NU 310 EXAM 2 NEWEST ACTUAL
EXAM| NU310 EXAM 2 REVIEW WITH
COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (BRAND NEW!!)
Question 1:
A patient was diagnosed with oxalate renal calculi.
When planning this patient's health education, what
nutritional guidelines should the nurse provide?
A. Restrict protein intake as ordered.
B. Increase intake of potassium-rich foods.
C. Follow a low-calcium diet.
D. Encourage intake of food containing oxalates.
Correct Answer: A. Restrict protein intake as
ordered.
Rationale: For patients with oxalate renal calculi,
protein restriction is often recommended because
high protein intake increases calcium excretion and
reduces urinary citrate (a stone inhibitor). While
lowcalcium diets were previously recommended,
,current evidence suggests adequate calcium intake
actually binds oxalate in the gut, reducing
absorption .
Question 2:
The nurse is caring for a patient who underwent
percutaneous lithotripsy earlier in the day. What
instruction should the nurse give the patient?
A. Limit oral fluid to 1,000 mL intake for 1 to 2 days.
B. Report the presence of fine, sand-like particles
through the nephrostomy tube.
C. Notify the physician about cloudy or foul-
smelling urine.
D. Report any pink-tinged urine within 24 hours
after the procedure.
Correct Answer: C. Notify the physician about
cloudy or foul-smelling urine.
Rationale: Cloudy or foul-smelling urine indicates
possible infection, which requires immediate medical
attention after lithotripsy. Fine sand-like particles are
,expected as stone fragments pass. Pink-tinged urine
is common in the first 24 hours due to procedure
trauma. Fluid intake should be increased, not limited
.
Question 3:
The nurse is caring for a patient recently diagnosed
with renal calculi. The nurse should instruct the
patient to increase fluid intake to a level where the
patient produces at least how much urine each day?
A. 1,250 mL
B. 2,000 mL
C. 2,750 mL
D. 3,500 mL
Correct Answer: B. 2,000 mL
Rationale: Patients with renal calculi should maintain
a urine output of at least 2,000 to 2,500 mL daily to
reduce stone formation by diluting stoneforming
constituents. This requires adequate fluid intake of
approximately 3 L per day unless contraindicated .
, Question 4:
A patient with cancer of the prostate has just
returned to the unit from the PACU after a
complicated surgery. The nurse is monitoring the
patient's urine output hourly and notifies the
physician when the hourly output is less than what?
A. 30 mL
B. 50 mL
C. 100 mL
D. 125 mL
Correct Answer: A. 30 mL
Rationale: Hourly urine output less than 30 mL for
two consecutive hours indicates oliguria and may
signal acute kidney injury, hypovolemia, or
obstruction. This requires immediate physician
notification, especially in post-operative patients .
Question 5:
A patient with kidney stones is scheduled for
extracorporeal shock wave lithotripsy (ESWL). What
EXAM| NU310 EXAM 2 REVIEW WITH
COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (BRAND NEW!!)
Question 1:
A patient was diagnosed with oxalate renal calculi.
When planning this patient's health education, what
nutritional guidelines should the nurse provide?
A. Restrict protein intake as ordered.
B. Increase intake of potassium-rich foods.
C. Follow a low-calcium diet.
D. Encourage intake of food containing oxalates.
Correct Answer: A. Restrict protein intake as
ordered.
Rationale: For patients with oxalate renal calculi,
protein restriction is often recommended because
high protein intake increases calcium excretion and
reduces urinary citrate (a stone inhibitor). While
lowcalcium diets were previously recommended,
,current evidence suggests adequate calcium intake
actually binds oxalate in the gut, reducing
absorption .
Question 2:
The nurse is caring for a patient who underwent
percutaneous lithotripsy earlier in the day. What
instruction should the nurse give the patient?
A. Limit oral fluid to 1,000 mL intake for 1 to 2 days.
B. Report the presence of fine, sand-like particles
through the nephrostomy tube.
C. Notify the physician about cloudy or foul-
smelling urine.
D. Report any pink-tinged urine within 24 hours
after the procedure.
Correct Answer: C. Notify the physician about
cloudy or foul-smelling urine.
Rationale: Cloudy or foul-smelling urine indicates
possible infection, which requires immediate medical
attention after lithotripsy. Fine sand-like particles are
,expected as stone fragments pass. Pink-tinged urine
is common in the first 24 hours due to procedure
trauma. Fluid intake should be increased, not limited
.
Question 3:
The nurse is caring for a patient recently diagnosed
with renal calculi. The nurse should instruct the
patient to increase fluid intake to a level where the
patient produces at least how much urine each day?
A. 1,250 mL
B. 2,000 mL
C. 2,750 mL
D. 3,500 mL
Correct Answer: B. 2,000 mL
Rationale: Patients with renal calculi should maintain
a urine output of at least 2,000 to 2,500 mL daily to
reduce stone formation by diluting stoneforming
constituents. This requires adequate fluid intake of
approximately 3 L per day unless contraindicated .
, Question 4:
A patient with cancer of the prostate has just
returned to the unit from the PACU after a
complicated surgery. The nurse is monitoring the
patient's urine output hourly and notifies the
physician when the hourly output is less than what?
A. 30 mL
B. 50 mL
C. 100 mL
D. 125 mL
Correct Answer: A. 30 mL
Rationale: Hourly urine output less than 30 mL for
two consecutive hours indicates oliguria and may
signal acute kidney injury, hypovolemia, or
obstruction. This requires immediate physician
notification, especially in post-operative patients .
Question 5:
A patient with kidney stones is scheduled for
extracorporeal shock wave lithotripsy (ESWL). What
