NUR 256 Exam 3 Study Guide & Practice Questions | Nursing Pharmacology &
Med-Surg Prep 2025
1. What are the kidney functions? excrete toxins, filter blood, produce erthropoeitin,
RAAS system for blood pressure, activates calcium
2. What labs tell kidney production? creatnine and BUN
0.7-1.4, 10-20
3. Why is creatnine more effective in Because it is not attected by activity or diet
showing kidney function?
4. Why does physical activity affect other it releases proteins from muscles, and could give
labs for kidney function? false positive results
5. What aids the kidneys in activating vitamin D (calcitrol), parathyroid hormone
calcium?
6. How much can the bladder hold? 400-600mL
7. Ureters are how long? 6-12 inches
8. How long are the urethras for male Female: 3-4 inches
and female? Male: 6-8 inches
9. How do to a clean catch urinalysis? clean urethra, pee in toilet for 15-30mL, catch
mid-stream in sterile cup, void remainder in cup
10. How to clean urethra for male/female Female: spread labia, clean front to back
in clean catch?
Male: pull back foreskin, clean in circular motion
11. Normal urine should be? Acidic (4.5-8), straw colored, negative for:
leukesterase, nitrates, protien, blood, and glucose
12. When should a reflex urine culture be when urine comes back positive for nitrates and/or
taken? leukerstase, blood
, NUR 256 Exam 3 Study Guide & Practice Questions | Nursing Pharmacology &
Med-Surg Prep 2025
13. Procedure for taking urine sample Old catheter: clean port, take from there w/ sy-
from catheter bag? ringe
New catheter: collect from bag
14. When do you FIRST do a self breast after first period starts - "menarchy"
exam?
15. When to do a self breast exam? 7-10 days from the day period starts, DO ONCE A
MONTH
16. Names of self breast exam search pat- Wedge, circles, lines
terns?
17. What are you looking for in a self Asymmetry, dimpling, orange peel skin, drainage
breast exam?
18. What else should you do in a self Palpate the tail of spence (armpit muscle), pinch
breast exam? nipple gently to check for drainage
19. How often to do a clinical self breast Once a year
exam?
20. When should men FIRST do a testie at start of puberty
self exam? How often?
ONCE A MONTH
21. How is a self testie exam done? start at base, work down, palpate testies, retract
foreskin
22. What are you looking for in a self painless lumps, absent testie, discharge
testie exam??
23. How is a 24 hour urine test done? Toss the first void, start clock then, collect all urine
for next 24 hours into one jug - marking each end
, NUR 256 Exam 3 Study Guide & Practice Questions | Nursing Pharmacology &
Med-Surg Prep 2025
24. What happens if you miss a sample You start over
during a 24 hour urine test?
25. What is done before a 24 hour creati- Height and weight is take, blood sample is taken
nine clearance test? (to compare serum creatinine levels to urine levels)
26. Levels should be what in a 24 hour HIGH!! HIGH IS GOOD - means kidneys are work-
creatinine test? ing and clearing waste
27. When is a pap smear FIRST done? when she becomes sexually active or at age 21
28. When is the best time do to a pap 7-10 days from first day of period
smear?
29. Prep to do before a pap smear? No sex for 24 hours, no douching for 24-48 hours
30. What position is a pap smear done in? Lithotomy (feet in stirrups) -
PUT LEGS UP AT SAME TIME TO AVOID TEARING
31. How do you store urine for 24 hour over ice or in fridge
test?
32. What are the upper UTIs and the pain Pyelonenephritis (kidney)
they create? Ureteritis (ureters)
CAUSE FLANK AND/OR ASCENDING PAIN
33. What are the lower UTIs and the pain Cystitis (bladder)
they create? Urethritis (urethra)
CAUSE LOW ABD AND/OR PELVIC PAIN AND
PAINFUL URINATION
Med-Surg Prep 2025
1. What are the kidney functions? excrete toxins, filter blood, produce erthropoeitin,
RAAS system for blood pressure, activates calcium
2. What labs tell kidney production? creatnine and BUN
0.7-1.4, 10-20
3. Why is creatnine more effective in Because it is not attected by activity or diet
showing kidney function?
4. Why does physical activity affect other it releases proteins from muscles, and could give
labs for kidney function? false positive results
5. What aids the kidneys in activating vitamin D (calcitrol), parathyroid hormone
calcium?
6. How much can the bladder hold? 400-600mL
7. Ureters are how long? 6-12 inches
8. How long are the urethras for male Female: 3-4 inches
and female? Male: 6-8 inches
9. How do to a clean catch urinalysis? clean urethra, pee in toilet for 15-30mL, catch
mid-stream in sterile cup, void remainder in cup
10. How to clean urethra for male/female Female: spread labia, clean front to back
in clean catch?
Male: pull back foreskin, clean in circular motion
11. Normal urine should be? Acidic (4.5-8), straw colored, negative for:
leukesterase, nitrates, protien, blood, and glucose
12. When should a reflex urine culture be when urine comes back positive for nitrates and/or
taken? leukerstase, blood
, NUR 256 Exam 3 Study Guide & Practice Questions | Nursing Pharmacology &
Med-Surg Prep 2025
13. Procedure for taking urine sample Old catheter: clean port, take from there w/ sy-
from catheter bag? ringe
New catheter: collect from bag
14. When do you FIRST do a self breast after first period starts - "menarchy"
exam?
15. When to do a self breast exam? 7-10 days from the day period starts, DO ONCE A
MONTH
16. Names of self breast exam search pat- Wedge, circles, lines
terns?
17. What are you looking for in a self Asymmetry, dimpling, orange peel skin, drainage
breast exam?
18. What else should you do in a self Palpate the tail of spence (armpit muscle), pinch
breast exam? nipple gently to check for drainage
19. How often to do a clinical self breast Once a year
exam?
20. When should men FIRST do a testie at start of puberty
self exam? How often?
ONCE A MONTH
21. How is a self testie exam done? start at base, work down, palpate testies, retract
foreskin
22. What are you looking for in a self painless lumps, absent testie, discharge
testie exam??
23. How is a 24 hour urine test done? Toss the first void, start clock then, collect all urine
for next 24 hours into one jug - marking each end
, NUR 256 Exam 3 Study Guide & Practice Questions | Nursing Pharmacology &
Med-Surg Prep 2025
24. What happens if you miss a sample You start over
during a 24 hour urine test?
25. What is done before a 24 hour creati- Height and weight is take, blood sample is taken
nine clearance test? (to compare serum creatinine levels to urine levels)
26. Levels should be what in a 24 hour HIGH!! HIGH IS GOOD - means kidneys are work-
creatinine test? ing and clearing waste
27. When is a pap smear FIRST done? when she becomes sexually active or at age 21
28. When is the best time do to a pap 7-10 days from first day of period
smear?
29. Prep to do before a pap smear? No sex for 24 hours, no douching for 24-48 hours
30. What position is a pap smear done in? Lithotomy (feet in stirrups) -
PUT LEGS UP AT SAME TIME TO AVOID TEARING
31. How do you store urine for 24 hour over ice or in fridge
test?
32. What are the upper UTIs and the pain Pyelonenephritis (kidney)
they create? Ureteritis (ureters)
CAUSE FLANK AND/OR ASCENDING PAIN
33. What are the lower UTIs and the pain Cystitis (bladder)
they create? Urethritis (urethra)
CAUSE LOW ABD AND/OR PELVIC PAIN AND
PAINFUL URINATION
