Medical-Surgical Nursing in Canada(3rd
Edition) Obj5 Exam Questions and
Answers 2025/2026 A+ Graded 100%
Verified
1. Which of the following assessment findings would the nurse expect in the patient with a lower
urinary tract infection (UTI)?
a. Flank pain
b. Dysuria
c. Oliguria
d. Nausea - ANS-ANS: B
Pain with urination is a common symptom of a lower UTI. Urinary output does not decrease, but
frequency may be experienced.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 1291, Table 48-3
OBJ: 2 TOP: Nursing Process: Assessment MSC: CRNE: CH-8
2. What is one of the most important ways to prevent the development of acute
post-streptococcal glomerulonephritis?
a. Control of blood pressure with exercise
b. Early diagnosis and treatment of sore throat
c. Ensuring complete bladder emptying when the patient voids
d. Daily intake of high-potency multivitamins - ANS-ANS: B
One of the most important ways to prevent the development of acute post-streptococcal
glomerulonephritis is to encourage early diagnosis and treatment of sore throats and skin
lesions.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 1300
OBJ: 4 TOP: Nursing Process: Assessment MSC: CRNE: CH-8
3. The nurse determines that instruction regarding prevention of future UTIs for a patient with
cystitis has been effective when the patient gives which of the following responses?
a. "I will limit my fluid intake to 1000 mL/day to prevent symptoms of frequency and urgency."
b. "I will increase my fluid intake and empty my bladder every 2 to 4 hours during waking hours."
c. "I should use an antiseptic vaginal deodorant spray twice a day to reduce the bacterial growth
in the perineal area."
d. "I will wash my perineal area with soap and water after each bowel movement and before and
after sexual intercourse." - ANS-ANS: B
,Voiding every 2 to 4 hours is recommended to prevent UTIs.
PTS: 1 DIF: Cognitive Level: Application REF: page 1295, Table 48-6
OBJ: 2 TOP: Nursing Process: Evaluation MSC: CRNE: NCP-14
4. To relieve the symptoms of a lower UTI for which the patient is taking prescribed antibiotics,
the nurse suggests that the patient use the over-the-counter urinary analgesic of
phenazopyridine (Pyridium), but should give the patient which of the following cautions?
a. This preparation contains methylene blue, which turns the urine blue or green.
b. This preparation must be taken with food to prevent gastrointestinal irritation.
c. This preparation causes the urine to turn reddish orange and can stain underclothing.
d. This preparation frequently causes allergic reactions and should be stopped if a rash occurs.
- ANS-ANS: C
Patients should be taught that phenazopyridine will colour the urine deep orange and stain
underclothing.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 1292
OBJ: 2 TOP: Nursing Process: Implementation MSC: CRNE: CH-44
5. A 34-year-old patient with diabetes mellitus is hospitalized with fever, anorexia, and
confusion. The physician suspects acute pyelonephritis when the urinalysis reveals bacteriuria.
Which of the following is an appropriate collaborative problem identified by the nurse for this
patient?
a. Potential complication: urosepsis
b. Potential complication: hydronephrosis
c. Potential complication: acute kidney injury
d. Potential complication: chronic pyelonephritis - ANS-ANS: A
Infection can easily spread from the kidney to the circulation, causing urosepsis.
PTS: 1 DIF: Cognitive Level: Application REF: page 1295
OBJ: 3 TOP: Nursing Process: Planning MSC: CRNE: CH-20
6. A 72-year-old man has benign prostatic hypertrophy, which has contributed to repeated bouts
of cystitis. He is now admitted to the hospital with chills, fever, and nausea and vomiting. A
urinalysis is positive for bacteria, red blood cells, and white blood cells. The nurse suspects the
presence of an upper UTI when assessment of the patient reveals which of the following
findings?
a. Suprapubic pain
b. Foul-smelling urine
c. A distended bladder
d. Costovertebral angle (CVA) tenderness - ANS-ANS: D
CVA tenderness is characteristic of pyelonephritis.
