NR 325 Exam 1: Questions and Answers/Guaranteed A+(Latest Updated)
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?" - VERIFIED ANSWER- 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. - VERIFIED
ANSWER- 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 - VERIFIED ANSWER- 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. - VERIFIED ANSWER- 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) - VERIFIED ANSWER- 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. - VERIFIED
ANSWER- 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. - VERIFIED
ANSWER- 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. - VERIFIED
ANSWER- 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 - VERIFIED ANSWER- 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.
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?" - VERIFIED ANSWER- 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. - VERIFIED
ANSWER- 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 - VERIFIED ANSWER- 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. - VERIFIED ANSWER- 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) - VERIFIED ANSWER- 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. - VERIFIED
ANSWER- 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. - VERIFIED
ANSWER- 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. - VERIFIED
ANSWER- 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 - VERIFIED ANSWER- 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.
