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NUR 209 Exam 4 Med-Surg 2 Newest 2025/2026 Complete
Questions And Correct Detailed Answers (Verified Answers)
|Brand New Version!!
A patient with recurrent UTI has just undergone a cystoscopy and complains of
slight hematuria during the first void after the procedure, what is the nurse’s most
appropriate action?
A. Administer a STAT dose of vitamin K, as ordered
B Reassure the patient that this is not unexpected and then monitor the patient for
further bleeding.
C. Promptly inform the physician of this assessment finding
D. Position the patient supine and insert a Foley catheter, as order
B
A female patient has been experienced recurrent UTIs. What health education
should the nurse provide to the patient?
A Bathe daily and keep the perineal region clean
B Avoid voiding immediately after sex
C Drink liberal amounts of fluid
D Void at least every 6 to 8 hrs
C
A patient’s most recent laboratory findings indicate a glomerular filtration rate
(GFR) of 58/mL/min. The nurse should recognize what implication of this
diagnostic finding?
A. The patient is likely to have a decreased level of blood urea nitrogen (BUN)
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B. The patient is at risk for hypokalemia
C The patient is likely to have irregular voiding patterns
D The patient is likely to have increased serum creatinine levels
D
A patient has a glomerular filtration rate (GFR) of 43 mL/min/1.73 m2. Based on
this GFR, the nurse interprets that the patient’s chronic kidney disease is at what
stage?
A. Stage 1
B Stage 2
C Stage 3
D Stage 4
C
A nurse who works in an oncology clinic assessing a patient who comes in for a 2
month check up. Nurse notes the skin is yellow, what blood tests should be done?
CBC to rile out jaundice
The nurse is caring for a patient who describes changes in his voiding patterns. The
patient states, “I feel the urge to empty my bladder several times an hour and when
the urge hits me I have to get to the restroom quickly. But when I empty my
bladder there doesn’t seem to be a great deal of urine flow.” What would the nurse
expect this patient’s physical assessment to reveal?
A. Hematuria
B. Urine retention
C Dehydration
D. Renal Failure
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B
A patient being treated in the hospital has been experiencing occasional urinary
retention. What nursing action should the nurse take to encourage a patient who is
having a difficult time voiding?
A Use a slipper bedpan
B Apply a cold compress to the perineum
C Have the patient lie in a supine position
D provide privacy for the patient
D
A patient with renal failure secondary to diabetic nephropathy has been admitted to
the medical unit. What is the most life threatening effect of renal failure for which
the nurse should monitor the patient?
A Accumulation of wastes
B Retention of potassium
C Depletion of calcium
D Lack of BP control
B
A patient admitted with nephrotic syndrome is being cared for on the medical unit.
When writing this patient’s care plan, based on the major clinical manifestation of
nephrotic syndrome, what nursing diagnosis should the nurse include?
A Constipation related to immobility
B Risk for injury related to altered thought processes
C Hyperthermia related to the inflammatory process
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D Excess fluid volume related to generalized edema
D
A 45 yr old man with diabetic nephropathy has ESKD and is starting dialysis.
What should the nurse teach the patient about hemodialysis?
Hemodialysis is a treatment option that is usually required three times a week
A patient with ESKD is scheduled to begin hemodialysis. The nurse is working
with the patient to adapt the patient’s diet to maximize the therapeutic effect and
minimize the risk of complications. The patient’s diet should include which of the
following modifications? Select all
Decreased protein intake
Decreased sodium intake
Fluid restriction
A 71 yr old patient with ESKD has been told by the physician that it is time to
consider hemodialysis until a transplant can be found. The patient tells the nurse
she is not sure she wants to undergo kidney transplant. What would be an
appropriate response for the nurse to make?
A The decision is certainly yours to make, but be sure not to make a mistake
B Kidney transplants in patients your age are successful as they are in younger
patients
C I understand your hesitancy to commit to a transplant surgery. Success is
comparatively rare
D Have you talked this over with your family
A patient with ESKD receives continuous ambulatory peritoneal dialysis. The
nurse observes that the dialysate drainage fluid is cloudy. What is the nurse’s most
appropriate action?