PTS: 1 DIF: Cognitive Level: Application REF: page 1295
, OBJ: 3 TOP: Nursing Process: Assessment MSC: CRNE: CH-6
7. After teaching a patient with interstitial cystitis about management of the condition, the nurse
determines that further instruction is needed when the patient makes which of the following
comments?
a. "I will avoid eating citrus products and aged cheese."
b. "I should take a high-potency multivitamin daily."
c. "I should report the development of bladder pain or odorous urine."
d. "I can use the dietary supplement calcium glycerophosphate (Prelief) to control my
symptoms." - ANS-ANS: B
High-potency multivitamins may irritate the bladder and increase symptoms.
PTS: 1 DIF: Cognitive Level: Application REF: page 1298
OBJ: 1 TOP: Nursing Process: Evaluation MSC: CRNE: NCP-14
8. When admitting a patient with acute glomerulonephritis, the nurse inquires about which of the
following?
a. History of high blood pressure
b. Frequency of UTIs
c. Recent sore throat and fever
d. Family history of kidney disease - ANS-ANS: C
Acute glomerulonephritis frequently occurs after a streptococcal infection such as strep throat,
so it is appropriate for the nurse to ask about recent sore throat and fever.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 1300
OBJ: 4 TOP: Nursing Process: Assessment MSC: CRNE: CH-8
9. The nurse establishes a nursing diagnosis of excess fluid volume related to decreased
glomerular filtration rate in a patient with acute post-streptococcal glomerulonephritis. Which of
the following clinical data support this nursing diagnosis?
a. Proteinuria
b. Elevated blood urea nitrogen
c. Periorbital edema
d. Hematuria with smoky urine - ANS-ANS: C
Resolution of the excess fluid volume is best evaluated by changes in edema.
PTS: 1 DIF: Cognitive Level: Application REF: page 1300
OBJ: 4 TOP: Nursing Process: Diagnosis MSC: CRNE: CH-7
10. A patient with nephrotic syndrome develops flank pain. The nurse will anticipate treatment
with which of the following?
a. Antibiotics
b. Antihypertensives
c. Anticoagulants
Edition) Obj5 Exam Questions and
Answers 2025/2026 A+ Graded 100%
Verified
1. Which of the following assessment findings would the nurse expect in the patient with a lower
urinary tract infection (UTI)?
a. Flank pain
b. Dysuria
c. Oliguria
d. Nausea - ANS-ANS: B
Pain with urination is a common symptom of a lower UTI. Urinary output does not decrease, but
frequency may be experienced.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 1291, Table 48-3
OBJ: 2 TOP: Nursing Process: Assessment MSC: CRNE: CH-8
2. What is one of the most important ways to prevent the development of acute
post-streptococcal glomerulonephritis?
a. Control of blood pressure with exercise
b. Early diagnosis and treatment of sore throat
c. Ensuring complete bladder emptying when the patient voids
d. Daily intake of high-potency multivitamins - ANS-ANS: B
One of the most important ways to prevent the development of acute post-streptococcal
glomerulonephritis is to encourage early diagnosis and treatment of sore throats and skin
lesions.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 1300
OBJ: 4 TOP: Nursing Process: Assessment MSC: CRNE: CH-8
3. The nurse determines that instruction regarding prevention of future UTIs for a patient with
cystitis has been effective when the patient gives which of the following responses?
a. "I will limit my fluid intake to 1000 mL/day to prevent symptoms of frequency and urgency."
b. "I will increase my fluid intake and empty my bladder every 2 to 4 hours during waking hours."
c. "I should use an antiseptic vaginal deodorant spray twice a day to reduce the bacterial growth
in the perineal area."
d. "I will wash my perineal area with soap and water after each bowel movement and before and
after sexual intercourse." - ANS-ANS: B
,Voiding every 2 to 4 hours is recommended to prevent UTIs.
