NURS 321 QUIZ 2 QUESTIONS WITH ACCURATE
ANSWERS
A 45-year-old male patient has undergone surgery for invasive bladder cancer.
Which nursing intervention is most appropriate to clear blood clots from the
bladder postsurgery?
a. Perform intravesical immunotherapy .
b. Perform continuous bladder irrigation.
c. Record accurate bladder intake and output.
d. Administer intravesical chemotherapy medications. correct answer b. Perform
continuous bladder irrigation.
A 58-year-old female with a history of diabetes presents for a routine physical
examination. A urinalysis is obtained and evaluated. The results indicate the
presence of glucose in the urine. The nurse recognizes that this indicates which of
the following?
A. Serum glucose of 150 mg/dl
B. Serum glucose of 250 mg/dl
C. Serum BUN of 12 mg/dl
D. Serum BUN of 35 mg/dl correct answer B. Serum glucose of 250 mg/dl
A client is diagnosed with a 3-mm right kidney stone. The nurse should plan to
include which teaching with the client? Select all that apply.
a. Use of kidney stone strainers
,b. Side effects of analgesics
c. Restricting amount of oral fluid intake
d. Changing positions slowly when taking alpha blockers
e. Increasing the number of dairy products in diet correct answer a, b, and d
A client is diagnosed with hydronephrosis due to obstructive kidney stones. The
nurse should assess for which electrolyte imbalance that might lead to cardiac
dysrhythmia?
a. Potassium
b. Calcium
c. Magnesium
d. Sodium correct answer a. Potassium
A male client diagnosed with kidney stones is unable to void. What procedure
should the nurse anticipate next?
a. Nephrostomy tube placement
b. Percutaneous nephrolithotomy
c. Foley catheter insertion
d. Renal ultrasound imaging correct answer c. Foley catheter insertion
A nurse is assessing the vital signs of a patient diagnosed with stones in his or her
ureters. Which vital sign change is most likely to be observed?
a. Decreased heart rate
,b. Decreased temperature
c. Decreased blood pressure
d. Decreased respiratory rate correct answer c. Decreased blood pressure
A patient experiences severe blood loss and hypovolemia following a motor
vehicle crash. The nurse should assess for signs and symptoms of which condition
most likely to affect the patient?
a. Chronic kidney disease
b. Intrarenal acute kidney injury
c. Prerenal acute kidney injury
d. Postrenal kidney acute injury correct answer c. Prerenal acute kidney injury
A patient is diagnosed with poststreptococcal glomerulonephritis. Which
intervention may be employed to treat edema?
a. Diuretics
b. Antihypertensives
c. Dietary protein restriction
d. Sodium and fluid restriction correct answer d. Sodium and fluid restriction
A patient is diagnosed with urolithiasis. Which treatment strategies are most
likely to aid in the removal or prevention of small stones passing during urination?
Select all that apply.
a. Ureteroscopy
, b. Alpha-adrenergic blockers
c. Narcotics and antiemetics
d. Percutaneous nephrolithotomy
e. Extracorporeal shock wave lithotripsy correct answer b and e
A patient is undergoing treatment for chronic kidney disease (CKD) with dialysis.
During a follow-up visit, the nurse observes from the laboratory tests that the
patient has developed nephrotoxicity from a prescribed medication. Which
medication is responsible for the patient's condition?
a. Meperidine
b. Morphine
c. Penicillin
d. Acetaminophen correct answer c. Penicillin
A patient reports an inability to urinate for 3 days. He or she also reports lower
abdominal pain and vomiting. Which complication might the patient develop if
the condition is left untreated? Select all that apply.
a. Urosepsis
b. Renal abscess
c. Pyelonephritis
d. Hemorrhagic cystitis
e. Irreversible renal damage correct answer a, c, and e
ANSWERS
A 45-year-old male patient has undergone surgery for invasive bladder cancer.
Which nursing intervention is most appropriate to clear blood clots from the
bladder postsurgery?
a. Perform intravesical immunotherapy .
b. Perform continuous bladder irrigation.
c. Record accurate bladder intake and output.
d. Administer intravesical chemotherapy medications. correct answer b. Perform
continuous bladder irrigation.
A 58-year-old female with a history of diabetes presents for a routine physical
examination. A urinalysis is obtained and evaluated. The results indicate the
presence of glucose in the urine. The nurse recognizes that this indicates which of
the following?
A. Serum glucose of 150 mg/dl
B. Serum glucose of 250 mg/dl
C. Serum BUN of 12 mg/dl
D. Serum BUN of 35 mg/dl correct answer B. Serum glucose of 250 mg/dl
A client is diagnosed with a 3-mm right kidney stone. The nurse should plan to
include which teaching with the client? Select all that apply.
a. Use of kidney stone strainers
,b. Side effects of analgesics
c. Restricting amount of oral fluid intake
d. Changing positions slowly when taking alpha blockers
e. Increasing the number of dairy products in diet correct answer a, b, and d
A client is diagnosed with hydronephrosis due to obstructive kidney stones. The
nurse should assess for which electrolyte imbalance that might lead to cardiac
dysrhythmia?
a. Potassium
b. Calcium
c. Magnesium
d. Sodium correct answer a. Potassium
A male client diagnosed with kidney stones is unable to void. What procedure
should the nurse anticipate next?
a. Nephrostomy tube placement
b. Percutaneous nephrolithotomy
c. Foley catheter insertion
d. Renal ultrasound imaging correct answer c. Foley catheter insertion
A nurse is assessing the vital signs of a patient diagnosed with stones in his or her
ureters. Which vital sign change is most likely to be observed?
a. Decreased heart rate
,b. Decreased temperature
c. Decreased blood pressure
d. Decreased respiratory rate correct answer c. Decreased blood pressure
A patient experiences severe blood loss and hypovolemia following a motor
vehicle crash. The nurse should assess for signs and symptoms of which condition
most likely to affect the patient?
a. Chronic kidney disease
b. Intrarenal acute kidney injury
c. Prerenal acute kidney injury
d. Postrenal kidney acute injury correct answer c. Prerenal acute kidney injury
A patient is diagnosed with poststreptococcal glomerulonephritis. Which
intervention may be employed to treat edema?
a. Diuretics
b. Antihypertensives
c. Dietary protein restriction
d. Sodium and fluid restriction correct answer d. Sodium and fluid restriction
A patient is diagnosed with urolithiasis. Which treatment strategies are most
likely to aid in the removal or prevention of small stones passing during urination?
Select all that apply.
a. Ureteroscopy
, b. Alpha-adrenergic blockers
c. Narcotics and antiemetics
d. Percutaneous nephrolithotomy
e. Extracorporeal shock wave lithotripsy correct answer b and e
A patient is undergoing treatment for chronic kidney disease (CKD) with dialysis.
During a follow-up visit, the nurse observes from the laboratory tests that the
patient has developed nephrotoxicity from a prescribed medication. Which
medication is responsible for the patient's condition?
a. Meperidine
b. Morphine
c. Penicillin
d. Acetaminophen correct answer c. Penicillin
A patient reports an inability to urinate for 3 days. He or she also reports lower
abdominal pain and vomiting. Which complication might the patient develop if
the condition is left untreated? Select all that apply.
a. Urosepsis
b. Renal abscess
c. Pyelonephritis
d. Hemorrhagic cystitis
e. Irreversible renal damage correct answer a, c, and e
