PEAK All Possible Questions and Answers 2023 with
complete solution
A 46-year old female is admitted to the hospital with a diagnosis of renal calculi
kidney stones. She is experiencing severe flank pain and complains of nausea.
Her temperature is 37.9C. The immediate nursing goal should be to:
alleviate pain
The client is a tailor who was admitted for eye surgery. Assuming that all of the
following are realistic, a long-term goal for this client should include:
a. returning to sewing
b. preventing ocular infection
c. performing independent hygienic care in hospital
d. administering eye drops on time in the hospital
a. returning to sewing
Which of the following statements regarding the nursing process is true?
a. it's useful mainly in outpatient settings
b. it focuses on the patient, not the nurse
c. it progresses in separate, unrelated steps
d. it provides the solution to all patient health problems
b. it focuses on the patient, not the nurse
Which statement reflects appropriate documentation in the medical record of a
hospitalized client?
a. small pressure ulcer noted on left leg
b. client seems to be mad at the physician
c. client had a good day
d. client's skin is moist and cool
d. client's skin is moist and cool
A midstream urine specimen is ordered, and the nurse teaches the client how to
collect the specimen correctly. Which of the following should the nurse include in
the instructions?
a. void directly into the sterile specimen container
b. save the first voided urine
c. stop collecting urine after the bladder is empty
d. cleanse the urethral meatus after obtaining the specimen
d. cleanse the urethral meatus after obtaining the specimen
A nurse is to collect a sputum specimen for culture and sensitivity from a client.
Which action should the nurse take first?
a. assist with oral hygiene
b. ask client to cough sputum into container
, c. have the client take several deep breaths
d. provide an appropriate specimen container
a. assist with oral hygiene
The physician orders a urine culture and sensitivity for a 36-year old patient with
an indwelling Foley catheter. Which of the following action by the nurse is best?
a. the nurse clamps the catheter tubing below the level of the port for 1 hour
b. the nurse removes 20 ml from the catheter bag and places it in a sterile
container
c. the nurse separates the catheter from the tubing and allows 30 ml of urine to
drain into a sterile cup
d. the nurse clamps the catheter just below the insertion site for 20 minutes
a. the nurse clamps the catheter below the level of the port for 1 hour
After IVP a renal stone was confirmed, a left nephrectomy was done. Her post
operative includes daily urine specimen to be sent to the laboratory. Imelda has a
foley catheter to a urinary drainage system. How will you collect the urine
specimen?
a. remove urine from drainage tube with sterile needle and syringe and empty
urine from the syringe into the specimen container
b. empty a sample urine from the collecting bag into the specimen container
c. disconnect the drainage tube from the indwelling catheter and allow urine to
flow from catheter into the specimen container
d. disconnect the drainage from the collecting bag and allow the urine to flow
from the catheter into the specimen container
a. remove urine from drainage tube with sterile needle and syringe and empty urine
from the syringe into the specimen container
The nurse is reviewing with a client how to collect a clean catch urine specimen.
Which sequence is appropriate teaching?
a. void a little, clean the meatus, then collect specimen
b. clean the meatus, begin voiding, then catch urine stream
c. clean the meatus, then urinate into container
d. void continuously and catch some of the urine
b. clean the meatus, begin voiding, then catch urine stream
A nurse has an order to obtain 24-hour urine collection on a client with renal
disorder. The nurse avoids which of the following to ensure proper collection of
the 24-hour urine specimen?
a. have the client void at the start time, and place the specimen in the container
b. discard the first voiding, and save all subsequent voiding during 24-hour time
period
c. place the container on ice or refrigerator
d. have the client void at the end time, and place the specimen in a container
a. have the client void at the start time, and place the specimen in the container
complete solution
A 46-year old female is admitted to the hospital with a diagnosis of renal calculi
kidney stones. She is experiencing severe flank pain and complains of nausea.
Her temperature is 37.9C. The immediate nursing goal should be to:
alleviate pain
The client is a tailor who was admitted for eye surgery. Assuming that all of the
following are realistic, a long-term goal for this client should include:
a. returning to sewing
b. preventing ocular infection
c. performing independent hygienic care in hospital
d. administering eye drops on time in the hospital
a. returning to sewing
Which of the following statements regarding the nursing process is true?
a. it's useful mainly in outpatient settings
b. it focuses on the patient, not the nurse
c. it progresses in separate, unrelated steps
d. it provides the solution to all patient health problems
b. it focuses on the patient, not the nurse
Which statement reflects appropriate documentation in the medical record of a
hospitalized client?
a. small pressure ulcer noted on left leg
b. client seems to be mad at the physician
c. client had a good day
d. client's skin is moist and cool
d. client's skin is moist and cool
A midstream urine specimen is ordered, and the nurse teaches the client how to
collect the specimen correctly. Which of the following should the nurse include in
the instructions?
a. void directly into the sterile specimen container
b. save the first voided urine
c. stop collecting urine after the bladder is empty
d. cleanse the urethral meatus after obtaining the specimen
d. cleanse the urethral meatus after obtaining the specimen
A nurse is to collect a sputum specimen for culture and sensitivity from a client.
Which action should the nurse take first?
a. assist with oral hygiene
b. ask client to cough sputum into container
, c. have the client take several deep breaths
d. provide an appropriate specimen container
a. assist with oral hygiene
The physician orders a urine culture and sensitivity for a 36-year old patient with
an indwelling Foley catheter. Which of the following action by the nurse is best?
a. the nurse clamps the catheter tubing below the level of the port for 1 hour
b. the nurse removes 20 ml from the catheter bag and places it in a sterile
container
c. the nurse separates the catheter from the tubing and allows 30 ml of urine to
drain into a sterile cup
d. the nurse clamps the catheter just below the insertion site for 20 minutes
a. the nurse clamps the catheter below the level of the port for 1 hour
After IVP a renal stone was confirmed, a left nephrectomy was done. Her post
operative includes daily urine specimen to be sent to the laboratory. Imelda has a
foley catheter to a urinary drainage system. How will you collect the urine
specimen?
a. remove urine from drainage tube with sterile needle and syringe and empty
urine from the syringe into the specimen container
b. empty a sample urine from the collecting bag into the specimen container
c. disconnect the drainage tube from the indwelling catheter and allow urine to
flow from catheter into the specimen container
d. disconnect the drainage from the collecting bag and allow the urine to flow
from the catheter into the specimen container
a. remove urine from drainage tube with sterile needle and syringe and empty urine
from the syringe into the specimen container
The nurse is reviewing with a client how to collect a clean catch urine specimen.
Which sequence is appropriate teaching?
a. void a little, clean the meatus, then collect specimen
b. clean the meatus, begin voiding, then catch urine stream
c. clean the meatus, then urinate into container
d. void continuously and catch some of the urine
b. clean the meatus, begin voiding, then catch urine stream
A nurse has an order to obtain 24-hour urine collection on a client with renal
disorder. The nurse avoids which of the following to ensure proper collection of
the 24-hour urine specimen?
a. have the client void at the start time, and place the specimen in the container
b. discard the first voiding, and save all subsequent voiding during 24-hour time
period
c. place the container on ice or refrigerator
d. have the client void at the end time, and place the specimen in a container
a. have the client void at the start time, and place the specimen in the container
