NR 325 EXAM 3 QUESTIONS WITH 100%
VERIFIED CORRECT ANSWERS!!
To assess whether there is any improvement in a patient's dysuria, which question will the
nurse ask?
a."Do you have to urinate at night?"
b."Do you have blood in your urine?"
c."Do you have to urinate frequently?"
d."Do you have pain when you urinate?"
D. Dysuria is painful urination.
When a patient's urine dipstick test indicates a small amount of protein, the nurse's next
action should be to:
a. send a urine specimen to the laboratory to test for ketones.
b. obtain a clean-catch urine for culture and sensitivity testing.
c. inquire about which medications the patient is currently taking.
d. ask the patient about any family history of chronic renal failure.
ANS: C
Normally the urinalysis will show zero to trace amounts of protein, but some medications may
give false-positive readings.
A hospitalized patient with possible renal insufficiency after coronary artery bypass
surgery is scheduled for a creatinine clearance test. Which equipment will the nurse need
,to obtain?
a. Urinary catheter
b. Cleaning towelettes
c. Large container for urine
d. Sterile urine specimen cup
ANS: C
Because creatinine clearance testing involves a 24-hour urine specimen, the nurse should obtain
a large container for the urine collection.
A 32-year-old patient who is employed as a hairdresser and has a 15 pack-year history of
cigarette smoking is scheduled for an annual physical examination. The nurse will plan to
teach the patient about the increased risk for
a. renal failure.
b. kidney stones.
c. pyelonephritis.
d. bladder cancer.
ANS: D
Exposure to the chemicals involved with working as a hairdresser and in smoking both increase
the risk of bladder cancer, and the nurse should assess whether the patient understands this risk.
Which medication taken at home by a 47-year-old patient with decreased renal function
will be of most concern to the nurse?
a. ibuprofen (Motrin)
b. warfarin (Coumadin)
c. folic acid (vitamin B9)
d. penicillin (Bicillin LA)
,ANS: A
The nonsteroidal antiinflammatory medications (NSAIDs) are nephrotoxic and should be
avoided in patients with impaired renal function.
A 79-year-old man has been admitted with benign prostatic hyperplasia. What is most
appropriate to include in the nursing plan of care?
a. Limit fluid intake to no more than 1000 mL/day.
b. Leave a light on in the bathroom during the night.
c. Ask the patient to use a urinal so that urine can be measured.
d. Pad the patient's bed to accommodate overflow incontinence.
ANS: B
The patient's age and diagnosis indicate a likelihood of nocturia, so leaving the light on in the
bathroom is appropriate. Fluids should be encouraged because dehydration is more common in
older patients.
The nurse completing a physical assessment for a newly admitted male patient is unable to
feel either kidney on palpation. Which action should the nurse take next?
a. Obtain a urine specimen to check for hematuria.
b. Document the information on the assessment form.
c. Ask the patient about any history of recent sore throat.
d. Ask the health care provider about scheduling a renal ultrasound.
ANS: B
The kidneys are protected by the abdominal organs, ribs, and muscles of the back, and may not
, be palpable under normal circumstances, so no action except to document the assessment
information is needed.
How will the nurse assess for flank tenderness in a 30-year-old female patient with
suspected pyelonephritis?
a. Palpate along both sides of the lumbar vertebral column.
b. Strike a flat hand covering the costovertebral angle (CVA).
c. Push fingers upward into the two lowest intercostal spaces.
d. Percuss between the iliac crest and ribs along the midaxillary line.
ANS: B
Checking for flank pain is best performed by percussion of the CVA and asking about pain.
What glomerular filtration rate (GFR) would the nurse estimate for a 30-year-old patient
with a creatinine clearance result of 60 mL/min?
a. 60 mL/min
b. 90 mL/min
c. 120 mL/min
d. 180 mL/min
ANS: A
The creatinine clearance approximates the GFR.
The nurse assessing the urinary system of a 45-year-old female would use auscultation to
a. determine kidney position.
b. identify renal artery bruits.
c. check for ureteral peristalsis.
d. assess for bladder distention.
