NURS 372 exam 3 Questions and Correct
Answers, Complete Solution.
An older patient describes having to go to the bathroom more frequently at night.
What manifestation is this patient experiencing?
1. Fluid overload
2. Increased glycosuria
3. Normal changes of aging
4. Impairment of drug excretion
3. Normal changes of aging
An older patient who has been experiencing a fever, nausea, and vomiting has a
urine specific gravity below normal. The patient denies being thirsty. What should
the nurse suspect the patient is experiencing?
1. Dehydration
2. Fluid overload
3. Congestive heart failure
4. Normal changes of aging
1. Dehydration
The nurse is having difficulty inserting a urinary catheter in an older female
patient. Which position should the nurse use to help facilitate the insertion of the
catheter?
1. Side-lying lifting up the buttock
2. Supine with the bed flat, legs bent and apart
3. Supine with the HOB elevated at 30 degrees
4. Supine with the head of bed (HOB) elevated at 90 degrees
1. Side-lying lifting up the buttock
An older female patient asks the home care nurse what can be done to help with
painful intercourse. What recommendations should the nurse make to the
patient?
Standard Text: Select all that apply.
,1. Avoid intercourse.
2. Decrease the frequency of intercourse.
3. Use vaginal lubricants during intercourse.
4. Use the hand to guide the penis into the vagina.
3. Use vaginal lubricants during intercourse.
4. Use the hand to guide the penis into the vagina.
An older patient with chronic renal failure has not had a bowel movement for two
days. What does the nurse realize this patient is at risk for developing?
1. Hypokalemia
2. Hyperkalemia
3. Metabolic acidosis
4. Increased serum creatinine levels
2. Hyperkalemia
Which assessment findings does the nurse recognize as being a normal part of
aging for an older patient?
Standard Text: Select all that apply.
1. Nocturia
2. Delayed urination
3. Less frequent voiding
4. New onset urinary incontinence
5. Decreased urine specific gravity
1. Nocturia
2. Delayed urination
3. Less frequent voiding
5. Decreased urine specific gravity
An older male patient with benign prostatic hypertrophy (BPH) is experiencing an
increase in symptoms. Which finding would explain the reason for this patients
change in symptoms?
,1. Recent vasectomy
2. Decreased oral intake at night
3. Use of over-the-counter saw palmetto
4. Use of over-the-counter cold medication
4. Use of over-the-counter cold medication
An older male patient reports having blood in the urine. For which health
problems does the nurse expect the patient will be evaluated?
Standard Text: Select all that apply.
1. Pyuria
2. Renal failure
3. Bladder cancer
4. Prostate cancer
5. Urinary tract infection
3. Bladder cancer
5. Urinary tract infection
An older patient who is postmenopausal is experiencing uterine bleeding. Which
action would be appropriate for the nurse to take at this time?
1. Provide hygienic care.
2. Collect a urine specimen.
3. Direct the patient for evaluation for endometrial cancer.
4. Instruct the patient on normal changes of the reproductive system in the
elderly.
3. Direct the patient for evaluation for endometrial cancer.
The nurse is instructing an older female patient on reproductive cancer
screenings. Which information would the nurse include in this teaching?
1. Eliminate Pap smears if high risk factors are absent.
2. Obtain mammography every other year after the age of 40.
3. Avoid hormone replacement therapy for vasomotor symptoms.
, 4. Eliminate self-examination of the breasts if the patient finds this socially
unacceptable.
1. Eliminate Pap smears if high risk factors are absent.
The nurse is reviewing the list of medications prescribed for an older patient.
Which medications could lead to toxicity because of renal excretion changes in
this patient?
Standard Text: Select all that apply.
1. Aspirin
2. Digoxin
3. Antibiotic
4. Vitamin C
5. ACE inhibitor
2. Digoxin
3. Antibiotic
5.ACE inhibitor
An older patient is diagnosed with chronic renal failure. Which manifestations will
the nurse most likely assess in this patient?
Standard Text: Select all that apply.
1. Pruritis
2. Anorexia
3. Generalized edema
4. Postural hypotension
5. Elevated blood pressure
1. Pruritis
2. Anorexia
3. Generalized edema
5. Elevated blood pressure
An older patient who is a widower explains that routine sexual encounters remain
an important part of his life. What teaching should the nurse provide to this
Answers, Complete Solution.
