HESI: NUR204 / NUR 204
HESI: NUR204 / NUR 204 (LATEST
UPDATE) | QUESTIONS AND VERIFIED ANSWERS 100%
CORRECT | GRADE A – FORTIS
Which action would be appropriate to implement when collecting a 24-hour urine test?
a. Start the time of the test after discarding the first voiding.
b. Discard the last voiding in the 24-hour period for the test.
c. Insert a urinary retention catheter to promote the collection of urine.
d. Strain the urine after each voiding before adding the urine to the container.
a
Which purpose is served by a cystoscopy ordered for a client experiencing decreased and
difficult urination?
a. To ascertain the size of the kidneys
b. To ascertain the protein content in urine
c. To ascertain the presence of urethral wall abnormalities
d. To ascertain the total amount of catecholamines excreted
c
The urinalysis report of a client reveals a pH of 6.0, turbidity/cloudiness, specific gravity of
1.020, and 0.6 mg/dL of proteins. Which condition can be inferred from the findings?
a. Infection
b. Glomerular disorder
c. Acid-base imbalance
d. Decreased kidney perfusion
a
Which diagnostic procedure requires the clinic nurse to instruct a client to discard the morning
first-voided urine, then collect a fresh urine specimen and transport it to the laboratory within 1
hour of collection?
a. Residual urine
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, HESI: NUR204 / NUR 204
b. Concentration test
c. Urine cytology
d. Protein level
c
Which instruction would the nurse provide a client needing to collect a clean-catch urine
specimen?
a. "Urinate a small amount, stop flow, and then fill one half of the specimen cup."
b. "Collect a sample of the last urine voided during the night."
c. "If anticipating a delay in delivery, keep the urine sample in a warm, dry area."
d. "Send the urine sample to the laboratory within 6 hours of collection."
a
Which sign or symptom supports the nurse's suspicion that a client has overflow
incontinence?
a. Constant dribbling of urine
b. Abrupt and strong urge to void
c. Loss of urine with physical exertion
d. Large amount of urine loss with each occurrence
a
Which evidenced-based nursing intervention links to reducing catheter associated urinary
tract infections (CAUTIs) in clients requiring long-term indwelling catheters?
a. Perform catheter care twice a day.
b. Replace the catheter on a routine basis.
c. Administer cranberry tablets three times a day.
d. Administer prophylactic antibiotics twice a day for the duration of the catheter placement.
a
Which finding would the nurse expect in the urinalysis report of a client with diabetes
insipidus?
a. pH of urine: 9
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, HESI: NUR204 / NUR 204
b. Specific gravity of urine: 0.4
c. Red blood cells (RBCs) in urine: 6 hpf
d. White blood cells (WBCs) in urine: 8 hpf
b
Which intervention would prevent urinary stasis and formation of renal calculi in an
immobile client?
a. Increasing oral fluid intake to 2 to 3 L/day
b. Maintaining bed rest after discharge
c. Limiting fluid intake to 1 L/day
d. Voiding at least every hour
a
Which condition would the nurse suspect if the client reports passing urine involuntarily
while coughing?
a. Enuresis
b. Pneumaturia
c. Urinary retention
d. Stress incontinence
d
Which goal is the nurse trying to achieve with continuous bladder irrigations (CBI) of a client
who has undergone a suprapubic prostatectomy for cancer of the prostate?
a. Stimulate continuous formation of urine.
b. Facilitate the measurement of urinary output.
c. Prevent the development of clots in the bladder.
d. Provide continuous pressure on the prostatic fossa.
c
Which action would the nurse take after identifying that a client's urinary output is less than
40 mL/h over the past 3 hours?
a. Assess breath sounds and obtain vital signs.
3|Page
, HESI: NUR204 / NUR 204
b. Decrease the intravenous flow rate and increase oral fluids.
c. Insert an indwelling catheter to facilitate emptying of the bladder.
d. Check for dependent edema by assessing the lower extremities.
a
A client is scheduled for a kidney ultrasound. Which instructions would be given by the
nurse? Select all that apply. One, some, or all responses may be correct.
a. "Drink plenty of fluids."
b. "Eat foods rich in fiber."
c. "Do not urinate before the examination."
d. "Lie flat and perfectly still during the test."
e. "A urinary catheter may be needed temporarily for the test."
acd
Which nursing intervention helps prevent complications associated with a shortened
urethra revealed by a recent intravenous pyelogram?
a. Providing thorough perineal care after each voiding
b. Encouraging the client to use the toilet or bedpan every 2 hours
c. Responding quickly to the client's indication of the need to void
d. Applying voiding stimulants to the perineum
a
Which instruction would the nurse include in a health practices teaching plan for a female
client with a history of recurrent urinary tract infections?
a. "Wear cotton underwear or lingerie."
b. "Void at least every 6 hours around the clock."
c. "Increase foods containing alkaline ash in the diet."
d. "Wipe the perineum from back to front after toileting."
a
Which nursing action during a focused urinary assessment would the nurse use to collect
subjective client data? Select all that apply. One, some, or all responses may be correct.