Inform the physician and assess the patient for signs of infection
NUR 209 Exam 4 Med-Surg 2 Newest 2025/2026 Complete
Questions And Correct Detailed Answers (Verified Answers)
|Brand New Version!!
A patient with recurrent UTI has just undergone a cystoscopy and complains of
slight hematuria during the first void after the procedure, what is the nurse’s most
appropriate action?
A. Administer a STAT dose of vitamin K, as ordered
B Reassure the patient that this is not unexpected and then monitor the patient for
further bleeding.
C. Promptly inform the physician of this assessment finding
D. Position the patient supine and insert a Foley catheter, as order
B
A female patient has been experienced recurrent UTIs. What health education
should the nurse provide to the patient?
A Bathe daily and keep the perineal region clean
B Avoid voiding immediately after sex
C Drink liberal amounts of fluid
D Void at least every 6 to 8 hrs
C
A patient’s most recent laboratory findings indicate a glomerular filtration rate
(GFR) of 58/mL/min. The nurse should recognize what implication of this
diagnostic finding?
A. The patient is likely to have a decreased level of blood urea nitrogen (BUN)
,2|Page
B. The patient is at risk for hypokalemia
C The patient is likely to have irregular voiding patterns
D The patient is likely to have increased serum creatinine levels
D
A patient has a glomerular filtration rate (GFR) of 43 mL/min/1.73 m2. Based on
this GFR, the nurse interprets that the patient’s chronic kidney disease is at what
stage?
A. Stage 1
B Stage 2
C Stage 3
D Stage 4
C
A nurse who works in an oncology clinic assessing a patient who comes in for a 2
month check up. Nurse notes the skin is yellow, what blood tests should be done?
CBC to rile out jaundice
The nurse is caring for a patient who describes changes in his voiding patterns. The
patient states, “I feel the urge to empty my bladder several times an hour and when
the urge hits me I have to get to the restroom quickly. But when I empty my
bladder there doesn’t seem to be a great deal of urine flow.” What would the nurse
expect this patient’s physical assessment to reveal?
A. Hematuria
B. Urine retention
C Dehydration
D. Renal Failure
,3|Page
B
A patient being treated in the hospital has been experiencing occasional urinary
retention. What nursing action should the nurse take to encourage a patient who is
having a difficult time voiding?
A Use a slipper bedpan
B Apply a cold compress to the perineum
C Have the patient lie in a supine position
D provide privacy for the patient
D
A patient with renal failure secondary to diabetic nephropathy has been admitted to
the medical unit. What is the most life threatening effect of renal failure for which
the nurse should monitor the patient?
A Accumulation of wastes
B Retention of potassium
C Depletion of calcium
D Lack of BP control
B
A patient admitted with nephrotic syndrome is being cared for on the medical unit.
When writing this patient’s care plan, based on the major clinical manifestation of
nephrotic syndrome, what nursing diagnosis should the nurse include?
A Constipation related to immobility
B Risk for injury related to altered thought processes
C Hyperthermia related to the inflammatory process
, 4|Page
D Excess fluid volume related to generalized edema
D
A 45 yr old man with diabetic nephropathy has ESKD and is starting dialysis.
What should the nurse teach the patient about hemodialysis?
Hemodialysis is a treatment option that is usually required three times a week
A patient with ESKD is scheduled to begin hemodialysis. The nurse is working
with the patient to adapt the patient’s diet to maximize the therapeutic effect and
minimize the risk of complications. The patient’s diet should include which of the
following modifications? Select all
Decreased protein intake
Decreased sodium intake
Fluid restriction
A 71 yr old patient with ESKD has been told by the physician that it is time to
consider hemodialysis until a transplant can be found. The patient tells the nurse
she is not sure she wants to undergo kidney transplant. What would be an
appropriate response for the nurse to make?
A The decision is certainly yours to make, but be sure not to make a mistake
B Kidney transplants in patients your age are successful as they are in younger
patients
C I understand your hesitancy to commit to a transplant surgery. Success is
comparatively rare
D Have you talked this over with your family
A patient with ESKD receives continuous ambulatory peritoneal dialysis. The
nurse observes that the dialysate drainage fluid is cloudy. What is the nurse’s most
appropriate action?
Inform the physician and assess the patient for signs of infection
