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NURS 6202 KAHOOT + MODULE ASSESSMENTS (FOR
EXAM 1) QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS
An older male pt visits his primary care provider bc of burning
on urination & production of urine that he describes as "foul-
smelling," The HCP should assess the pt for what factor that
may put him at risk for a UTI?
a. High purine diet
b. Sedentary lifestyle
c. BPH
d. Recent use of broad-spectrum abx - ANSWER C. BPH
BPH interferes w/ urine flow. Enlargement of the prostate
compresses the urethral leading to partial or complete
obstruction. It should be considered in an older male who
presents w/ sx of urine infection. The other answers do not
decrease urine flow.
Eight months after the delivery of her 1st child, a 31-yr old
woman has sought care bc of occasional incontinence that she
experiences when sneezing or laughing. Which measure should
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the nurse first recommend in an attempt to resolve the
woman's incontinence?
a. Kegel exercises
b. Use of adult incontinence pads
c. Intermittent self-catheterization
d. Dietary changes including fluid restriction - ANSWER A. kegel
exercises
The pt is present w/ stress incontinence & strengthening the
muscles w/ Kegel exercises is indicated
The nurse is caring for a 73-yr old male pt w/ a hx of BPH & sx of
a possible UTI. Which diagnostic finding would support this
diagnosis?
a. WBC is 7500 cells/uL
b. Antistreptolysin-O (ASO) titer is 106 Todd units/mL
c. Glucose, protein, & ketones are present in the urine
d. Nitrites & leukocytes esterase are present in the urine -
ANSWER D. Nitrites & leukocytes esterase are present in the
urine
Leukocyte esterase is an enzyme present in most WBCs. Urine
usually only contains a few WBCs (seen on microscopic
,3|Page
examination) & the test for leukocyte esterase is negative.
When the number of WBCs in urine increases significantly, this
screening test will become positive. Some bacteria in the urine
may produce nitrite. ASO antibodies are produced about a wk
to a month after an initial strep infection. Presence of glucose &
ketones indicate uncontrolled DM.
Which nursing dx is a priority in the care of pt w/ renal calculi?
a. Acute pain
b. Risk for constipation
c. Deficient fluid volume
d. Risk for powerlessness - ANSWER A. acute pain
pain management & pt comfort are primary nursing
responsibilities in managing and obstructing stone & renal colic.
The nurse is caring for a 62-yr old man after TURP procedure.
Which instructions should the nurse include in the teaching
plan?
a. Restrict fluids to prevent incontinence
b. Sexual functioning will not be affected
c. Prostate exams are not needed after surgery
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d. Avoid straining during defecation - ANSWER D. Avoid
straining during defecation
activities that increase abd pressure, such as sitting or walking
for prolonged periods & straining to have a bowel movement
should be avoided in the postoperative recovery pd to prevent a
postoperative hemorrhage. Pt should drink at least 2L of
fluid/day & have yearly rectal exams. Sexual functioning may
change after prostate surgery
Which of the following are used to determine the staging of AKI
based on RIFLE classification?
a. Serum creatinine and blood urea nitrogen
b. Serum creatinine and urine output
c. Glomerular filtration rate and blood urea nitrogen
d. Glomerular filtration rate and cystatin C - ANSWER B. UOP &
serum creat/GFR are used for RIFLE classification
Which of the following is a risk factor for developing AKI in a
patient about to receive intravenous dye contrast?
a. Dehydration
b. Hypertension
NURS 6202 KAHOOT + MODULE ASSESSMENTS (FOR
EXAM 1) QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS
An older male pt visits his primary care provider bc of burning
on urination & production of urine that he describes as "foul-
smelling," The HCP should assess the pt for what factor that
may put him at risk for a UTI?
a. High purine diet
b. Sedentary lifestyle
c. BPH
d. Recent use of broad-spectrum abx - ANSWER C. BPH
BPH interferes w/ urine flow. Enlargement of the prostate
compresses the urethral leading to partial or complete
obstruction. It should be considered in an older male who
presents w/ sx of urine infection. The other answers do not
decrease urine flow.
Eight months after the delivery of her 1st child, a 31-yr old
woman has sought care bc of occasional incontinence that she
experiences when sneezing or laughing. Which measure should
,2|Page
the nurse first recommend in an attempt to resolve the
woman's incontinence?
a. Kegel exercises
b. Use of adult incontinence pads
c. Intermittent self-catheterization
d. Dietary changes including fluid restriction - ANSWER A. kegel
exercises
The pt is present w/ stress incontinence & strengthening the
muscles w/ Kegel exercises is indicated
The nurse is caring for a 73-yr old male pt w/ a hx of BPH & sx of
a possible UTI. Which diagnostic finding would support this
diagnosis?
a. WBC is 7500 cells/uL
b. Antistreptolysin-O (ASO) titer is 106 Todd units/mL
c. Glucose, protein, & ketones are present in the urine
d. Nitrites & leukocytes esterase are present in the urine -
ANSWER D. Nitrites & leukocytes esterase are present in the
urine
Leukocyte esterase is an enzyme present in most WBCs. Urine
usually only contains a few WBCs (seen on microscopic
,3|Page
examination) & the test for leukocyte esterase is negative.
When the number of WBCs in urine increases significantly, this
screening test will become positive. Some bacteria in the urine
may produce nitrite. ASO antibodies are produced about a wk
to a month after an initial strep infection. Presence of glucose &
ketones indicate uncontrolled DM.
Which nursing dx is a priority in the care of pt w/ renal calculi?
a. Acute pain
b. Risk for constipation
c. Deficient fluid volume
d. Risk for powerlessness - ANSWER A. acute pain
pain management & pt comfort are primary nursing
responsibilities in managing and obstructing stone & renal colic.
The nurse is caring for a 62-yr old man after TURP procedure.
Which instructions should the nurse include in the teaching
plan?
a. Restrict fluids to prevent incontinence
b. Sexual functioning will not be affected
c. Prostate exams are not needed after surgery
, 4|Page
d. Avoid straining during defecation - ANSWER D. Avoid
straining during defecation
activities that increase abd pressure, such as sitting or walking
for prolonged periods & straining to have a bowel movement
should be avoided in the postoperative recovery pd to prevent a
postoperative hemorrhage. Pt should drink at least 2L of
fluid/day & have yearly rectal exams. Sexual functioning may
change after prostate surgery
Which of the following are used to determine the staging of AKI
based on RIFLE classification?
a. Serum creatinine and blood urea nitrogen
b. Serum creatinine and urine output
c. Glomerular filtration rate and blood urea nitrogen
d. Glomerular filtration rate and cystatin C - ANSWER B. UOP &
serum creat/GFR are used for RIFLE classification
Which of the following is a risk factor for developing AKI in a
patient about to receive intravenous dye contrast?
a. Dehydration
b. Hypertension
