Practice Questions for Exam 1
1. Which of the following symptoms do you expect to see in a patient diagnosed with acute
pyelonephritis?
a. Jaundice and flank pain
b. Costovertebral angle tenderness and chills.
c. Burning sensation on urination
d. Polyuria and nocturia
2. You have a patient that might have a urinary tract infection (UTI). Which statement by
the patient suggests that a UTI is likely?
a. “I pee a lot”
b. “It burns when I pee”
c. “I go hours without the urge to pee”
d. “My pee smells sweet”
3. Which instructions do you include in the teaching care plan for a patient with cystitis
receiving phenazopyridine (Pyridium)?
a. If the urine turns orange-red, call the doctor
b. Take phenazopyridine just before urination to relieve pain.
c. Once painful urination is relieved, discontinue prescribed antibiotics
d. After painful urination is relieved stop taking phenazopyridine.
4. Which patient is at greatest risk for developing a urinary tract infection (UTI)?
a. A 35 y.o. woman with a fractured wrist
b. A 20 y.o. woman with asthma
c. A 50 y.o. postmenopausal woman
d. A 28 y.o. with angina
5. You have a patient that is receiving peritoneal dialysis. What should you do when you
notice the return fluid is slowly draining?
a. Check for kinks in the outflow tubing.
b. Raise the drainage bag above the level of the abdomen.
c. Place the patient in a reverse Trendelenburg position.
d. Ask the patient to cough.
6. A 30 y.o. female patient is undergoing hemodialysis with an internal arteriovenous fistula
in place. What do you do to prevent complications associated with this device?
a. Insert I.V. lines above the fistula.
b. Avoid taking blood pressure in the arm with the fistula.
, c. Palpate pulses above the fistula.
d. Report a bruit or thrill over the fistula to the doctor.
7. Your patient is complaining of muscle cramps while undergoing hemodialysis. Which
intervention is effective in relieving muscle cramps?
a. Increase the rate of dialysis.
b. Infuse normal saline solution
c. Administer a 5% dextrose solution.
d. Encourage active ROM exercises.
8. Your patient with chronic renal failure reports pruritus. Which instruction should you
include in this patient’s teaching plan?
a. Rub the skin vigorously with a towel.
b. Take frequent baths.
c. Apply alcohol-based emollients to the skin
d. Keep fingernails short and clean
9. Which intervention do you plan to include with a patient who has renal calculi?
a. Maintain bed rest
b. Increase dietary purines
c. Restrict fluids
d. Strain all urine
10. An 18 y.o. student is admitted with dark urine, fever, and flank pain and is diagnosed
with acute glomerulonephritis. Which would most likely be in this student’s health
history?
a. Renal calculi
b. Renal trauma
c. Recent sore throat
d. Family history of acute glomerulonephritis
11. Which drug is indicated for pain related to acute renal calculi?
a. Narcotic analgesics
b. Nonsteroidal anti-inflammatory drugs (NSAIDS)
c. Muscle relaxants
d. Salicylates
12. Which of the following causes the majority of UTIs in hospitalized patients?
a. Lack of fluid intake
b. Inadequate perineal care
1. Which of the following symptoms do you expect to see in a patient diagnosed with acute
pyelonephritis?
a. Jaundice and flank pain
b. Costovertebral angle tenderness and chills.
c. Burning sensation on urination
d. Polyuria and nocturia
2. You have a patient that might have a urinary tract infection (UTI). Which statement by
the patient suggests that a UTI is likely?
a. “I pee a lot”
b. “It burns when I pee”
c. “I go hours without the urge to pee”
d. “My pee smells sweet”
3. Which instructions do you include in the teaching care plan for a patient with cystitis
receiving phenazopyridine (Pyridium)?
a. If the urine turns orange-red, call the doctor
b. Take phenazopyridine just before urination to relieve pain.
c. Once painful urination is relieved, discontinue prescribed antibiotics
d. After painful urination is relieved stop taking phenazopyridine.
4. Which patient is at greatest risk for developing a urinary tract infection (UTI)?
a. A 35 y.o. woman with a fractured wrist
b. A 20 y.o. woman with asthma
c. A 50 y.o. postmenopausal woman
d. A 28 y.o. with angina
5. You have a patient that is receiving peritoneal dialysis. What should you do when you
notice the return fluid is slowly draining?
a. Check for kinks in the outflow tubing.
b. Raise the drainage bag above the level of the abdomen.
c. Place the patient in a reverse Trendelenburg position.
d. Ask the patient to cough.
6. A 30 y.o. female patient is undergoing hemodialysis with an internal arteriovenous fistula
in place. What do you do to prevent complications associated with this device?
a. Insert I.V. lines above the fistula.
b. Avoid taking blood pressure in the arm with the fistula.
, c. Palpate pulses above the fistula.
d. Report a bruit or thrill over the fistula to the doctor.
7. Your patient is complaining of muscle cramps while undergoing hemodialysis. Which
intervention is effective in relieving muscle cramps?
a. Increase the rate of dialysis.
b. Infuse normal saline solution
c. Administer a 5% dextrose solution.
d. Encourage active ROM exercises.
8. Your patient with chronic renal failure reports pruritus. Which instruction should you
include in this patient’s teaching plan?
a. Rub the skin vigorously with a towel.
b. Take frequent baths.
c. Apply alcohol-based emollients to the skin
d. Keep fingernails short and clean
9. Which intervention do you plan to include with a patient who has renal calculi?
a. Maintain bed rest
b. Increase dietary purines
c. Restrict fluids
d. Strain all urine
10. An 18 y.o. student is admitted with dark urine, fever, and flank pain and is diagnosed
with acute glomerulonephritis. Which would most likely be in this student’s health
history?
a. Renal calculi
b. Renal trauma
c. Recent sore throat
d. Family history of acute glomerulonephritis
11. Which drug is indicated for pain related to acute renal calculi?
a. Narcotic analgesics
b. Nonsteroidal anti-inflammatory drugs (NSAIDS)
c. Muscle relaxants
d. Salicylates
12. Which of the following causes the majority of UTIs in hospitalized patients?
a. Lack of fluid intake
b. Inadequate perineal care
