JOYCE NURSING 112 EXAM 4 EXAM
QUIZZES WITH VERIFIED RIGHT
ANSWERS .
A nurse assesses the stool of patients who are experiencing gastrointestinal problems. In which
patients would diarrhea be a possible finding? Select all that apply.
A) A patient who is taking narcotics for pain
B) A patient who is taking metformin for type 2 diabetes mellitus
C) A patient who is taking diuretics
D) A patient who is dehydrated
E) A patient who is taking amoxicillin for an infection
F) A patient taking over-the-counter antacids - Correct Answer -BEF
Diarrhea is a potential adverse effect of treatment with amoxicillin clavulanate, metformin, or over-
the-counter antacids. Narcotics, diuretics, and dehydration may lead to constipation.
A nurse caring for a patient's hemodialysis access documents the following: "5/10/20 0930 AV fistula
patent in right upper arm. Area is warm to touch and edematous. Patient denies pain and
tenderness. Positive bruit and thrill noted." Which documented finding would the nurse report to
the primary care provider?
A) Positive bruit noted.
B) Area is warm to touch and edematous.
C) Patient denies pain and tenderness.
D) Positive thrill noted. - Correct Answer -B
The nurse would report a site that is warm and edematous as this could be a sign of a site infection.
The thrill and bruit are normal findings caused by arterial blood flowing into the vein. If these are not
present, the access may be cutting off. No report of pain is a normal finding.
1
,A nurse caring for patients in a long-term care facility is often required to collect urine specimens
from patients for laboratory testing. Which techniques for urine collection are performed correctly?
Select all that apply.
A) The nurse catheterizes a patient to collect a sterile urine sample for routine urinalysis.
B) The nurse collects a clean-catch urine specimen in the morning from a patient and stores it at
room temperature until an afternoon pick-up.
C) The nurse collects a sterile urine specimen from the collection receptacle of a patient's indwelling
catheter.
D) The nurse collects about 3 mL of urine from a patient's indwelling catheter to send for a urine
culture.
E) The nurse collects a urine specimen from a patient with a urinary diversion by catheterizing the
stoma.
F) The nurse discards the first urine of the day when performing a 24-hour urine specimen collection
on a patient. - Correct Answer -DEF
A urine culture requires about 3 mL of urine, whereas routine urinalysis requires at least 10 mL of
urine. The preferred method of collecting a urine specimen from a urinary diversion is to catheterize
the stoma. For a 24-hour urine specimen, the nurse should discard the first voiding, then collect all
urine voided for the next 24 hours. A sterile urine specimen is not required for a routine urinalysis.
Urine chemistry is altered after urine stands at room temperature for a long period of time. A
specimen from the collecting receptacle (drainage bag) may not be fresh urine and could result in an
inaccurate analysis.
A nurse caring for patients in an extended-care facility performs regular assessments of the patients'
urinary functioning. Which patients would the nurse screen for urinary retention? Select all that
apply.
A) A 78-year-old male patient diagnosed with an enlarged prostate
2
, B) An 83-year-old female patient who is on bedrest
C) A 75-year-old female patient who is diagnosed with vaginal prolapse
D) An 89-year-old male patient who has dementia
E) A 73-year-old female patient who is taking antihistamines to treat allergies
F) A 90-year-old male patient who has difficulty walking to the bathroom - Correct Answer -ACE
Urinary retention occurs when urine is produced normally but is not excreted completely from the
bladder. Factors associated with urinary retention include medications such as antihistamines, an
enlarged prostate, or vaginal prolapse. Being on bedrest, having dementia, and having difficulty
walking to the bathroom may place patients at risk for urinary incontinence.
A nurse caring for patients in the PACU teaches a novice nurse how to assess and document wound
drainage. Which statements accurately describe a characteristic of wound drainage? Select all that
apply.
A) Serous drainage is composed of the clear portion of the blood and serous membranes.
B) Sanguineous drainage is composed of a large number of red blood cells and looks like blood.
C) Bright-red sanguineous drainage indicates fresh bleeding and darker drainage indicates older
bleeding.
D) Purulent drainage is composed of white blood cells, dead tissue, and bacteria.
E) Purulent drainage is thin, cloudy, and watery and may have a musty or foul odor.
