NSG 232 Exam 4 Pass point Exam Questions and Answers| New Update with
100% Correct Answers
A client with nausea, vomiting, and abdominal cramps and distension is admitted to the
healthcare facility. Which test result is most significant?
a) Blood urine nitrogen (BUN) level of [29 mg/dL (10.4 mmol/L)]
b) Serum sodium level of [132 mEq/L]
c) Urine specific gravity of 1.025
d) Serum potassium level of [3 mEq/L (3.0 mmol/L)] d) Serum potassium level of [3 mEq/L
(3.0 mmol/L)]
A confused client with carbon monoxide poisoning experiences dizziness when ambulating to
the bathroom. What should the nurse do?
a) Put all four side rails up on the bed
b) Ask the unlicensed assistive personnel (UAP) to place restraints on the client's upper
extremities
c) Request that the client's roommate put the call light on when the client is attempting to get
out of bed
d) Check on the client at regular intervals to ascertain the need to use the bathroom d)
Check on the client at regular intervals to ascertain the need to use the bathroom
A client is to be discharged from same-day surgery 7 hours after inguinal hernia repair. Which
nursing observation indicates this client is ready to be discharged? The client:
a) Voids 500 mL of urine
b) Tolerates eating a hamburger
c) Is pain free
d) Walks in the hallway unassisted a) Voids 500 mL of urine
,After teaching the parents about the urethral catheter placed after surgical repair of their
child's hypospadias, the nurse determines that the teaching was successful when the parent
states that the catheter in their child's penis accomplishes which goal?
a) Decreases pain at the surgical site
b) Keeps the new urethra from closing
c) Measures their urine correctly
d) Prevents bladder spasms b) Keeps the new urethra from closing
Using Maslow's hierarchy of human needs, the nurse assigns highest priority to which client
need?
a) Arranging a visit from a support group member
b) Inserting a Foley catheter
c) Raising the side rails on the client's bed
d) Placing the client in a double room with another client the same age b) Inserting a Foley
catheter
The nurse teaches a primigravid client how to do pelvic floor muscle exercises (Kegel exercises).
What does he nurse explain is the expected outcome of these exercises?
a) Reducing the risk for hemorrhoids
b) Alleviating lower back discomfort
c) Strengthening the perineal muscles
d) Strengthening the abdominal muscles c) Strengthening the perineal muscles
A client is diagnosed with acute pyelonephritis. What should the nurse instruct the client to do?
, a) Empty the bladder every 2-3 hours
b) Take bubble baths instead of showers
c) Take antibiotics for the rest of the client's life
d) Decrease fluid intake to 34 oz (1000 mL) per day a) Empty the bladder every 2-3 hours
When a client with an indwelling urinary catheter wants to walk to the hospital lobby to visit
with family members, the nurse teaches the client how to do this without compromising the
catheter. Which client action indicates an accurate understanding of this information?
a) The client sets the drainage bag on the floor while sitting down
b) The client keeps the drainage bag below the bladder at all times
c) The client clamps the catheter drainage tubing while visiting with family
d) The client loops the drainage tubing below its point of entry into the drainage bag b) The
client keeps the drainage bag below the bladder at all times
The nurse is instructing a group of older adult clients about the risk for urinary tract infection.
Which client is at the highest risk for developing a UTI?
a) A woman who has given vaginal birth to two children
b) A man with an indwelling urinary catheter
c) A man with a medical history of renal calculi
d) A woman with well controlled diabetes mellitus b) A man with an indwelling urinary
catheter
A client who had transurethral resection of the prostate has dribbling urine after the Foley
catheter is removed on the second postoperative day. The nurse notes that the client had 200
mL of urine output in the last 8 hours with a 1000-mL intake. What should the nurse do first?
a) Apply a condom catheter
100% Correct Answers
A client with nausea, vomiting, and abdominal cramps and distension is admitted to the
healthcare facility. Which test result is most significant?
a) Blood urine nitrogen (BUN) level of [29 mg/dL (10.4 mmol/L)]
b) Serum sodium level of [132 mEq/L]
c) Urine specific gravity of 1.025
d) Serum potassium level of [3 mEq/L (3.0 mmol/L)] d) Serum potassium level of [3 mEq/L
(3.0 mmol/L)]
A confused client with carbon monoxide poisoning experiences dizziness when ambulating to
the bathroom. What should the nurse do?
a) Put all four side rails up on the bed
b) Ask the unlicensed assistive personnel (UAP) to place restraints on the client's upper
extremities
c) Request that the client's roommate put the call light on when the client is attempting to get
out of bed
d) Check on the client at regular intervals to ascertain the need to use the bathroom d)
Check on the client at regular intervals to ascertain the need to use the bathroom
A client is to be discharged from same-day surgery 7 hours after inguinal hernia repair. Which
nursing observation indicates this client is ready to be discharged? The client:
a) Voids 500 mL of urine
b) Tolerates eating a hamburger
c) Is pain free
d) Walks in the hallway unassisted a) Voids 500 mL of urine
,After teaching the parents about the urethral catheter placed after surgical repair of their
child's hypospadias, the nurse determines that the teaching was successful when the parent
states that the catheter in their child's penis accomplishes which goal?
a) Decreases pain at the surgical site
b) Keeps the new urethra from closing
c) Measures their urine correctly
d) Prevents bladder spasms b) Keeps the new urethra from closing
Using Maslow's hierarchy of human needs, the nurse assigns highest priority to which client
need?
a) Arranging a visit from a support group member
b) Inserting a Foley catheter
c) Raising the side rails on the client's bed
d) Placing the client in a double room with another client the same age b) Inserting a Foley
catheter
The nurse teaches a primigravid client how to do pelvic floor muscle exercises (Kegel exercises).
What does he nurse explain is the expected outcome of these exercises?
a) Reducing the risk for hemorrhoids
b) Alleviating lower back discomfort
c) Strengthening the perineal muscles
d) Strengthening the abdominal muscles c) Strengthening the perineal muscles
A client is diagnosed with acute pyelonephritis. What should the nurse instruct the client to do?
, a) Empty the bladder every 2-3 hours
b) Take bubble baths instead of showers
c) Take antibiotics for the rest of the client's life
d) Decrease fluid intake to 34 oz (1000 mL) per day a) Empty the bladder every 2-3 hours
When a client with an indwelling urinary catheter wants to walk to the hospital lobby to visit
with family members, the nurse teaches the client how to do this without compromising the
catheter. Which client action indicates an accurate understanding of this information?
a) The client sets the drainage bag on the floor while sitting down
b) The client keeps the drainage bag below the bladder at all times
c) The client clamps the catheter drainage tubing while visiting with family
d) The client loops the drainage tubing below its point of entry into the drainage bag b) The
client keeps the drainage bag below the bladder at all times
The nurse is instructing a group of older adult clients about the risk for urinary tract infection.
Which client is at the highest risk for developing a UTI?
a) A woman who has given vaginal birth to two children
b) A man with an indwelling urinary catheter
c) A man with a medical history of renal calculi
d) A woman with well controlled diabetes mellitus b) A man with an indwelling urinary
catheter
A client who had transurethral resection of the prostate has dribbling urine after the Foley
catheter is removed on the second postoperative day. The nurse notes that the client had 200
mL of urine output in the last 8 hours with a 1000-mL intake. What should the nurse do first?
a) Apply a condom catheter
