NUR 310 EXAM 2 PREP QUESTIONS
WITH COMPLETE ANSWERS
The nurse is teaching an older adult female client who must provide a urine specimen.
Which is the proper method to instruct the client to use to obtain a clean-catch urine
specimen? - Answer-Catch the urine while holding the labia apart, after allowing the first
urine to flow into the toilet.
A client has burning upon urination. The urinalysis indicates pyuria. Which is the next
action the nurse will take? - Answer-Contact the health care provider
The nurse is preparing to auscultate the bowel sounds of a client with a nasogastric
tube in place set to low intermittent suction. How shall the nurse approach the
assessment of bowel sounds and manage the nasogastric tube? - Answer-Disconnect
the nasogastric tube from suction during the assessment of bowel sounds.
A nurse who is right-handed is inserting a woman's indwelling urinary catheter. The
nurse will use cotton balls and antiseptic solution to cleanse the woman's meatus and
perineum. Which of the nurse's actions is most appropriate? - Answer-Use her left hand
to spread the woman's labia and keep them spread until the catheter is inserted.
The health care provider notifies a client of a diagnosis of glycosuria. Which additional
assessment information will the nurse obtain from the client next? - Answer-Blood sugar
A sterile urine specimen for culture and sensitivity has been prescribed for a client who
has an indwelling urinary catheter. How should the nurse obtain this specimen? -
Answer-Withdraw several milliliters of urine from the port on the collection tubing, using
aseptic technique.
A nurse is caring for a client who has an infant age 4 months. The client informs the
nurse that she has been experiencing a sudden loss of urine whenever she laughs; this
is causing embarrassment to her. Which type of urinary incontinence is this client
experiencing? - Answer-stress incontinence
A client at a health care facility is being treated for cancer of the bladder. The physician
uses a urinary diversion to help the client with urinary elimination. What describes a
urinary diversion? - Answer-one or both of the ureters are surgically implanted
elsewhere
The nurse is caring for a client who has been experiencing difficulty voiding since her
vaginal birth. The client voices concern to the nurse. What information should be
provided to the client? - Answer-The birth can cause perineal swelling.
,A nurse drains the bladder of a client by inserting a catheter for 5 minutes. What type of
catheter would the nurse use in this instance? - Answer-intermittent urethral catheter
The nurse is choosing a collection device to collect urine from a nonambulatory male
client? What would be the nurse's best choice? - Answer-Urinal
Which is the test that would provide an accurate measurement of the kidney's excretion
of creatinine? - Answer-24-hour specimen
An older adult female client tells the nurse, "Whenever I sneeze or cough, I urinate a
little bit. It's very embarrassing." The nurse interprets the client's statement as indicating
which type of incontinence? - Answer-Stress
The nurse is caring for a client who reports burning upon urination, and an ongoing
sense of needing to urinate. Which urine characteristics does the nurse anticipate? -
Answer-cloudy, foul odor
The nurse is caring for a client who has been experiencing nausea, vomiting, and
diarrhea for 3 days. Which urine characteristics does the nurse anticipate? - Answer-
strongly aromatic, dark amber
An older adult client informs the nurse that they are experiencing urinary incontinence.
The client has no other health problems, and states, "I don't want anybody to know
about this problem." How will the nurse promote the client's self-esteem? - Answer-
Discuss the use of protective undergarments to avoid embarrassment from
incontinence.
The nurse is caring for a client who has dark amber, strongly aromatic urine with
nausea and vomiting. Which condition does the nurse anticipate? - Answer-dehydration
A client with chronic kidney disease reports not being able to urinate for the past 24
hours. A bladder scan shows no urine in the bladder. How does the nurse document
this data? - Answer-anuria
The nurse is preparing to insert an indwelling urinary catheter into a female client's
bladder. The nurse has opened the sterile catheterization tray using sterile technique,
donned sterile gloves and has opened all sterile supplies. Arrange the following steps in
the correct order. - Answer-1. Clean each labial fold, then the area directly over the
meatus.
2. Insert the lubricated catheter into the urethra.
3. Advance the catheter until there is a return of urine.
4. Inflate the balloon with the correct amount of sterile saline.
5. Discard used supplies.
, A nurse prepares a client with a recently created ileal conduit to be discharged from the
hospital. Which is an expected assessment finding? - Answer-Mucus in the urine is a
normal finding.
