RETAKE WITH NGN LATEST VERSION 2026
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1. A nurse would suspect that a patient may have urinary retention if the patient
experiences:
Pain during urination.
Continuous dribbling of urine with activity
Voiding of 250-300 mL of urine 5-6 times per day.
Polyuria
2. A nurse cares for a client who has a new colostomy. Which action should the
nurse take?
Reinforce stoma with pressure dressing.
Start the patient on bowel training.
Empty the pouch frequently to remove excess gas collection.
Teach the patient about the gas difusing bag.
3. A nurse is reviewing the medical record of a client who has persistent
diarrhea. Which of the following findings should the nurse identify as risk
factors?
history of IBS, consumes large amounts of dairy in their diet,
currently taking antibiotics
a shortened urethra, consuming large amounts of dairy in their diet,
currently taking antibiotics
cardiovascular disease, history of IBS, a shortened urethra
, a shortened urethra, taking antibiotics, history of IBS
4. A patient with a new colostomy reports a change in stoma color and
increased output. What should the nurse's immediate action be?
Document the findings and continue monitoring.
Reassure the patient that this is normal.
Increase the patient's fluid intake.
Assess the stoma and notify the healthcare provider.
5. Describe the steps a patient should take to correctly collect a clean catch
urine specimen.
The patient should urinate directly into the container without cleaning.
The patient should only collect urine after drinking a lot of water.
The patient should collect the first urine of the day.
The patient should clean the genital area, begin urinating, then
collect the midstream urine in the container.
6. The nurse is reviewing the primary function of the urinary tract with a group
of new nurses. Which of the following information should the nurse include?
Urinary tract regulates production of RBC
Urinary tract keeps the bones strong
Urinary tract produces hormones for blood pressure regulation
Urinary tract eliminates waste and excess fluid from the body.
7. Which group is specifically mentioned as being at increased risk for urinary
elimination issues due to anatomical factors?
Uncircumcised infants
, Teenagers
Older adults
School aged children
8. What is a common diagnostic test that may be ordered for a patient with
hematochezia?
CT scan
MRI
Colonoscopy
Ultrasound
9. A nurse is caring for a client with paraplegia who has been using an
indwelling catheter. The client reports discomfort and frequent urinary tract
infections. What alternative should the nurse suggest?
Intermittent catheter
Suprapubic catheter
Foley catheter
Indwelling catheter
10. A nurse is assessing a patient with persistent diarrhea. If the patient has
recently traveled to a foreign country, what should the nurse consider in
their care plan?
Requirement for a high-protein diet
Increased need for dietary fiber
Need for immediate surgery
Potential exposure to infectious agents
11. If a nurse observes that a client with suspected dehydration has a rapid heart
, rate and low blood pressure, what should be the immediate nursing action?
Perform a physical assessment only.
Administer intravenous fluids as ordered.
Encourage the client to drink water.
Document the findings and wait for the physician's orders.
12. What is a common complication associated with a new colostomy that
nurses should monitor?
Constipation
Urinary retention
Stoma necrosis
Dehydration
13. Interpret the significance of finding white blood cells in a patient's urinalysis
and its implications for nursing care.
The presence of white blood cells indicates normal kidney function
and hydration status.
The presence of white blood cells is a sign of dehydration and
requires fluid administration.
The presence of white blood cells indicates a need for dietary
changes.
The presence of white blood cells suggests an infection or
inflammation in the urinary tract, requiring further assessment and
possible intervention.
14. A person reports that their urine "leaks" whenever they cough or sneeze.
What type of urinary incontinence do they have?
neurogenic