VATI FINAL EXAM /VATI EXIT EXAM TEST BANK 180
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS |ALREADY GRADED A+
The nurse understands that a major function of the kidneys is to remove potentially
toxic waste products from the blood. Which function is inaccurate? - ANSWER:
Regulate blood pressure through the conservation of minerals.
The nurse is providing care for a patient admitted for a suspected kidney infection
(pyelonephritis). Which area of the body does the nurse expect the patient to
identify as a source of pain? - ANSWER: bilateral flanks
A patient's urinalysis results are:
urine: cloudy
white blood cells (WBCs) 100+/hpf
red blood cells (RBC) 4/hpf
bacteria: moderate amount (4+)
nitrite: positive
specific gravity: 1.025
What should the nurse recognize these findings indicate? - ANSWER: urinary tract
infection
The nurse is collecting data on a patient who experienced a sport injury to the lower
back area. Which finding will cause the nurse greatest concern? - ANSWER: Flank
edema and bloody urine
The formation of urine is a critical physiological function. The nurse is aware that
multiple processes are involved. Which process does the nurse recognize as not part
of the formation of urine? - ANSWER: Micturition
The nurse is providing care for a patient with a diagnosis of kidney disease. The
patient's last laboratory result indicates metabolic acidosis. Which kidney activity
does the nurse recognize for the condition? - ANSWER: The kidneys are unable to
excrete hydrogen ions.
The nurse is providing care for a patient with a thoracic spinal cord injury. For which
reason does the nurse understand the presence of a suprapubic catheter? -
ANSWER: The patient is unable to detect the need to urinate.
The nurse is testing the urine pH for a patient in the HCP's office. The test indicates a
pH of 7.0. Which question does the nurse ask the client? - ANSWER: "Are you
following a vegetarian diet?"
The nurse is reviewing the laboratory results for a patient. Which question does the
nurse ask the patient if the creatinine level is elevated? - ANSWER: "How much do
you exercise?"
, The nurse is collecting information from an older adult patient in the health care
provider's (HCP) office. The patient reports frequent urination. Which effect of aging
does the nurse recognize? - ANSWER: Decreased bladder size and muscle tone
The nurse is providing care for a patient who is on fluid restrictions due to renal
failure. The patient's intake & output (I&O) should be carefully measured. Which
substance does the nurse exclude from the intake total? - ANSWER: Mashed
potatoes and creamed corn
The nurse is providing care for a patient scheduled for diagnostic studies of the
gastrointestinal system using contrast medium. Which finding in the patient's
medical history warrants the nurse contacting the HCP? - ANSWER: The patient has a
history of renal dysfunction.
The nurse is catheterizing a patient after voiding to determine the amount of
residual urine in the bladder. What should the nurse consider as being the normal
amount of urine within the bladder after urination? - ANSWER: 25 mL
An older male patient expresses frustration at need to urinate often, dribbling of
urine, and feelings of inability to empty his bladder. Which suggestion by the nurse is
most helpful to the patient? - ANSWER: Encourage an appointment with a urologist.
The nurse is reinforcing teaching to a client who is preparing to perform intermittent
self-catheterization at home. Which information by the nurse is inappropriate? -
ANSWER: Wear a urinary incontinence pad if away from home.
The nurse is making a visit to the home of a patient with functional incontinence.
Which observation indicates that teaching about the disorder has been effective? -
ANSWER: Patient wearing sweat pants
The nurse is providing care for a patient who has undergone placement of a
suprapubic catheter. Which postprocedure nursing care is avoided? - ANSWER:
Change the catheter with sterile technique daily.
A patient shares a long-standing problem of urinary incontinence with the nurse.
Which intervention does the nurse recognize as taking priority? - ANSWER: Providing
caring support to the patient
The nurse is reviewing the results of a patient's urinalysis. Which components does
the nurse identify as being abnormal in urine? (Select all that apply.) - ANSWER:
Protein, RBCs
The nurse is providing postoperative care for a patient with a newly formed ileal
conduit for a diagnosis of cancer. Which factor regarding the patient's surgery does
the nurse identify as incorrect? - ANSWER: Bladder continence will develop after
healing.