A client with an emergently placed central venous catheter (CVC) is to have emergent
hemodialysis. Upon assessment of the CVC the nurse visualizes redness, drainage,
and odor to the area around the CVC. Palpation of the surrounding skin causes the
client pain. Which intervention is the priority? - Answer-Notifying the health care
provider of the assessment findings
A nurse is caring for a client with a hemodialysis access site. Which action should the
nurse take? - Answer-Auscultate over the access site with the bell of a stethoscope,
listening for a bruit or vibration.
The health care provider has prescribed an indwelling catheter for a client. When the
nurse explains the procedure, the client refuses to allow placement of the catheter.
Which action should the nurse take? - Answer-Ask the client why he or she does not
want a catheter.
A client could experience increased urination when using which classification of
medication? - Answer-Cholinergic agents
A nurse is preparing to measure a client's urine output. Which interventions would be of
highest priority? - Answer-Wearing gloves when handling the urine
The nurse has an order to obtain a 24-hour urine specimen from a client. Which
instruction would be accurate for collection of the specimen? - Answer-"Discard your
first urine and begin the collection after that."
A male client is being transferred to the hospital from a long-term care facility with a
diagnosis of dehydration and urinary bladder infection. His skin is also excoriated from
urinary incontinence. Which nursing diagnosis is most appropriate for this client? -
Answer-Impaired Skin Integrity related to urinary bladder infection and dehydration
Which is true regarding the normal urination? - Answer-Catheterized clients should
drain a minimum of 30 mL of urine per hour.
A female client is diagnosed with recurrent urinary tract infections (UTIs) and the nurse
is providing education about preventative methods. What information is important for the
nurse to give to the client to prevent another UTI? Select all that apply. - Answer--Drink
two 8-oz glasses (480 mL) of water before and after sexual intercourse and void
immediately after intercourse.
-Wear underwear with a cotton crotch.
-Avoid clothing that is tight and restrictive on the lower half of the body.
WITH COMPLETE ANSWERS
The nurse is teaching an older adult female client who must provide a urine specimen.
Which is the proper method to instruct the client to use to obtain a clean-catch urine
specimen? - Answer-Catch the urine while holding the labia apart, after allowing the first
urine to flow into the toilet.
A client has burning upon urination. The urinalysis indicates pyuria. Which is the next
action the nurse will take? - Answer-Contact the health care provider
The nurse is preparing to auscultate the bowel sounds of a client with a nasogastric
tube in place set to low intermittent suction. How shall the nurse approach the
assessment of bowel sounds and manage the nasogastric tube? - Answer-Disconnect
the nasogastric tube from suction during the assessment of bowel sounds.
A nurse who is right-handed is inserting a woman's indwelling urinary catheter. The
nurse will use cotton balls and antiseptic solution to cleanse the woman's meatus and
perineum. Which of the nurse's actions is most appropriate? - Answer-Use her left hand
to spread the woman's labia and keep them spread until the catheter is inserted.
The health care provider notifies a client of a diagnosis of glycosuria. Which additional
assessment information will the nurse obtain from the client next? - Answer-Blood sugar
A sterile urine specimen for culture and sensitivity has been prescribed for a client who
has an indwelling urinary catheter. How should the nurse obtain this specimen? -
Answer-Withdraw several milliliters of urine from the port on the collection tubing, using
aseptic technique.
A nurse is caring for a client who has an infant age 4 months. The client informs the
nurse that she has been experiencing a sudden loss of urine whenever she laughs; this
is causing embarrassment to her. Which type of urinary incontinence is this client
experiencing? - Answer-stress incontinence
A client at a health care facility is being treated for cancer of the bladder. The physician
uses a urinary diversion to help the client with urinary elimination. What describes a
urinary diversion? - Answer-one or both of the ureters are surgically implanted
elsewhere
The nurse is caring for a client who has been experiencing difficulty voiding since her
vaginal birth. The client voices concern to the nurse. What information should be
provided to the client? - Answer-The birth can cause perineal swelling.
