NURS 3280 Final Exam vSim Questions || 100% Verified
Solutions.
The nurse has an order to check a patient's post-void residual urine. How would the nurse
carry out this order? correct answers Measure the amount of urine in the bladder using a
bladder scanner
The nurse is caring for a patient who is unable to urinate voluntarily since a gunshot incident.
Patient data associated with which intervention will provide information regarding the client's
kidney function? correct answers Daily serum creatinine levels
What information presented to a patient concerning a bladder scan will assist in addressing
anxieties about the procedure? correct answers -The scan typically does not cause any pain
-The scanner is moved over the patient's lower abdomen
-The patient's body is draped to protect privacy
The nurse is completing a focused assessment on a female patient admitted for altered urinary
elimination. What questions would the nurse include when assessing the patient? correct
answers -have you noticed any change in your usual voiding pattern?
-do you ever leak urine?
-how often do you urinate?
The nurse is caring for a patient experiencing the effects of paraplegia. What urinary
condition is associated with this diagnosis? correct answers neurogenic bladder
While inserting an intermittent urinary catheter in a female patient, the nurse accidentally
inserts the catheter into the vagina. What is the appropriate action by the nurse? correct
answers leave the catheter in the vagina as a landmark and begin the procedure again with
new supplies
The nurse is preparing to catheterize a female patient and is positioning the patient. Which
position(s) would be appropriate for this procedure? correct answers -dorsal recumbent
-side lying
The nurse is providing discharge education on complications associated with intermittent self
catheterization. Which possible complications should the nurse include in the teaching
session? correct answers -urinary tract infections
-urethral strictures
-bladder spasms
-bladder perforation
The nurse is recording fluid intake for Ms. Johnson. Which items on the dinner tray should
the nurse include when completing this documentation? correct answers -tomato soup
-iced tea
-ice cream
The nurse is preparing to insert an intermittent urinary catheter in a paralyzed female patient.
What would be the appropriate action by the nurse? correct answers call for a coworker to
help hold the patients legs in position
, The nurse has created a sterile field and is preparing to catheterize a patient. While using
sterile balls to clean the patient prior to the procedure, the nurse corps a contaminated cotton
ball in the middle of the sterile field. What is the correct action of the nurse at this time?
correct answers obtain a new catheter kit and restart the process
The nurse has received an order to collect a urine sample. Which characteristics would the
nurse observe for when assessing the patients specimen? correct answers -clarity
-odor
-sediment
-color
After completing an intermittent catheterization what information concerning the procedure
will the nurse include in Ms. Johnsons medical record? correct answers -Description of the
patient's tolerance
-Characteristics of the urine obtained
-Size of catheter used
-Time procedure was performed
The nurse is providing Ms Johnson discharge education about intermittent self
catheterization. What statement if made by the patient would indicate the need for further
instruction? correct answers I should maintain sterile technique throughout the procedure
The nurse is completing documentation following the insertion of an intermittent urinary
catheter. What should be included in the documentation? correct answers -Date the procedure
was performed
-Patient's tolerance to procedure
-Size of the catheter
-Time procedure was performed
Ms Johnson is being discharged with an order to continue the medication oxybutynin. What
information should be included in the teaching session? correct answers This medication
helps reduce bladder spasms
Ms Johnson asks: why do I need to self-cath at regular interval? What would be the
appropriate response by the nurse? correct answers This helps your bladder from becoming
overdistended
The nurse is providing patient education on self cath. What statement indicates need for
further teaching? correct answers I can use either an indwelling or intermittent catheter
Which statement by the nurse indicates a thorough understanding of the purpose of
postoperative nursing care? correct answers The goal is to ensure uneventful recovery from
surgery
Which nursing interventions are implemented primarily to prevent respiratory complications
in a patient after abdominal surgery? correct answers -prompting to cough
-education on incentive spirometer use
-encouraging deep breathing
-assisting in early ambulation
Solutions.
The nurse has an order to check a patient's post-void residual urine. How would the nurse
carry out this order? correct answers Measure the amount of urine in the bladder using a
bladder scanner
The nurse is caring for a patient who is unable to urinate voluntarily since a gunshot incident.
Patient data associated with which intervention will provide information regarding the client's
kidney function? correct answers Daily serum creatinine levels
What information presented to a patient concerning a bladder scan will assist in addressing
anxieties about the procedure? correct answers -The scan typically does not cause any pain
-The scanner is moved over the patient's lower abdomen
-The patient's body is draped to protect privacy
The nurse is completing a focused assessment on a female patient admitted for altered urinary
elimination. What questions would the nurse include when assessing the patient? correct
answers -have you noticed any change in your usual voiding pattern?
-do you ever leak urine?
-how often do you urinate?
The nurse is caring for a patient experiencing the effects of paraplegia. What urinary
condition is associated with this diagnosis? correct answers neurogenic bladder
While inserting an intermittent urinary catheter in a female patient, the nurse accidentally
inserts the catheter into the vagina. What is the appropriate action by the nurse? correct
answers leave the catheter in the vagina as a landmark and begin the procedure again with
new supplies
The nurse is preparing to catheterize a female patient and is positioning the patient. Which
position(s) would be appropriate for this procedure? correct answers -dorsal recumbent
-side lying
The nurse is providing discharge education on complications associated with intermittent self
catheterization. Which possible complications should the nurse include in the teaching
session? correct answers -urinary tract infections
-urethral strictures
-bladder spasms
-bladder perforation
The nurse is recording fluid intake for Ms. Johnson. Which items on the dinner tray should
the nurse include when completing this documentation? correct answers -tomato soup
-iced tea
-ice cream
The nurse is preparing to insert an intermittent urinary catheter in a paralyzed female patient.
What would be the appropriate action by the nurse? correct answers call for a coworker to
help hold the patients legs in position
, The nurse has created a sterile field and is preparing to catheterize a patient. While using
sterile balls to clean the patient prior to the procedure, the nurse corps a contaminated cotton
ball in the middle of the sterile field. What is the correct action of the nurse at this time?
correct answers obtain a new catheter kit and restart the process
The nurse has received an order to collect a urine sample. Which characteristics would the
nurse observe for when assessing the patients specimen? correct answers -clarity
-odor
-sediment
-color
After completing an intermittent catheterization what information concerning the procedure
will the nurse include in Ms. Johnsons medical record? correct answers -Description of the
patient's tolerance
-Characteristics of the urine obtained
-Size of catheter used
-Time procedure was performed
The nurse is providing Ms Johnson discharge education about intermittent self
catheterization. What statement if made by the patient would indicate the need for further
instruction? correct answers I should maintain sterile technique throughout the procedure
The nurse is completing documentation following the insertion of an intermittent urinary
catheter. What should be included in the documentation? correct answers -Date the procedure
was performed
-Patient's tolerance to procedure
-Size of the catheter
-Time procedure was performed
Ms Johnson is being discharged with an order to continue the medication oxybutynin. What
information should be included in the teaching session? correct answers This medication
helps reduce bladder spasms
Ms Johnson asks: why do I need to self-cath at regular interval? What would be the
appropriate response by the nurse? correct answers This helps your bladder from becoming
overdistended
The nurse is providing patient education on self cath. What statement indicates need for
further teaching? correct answers I can use either an indwelling or intermittent catheter
Which statement by the nurse indicates a thorough understanding of the purpose of
postoperative nursing care? correct answers The goal is to ensure uneventful recovery from
surgery
Which nursing interventions are implemented primarily to prevent respiratory complications
in a patient after abdominal surgery? correct answers -prompting to cough
-education on incentive spirometer use
-encouraging deep breathing
-assisting in early ambulation
