ADULT HEALTH 1 FINAL EXAM 2026-2027
SPRING QUESTIONS AND ANSWERS GRADED
A+
A patient is suspected to have a UTI. Which lab tests are appropriate in the
diagnosis?
Urinalysis for culture and sensitivity
The nurse administers which of the following prescribed medications to a client
with recurrent UTIs caused by E. Coli?
Sulfamethoxazole and Trimethaprim (Bactrim DS)
The nurse instructs a client with pyelonephritis to drink 2.5 to 3L of fluid per day.
The nurse understands the rationale for this self care intervention as?
To prevent stasis of urine
The nurse is presenting a class on urinary tract infections. Which of the following
should be included in the presentation? (select all that apply)
- Males and females over the age of 65 are equally prone to UTIs
- Women of menopausal age have an increased risk of UTIs
- E. Coli is the most common cause of bacterial UTIs
,The nurse is teaching a client diagnosed with a urinary tract infection. An
intervention that needs to be followed by the client includes?
Avoid tight-fitting pants or clothing
Which medication taken at home by a patient with decreased renal function will be
of most concern to the nurse?
Ibuprofen (motrin)
The nurse completing a physical assessment for a newly admitted patient is unable
to feel either kidney on palpation. Which action should the nurse take?
Document the information on the assessment form
The nurse is assessing the urinary system of an older adult female client. Which of
the following findings would be an expected age related change? Select all that
apply.
- palpable bladder after urination
- stress incontinence
- nocturia
The nurse is assessing a client who states, "I feel like I am not emptying my
bladder completely." Which of the following would be the best action for the nurse
to take?
Percuss for dullness over the area of the symphysis pubis.
,The nurse is developing the plan of care for a client with urge incontinence. Which
of the following should the nurse understand when developing the plan of care for
this client?
The client will have the inability to stop urine flow long enough to get to the toilet
The nurse is caring for a client who reports seeing a reddish colored tint in the
urine. Which of the following questions would be most appropriate for the nurse to
ask?
"Do you take prescribed anticoagulants?"
The nurse is assessing a client diagnosed with acute pyelonephritis. Which of the
following assessment findings should the nurse expect?
Costovertebral tenderness
The nurse is assessing a group of assigned clients. Which of the following clients
has the highest risk of developing a urinary tract infection?
56-year-old female client with poorly controlled type 2, diabetes mellitus.
How do you test for suspected pyelonephritis?
Check for flank pain by percussion of the CVA and asking the patient about pain-
strike a flat hand covering the costovertebral angle CVA
, The nurse is assessing a client who reports having a sharp pain along the
costovertebral angles. The nurse recognizes that this assessment finding might be
due to which of the following?
kidney inflammation
What is the most common cause of healthcare associated infections?
Urinary catheterization
The nurse is preparing a staff education program about urinary tract infections
(UTIs). Which of the following information should the nurse include in the
education program? Select all that apply.
- "Uncomplicated UTIs can occur in a normal urinary tract."
- "Diabetes mellitus is a risk factor for urinary tract infections."
- "Nitrates on a urine dipstick can indicate the presence of a UTI."
A 72-yr-old patient with a history of benign prostatic hyperplasia (BPH) is
admitted with acute urinary retention and elevated blood urea nitrogen (BUN) and
creatinine levels. What action should the nurse take?
Insert a urinary catheter
The nurse has taught nutrition management for a client diagnosed with oxalate
kidney stones. Which of the following food choices by the client would indicate
that the client requires more teaching?
Spinach salad and rhubarb pie
SPRING QUESTIONS AND ANSWERS GRADED
A+
A patient is suspected to have a UTI. Which lab tests are appropriate in the
diagnosis?
Urinalysis for culture and sensitivity
The nurse administers which of the following prescribed medications to a client
with recurrent UTIs caused by E. Coli?
Sulfamethoxazole and Trimethaprim (Bactrim DS)
The nurse instructs a client with pyelonephritis to drink 2.5 to 3L of fluid per day.
The nurse understands the rationale for this self care intervention as?
To prevent stasis of urine
The nurse is presenting a class on urinary tract infections. Which of the following
should be included in the presentation? (select all that apply)
- Males and females over the age of 65 are equally prone to UTIs
- Women of menopausal age have an increased risk of UTIs
- E. Coli is the most common cause of bacterial UTIs
,The nurse is teaching a client diagnosed with a urinary tract infection. An
intervention that needs to be followed by the client includes?
Avoid tight-fitting pants or clothing
Which medication taken at home by a patient with decreased renal function will be
of most concern to the nurse?
Ibuprofen (motrin)
The nurse completing a physical assessment for a newly admitted patient is unable
to feel either kidney on palpation. Which action should the nurse take?
Document the information on the assessment form
The nurse is assessing the urinary system of an older adult female client. Which of
the following findings would be an expected age related change? Select all that
apply.
- palpable bladder after urination
- stress incontinence
- nocturia
The nurse is assessing a client who states, "I feel like I am not emptying my
bladder completely." Which of the following would be the best action for the nurse
to take?
Percuss for dullness over the area of the symphysis pubis.
,The nurse is developing the plan of care for a client with urge incontinence. Which
of the following should the nurse understand when developing the plan of care for
this client?
The client will have the inability to stop urine flow long enough to get to the toilet
The nurse is caring for a client who reports seeing a reddish colored tint in the
urine. Which of the following questions would be most appropriate for the nurse to
ask?
"Do you take prescribed anticoagulants?"
The nurse is assessing a client diagnosed with acute pyelonephritis. Which of the
following assessment findings should the nurse expect?
Costovertebral tenderness
The nurse is assessing a group of assigned clients. Which of the following clients
has the highest risk of developing a urinary tract infection?
56-year-old female client with poorly controlled type 2, diabetes mellitus.
How do you test for suspected pyelonephritis?
Check for flank pain by percussion of the CVA and asking the patient about pain-
strike a flat hand covering the costovertebral angle CVA
, The nurse is assessing a client who reports having a sharp pain along the
costovertebral angles. The nurse recognizes that this assessment finding might be
due to which of the following?
kidney inflammation
What is the most common cause of healthcare associated infections?
Urinary catheterization
The nurse is preparing a staff education program about urinary tract infections
(UTIs). Which of the following information should the nurse include in the
education program? Select all that apply.
- "Uncomplicated UTIs can occur in a normal urinary tract."
- "Diabetes mellitus is a risk factor for urinary tract infections."
- "Nitrates on a urine dipstick can indicate the presence of a UTI."
A 72-yr-old patient with a history of benign prostatic hyperplasia (BPH) is
admitted with acute urinary retention and elevated blood urea nitrogen (BUN) and
creatinine levels. What action should the nurse take?
Insert a urinary catheter
The nurse has taught nutrition management for a client diagnosed with oxalate
kidney stones. Which of the following food choices by the client would indicate
that the client requires more teaching?
Spinach salad and rhubarb pie
