient has dark-colored stools.
