MSN 277 Exam 3 Questions with Correct Answers Latest 2025-2026
Which action will the nurse in the hypertension clinic take in order to obtain an accurate baseline
blood pressure (BP) for a new patient?
a. Obtain a BP reading in each arm and average the results.
b.Deflate the BP cuff at a rate of 5 to 10 mm Hg per second.
c.Have the patient sit in a chair with the feet flat on the floor.
d. Assist the patient to the supine position for BP measurements. - Answers Have the patient sit
in a chair with the feet flat on the floor.
A nurse is providing teaching to a male client who has a continent internal ileal reservoir
following surgery to treat bladder cancer. Which of the following statements should the nurse
make?
a. "this should not affect your ability to function sexually"
b. "You should expect to gain some weight during the next few weeks."
c. "You will need to avoid foods that produce intestinal gas."
d. "you must insert a catheter through your stoma to drain the urine" - Answers "you must insert
a catheter through your stoma to drain the urine"
a nurse in a women's health clinic is caring for a client who reports urinary urgency and dysuria.
which of the following additional finding should the nurse identify as an indication of a urinary
tract infection (UTI)?
a. vaginal discharge
b. pyuria
c. glycosuria
d. elevated creatine kinase-MB - Answers pyuria
,The nurse determines that instruction regarding prevention of future urinary tract infections
(UTIs) has been effective for a 22-year-old female patient with cystitis when the patient states
which of the following?
a.I can use vaginal antiseptic sprays to reduce bacteria.
b. I will drink a quart of water or other fluids every day.
c. I will wash with soap and water before sexual intercourse.
d. I will empty my bladder every 3 to 4 hours during the day. - Answers I will empty my bladder
every 3 to 4 hours during the day.
Which finding by the nurse will be most helpful in determining whether a 67-year-old patient with
benign prostatic hyperplasia has an upper urinary tract infection (UTI)?
a. Bladder distention
b. Foul-smelling urine
c. Suprapubic discomfort
d. Costovertebral tenderness - Answers Costovertebral tenderness
The nurse determines that further instruction is needed for a patient with interstitial cystitis
when the patient says which of the following?
a. I should stop having coffee and orange juice for breakfast.
,b. I will buy calcium glycerophosphate (Prelief) at the pharmacy.
c. I will start taking high potency multiple vitamins every morning.
d. I should call the doctor about increased bladder pain or odorous urine. - Answers I will start
taking high potency multiple vitamins every morning.
It is most important that the nurse ask a patient admitted with acute glomerulonephritis about
a.history of kidney stones.
b. recent sore throat and fever.
c. history of high blood pressure.
d. frequency of bladder infections. - Answers recent sore throat and fever.
Which finding for a patient admitted with glomerulonephritis indicates to the nurse that
treatment has been effective?
a. The patient denies pain with voiding.
b. The urine dipstick is negative for nitrites.
c. The antistreptolysin-O (ASO) titer is decreased.
d.nThe periorbital and peripheral edema is resolved. - Answers The periorbital and peripheral
edema is resolved
A nurse is caring for a client following extracorporeal shock wave lithotripsy (ESWL) for the
, treatment of calcium phosphate kidney stones. Which of the following actions should the nurse
take?
a. monitor the client's urine for ketones
b. provide the client with an increased animal protein diet.
c. Limit the client's fluid intake to 1.5L per day
d. Strain all of the client's urine - Answers Strain all of the client's urine
The nurse will anticipate teaching a patient with nephrotic syndrome who develops flank pain
about treatment with
a. antibiotics.
b. antifungals.
c. anticoagulants.
d. antihypertensives. - Answers anticoagulants.
Flank pain in a patient with nephrotic syndrome suggests a renal vein thrombosis, and
anticoagulation is needed. Antibiotics are used to treat a patient with flank pain caused by
pyelonephritis. Fungal pyelonephritis is uncommon and is treated with antifungals.
