NURSING 112023 MILLIE LARSEN CARE PLAN
STUDY GUIDE 2026 CERTIFICATION
EVALUATION COMPLETE ANSWERS EXPERT
APPROVED
◉ A nurse is caring for a client with a diagnosis of Cushing syndrome.
What is the most common cause of Cushing syndrome that the nurse
should consider before assessing this client for physiological responses?.
Answer: Hyperplasia of the adrenal cortex
◉ A nurse is assessing a client with Cushing syndrome. Which signs
should the nurse expect the client to exhibit? (Select all that apply.)
1. Hirsutism
2. Round face
3. Pitting edema
4. Buffalo hump
5. Hypoglycemia. Answer: 1. Hirsutism
2. Round face
4. Buffalo hump
◉ A nurse is planning care for a client who has urolithiasis (kidney
stone). Which of the following actions should the nurse take?. Answer:
Encourage intake of at least 3 L of fluids per day.
,◉ A nurse is teaching a client who has urolithiasis (renal calculi). The
nurse should explain that which of the following conditions can increase
the risk for renal calculi?. Answer: Dehydration
◉ The nurse should teach the client with an ileal conduit to prevent
urine leakage when changing the appliance by using which of the
following procedures?
1. Insert a gauze wick into the stoma
2. Close the opening temporarily with a cellophane seal
3. Suction the stoma before changing the appliance
4. Avoid oral fluids for several hours before changing the appliance.
Answer: 1. Insert a gauze wick into the stoma
◉ The client with an ileal conduit will be using a reusable appliance at
home. The nurse should teach the client to clean the appliance routinely
with which product?
1. Baking soda
2. Soap
3. Hydrogen peroxide
4. Alcohol. Answer: 2. Soap
◉ The nurse is evaluating the discharge teaching for a client who has an
ileal conduit. Which of the following statements indicates that the client
has correctly understood teaching? Select all that apply
, 1. "If I limit my fluid intake, I will not have to empty my ostomy pouch
as often"
2. "I can place an aspirin tablet in my pouch to decrease odor"
3. "I can usually keep my ostomy pouch on for 3-7 days before changing
it"
4. "I must use a skin barrier to protect my skin form urine"
5. "I should empty my ostomy pouch of urine when it is full". Answer: 3.
"I can usually keep my ostomy pouch on for 3-7 days before changing
it"
4. "I must use a skin barrier to protect my skin form urine"
◉ A client has an ileal conduit. Which of the following solutions will be
useful to help control odor in the urine collecting bag after it has been
cleaned?
1. Salt water
2. Vinegar
3. Ammonia
4. Bleach. Answer: 2. Vinegar
◉ The nurse explains to the client the importance of drinking large
quantities of fluid to prevent cystitis. The nurse should tell the client to
drink:
1. Twice as much fluid as usual.
2. At least 1 quart more than usual.
STUDY GUIDE 2026 CERTIFICATION
EVALUATION COMPLETE ANSWERS EXPERT
APPROVED
◉ A nurse is caring for a client with a diagnosis of Cushing syndrome.
What is the most common cause of Cushing syndrome that the nurse
should consider before assessing this client for physiological responses?.
Answer: Hyperplasia of the adrenal cortex
◉ A nurse is assessing a client with Cushing syndrome. Which signs
should the nurse expect the client to exhibit? (Select all that apply.)
1. Hirsutism
2. Round face
3. Pitting edema
4. Buffalo hump
5. Hypoglycemia. Answer: 1. Hirsutism
2. Round face
4. Buffalo hump
◉ A nurse is planning care for a client who has urolithiasis (kidney
stone). Which of the following actions should the nurse take?. Answer:
Encourage intake of at least 3 L of fluids per day.
,◉ A nurse is teaching a client who has urolithiasis (renal calculi). The
nurse should explain that which of the following conditions can increase
the risk for renal calculi?. Answer: Dehydration
◉ The nurse should teach the client with an ileal conduit to prevent
urine leakage when changing the appliance by using which of the
following procedures?
1. Insert a gauze wick into the stoma
2. Close the opening temporarily with a cellophane seal
3. Suction the stoma before changing the appliance
4. Avoid oral fluids for several hours before changing the appliance.
Answer: 1. Insert a gauze wick into the stoma
◉ The client with an ileal conduit will be using a reusable appliance at
home. The nurse should teach the client to clean the appliance routinely
with which product?
1. Baking soda
2. Soap
3. Hydrogen peroxide
4. Alcohol. Answer: 2. Soap
◉ The nurse is evaluating the discharge teaching for a client who has an
ileal conduit. Which of the following statements indicates that the client
has correctly understood teaching? Select all that apply
, 1. "If I limit my fluid intake, I will not have to empty my ostomy pouch
as often"
2. "I can place an aspirin tablet in my pouch to decrease odor"
3. "I can usually keep my ostomy pouch on for 3-7 days before changing
it"
4. "I must use a skin barrier to protect my skin form urine"
5. "I should empty my ostomy pouch of urine when it is full". Answer: 3.
"I can usually keep my ostomy pouch on for 3-7 days before changing
it"
4. "I must use a skin barrier to protect my skin form urine"
◉ A client has an ileal conduit. Which of the following solutions will be
useful to help control odor in the urine collecting bag after it has been
cleaned?
1. Salt water
2. Vinegar
3. Ammonia
4. Bleach. Answer: 2. Vinegar
◉ The nurse explains to the client the importance of drinking large
quantities of fluid to prevent cystitis. The nurse should tell the client to
drink:
1. Twice as much fluid as usual.
2. At least 1 quart more than usual.