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS |ALREADY GRADED A+
The nurse understands that a major function of the kidneys is to remove potentially
toxic waste products from the blood. Which function is inaccurate? - ANSWER:
Regulate blood pressure through the conservation of minerals.
The nurse is providing care for a patient admitted for a suspected kidney infection
(pyelonephritis). Which area of the body does the nurse expect the patient to
identify as a source of pain? - ANSWER: bilateral flanks
A patient's urinalysis results are:
urine: cloudy
white blood cells (WBCs) 100+/hpf
red blood cells (RBC) 4/hpf
bacteria: moderate amount (4+)
nitrite: positive
specific gravity: 1.025
What should the nurse recognize these findings indicate? - ANSWER: urinary tract
infection
The nurse is collecting data on a patient who experienced a sport injury to the lower
back area. Which finding will cause the nurse greatest concern? - ANSWER: Flank
edema and bloody urine
The formation of urine is a critical physiological function. The nurse is aware that
multiple processes are involved. Which process does the nurse recognize as not part
of the formation of urine? - ANSWER: Micturition
The nurse is providing care for a patient with a diagnosis of kidney disease. The
patient's last laboratory result indicates metabolic acidosis. Which kidney activity
does the nurse recognize for the condition? - ANSWER: The kidneys are unable to
excrete hydrogen ions.
The nurse is providing care for a patient with a thoracic spinal cord injury. For which
reason does the nurse understand the presence of a suprapubic catheter? -
ANSWER: The patient is unable to detect the need to urinate.
The nurse is testing the urine pH for a patient in the HCP's office. The test indicates a
pH of 7.0. Which question does the nurse ask the client? - ANSWER: "Are you
following a vegetarian diet?"
The nurse is reviewing the laboratory results for a patient. Which question does the
nurse ask the patient if the creatinine level is elevated? - ANSWER: "How much do
you exercise?"
, The nurse is collecting information from an older adult patient in the health care
provider's (HCP) office. The patient reports frequent urination. Which effect of aging
does the nurse recognize? - ANSWER: Decreased bladder size and muscle tone
The nurse is providing care for a patient who is on fluid restrictions due to renal
failure. The patient's intake & output (I&O) should be carefully measured. Which
substance does the nurse exclude from the intake total? - ANSWER: Mashed
potatoes and creamed corn
The nurse is providing care for a patient scheduled for diagnostic studies of the
gastrointestinal system using contrast medium. Which finding in the patient's
medical history warrants the nurse contacting the HCP? - ANSWER: The patient has a
history of renal dysfunction.
The nurse is catheterizing a patient after voiding to determine the amount of
residual urine in the bladder. What should the nurse consider as being the normal
amount of urine within the bladder after urination? - ANSWER: 25 mL
An older male patient expresses frustration at need to urinate often, dribbling of
urine, and feelings of inability to empty his bladder. Which suggestion by the nurse is
most helpful to the patient? - ANSWER: Encourage an appointment with a urologist.
The nurse is reinforcing teaching to a client who is preparing to perform intermittent
self-catheterization at home. Which information by the nurse is inappropriate? -
ANSWER: Wear a urinary incontinence pad if away from home.
The nurse is making a visit to the home of a patient with functional incontinence.
Which observation indicates that teaching about the disorder has been effective? -
ANSWER: Patient wearing sweat pants
The nurse is providing care for a patient who has undergone placement of a
suprapubic catheter. Which postprocedure nursing care is avoided? - ANSWER:
Change the catheter with sterile technique daily.
A patient shares a long-standing problem of urinary incontinence with the nurse.
Which intervention does the nurse recognize as taking priority? - ANSWER: Providing
caring support to the patient
The nurse is reviewing the results of a patient's urinalysis. Which components does
the nurse identify as being abnormal in urine? (Select all that apply.) - ANSWER:
Protein, RBCs
The nurse is providing postoperative care for a patient with a newly formed ileal
conduit for a diagnosis of cancer. Which factor regarding the patient's surgery does
the nurse identify as incorrect? - ANSWER: Bladder continence will develop after
healing.