4|Page
HESI: NUR204 / NUR 204 (LATEST
UPDATE) | QUESTIONS AND VERIFIED ANSWERS 100%
CORRECT | GRADE A – FORTIS
Which action would be appropriate to implement when collecting a 24-hour urine test?
a. Start the time of the test after discarding the first voiding.
b. Discard the last voiding in the 24-hour period for the test.
c. Insert a urinary retention catheter to promote the collection of urine.
d. Strain the urine after each voiding before adding the urine to the container.
a
Which purpose is served by a cystoscopy ordered for a client experiencing decreased and
difficult urination?
a. To ascertain the size of the kidneys
b. To ascertain the protein content in urine
c. To ascertain the presence of urethral wall abnormalities
d. To ascertain the total amount of catecholamines excreted
c
The urinalysis report of a client reveals a pH of 6.0, turbidity/cloudiness, specific gravity of
1.020, and 0.6 mg/dL of proteins. Which condition can be inferred from the findings?
a. Infection
b. Glomerular disorder
c. Acid-base imbalance
d. Decreased kidney perfusion
a
Which diagnostic procedure requires the clinic nurse to instruct a client to discard the morning
first-voided urine, then collect a fresh urine specimen and transport it to the laboratory within 1
hour of collection?
a. Residual urine
1|Page
, HESI: NUR204 / NUR 204
b. Concentration test
c. Urine cytology
d. Protein level
c
Which instruction would the nurse provide a client needing to collect a clean-catch urine
specimen?
a. "Urinate a small amount, stop flow, and then fill one half of the specimen cup."
b. "Collect a sample of the last urine voided during the night."
c. "If anticipating a delay in delivery, keep the urine sample in a warm, dry area."
d. "Send the urine sample to the laboratory within 6 hours of collection."
a
Which sign or symptom supports the nurse's suspicion that a client has overflow
incontinence?
a. Constant dribbling of urine
b. Abrupt and strong urge to void
c. Loss of urine with physical exertion
d. Large amount of urine loss with each occurrence
a
Which evidenced-based nursing intervention links to reducing catheter associated urinary
tract infections (CAUTIs) in clients requiring long-term indwelling catheters?
a. Perform catheter care twice a day.
b. Replace the catheter on a routine basis.
c. Administer cranberry tablets three times a day.
d. Administer prophylactic antibiotics twice a day for the duration of the catheter placement.
a
Which finding would the nurse expect in the urinalysis report of a client with diabetes
insipidus?
a. pH of urine: 9
2|Page
, HESI: NUR204 / NUR 204
b. Specific gravity of urine: 0.4
c. Red blood cells (RBCs) in urine: 6 hpf
d. White blood cells (WBCs) in urine: 8 hpf
b
Which intervention would prevent urinary stasis and formation of renal calculi in an
immobile client?
a. Increasing oral fluid intake to 2 to 3 L/day
b. Maintaining bed rest after discharge
c. Limiting fluid intake to 1 L/day
d. Voiding at least every hour
a
Which condition would the nurse suspect if the client reports passing urine involuntarily
while coughing?
a. Enuresis
b. Pneumaturia
c. Urinary retention
d. Stress incontinence
d
Which goal is the nurse trying to achieve with continuous bladder irrigations (CBI) of a client
who has undergone a suprapubic prostatectomy for cancer of the prostate?
a. Stimulate continuous formation of urine.
b. Facilitate the measurement of urinary output.
c. Prevent the development of clots in the bladder.
d. Provide continuous pressure on the prostatic fossa.
c
Which action would the nurse take after identifying that a client's urinary output is less than
40 mL/h over the past 3 hours?
a. Assess breath sounds and obtain vital signs.
3|Page
, HESI: NUR204 / NUR 204
b. Decrease the intravenous flow rate and increase oral fluids.
c. Insert an indwelling catheter to facilitate emptying of the bladder.
d. Check for dependent edema by assessing the lower extremities.
a
A client is scheduled for a kidney ultrasound. Which instructions would be given by the
nurse? Select all that apply. One, some, or all responses may be correct.
a. "Drink plenty of fluids."
b. "Eat foods rich in fiber."
c. "Do not urinate before the examination."
d. "Lie flat and perfectly still during the test."
e. "A urinary catheter may be needed temporarily for the test."
acd
Which nursing intervention helps prevent complications associated with a shortened
urethra revealed by a recent intravenous pyelogram?
a. Providing thorough perineal care after each voiding
b. Encouraging the client to use the toilet or bedpan every 2 hours
c. Responding quickly to the client's indication of the need to void
d. Applying voiding stimulants to the perineum
a
Which instruction would the nurse include in a health practices teaching plan for a female
client with a history of recurrent urinary tract infections?
a. "Wear cotton underwear or lingerie."
b. "Void at least every 6 hours around the clock."
c. "Increase foods containing alkaline ash in the diet."
d. "Wipe the perineum from back to front after toileting."
a
Which nursing action during a focused urinary assessment would the nurse use to collect
subjective client data? Select all that apply. One, some, or all responses may be correct.
4|Page
