NR 325 EXAM 1 QUESTIONS AND
ANSWERS CHAMBERLAIN COLLEGE OF
NURSING LATEST 2026
A 79-year-old man has been admitted with benign prostatic hyperplasia.
What is most appropriate to include in the nursing planof 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 inthe bathroom
is appropriate. Fluids should be encouraged because dehydration is more common in older patients.
2) A patient gives the nurse health information before a scheduled
intravenous pyelogram (IVP). Which item has the most immediate
implications for the patient's care?
a. The patient has not had food or drink for 8 hours.
b. The patient lists allergies to shellfish and penicillin.
c. The patient complains of costovertebral angle (CVA) tenderness.
d. The patient used a bisacodyl (Dulcolax) tablet the previous night.
ANS: B
Iodine-based contrast dye is used during IVP and for many computed tomography (CT) scans. The
nurse will need to notify the health care provider before the procedures so thatthe patient can receive
medications such as antihistamines or corticosteroids before the procedures are started.
3) A patient passing bloody urine is scheduled for a cystoscopy with
cystogram. Which description of the procedure by the nurse is accurate?
a. "Your doctor will place a catheter into an artery in your groin andinject
1
,a dye that will visualize the blood supply to the kidneys."
b. "Your doctor will insert a lighted tube into the bladder, and little
catheters will be inserted through the tube into your kidney."
c. "Your doctor will insert a lighted tube into the bladder through your
urethra, inspect the bladder, and instill a dye that will outlineyour bladder
on x-ray."
2
, d. "Your doctor will inject a radioactive solution into a vein in your arm
and the distribution of the isotope in your kidneys and bladderwill be
checked."
ANS: C
In a cystoscope and cystogram procedure, a cystoscope is inserted into the bladder for direct
visualization, and then contrast solution is injected through the scope so that x-rayscan be taken.
4) Which nursing action is essential for a patient immediately aftera
renal biopsy?
a. Check blood glucose to assess for hyperglycemia or
hypoglycemia.
b. Insert a urinary catheter and test urine for gross or microscopic
hematuria.
c. Monitor the blood urea nitrogen (BUN) and creatinine to assessrenal
function.
d. Apply a pressure dressing and keep the patient on the affectedside
for 30 minutes.
ANS: D
A pressure dressing is applied and the patient is kept on the affected side for 30 to 60minutes to put
pressure on the biopsy side and decrease the risk for bleeding.
5) Which assessment of a 62-year-old patient who has just had an
intravenous pyelogram (IVP) requires immediate action by the nurse?
a. The heart rate is 58 beats/minute.
b. The patient complains of a dry mouth.
c. The respiratory rate is 38 breaths/minute.
d. The urine output is 400 mL after 2 hours.
ANS: C
The increased respiratory rate indicates that the patient may be experiencing an allergic reaction to the
contrast medium used during the procedure. The nurse should immediatelyassess the patient's oxygen
saturation and breath sounds.
6) Which statement by a nurse to a patient newly diagnosed withtype 2
diabetes is correct?
3
ANSWERS CHAMBERLAIN COLLEGE OF
NURSING LATEST 2026
A 79-year-old man has been admitted with benign prostatic hyperplasia.
What is most appropriate to include in the nursing planof 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 inthe bathroom
is appropriate. Fluids should be encouraged because dehydration is more common in older patients.
2) A patient gives the nurse health information before a scheduled
intravenous pyelogram (IVP). Which item has the most immediate
implications for the patient's care?
a. The patient has not had food or drink for 8 hours.
b. The patient lists allergies to shellfish and penicillin.
c. The patient complains of costovertebral angle (CVA) tenderness.
d. The patient used a bisacodyl (Dulcolax) tablet the previous night.
ANS: B
Iodine-based contrast dye is used during IVP and for many computed tomography (CT) scans. The
nurse will need to notify the health care provider before the procedures so thatthe patient can receive
medications such as antihistamines or corticosteroids before the procedures are started.
3) A patient passing bloody urine is scheduled for a cystoscopy with
cystogram. Which description of the procedure by the nurse is accurate?
a. "Your doctor will place a catheter into an artery in your groin andinject
1
,a dye that will visualize the blood supply to the kidneys."
b. "Your doctor will insert a lighted tube into the bladder, and little
catheters will be inserted through the tube into your kidney."
c. "Your doctor will insert a lighted tube into the bladder through your
urethra, inspect the bladder, and instill a dye that will outlineyour bladder
on x-ray."
2
, d. "Your doctor will inject a radioactive solution into a vein in your arm
and the distribution of the isotope in your kidneys and bladderwill be
checked."
ANS: C
In a cystoscope and cystogram procedure, a cystoscope is inserted into the bladder for direct
visualization, and then contrast solution is injected through the scope so that x-rayscan be taken.
4) Which nursing action is essential for a patient immediately aftera
renal biopsy?
a. Check blood glucose to assess for hyperglycemia or
hypoglycemia.
b. Insert a urinary catheter and test urine for gross or microscopic
hematuria.
c. Monitor the blood urea nitrogen (BUN) and creatinine to assessrenal
function.
d. Apply a pressure dressing and keep the patient on the affectedside
for 30 minutes.
ANS: D
A pressure dressing is applied and the patient is kept on the affected side for 30 to 60minutes to put
pressure on the biopsy side and decrease the risk for bleeding.
5) Which assessment of a 62-year-old patient who has just had an
intravenous pyelogram (IVP) requires immediate action by the nurse?
a. The heart rate is 58 beats/minute.
b. The patient complains of a dry mouth.
c. The respiratory rate is 38 breaths/minute.
d. The urine output is 400 mL after 2 hours.
ANS: C
The increased respiratory rate indicates that the patient may be experiencing an allergic reaction to the
contrast medium used during the procedure. The nurse should immediatelyassess the patient's oxygen
saturation and breath sounds.
6) Which statement by a nurse to a patient newly diagnosed withtype 2
diabetes is correct?
3
