NUR 325 Exam 2 Review Questions with
answers
Which of the following health conditions would be LEAST likely to cause fluid
and electrolyte imbalances?
a. Vomiting and diarrhea
b. Breaking a leg
c. Renal failure
d. Congestive heart failure (CHF) - CORRECT ANSWERS ✔✔B
Which of the following group of symptoms would trigger you to think there
may be some fluid and electrolyte imbalances in your patient?
a. Tinnitus, erythema, shortness of breath
b. Petechiae, fever, low blood pressure
c. Unexplained nausea, dizziness, edema
d. Tachycardia, drowsiness, nausea - CORRECT ANSWERS ✔✔C
The patient talks with the nurse about bladder health. What is one of the most
important recommendations the nurse can make for this patient?
a. Eat foods high in fiber.
,b. Drink 6 to 8 glasses of noncaffeinated fluids daily.
c. Exercise in the morning and evening.
d. Visit the urologist once yearly. - CORRECT ANSWERS ✔✔B (Drinking 6 to
8 glasses of noncaffeinated fluids daily helps with bladder health because urine
is not stagnating in the bladder. Exercising and eating foods high in fiber help
with bowel elimination but do not have an effect on urination. Visiting the
urologist is good if there is a problem, but this is not the most important
recommendation from the nurse.)
The nurse is caring for a confused patient who is wearing a vest restraint in
bed. The nurse speaks with an unlicensed assistant about toileting the patient.
The nurse knows the unlicensed assistant understands the toileting procedure
when making which statement?
a. The patient must remain in the restraints all day.
b. The patient needs to be toileted to maintain a regular toileting schedule.
c. The patient needs to be provided with adult briefs for incontinence.
d. The patient will use the call bell when he or she feels the urge to void. -
CORRECT ANSWERS ✔✔B (The correct answer is toileting the patient so he
or she can maintain a normal toileting schedule. Leaving the patient in
restraints all day is against the standard of care. Providing the patient with
briefs when he or she is not incontinent does not meet the patient's toileting
needs. If the patient is confused, he or she will not be able to use the call bell.)
If a patient has a colostomy in the area known as the "ascending colon," what
would the nurse expect of the stool in the colostomy device?
,a. Stool would be dark.
b. Stool would be formed.
c. Stool would be loose.
d. Stool would have flecks of blood. - CORRECT ANSWERS ✔✔C (The correct
answer is C because stool in the ascending colon is loose or watery. Stool
should not be dark or have flecks of blood. This would be an abnormal finding.
Stool would not be loose, because the colon has not reabsorbed the water yet.)
The nurse is talking with a patient who was just diagnosed with a urinary tract
infection. The patient asks the nurse how to prevent such infections in the
future. The nurse should make which appropriate recommendations for the
patient? (Select all that apply.)
a. Drink 6 to 8 glasses of noncaffeinated fluids daily.
b. Exercise daily.
c. Increase fiber in the diet.
d. Void when the urge is felt.
e. Eat fruit twice daily. - CORRECT ANSWERS ✔✔A D (Drinking
noncaffeinated drinks and voiding when the urge happens are the most
appropriate measures for avoiding a urinary tract infection. Increasing fiber,
exercising, and eating fruit do not prevent a urinary tract infection.)
When assessing a patient's first voided urine of the day, which finding should
be reported to the health care provider?
a. Pale yellow urine
, b. Slightly cloudy urine
c. Light pink urine
d. Dark amber urine - CORRECT ANSWERS ✔✔C (Light pink urine indicates
the presence of blood in the urine, which is never a normal finding. First
voided urine can normally be slightly cloudy and darker in color. Pale yellow
urine indicates normal finding.)
What is a critical step when inserting an indwelling catheter into a male
patient?
a. Slowly inflate the catheter balloon with sterile saline.
b. Secure the catheter drainage tubing to the bed sheets
c. Advance the catheter to the bifurcation of the drainage and balloon ports.
d. Advance the catheter until urine flows, then insert ¼ inch more. -
CORRECT ANSWERS ✔✔C (Advancing the catheter to the bifurcation avoids
inflating the catheter balloon in the prostatic urethra causing trauma and pain.
Catheter balloons are never inflated with saline. Securing the catheter drainage
tubing to the bed sheets increases the risk for accidental pulling or tension on
the catheter. The advancement of the catheter until flows and then inserting ¼
inch more is not unique to the male patient.)
