NUR 209 EXAM 4 MED SURG 2 NEWEST 2026 2027
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS FULLY VERIFIED BRAND NEW VERSION
HIGH YIELD STUDY GUIDE ACTUAL UPDATED
PRACTICE QUESTIONS EXAM PREPARATION
GRADED A+ SUCCESS REVIEW
A patient with recurrent UTI has just undergone a cystoscopy and complains of slight
hematuria during the first void after the procedure, what is the nurse’s most appropriate
action?
A. Administer a STAT dose of vitamin K, as ordered
B Reassure the patient that this is not unexpected and then monitor the patient for further
bleeding.
C. Promptly inform the physician of this assessment finding
D. Position the patient supine and insert a Foley catheter, as order
B
A female patient has been experienced recurrent UTIs. What health education should the
nurse provide to the patient?
A Bathe daily and keep the perineal region clean
B Avoid voiding immediately after sex
C Drink liberal amounts of fluid
D Void at least every 6 to 8 hrs
C
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A patient’s most recent laboratory findings indicate a glomerular filtration rate (GFR) of
58/mL/min. The nurse should recognize what implication of this diagnostic finding?
A. The patient is likely to have a decreased level of blood urea nitrogen (BUN)
B. The patient is at risk for hypokalemia
C The patient is likely to have irregular voiding patterns
D The patient is likely to have increased serum creatinine levels
D
A patient has a glomerular filtration rate (GFR) of 43 mL/min/1.73 m2. Based on this GFR,
the nurse interprets that the patient’s chronic kidney disease is at what stage?
A. Stage 1
B Stage 2
C Stage 3
D Stage 4
C
A nurse who works in an oncology clinic assessing a patient who comes in for a 2 month
check up. Nurse notes the skin is yellow, what blood tests should be done?
CBC to rile out jaundice
The nurse is caring for a patient who describes changes in his voiding patterns. The patient
states, “I feel the urge to empty my bladder several times an hour and when the urge hits
me I have to get to the restroom quickly. But when I empty my bladder there doesn’t seem
to be a great deal of urine flow.” What would the nurse expect this patient’s physical
assessment to reveal?
A. Hematuria
B. Urine retention
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C Dehydration
D. Renal Failure
B
A patient being treated in the hospital has been experiencing occasional urinary retention.
What nursing action should the nurse take to encourage a patient who is having a difficult
time voiding?
A Use a slipper bedpan
B Apply a cold compress to the perineum
C Have the patient lie in a supine position
D provide privacy for the patient
D
A patient with renal failure secondary to diabetic nephropathy has been admitted to the
medical unit. What is the most life threatening effect of renal failure for which the nurse
should monitor the patient?
A Accumulation of wastes
B Retention of potassium
C Depletion of calcium
D Lack of BP control
B
A patient admitted with nephrotic syndrome is being cared for on the medical unit. When
writing this patient’s care plan, based on the major clinical manifestation of nephrotic
syndrome, what nursing diagnosis should the nurse include?
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A Constipation related to immobility
B Risk for injury related to altered thought processes
C Hyperthermia related to the inflammatory process
D Excess fluid volume related to generalized edema
D
A 45 yr old man with diabetic nephropathy has ESKD and is starting dialysis. What should
the nurse teach the patient about hemodialysis?
Hemodialysis is a treatment option that is usually required three times a week
A patient with ESKD is scheduled to begin hemodialysis. The nurse is working with the
patient to adapt the patient’s diet to maximize the therapeutic effect and minimize the risk of
complications. The patient’s diet should include which of the following modifications? Select
all
Decreased protein intake
Decreased sodium intake Fluid
restriction
A 71 yr old patient with ESKD has been told by the physician that it is time to consider
hemodialysis until a transplant can be found. The patient tells the nurse she is not sure she
wants to undergo kidney transplant. What would be an appropriate response for the nurse
to make?
A The decision is certainly yours to make, but be sure not to make a mistake
B Kidney transplants in patients your age are successful as they are in younger patients
C I understand your hesitancy to commit to a transplant surgery. Success is comparatively
rare
D Have you talked this over with your family