PTS: 1 DIF: Cognitive Level: Application REF: page 1295, Table 48-6
OBJ: 2 TOP: Nursing Process: Evaluation MSC: CRNE: NCP-14
4. To relieve the symptoms of a lower UTI for which the patient is taking prescribed antibiotics,
the nurse suggests that the patient use the over-the-counter urinary analgesic of
phenazopyridine (Pyridium), but should give the patient which of the following cautions?
a. This preparation contains methylene blue, which turns the urine blue or green.
b. This preparation must be taken with food to prevent gastrointestinal irritation.
c. This preparation causes the urine to turn reddish orange and can stain underclothing.
d. This preparation frequently causes allergic reactions and should be stopped if a rash occurs.
- ANS-ANS: C
Patients should be taught that phenazopyridine will colour the urine deep orange and stain
underclothing.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 1292
OBJ: 2 TOP: Nursing Process: Implementation MSC: CRNE: CH-44
5. A 34-year-old patient with diabetes mellitus is hospitalized with fever, anorexia, and
confusion. The physician suspects acute pyelonephritis when the urinalysis reveals bacteriuria.
Which of the following is an appropriate collaborative problem identified by the nurse for this
patient?
a. Potential complication: urosepsis
b. Potential complication: hydronephrosis
c. Potential complication: acute kidney injury
d. Potential complication: chronic pyelonephritis - ANS-ANS: A
Infection can easily spread from the kidney to the circulation, causing urosepsis.
PTS: 1 DIF: Cognitive Level: Application REF: page 1295
OBJ: 3 TOP: Nursing Process: Planning MSC: CRNE: CH-20
6. A 72-year-old man has benign prostatic hypertrophy, which has contributed to repeated bouts
of cystitis. He is now admitted to the hospital with chills, fever, and nausea and vomiting. A
urinalysis is positive for bacteria, red blood cells, and white blood cells. The nurse suspects the
presence of an upper UTI when assessment of the patient reveals which of the following
findings?
a. Suprapubic pain
b. Foul-smelling urine
c. A distended bladder
d. Costovertebral angle (CVA) tenderness - ANS-ANS: D
CVA tenderness is characteristic of pyelonephritis.
PTS: 1 DIF: Cognitive Level: Application REF: page 1295
, OBJ: 3 TOP: Nursing Process: Assessment MSC: CRNE: CH-6
7. After teaching a patient with interstitial cystitis about management of the condition, the nurse
determines that further instruction is needed when the patient makes which of the following
comments?
a. "I will avoid eating citrus products and aged cheese."
b. "I should take a high-potency multivitamin daily."
c. "I should report the development of bladder pain or odorous urine."
d. "I can use the dietary supplement calcium glycerophosphate (Prelief) to control my
symptoms." - ANS-ANS: B
High-potency multivitamins may irritate the bladder and increase symptoms.
PTS: 1 DIF: Cognitive Level: Application REF: page 1298
OBJ: 1 TOP: Nursing Process: Evaluation MSC: CRNE: NCP-14
8. When admitting a patient with acute glomerulonephritis, the nurse inquires about which of the
following?
a. History of high blood pressure
b. Frequency of UTIs
c. Recent sore throat and fever
d. Family history of kidney disease - ANS-ANS: C
Acute glomerulonephritis frequently occurs after a streptococcal infection such as strep throat,
so it is appropriate for the nurse to ask about recent sore throat and fever.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 1300
OBJ: 4 TOP: Nursing Process: Assessment MSC: CRNE: CH-8
9. The nurse establishes a nursing diagnosis of excess fluid volume related to decreased
glomerular filtration rate in a patient with acute post-streptococcal glomerulonephritis. Which of
the following clinical data support this nursing diagnosis?
a. Proteinuria
b. Elevated blood urea nitrogen
c. Periorbital edema
d. Hematuria with smoky urine - ANS-ANS: C
Resolution of the excess fluid volume is best evaluated by changes in edema.
PTS: 1 DIF: Cognitive Level: Application REF: page 1300
OBJ: 4 TOP: Nursing Process: Diagnosis MSC: CRNE: CH-7
10. A patient with nephrotic syndrome develops flank pain. The nurse will anticipate treatment
with which of the following?
a. Antibiotics
b. Antihypertensives
c. Anticoagulants