Which nursing intervention minimizes the risk for trauma and infection when
applying an external/condom catheter?
a. Leave a gap of 3-5 inches between the tip of the penis and drainage tube
b. Shave the pubic area so that hair does not adhere
answers
Which of the following health conditions would be LEAST likely to cause fluid
and electrolyte imbalances?
a. Vomiting and diarrhea
b. Breaking a leg
c. Renal failure
d. Congestive heart failure (CHF) - CORRECT ANSWERS ✔✔B
Which of the following group of symptoms would trigger you to think there
may be some fluid and electrolyte imbalances in your patient?
a. Tinnitus, erythema, shortness of breath
b. Petechiae, fever, low blood pressure
c. Unexplained nausea, dizziness, edema
d. Tachycardia, drowsiness, nausea - CORRECT ANSWERS ✔✔C
The patient talks with the nurse about bladder health. What is one of the most
important recommendations the nurse can make for this patient?
a. Eat foods high in fiber.
,b. Drink 6 to 8 glasses of noncaffeinated fluids daily.
c. Exercise in the morning and evening.
d. Visit the urologist once yearly. - CORRECT ANSWERS ✔✔B (Drinking 6 to
8 glasses of noncaffeinated fluids daily helps with bladder health because urine
is not stagnating in the bladder. Exercising and eating foods high in fiber help
with bowel elimination but do not have an effect on urination. Visiting the
urologist is good if there is a problem, but this is not the most important
recommendation from the nurse.)
The nurse is caring for a confused patient who is wearing a vest restraint in
bed. The nurse speaks with an unlicensed assistant about toileting the patient.
The nurse knows the unlicensed assistant understands the toileting procedure
when making which statement?
a. The patient must remain in the restraints all day.
b. The patient needs to be toileted to maintain a regular toileting schedule.
c. The patient needs to be provided with adult briefs for incontinence.
d. The patient will use the call bell when he or she feels the urge to void. -
CORRECT ANSWERS ✔✔B (The correct answer is toileting the patient so he
or she can maintain a normal toileting schedule. Leaving the patient in
restraints all day is against the standard of care. Providing the patient with
briefs when he or she is not incontinent does not meet the patient's toileting
needs. If the patient is confused, he or she will not be able to use the call bell.)
If a patient has a colostomy in the area known as the "ascending colon," what
would the nurse expect of the stool in the colostomy device?
,a. Stool would be dark.
b. Stool would be formed.
c. Stool would be loose.
d. Stool would have flecks of blood. - CORRECT ANSWERS ✔✔C (The correct
answer is C because stool in the ascending colon is loose or watery. Stool
should not be dark or have flecks of blood. This would be an abnormal finding.
Stool would not be loose, because the colon has not reabsorbed the water yet.)
The nurse is talking with a patient who was just diagnosed with a urinary tract
infection. The patient asks the nurse how to prevent such infections in the
future. The nurse should make which appropriate recommendations for the
patient? (Select all that apply.)
a. Drink 6 to 8 glasses of noncaffeinated fluids daily.
b. Exercise daily.
c. Increase fiber in the diet.
d. Void when the urge is felt.
e. Eat fruit twice daily. - CORRECT ANSWERS ✔✔A D (Drinking
noncaffeinated drinks and voiding when the urge happens are the most
appropriate measures for avoiding a urinary tract infection. Increasing fiber,
exercising, and eating fruit do not prevent a urinary tract infection.)
When assessing a patient's first voided urine of the day, which finding should
be reported to the health care provider?
a. Pale yellow urine
, b. Slightly cloudy urine
c. Light pink urine
d. Dark amber urine - CORRECT ANSWERS ✔✔C (Light pink urine indicates
the presence of blood in the urine, which is never a normal finding. First
voided urine can normally be slightly cloudy and darker in color. Pale yellow
urine indicates normal finding.)
What is a critical step when inserting an indwelling catheter into a male
patient?
a. Slowly inflate the catheter balloon with sterile saline.
b. Secure the catheter drainage tubing to the bed sheets
c. Advance the catheter to the bifurcation of the drainage and balloon ports.
d. Advance the catheter until urine flows, then insert ¼ inch more. -
CORRECT ANSWERS ✔✔C (Advancing the catheter to the bifurcation avoids
inflating the catheter balloon in the prostatic urethra causing trauma and pain.
Catheter balloons are never inflated with saline. Securing the catheter drainage
tubing to the bed sheets increases the risk for accidental pulling or tension on
the catheter. The advancement of the catheter until flows and then inserting ¼
inch more is not unique to the male patient.)
Which nursing intervention minimizes the risk for trauma and infection when
applying an external/condom catheter?
a. Leave a gap of 3-5 inches between the tip of the penis and drainage tube
b. Shave the pubic area so that hair does not adhere
