NUR 170 Medical-Surgical Nursing Exam 4
2026 Update | Comprehensive Student
Practice Test
Instructions: Choose the single best answer for each question.
Topics: Renal & Urinary Disorders, GI Disorders, Integumentary & Pressure Injuries, Legal/Professional
Issues
1. As the nurse providing care for several clients with urinary tract infections, which client would you
suspect has an infection due to a fungal etiology?
A. 22-year-old woman who is sexually active
B. 48-year-old man with diabetes mellitus
C. 60-year-old man with an enlarged prostate gland
D. 40-year-old woman with systemic lupus erythematosus
Correct Answer: ✔️✔️✔️💜💜: B
2. The hospitalized client with an indwelling catheter has cystitis. What is the priority nursing diagnosis
for this client?
A. Risk for Infection
B. Disturbed Body Image
C. Risk for Urge Urinary Incontinence
D. Risk for Impaired Skin Integrity
Correct Answer: ✔️✔️✔️💜💜: D
3. Which client is at the highest risk for developing a renal calculus?
A. 64-year-old woman with mild congestive heart failure
B. 25-year-old woman who is 6 months pregnant
C. 75-year-old man with diabetes mellitus
D. 35-year-old man who had a renal calculus 1 year ago
Correct Answer: ✔️✔️✔️💜💜: D
4. Which clinical manifestation in a client with renal impairment is associated with polycystic kidney
disease (PKD) rather than an infectious process?
A. Bloody and cloudy urine
B. Flank pain
C. Periorbital edema
D. Enlarged or protruding abdomen
Correct Answer: ✔️✔️✔️💜💜: D
5. A client experiences leakage of urine when laughing or coughing. The nurse should accurately
document this as:
, A. Overflow incontinence
B. Mixed incontinence
C. Urge incontinence
D. Stress incontinence
Correct Answer: ✔️✔️✔️💜💜: D
6. A client frequently feels a sudden urgency to urinate and often leaks urine before reaching the
bathroom. The nurse should accurately document this as:
A. Mixed incontinence
B. Urge incontinence
C. Stress incontinence
D. Overflow incontinence
Correct Answer: ✔️✔️✔️💜💜: B
7. A nurse is caring for a client with a new diagnosis of urolithiasis. Which of the following should the
nurse identify as an associated risk factor?
A. Diuretic use
B. BMI less than 25
C. Hypocalcemia
D. Family history
Correct Answer: ✔️✔️✔️💜💜: D
8. A postmenopausal client has had two episodes of bacterial urethritis in 6 months and asks why this is
happening now. What is the nurse's best response?
A. "You should be more careful with your personal hygiene."
B. "Your immune system becomes less effective as you age."
C. "Low estrogen levels can make the tissue more susceptible to infection."
D. "It is likely that you have an untreated sexually transmitted disease."
Correct Answer: ✔️✔️✔️💜💜: C
9. A nurse cares for a client who has kidney stones from gout (hyperuricemia). Which medication does
the nurse anticipate administering?
A. Tolterodine
B. Doxycycline
C. Phenazopyridine
D. Allopurinol
Correct Answer: ✔️✔️✔️💜💜: D
10. A client is diagnosed with a urinary tract infection. Which medication order does the nurse question
for this diagnosis?
A. Trimethoprim-sulfamethoxazole
B. Ciprofloxacin
C. Nitrofurantoin
D. Omeprazole
Correct Answer: ✔️✔️✔️💜💜: D
2026 Update | Comprehensive Student
Practice Test
Instructions: Choose the single best answer for each question.
Topics: Renal & Urinary Disorders, GI Disorders, Integumentary & Pressure Injuries, Legal/Professional
Issues
1. As the nurse providing care for several clients with urinary tract infections, which client would you
suspect has an infection due to a fungal etiology?
A. 22-year-old woman who is sexually active
B. 48-year-old man with diabetes mellitus
C. 60-year-old man with an enlarged prostate gland
D. 40-year-old woman with systemic lupus erythematosus
Correct Answer: ✔️✔️✔️💜💜: B
2. The hospitalized client with an indwelling catheter has cystitis. What is the priority nursing diagnosis
for this client?
A. Risk for Infection
B. Disturbed Body Image
C. Risk for Urge Urinary Incontinence
D. Risk for Impaired Skin Integrity
Correct Answer: ✔️✔️✔️💜💜: D
3. Which client is at the highest risk for developing a renal calculus?
A. 64-year-old woman with mild congestive heart failure
B. 25-year-old woman who is 6 months pregnant
C. 75-year-old man with diabetes mellitus
D. 35-year-old man who had a renal calculus 1 year ago
Correct Answer: ✔️✔️✔️💜💜: D
4. Which clinical manifestation in a client with renal impairment is associated with polycystic kidney
disease (PKD) rather than an infectious process?
A. Bloody and cloudy urine
B. Flank pain
C. Periorbital edema
D. Enlarged or protruding abdomen
Correct Answer: ✔️✔️✔️💜💜: D
5. A client experiences leakage of urine when laughing or coughing. The nurse should accurately
document this as:
, A. Overflow incontinence
B. Mixed incontinence
C. Urge incontinence
D. Stress incontinence
Correct Answer: ✔️✔️✔️💜💜: D
6. A client frequently feels a sudden urgency to urinate and often leaks urine before reaching the
bathroom. The nurse should accurately document this as:
A. Mixed incontinence
B. Urge incontinence
C. Stress incontinence
D. Overflow incontinence
Correct Answer: ✔️✔️✔️💜💜: B
7. A nurse is caring for a client with a new diagnosis of urolithiasis. Which of the following should the
nurse identify as an associated risk factor?
A. Diuretic use
B. BMI less than 25
C. Hypocalcemia
D. Family history
Correct Answer: ✔️✔️✔️💜💜: D
8. A postmenopausal client has had two episodes of bacterial urethritis in 6 months and asks why this is
happening now. What is the nurse's best response?
A. "You should be more careful with your personal hygiene."
B. "Your immune system becomes less effective as you age."
C. "Low estrogen levels can make the tissue more susceptible to infection."
D. "It is likely that you have an untreated sexually transmitted disease."
Correct Answer: ✔️✔️✔️💜💜: C
9. A nurse cares for a client who has kidney stones from gout (hyperuricemia). Which medication does
the nurse anticipate administering?
A. Tolterodine
B. Doxycycline
C. Phenazopyridine
D. Allopurinol
Correct Answer: ✔️✔️✔️💜💜: D
10. A client is diagnosed with a urinary tract infection. Which medication order does the nurse question
for this diagnosis?
A. Trimethoprim-sulfamethoxazole
B. Ciprofloxacin
C. Nitrofurantoin
D. Omeprazole
Correct Answer: ✔️✔️✔️💜💜: D
