NURS 365 EXAM 3 2025 LATEST EDITION WITH CURRENTLY TESTING
RATIONALES 100% SOLVED | GRADED A+
A client with a history of cirrhosis is admitted with dyspnea related to ascites and is placed
on supplemental oxygen. The client vomits a small amount of brown liquid and has
increased work of breathing. What should the nurse do next?
a. measure the client's abdominal girth
b. place the client in high fowler position
c. manage the client's pain with analgesics
d. insert an NG tube and connect to intermittent suction
b. place the client in high fowler position
A client's urine is cloudy, amber, and has an unpleasant odor. Which problem may this
information indicate that requires the nurse to make a focused assessment?
a. Urinary retention
b. Urinary tract infection
c. Ketone bodies in the urine
d. High urinary calcium level
b. Urinary tract infection
A nurse is caring for a debilitated female client with nocturia. Which nursing intervention is
the priority when planning to meet this client's needs?
a. encourgang the use of bladder training exercises
b. providing assistance with toileting every 4 hours
,c. teaching the avoidance of fluids after 5 pm
d. positioning a bedside commode near the bed
d. positioning a bedside commode near the bed (for the patient's nocturia, they are
debilitated)
A nurse is caring for a group of clients with urinary problems. Which physical response
identified by the nurse should cause the most concern?
a. enuresis
b. polyuria
c. anuria
d. diuresis
c. anuria
Which finding suggests that the client has fluid volume deficit?
a. urine output of 1500 mL/ 24 hrs
b. urine is pale yellow and contains no protein
c. urine specific gravity is 1.040
d. bounding pulses
c. urine specific gravity is 1.040
Which should the nurse do when collecting a urine specimen via straight catheter for a
culture and sensitivity?
a. use a sterile specimen container
b. collect urine from the catheter port
,c. have the client void before collecting the specimen
d. inflate the balloon with sterile water
a. use a sterile specimen container
What is an effective nursing intervention to prevent urinary tract infections?
a. teach female clients to wipe from the back to the front after voiding
b. advise clients to report burning on urination to health care providers
c. instruct clients to use bath powder to absorb perineal perspiration
d. encourage clients to drink several quarts of fluid daily
d. encourage clients to drink several quarts of fluid daily
flush the system, keep it moving
Which nursing intervention is the greatest help to most people who need to void for a urine
test?
a. providing privacy
b. running water in the sink
c. exerting manual pressure on the abdomen
d. encouraging a backward rocking motion
a. providing privacy
A client's renal calculus is analyzed as being very high uric acid. To prevent recurrence of
stones, the nurse teaches the client to avoid eating
a. milk and dairy
, b. legumes and dried fruits
c. organ meats and sardine
d. spinach, chocolate and tea
c. organ meats and sardine
The student nurse asks for an indwelling urinary catheter for a hospitalized patient who is
incontinent. Which is the BEST response regarding use of catheters?
a. They are the leading cause of hospital acquired infections
b. They are too expensive for routine use
c. They contain latex, increasing risk for allergies
d. Insertion is painful for most patients
a. They are the leading cause of hospital acquired infections
A client with renal calculus has just returned from an extracorporeal shock wave lithotripsy
procedure, and the nurse finds an ecchymotic area on the client's right lower back. Which
is the nurse's priority intervention?
a. Notify the health care provider
b. Place the patient in prone position
c. Document the observation in the chart
d. Apply ice to the site
d. Apply ice to the site
Older adults often have blunted (reduced) response to infection. Which clinical
manifestation would be expected in an elderly client with a urinary tract infection?
RATIONALES 100% SOLVED | GRADED A+
A client with a history of cirrhosis is admitted with dyspnea related to ascites and is placed
on supplemental oxygen. The client vomits a small amount of brown liquid and has
increased work of breathing. What should the nurse do next?
a. measure the client's abdominal girth
b. place the client in high fowler position
c. manage the client's pain with analgesics
d. insert an NG tube and connect to intermittent suction
b. place the client in high fowler position
A client's urine is cloudy, amber, and has an unpleasant odor. Which problem may this
information indicate that requires the nurse to make a focused assessment?
a. Urinary retention
b. Urinary tract infection
c. Ketone bodies in the urine
d. High urinary calcium level
b. Urinary tract infection
A nurse is caring for a debilitated female client with nocturia. Which nursing intervention is
the priority when planning to meet this client's needs?
a. encourgang the use of bladder training exercises
b. providing assistance with toileting every 4 hours
,c. teaching the avoidance of fluids after 5 pm
d. positioning a bedside commode near the bed
d. positioning a bedside commode near the bed (for the patient's nocturia, they are
debilitated)
A nurse is caring for a group of clients with urinary problems. Which physical response
identified by the nurse should cause the most concern?
a. enuresis
b. polyuria
c. anuria
d. diuresis
c. anuria
Which finding suggests that the client has fluid volume deficit?
a. urine output of 1500 mL/ 24 hrs
b. urine is pale yellow and contains no protein
c. urine specific gravity is 1.040
d. bounding pulses
c. urine specific gravity is 1.040
Which should the nurse do when collecting a urine specimen via straight catheter for a
culture and sensitivity?
a. use a sterile specimen container
b. collect urine from the catheter port
,c. have the client void before collecting the specimen
d. inflate the balloon with sterile water
a. use a sterile specimen container
What is an effective nursing intervention to prevent urinary tract infections?
a. teach female clients to wipe from the back to the front after voiding
b. advise clients to report burning on urination to health care providers
c. instruct clients to use bath powder to absorb perineal perspiration
d. encourage clients to drink several quarts of fluid daily
d. encourage clients to drink several quarts of fluid daily
flush the system, keep it moving
Which nursing intervention is the greatest help to most people who need to void for a urine
test?
a. providing privacy
b. running water in the sink
c. exerting manual pressure on the abdomen
d. encouraging a backward rocking motion
a. providing privacy
A client's renal calculus is analyzed as being very high uric acid. To prevent recurrence of
stones, the nurse teaches the client to avoid eating
a. milk and dairy
, b. legumes and dried fruits
c. organ meats and sardine
d. spinach, chocolate and tea
c. organ meats and sardine
The student nurse asks for an indwelling urinary catheter for a hospitalized patient who is
incontinent. Which is the BEST response regarding use of catheters?
a. They are the leading cause of hospital acquired infections
b. They are too expensive for routine use
c. They contain latex, increasing risk for allergies
d. Insertion is painful for most patients
a. They are the leading cause of hospital acquired infections
A client with renal calculus has just returned from an extracorporeal shock wave lithotripsy
procedure, and the nurse finds an ecchymotic area on the client's right lower back. Which
is the nurse's priority intervention?
a. Notify the health care provider
b. Place the patient in prone position
c. Document the observation in the chart
d. Apply ice to the site
d. Apply ice to the site
Older adults often have blunted (reduced) response to infection. Which clinical
manifestation would be expected in an elderly client with a urinary tract infection?
