Med Surg: UTI - TestBank
1. To assess whether there is any improvement in a patient's dysuria, which
question will the nurse ask?
a. "Do you have to urinate at night?"
b. "Do you have blood in your urine?"
c. "Do you have to urinate frequently?"
d. "Do you have pain when you urinate?"
d. "Do you have pain when you urinate?"
2. When a patient's urine dipstick test indicates a small amount of protein, the
nurse's next action should be to
a. send a urine specimen to the laboratory to test for ketones.
b. obtain a clean-catch urine for culture and sensitivity testing.
c. inquire about which medications the patient is currently taking.
d. ask the patient about any family history of chronic renal failure.
c. inquire about which medications the patient is currently taking.
- Normally the urinalysis will show zero to trace amounts of protein, but some
medications may give false-positive readings. The other actions by the nurse may be
appropriate, but checking for medications that may affect the dipstick accuracy should
be done first.
3. A hospitalized patient with possible renal insufficiency after coronary artery
bypass surgery is scheduled for a creatinine clearance test. Which item will the
nurse need to obtain?
a. Urinary catheter
b. Sterile specimen cup
c. Cleansing towelettes
d. Large urine container
d. Large urine container
- Because creatinine clearance testing involves a 24-hour urine specimen, the nurse
should obtain a large container for the urine collection. Catheterization, cleaning of the
perineum with antiseptic towelettes, and a sterile specimen cup are not needed for this
test.
4. A young adult who is employed as a hairdresser and has a 15 pack-year history
of cigarette smoking is scheduled for an annual physical examination. The nurse
will plan to teach the patient about the increased risk for
a. renal failure.
b. kidney stones.
c. pyelonephritis.
d. bladder cancer.
d. bladder cancer.
- Exposure to the chemicals involved with working as a hairdresser and in smoking both
increase the risk of bladder cancer, and the nurse should assess whether the patient
understands this risk. The patient is not at increased risk for renal failure, pyelonephritis,
or kidney stones.
5. Which medication taken at home by a patient with decreased renal function will
be of most concern to the nurse?
a. ibuprofen (Motrin)
, b. warfarin (Coumadin)
c. folic acid (vitamin B9)
d. penicillin (Bicillin C-R)
a. ibuprofen (Motrin)
6. A 79-yr-old patient has been admitted with benign prostatic hyperplasia. What
is most appropriate to include in the nursing plan of care?
a. Limit fluid intake to no more than 1000 mL/day.
b. Leave a light on in the bathroom during the night.
c. Ask the patient to use a urinal so that urine can be measured.
d. Pad the patient's bed to accommodate overflow incontinence.
b. Leave a light on in the bathroom during the night.
- The patient's age and diagnosis indicate a likelihood of nocturia, so leaving the light on
in the bathroom is appropriate. Fluids should be encouraged because dehydration is
more common in older patients. The information in the question does not indicate that
measurement of the patient's output is necessary or that the patient has overflow
incontinence.
7. 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?
a. Obtain a urine specimen to check for hematuria.
b. Document the information on the assessment form.
c. Ask the patient about any history of recent sore throat.
d. Ask the health care provider about scheduling a renal ultrasound.
b. Document the information on the assessment form.
- The kidneys are protected by the abdominal organs, ribs, and muscles of the back and
may not be palpable under normal circumstances, so no action except to document the
assessment information is needed
8. How will the nurse assess for flank tenderness in a patient with suspected
pyelonephritis?
a. Palpate along both sides of the lumbar vertebral column.
b. Strike a flat hand covering the costovertebral angle (CVA).
c. Push fingers upward into the two lowest intercostal spaces.
d. Percuss between the iliac crest and ribs at the midaxillary line.
b. Strike a flat hand covering the costovertebral angle (CVA).
- Checking for flank pain is best performed by percussion of the CVA and asking about
pain. The other techniques would not assess for flank pain
9. What glomerular filtration rate (GFR) would the nurse estimate for a 30-yr-old
patient with a creatinine clearance result of 60 mL/min?
a. 60 mL/min
b. 90 mL/min
c. 120 mL/min
d. 180 mL/min
a. 60 mL/min
The creatinine clearance approximates the GFR. The other responses are not accurate.
10. The nurse assessing the urinary system of a 45-yr-old patient would use
palpation to
a. determine kidney function.