Antihypertensives are used if the patient has high blood pressure
Calculating fluid recommendations - Answers Weight (lbs)/2= # of ounces of fluid/day
recommended
- Example: 150lbs/2=75 ounces/day
- (-20%) will be obtained from food (15 oz): 60 oz fluid intake by drinking
To prevent recurrence of uric acid renal calculi, the nurse teaches the patient to avoid eating
Which action will the nurse in the hypertension clinic take in order to obtain an accurate baseline
blood pressure (BP) for a new patient?
a. Obtain a BP reading in each arm and average the results.
b.Deflate the BP cuff at a rate of 5 to 10 mm Hg per second.
c.Have the patient sit in a chair with the feet flat on the floor.
d. Assist the patient to the supine position for BP measurements. - Answers Have the patient sit
in a chair with the feet flat on the floor.
A nurse is providing teaching to a male client who has a continent internal ileal reservoir
following surgery to treat bladder cancer. Which of the following statements should the nurse
make?
a. "this should not affect your ability to function sexually"
b. "You should expect to gain some weight during the next few weeks."
c. "You will need to avoid foods that produce intestinal gas."
d. "you must insert a catheter through your stoma to drain the urine" - Answers "you must insert
a catheter through your stoma to drain the urine"
a nurse in a women's health clinic is caring for a client who reports urinary urgency and dysuria.
which of the following additional finding should the nurse identify as an indication of a urinary
tract infection (UTI)?
a. vaginal discharge
b. pyuria
c. glycosuria
d. elevated creatine kinase-MB - Answers pyuria
,The nurse determines that instruction regarding prevention of future urinary tract infections
(UTIs) has been effective for a 22-year-old female patient with cystitis when the patient states
which of the following?
a.I can use vaginal antiseptic sprays to reduce bacteria.
b. I will drink a quart of water or other fluids every day.
c. I will wash with soap and water before sexual intercourse.
d. I will empty my bladder every 3 to 4 hours during the day. - Answers I will empty my bladder
every 3 to 4 hours during the day.
Which finding by the nurse will be most helpful in determining whether a 67-year-old patient with
benign prostatic hyperplasia has an upper urinary tract infection (UTI)?
a. Bladder distention
b. Foul-smelling urine
c. Suprapubic discomfort
d. Costovertebral tenderness - Answers Costovertebral tenderness
The nurse determines that further instruction is needed for a patient with interstitial cystitis
when the patient says which of the following?
a. I should stop having coffee and orange juice for breakfast.
,b. I will buy calcium glycerophosphate (Prelief) at the pharmacy.
c. I will start taking high potency multiple vitamins every morning.
d. I should call the doctor about increased bladder pain or odorous urine. - Answers I will start
taking high potency multiple vitamins every morning.
It is most important that the nurse ask a patient admitted with acute glomerulonephritis about
a.history of kidney stones.
b. recent sore throat and fever.
c. history of high blood pressure.
d. frequency of bladder infections. - Answers recent sore throat and fever.
Which finding for a patient admitted with glomerulonephritis indicates to the nurse that
treatment has been effective?
a. The patient denies pain with voiding.
b. The urine dipstick is negative for nitrites.
c. The antistreptolysin-O (ASO) titer is decreased.
d.nThe periorbital and peripheral edema is resolved. - Answers The periorbital and peripheral
edema is resolved
A nurse is caring for a client following extracorporeal shock wave lithotripsy (ESWL) for the
, treatment of calcium phosphate kidney stones. Which of the following actions should the nurse
take?
a. monitor the client's urine for ketones
b. provide the client with an increased animal protein diet.
c. Limit the client's fluid intake to 1.5L per day
d. Strain all of the client's urine - Answers Strain all of the client's urine
The nurse will anticipate teaching a patient with nephrotic syndrome who develops flank pain
about treatment with
a. antibiotics.
b. antifungals.
c. anticoagulants.
d. antihypertensives. - Answers anticoagulants.
Flank pain in a patient with nephrotic syndrome suggests a renal vein thrombosis, and
anticoagulation is needed. Antibiotics are used to treat a patient with flank pain caused by
pyelonephritis. Fungal pyelonephritis is uncommon and is treated with antifungals.
Antihypertensives are used if the patient has high blood pressure
Calculating fluid recommendations - Answers Weight (lbs)/2= # of ounces of fluid/day
recommended
- Example: 150lbs/2=75 ounces/day
- (-20%) will be obtained from food (15 oz): 60 oz fluid intake by drinking
To prevent recurrence of uric acid renal calculi, the nurse teaches the patient to avoid eating
