NUR215 EXAM 4 2025 QUESTIONS
AND ANSWERS
The female client states to the nurse, "I'm so distressed. It seems like every time I
laugh hard, I wet myself." The nurse knows that this condition is known as:
A.Stress incontinence
B.Urge incontinence
C.Functional incontinence
D.Unconscious incontinence - ....ANSWER ...-A.Stress incontinence
Stress incontinence results from increased pressure within the abdominal cavity.
The nurse prepares to insert an indwelling urinary catheter. Which statement least
explains the reason for this intervention?
A.Empty your bladder prior to your procedure.
B.Treat your problem of leaking urine.
C.Obtain a sterile urine specimen for culture.
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,D.Measure the amount of urine left after you emptied your bladder. -
....ANSWER ...-B.Treat your problem of leaking urine.
Insertion of a urinary catheter is not a "treatment" for incontinence.
There is a 24-hr urine collection in process for a client. The unlicensed assistive
personnel (UAP) inadvertently empties one specimen into the toilet instead of the
collection "hat." The nurse should:
A.Continue with the collection of urine until the 24-hr time period is finished.
B.Make a note to the lab to inform them that one specimen was missed during the
collection.
C.Begin filling a new collection container and take both containers to the lab at the
end of the collection period.
D.Dispose of the urine already collected and begin an entirely new 24-hr
collection. - ....ANSWER ...-D.Dispose of the urine already collected and
begin an entirely new 24-hr collection.
Once one specimen is missed during a 24-hr urine collection, the results of the
laboratory test will be inaccurate, and the collection must be restarted.
Mrs. Addie is 70 years old. While the nurse is gathering admission assessment data,
the patient states, "I've taken a tablespoon of Milk of Magnesia every day for 3
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,years." Which nursing diagnosis is most appropriate for the nurse to use in their
plan of care?
A.Diarrhea
B.Constipation
C.Risk for Ineffective Therapeutic Regimen
D.Perceived Constipation - ....ANSWER ...-D.Perceived Constipation
Daily laxative use by the patient might suggest that she perceives she is
constipated, and the nurse would gather further assessment data related to the
client's bowel pattern. There is not enough data to infer actual constipation.
You are caring for a patient with a colostomy. In order to provide safe care, you
understand that when irrigating a colostomy a proper fitting cone is needed to
prevent:
A.Introducing air into the colon
B.Leaking the solution around the stoma
C.Administering the solution too rapidly
D.Introduction of bacteria from the stoma - ....ANSWER ...-B.Leaking the
solution around the stoma
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, A proper fitting cone prevents leakage of the solution around the stoma that may
cause irritation and damage to the skin surrounding the stoma.
The nurse is assisting the client in caring for their ostomy. The client states, "Oh,
this is so disgusting. I'll never be able to touch this thing." The nurse's best
response is:
A."I'm sure you will get used to taking care of it eventually."
B."Yes, it is pretty messy, so I'll take care of it for you today."
C."It sounds like you are really upset."
D."You sound very angry. Should I call the chaplain for you?" -
....ANSWER ...-C."It sounds like you are really upset."
This statement reflects the principles of therapeutic communication.
A patient who is obese is admitted with a diagnosis of congestive heart failure. The
nursing history reveals the patient has diabetes, smokes 2 packs of cigarettes daily,
and is noncompliant with diet, exercise, and medications. The student nurse
assigned to the patient states, "Let's focus on making them compliant, which will
solve all the problems. Otherwise, we can't help them." What is the most
appropriate response?
A."Let's explore reasons for the noncompliance."
B."This statement shows a bias against the patient."
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AND ANSWERS
The female client states to the nurse, "I'm so distressed. It seems like every time I
laugh hard, I wet myself." The nurse knows that this condition is known as:
A.Stress incontinence
B.Urge incontinence
C.Functional incontinence
D.Unconscious incontinence - ....ANSWER ...-A.Stress incontinence
Stress incontinence results from increased pressure within the abdominal cavity.
The nurse prepares to insert an indwelling urinary catheter. Which statement least
explains the reason for this intervention?
A.Empty your bladder prior to your procedure.
B.Treat your problem of leaking urine.
C.Obtain a sterile urine specimen for culture.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,D.Measure the amount of urine left after you emptied your bladder. -
....ANSWER ...-B.Treat your problem of leaking urine.
Insertion of a urinary catheter is not a "treatment" for incontinence.
There is a 24-hr urine collection in process for a client. The unlicensed assistive
personnel (UAP) inadvertently empties one specimen into the toilet instead of the
collection "hat." The nurse should:
A.Continue with the collection of urine until the 24-hr time period is finished.
B.Make a note to the lab to inform them that one specimen was missed during the
collection.
C.Begin filling a new collection container and take both containers to the lab at the
end of the collection period.
D.Dispose of the urine already collected and begin an entirely new 24-hr
collection. - ....ANSWER ...-D.Dispose of the urine already collected and
begin an entirely new 24-hr collection.
Once one specimen is missed during a 24-hr urine collection, the results of the
laboratory test will be inaccurate, and the collection must be restarted.
Mrs. Addie is 70 years old. While the nurse is gathering admission assessment data,
the patient states, "I've taken a tablespoon of Milk of Magnesia every day for 3
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,years." Which nursing diagnosis is most appropriate for the nurse to use in their
plan of care?
A.Diarrhea
B.Constipation
C.Risk for Ineffective Therapeutic Regimen
D.Perceived Constipation - ....ANSWER ...-D.Perceived Constipation
Daily laxative use by the patient might suggest that she perceives she is
constipated, and the nurse would gather further assessment data related to the
client's bowel pattern. There is not enough data to infer actual constipation.
You are caring for a patient with a colostomy. In order to provide safe care, you
understand that when irrigating a colostomy a proper fitting cone is needed to
prevent:
A.Introducing air into the colon
B.Leaking the solution around the stoma
C.Administering the solution too rapidly
D.Introduction of bacteria from the stoma - ....ANSWER ...-B.Leaking the
solution around the stoma
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, A proper fitting cone prevents leakage of the solution around the stoma that may
cause irritation and damage to the skin surrounding the stoma.
The nurse is assisting the client in caring for their ostomy. The client states, "Oh,
this is so disgusting. I'll never be able to touch this thing." The nurse's best
response is:
A."I'm sure you will get used to taking care of it eventually."
B."Yes, it is pretty messy, so I'll take care of it for you today."
C."It sounds like you are really upset."
D."You sound very angry. Should I call the chaplain for you?" -
....ANSWER ...-C."It sounds like you are really upset."
This statement reflects the principles of therapeutic communication.
A patient who is obese is admitted with a diagnosis of congestive heart failure. The
nursing history reveals the patient has diabetes, smokes 2 packs of cigarettes daily,
and is noncompliant with diet, exercise, and medications. The student nurse
assigned to the patient states, "Let's focus on making them compliant, which will
solve all the problems. Otherwise, we can't help them." What is the most
appropriate response?
A."Let's explore reasons for the noncompliance."
B."This statement shows a bias against the patient."
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