1. To assess whether there is any improvement in a patient's dysuria, which
question will the nurse ask?
a. "Do you have to urinate at night?"
b. "Do you have blood in your urine?"
c. "Do you have to urinate frequently?"
d. "Do you have pain when you urinate?"
d. "Do you have pain when you urinate?"
2. When a patient's urine dipstick test indicates a small amount of protein, the
nurse's next action should be to
a. send a urine specimen to the laboratory to test for ketones.
b. obtain a clean-catch urine for culture and sensitivity testing.
c. inquire about which medications the patient is currently taking.
d. ask the patient about any family history of chronic renal failure.
c. inquire about which medications the patient is currently taking.
- Normally the urinalysis will show zero to trace amounts of protein, but some
medications may give false-positive readings. The other actions by the nurse may be
appropriate, but checking for medications that may affect the dipstick accuracy should
be done first.
3. A hospitalized patient with possible renal insufficiency after coronary artery
bypass surgery is scheduled for a creatinine clearance test. Which item will the
nurse need to obtain?
a. Urinary catheter
b. Sterile specimen cup
c. Cleansing towelettes
d. Large urine container
d. Large urine container
- Because creatinine clearance testing involves a 24-hour urine specimen, the nurse
should obtain a large container for the urine collection. Catheterization, cleaning of the
perineum with antiseptic towelettes, and a sterile specimen cup are not needed for this
test.
4. A young adult who is employed as a hairdresser and has a 15 pack-year history
of cigarette smoking is scheduled for an annual physical examination. The nurse
will plan to teach the patient about the increased risk for
a. renal failure.
b. kidney stones.
c. pyelonephritis.
d. bladder cancer.
d. bladder cancer.
- Exposure to the chemicals involved with working as a hairdresser and in smoking both
increase the risk of bladder cancer, and the nurse should assess whether the patient
understands this risk. The patient is not at increased risk for renal failure, pyelonephritis,
or kidney stones.
5. Which medication taken at home by a patient with decreased renal function will
be of most concern to the nurse?
a. ibuprofen (Motrin)
, b. warfarin (Coumadin)
c. folic acid (vitamin B9)
d. penicillin (Bicillin C-R)
a. ibuprofen (Motrin)
6. A 79-yr-old patient has been admitted with benign prostatic hyperplasia. What
is most appropriate to include in the nursing plan of care?
a. Limit fluid intake to no more than 1000 mL/day.
b. Leave a light on in the bathroom during the night.
c. Ask the patient to use a urinal so that urine can be measured.
d. Pad the patient's bed to accommodate overflow incontinence.
b. Leave a light on in the bathroom during the night.
- The patient's age and diagnosis indicate a likelihood of nocturia, so leaving the light on
in the bathroom is appropriate. Fluids should be encouraged because dehydration is
more common in older patients. The information in the question does not indicate that
measurement of the patient's output is necessary or that the patient has overflow
incontinence.
7. 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?
a. Obtain a urine specimen to check for hematuria.
b. Document the information on the assessment form.
c. Ask the patient about any history of recent sore throat.
d. Ask the health care provider about scheduling a renal ultrasound.
b. Document the information on the assessment form.
- The kidneys are protected by the abdominal organs, ribs, and muscles of the back and
may not be palpable under normal circumstances, so no action except to document the
assessment information is needed
8. How will the nurse assess for flank tenderness in a patient with suspected
pyelonephritis?
a. Palpate along both sides of the lumbar vertebral column.
b. Strike a flat hand covering the costovertebral angle (CVA).
c. Push fingers upward into the two lowest intercostal spaces.
d. Percuss between the iliac crest and ribs at the midaxillary line.
b. Strike a flat hand covering the costovertebral angle (CVA).
- Checking for flank pain is best performed by percussion of the CVA and asking about
pain. The other techniques would not assess for flank pain
9. What glomerular filtration rate (GFR) would the nurse estimate for a 30-yr-old
patient with a creatinine clearance result of 60 mL/min?
a. 60 mL/min
b. 90 mL/min
c. 120 mL/min
d. 180 mL/min
a. 60 mL/min
The creatinine clearance approximates the GFR. The other responses are not accurate.
10. The nurse assessing the urinary system of a 45-yr-old patient would use
palpation to
a. determine kidney function.