An older patient describes having to go to the bathroom more frequently at night.
What manifestation is this patient experiencing?
1. Fluid overload
2. Increased glycosuria
3. Normal changes of aging
4. Impairment of drug excretion
3. Normal changes of aging
An older patient who has been experiencing a fever, nausea, and vomiting has a
urine specific gravity below normal. The patient denies being thirsty. What should
the nurse suspect the patient is experiencing?
1. Dehydration
2. Fluid overload
3. Congestive heart failure
4. Normal changes of aging
1. Dehydration
The nurse is having difficulty inserting a urinary catheter in an older female
patient. Which position should the nurse use to help facilitate the insertion of the
catheter?
1. Side-lying lifting up the buttock
2. Supine with the bed flat, legs bent and apart
3. Supine with the HOB elevated at 30 degrees
4. Supine with the head of bed (HOB) elevated at 90 degrees
1. Side-lying lifting up the buttock
An older female patient asks the home care nurse what can be done to help with
painful intercourse. What recommendations should the nurse make to the
patient?
Standard Text: Select all that apply.
,1. Avoid intercourse.
2. Decrease the frequency of intercourse.
3. Use vaginal lubricants during intercourse.
4. Use the hand to guide the penis into the vagina.
3. Use vaginal lubricants during intercourse.
4. Use the hand to guide the penis into the vagina.
An older patient with chronic renal failure has not had a bowel movement for two
days. What does the nurse realize this patient is at risk for developing?
1. Hypokalemia
2. Hyperkalemia
3. Metabolic acidosis
4. Increased serum creatinine levels
2. Hyperkalemia
Which assessment findings does the nurse recognize as being a normal part of
aging for an older patient?
Standard Text: Select all that apply.
1. Nocturia
2. Delayed urination
3. Less frequent voiding
4. New onset urinary incontinence
5. Decreased urine specific gravity
1. Nocturia
2. Delayed urination
3. Less frequent voiding
5. Decreased urine specific gravity
An older male patient with benign prostatic hypertrophy (BPH) is experiencing an
increase in symptoms. Which finding would explain the reason for this patients
change in symptoms?
,1. Recent vasectomy
2. Decreased oral intake at night
3. Use of over-the-counter saw palmetto
4. Use of over-the-counter cold medication
4. Use of over-the-counter cold medication
An older male patient reports having blood in the urine. For which health
problems does the nurse expect the patient will be evaluated?
Standard Text: Select all that apply.
1. Pyuria
2. Renal failure
3. Bladder cancer
4. Prostate cancer
5. Urinary tract infection
3. Bladder cancer
5. Urinary tract infection
An older patient who is postmenopausal is experiencing uterine bleeding. Which
action would be appropriate for the nurse to take at this time?
1. Provide hygienic care.
2. Collect a urine specimen.
3. Direct the patient for evaluation for endometrial cancer.
4. Instruct the patient on normal changes of the reproductive system in the
elderly.
3. Direct the patient for evaluation for endometrial cancer.
The nurse is instructing an older female patient on reproductive cancer
screenings. Which information would the nurse include in this teaching?
1. Eliminate Pap smears if high risk factors are absent.
2. Obtain mammography every other year after the age of 40.
3. Avoid hormone replacement therapy for vasomotor symptoms.
, 4. Eliminate self-examination of the breasts if the patient finds this socially
unacceptable.
1. Eliminate Pap smears if high risk factors are absent.
The nurse is reviewing the list of medications prescribed for an older patient.
Which medications could lead to toxicity because of renal excretion changes in
this patient?
Standard Text: Select all that apply.
1. Aspirin
2. Digoxin
3. Antibiotic
4. Vitamin C
5. ACE inhibitor
2. Digoxin
3. Antibiotic
5.ACE inhibitor
An older patient is diagnosed with chronic renal failure. Which manifestations will
the nurse most likely assess in this patient?
Standard Text: Select all that apply.
1. Pruritis
2. Anorexia
3. Generalized edema
4. Postural hypotension
5. Elevated blood pressure
1. Pruritis
2. Anorexia
3. Generalized edema
5. Elevated blood pressure
An older patient who is a widower explains that routine sexual encounters remain
an important part of his life. What teaching should the nurse provide to this