,A nurse drains the bladder of a client by inserting a catheter for 5 minutes. What type of
catheter would the nurse use in this instance? - Answer-intermittent urethral catheter
The nurse is choosing a collection device to collect urine from a nonambulatory male
client? What would be the nurse's best choice? - Answer-Urinal
Which is the test that would provide an accurate measurement of the kidney's excretion
of creatinine? - Answer-24-hour specimen
An older adult female client tells the nurse, "Whenever I sneeze or cough, I urinate a
little bit. It's very embarrassing." The nurse interprets the client's statement as indicating
which type of incontinence? - Answer-Stress
The nurse is caring for a client who reports burning upon urination, and an ongoing
sense of needing to urinate. Which urine characteristics does the nurse anticipate? -
Answer-cloudy, foul odor
The nurse is caring for a client who has been experiencing nausea, vomiting, and
diarrhea for 3 days. Which urine characteristics does the nurse anticipate? - Answer-
strongly aromatic, dark amber
An older adult client informs the nurse that they are experiencing urinary incontinence.
The client has no other health problems, and states, "I don't want anybody to know
about this problem." How will the nurse promote the client's self-esteem? - Answer-
Discuss the use of protective undergarments to avoid embarrassment from
incontinence.
The nurse is caring for a client who has dark amber, strongly aromatic urine with
nausea and vomiting. Which condition does the nurse anticipate? - Answer-dehydration
A client with chronic kidney disease reports not being able to urinate for the past 24
hours. A bladder scan shows no urine in the bladder. How does the nurse document
this data? - Answer-anuria
The nurse is preparing to insert an indwelling urinary catheter into a female client's
bladder. The nurse has opened the sterile catheterization tray using sterile technique,
donned sterile gloves and has opened all sterile supplies. Arrange the following steps in
the correct order. - Answer-1. Clean each labial fold, then the area directly over the
meatus.
2. Insert the lubricated catheter into the urethra.
3. Advance the catheter until there is a return of urine.
4. Inflate the balloon with the correct amount of sterile saline.
5. Discard used supplies.
, A nurse prepares a client with a recently created ileal conduit to be discharged from the
hospital. Which is an expected assessment finding? - Answer-Mucus in the urine is a
normal finding.
A client with an emergently placed central venous catheter (CVC) is to have emergent
hemodialysis. Upon assessment of the CVC the nurse visualizes redness, drainage,
and odor to the area around the CVC. Palpation of the surrounding skin causes the
client pain. Which intervention is the priority? - Answer-Notifying the health care
provider of the assessment findings
A nurse is caring for a client with a hemodialysis access site. Which action should the
nurse take? - Answer-Auscultate over the access site with the bell of a stethoscope,
listening for a bruit or vibration.
The health care provider has prescribed an indwelling catheter for a client. When the
nurse explains the procedure, the client refuses to allow placement of the catheter.
Which action should the nurse take? - Answer-Ask the client why he or she does not
want a catheter.
A client could experience increased urination when using which classification of
medication? - Answer-Cholinergic agents
A nurse is preparing to measure a client's urine output. Which interventions would be of
highest priority? - Answer-Wearing gloves when handling the urine
The nurse has an order to obtain a 24-hour urine specimen from a client. Which
instruction would be accurate for collection of the specimen? - Answer-"Discard your
first urine and begin the collection after that."
A male client is being transferred to the hospital from a long-term care facility with a
diagnosis of dehydration and urinary bladder infection. His skin is also excoriated from
urinary incontinence. Which nursing diagnosis is most appropriate for this client? -
Answer-Impaired Skin Integrity related to urinary bladder infection and dehydration
Which is true regarding the normal urination? - Answer-Catheterized clients should
drain a minimum of 30 mL of urine per hour.
A female client is diagnosed with recurrent urinary tract infections (UTIs) and the nurse
is providing education about preventative methods. What information is important for the
nurse to give to the client to prevent another UTI? Select all that apply. - Answer--Drink
two 8-oz glasses (480 mL) of water before and after sexual intercourse and void
immediately after intercourse.
-Wear underwear with a cotton crotch.
-Avoid clothing that is tight and restrictive on the lower half of the body.