VERIFIED CORRECT ANSWERS!!
To assess whether there is any improvement in a patient's dysuria, which question will the
nurse ask?
a."Do you have to urinate at night?"
b."Do you have blood in your urine?"
c."Do you have to urinate frequently?"
d."Do you have pain when you urinate?"
D. Dysuria is painful urination.
When a patient's urine dipstick test indicates a small amount of protein, the nurse's next
action should be to:
a. send a urine specimen to the laboratory to test for ketones.
b. obtain a clean-catch urine for culture and sensitivity testing.
c. inquire about which medications the patient is currently taking.
d. ask the patient about any family history of chronic renal failure.
ANS: C
Normally the urinalysis will show zero to trace amounts of protein, but some medications may
give false-positive readings.
A hospitalized patient with possible renal insufficiency after coronary artery bypass
surgery is scheduled for a creatinine clearance test. Which equipment will the nurse need
,to obtain?
a. Urinary catheter
b. Cleaning towelettes
c. Large container for urine
d. Sterile urine specimen cup
ANS: C
Because creatinine clearance testing involves a 24-hour urine specimen, the nurse should obtain
a large container for the urine collection.
A 32-year-old patient who is employed as a hairdresser and has a 15 pack-year history of
cigarette smoking is scheduled for an annual physical examination. The nurse will plan to
teach the patient about the increased risk for
a. renal failure.
b. kidney stones.
c. pyelonephritis.
d. bladder cancer.
ANS: D
Exposure to the chemicals involved with working as a hairdresser and in smoking both increase
the risk of bladder cancer, and the nurse should assess whether the patient understands this risk.
Which medication taken at home by a 47-year-old patient with decreased renal function
will be of most concern to the nurse?
a. ibuprofen (Motrin)
b. warfarin (Coumadin)
c. folic acid (vitamin B9)
d. penicillin (Bicillin LA)
,ANS: A
The nonsteroidal antiinflammatory medications (NSAIDs) are nephrotoxic and should be
avoided in patients with impaired renal function.
A 79-year-old man has been admitted with benign prostatic hyperplasia. What is most
appropriate to include in the nursing plan of care?
a. Limit fluid intake to no more than 1000 mL/day.
b. Leave a light on in the bathroom during the night.
c. Ask the patient to use a urinal so that urine can be measured.
d. Pad the patient's bed to accommodate overflow incontinence.
ANS: B
The patient's age and diagnosis indicate a likelihood of nocturia, so leaving the light on in the
bathroom is appropriate. Fluids should be encouraged because dehydration is more common in
older patients.
The nurse completing a physical assessment for a newly admitted male patient is unable to
feel either kidney on palpation. Which action should the nurse take next?
a. Obtain a urine specimen to check for hematuria.
b. Document the information on the assessment form.
c. Ask the patient about any history of recent sore throat.
d. Ask the health care provider about scheduling a renal ultrasound.
ANS: B
The kidneys are protected by the abdominal organs, ribs, and muscles of the back, and may not
, be palpable under normal circumstances, so no action except to document the assessment
information is needed.
How will the nurse assess for flank tenderness in a 30-year-old female patient with
suspected pyelonephritis?
a. Palpate along both sides of the lumbar vertebral column.
b. Strike a flat hand covering the costovertebral angle (CVA).
c. Push fingers upward into the two lowest intercostal spaces.
d. Percuss between the iliac crest and ribs along the midaxillary line.
ANS: B
Checking for flank pain is best performed by percussion of the CVA and asking about pain.
What glomerular filtration rate (GFR) would the nurse estimate for a 30-year-old patient
with a creatinine clearance result of 60 mL/min?
a. 60 mL/min
b. 90 mL/min
c. 120 mL/min
d. 180 mL/min
ANS: A
The creatinine clearance approximates the GFR.
The nurse assessing the urinary system of a 45-year-old female would use auscultation to
a. determine kidney position.
b. identify renal artery bruits.
c. check for ureteral peristalsis.
d. assess for bladder distention.