F) Serosanguineous drainage can be dark yellow or green depending on the causative organism. -
Correct Answer -ABCD
3
QUIZZES WITH VERIFIED RIGHT
ANSWERS .
A nurse assesses the stool of patients who are experiencing gastrointestinal problems. In which
patients would diarrhea be a possible finding? Select all that apply.
A) A patient who is taking narcotics for pain
B) A patient who is taking metformin for type 2 diabetes mellitus
C) A patient who is taking diuretics
D) A patient who is dehydrated
E) A patient who is taking amoxicillin for an infection
F) A patient taking over-the-counter antacids - Correct Answer -BEF
Diarrhea is a potential adverse effect of treatment with amoxicillin clavulanate, metformin, or over-
the-counter antacids. Narcotics, diuretics, and dehydration may lead to constipation.
A nurse caring for a patient's hemodialysis access documents the following: "5/10/20 0930 AV fistula
patent in right upper arm. Area is warm to touch and edematous. Patient denies pain and
tenderness. Positive bruit and thrill noted." Which documented finding would the nurse report to
the primary care provider?
A) Positive bruit noted.
B) Area is warm to touch and edematous.
C) Patient denies pain and tenderness.
D) Positive thrill noted. - Correct Answer -B
The nurse would report a site that is warm and edematous as this could be a sign of a site infection.
The thrill and bruit are normal findings caused by arterial blood flowing into the vein. If these are not
present, the access may be cutting off. No report of pain is a normal finding.
1
,A nurse caring for patients in a long-term care facility is often required to collect urine specimens
from patients for laboratory testing. Which techniques for urine collection are performed correctly?
Select all that apply.
A) The nurse catheterizes a patient to collect a sterile urine sample for routine urinalysis.
B) The nurse collects a clean-catch urine specimen in the morning from a patient and stores it at
room temperature until an afternoon pick-up.
C) The nurse collects a sterile urine specimen from the collection receptacle of a patient's indwelling
catheter.
D) The nurse collects about 3 mL of urine from a patient's indwelling catheter to send for a urine
culture.
E) The nurse collects a urine specimen from a patient with a urinary diversion by catheterizing the
stoma.
F) The nurse discards the first urine of the day when performing a 24-hour urine specimen collection
on a patient. - Correct Answer -DEF
A urine culture requires about 3 mL of urine, whereas routine urinalysis requires at least 10 mL of
urine. The preferred method of collecting a urine specimen from a urinary diversion is to catheterize
the stoma. For a 24-hour urine specimen, the nurse should discard the first voiding, then collect all
urine voided for the next 24 hours. A sterile urine specimen is not required for a routine urinalysis.
Urine chemistry is altered after urine stands at room temperature for a long period of time. A
specimen from the collecting receptacle (drainage bag) may not be fresh urine and could result in an
inaccurate analysis.
A nurse caring for patients in an extended-care facility performs regular assessments of the patients'
urinary functioning. Which patients would the nurse screen for urinary retention? Select all that
apply.
A) A 78-year-old male patient diagnosed with an enlarged prostate
2
, B) An 83-year-old female patient who is on bedrest
C) A 75-year-old female patient who is diagnosed with vaginal prolapse
D) An 89-year-old male patient who has dementia
E) A 73-year-old female patient who is taking antihistamines to treat allergies
F) A 90-year-old male patient who has difficulty walking to the bathroom - Correct Answer -ACE
Urinary retention occurs when urine is produced normally but is not excreted completely from the
bladder. Factors associated with urinary retention include medications such as antihistamines, an
enlarged prostate, or vaginal prolapse. Being on bedrest, having dementia, and having difficulty
walking to the bathroom may place patients at risk for urinary incontinence.
A nurse caring for patients in the PACU teaches a novice nurse how to assess and document wound
drainage. Which statements accurately describe a characteristic of wound drainage? Select all that
apply.
A) Serous drainage is composed of the clear portion of the blood and serous membranes.
B) Sanguineous drainage is composed of a large number of red blood cells and looks like blood.
C) Bright-red sanguineous drainage indicates fresh bleeding and darker drainage indicates older
bleeding.
D) Purulent drainage is composed of white blood cells, dead tissue, and bacteria.
E) Purulent drainage is thin, cloudy, and watery and may have a musty or foul odor.
F) Serosanguineous drainage can be dark yellow or green depending on the causative organism. -
Correct Answer -ABCD
3
