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NR 325 Exam 1 Questions And Correct Answers 100% Pass
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NR 325 Exam 1 Questions And Correct Answers 100% PassTo assess if the patient's dysuria is getting better, the nurse will ask which of the
following questions?
a."Do you have nocturia?"
b."Do you have hematuria?"
c."Do you have frequency of urination?"
d."Is it painful for you to urinate?" Answer D. Dysuria is painful urination.
What should the nurse do, after a patient has trace amounts of protein on urine dipstick?
END
a. order a urine specimen to the lab to evaluate for ketones.
b. collect a clean-catch urine for culture and sensitivity.
c. ask about current medications the patient is taking.
d. ask the patient about a family medical history of chronic renal failure. - Answer ANS:
C
Normally the urinalysis will show zero to trace amounts of protein, but some
medications may give falsepositive readings.
A patient who has been admitted to the hospital and is suspected of having renal
insufficiency after having coronary artery bypass surgery is going to have a creatinine
clearance test performed. Which of the following supplies will the nurse need to obtain
,for the patient?
a. Urinary catheter
b. Cleaning towelettes
c. Large container for urine
d. Sterile urine specimen cup ANS: C
Because creatinine clearance testing requires a 24-hour urine specimen, the nurse will
need to obtain a large container for the collection of the urine.
The client is a 32-year-old hairstylist who is coming to the clinic for an annual physical
exam. The client has a history of cigarette smoking, 15 pack-years. The nurse will plan
to teach the client that there is an increased risk for the development of
a. renal failure.
b. kidney stones.
c. pyelonephritis.
d. bladder cancer. - Answer ANS: D
Because exposure to the chemicals associated with being a hairdresser as well as
smoking increase the risk of bladder cancer, the nurse should want to know if the
patient is aware of this risk.
Which medication taken at home by a 47-year-old patient with decreased renal function
will be of most concern to the nurse?
a. ibuprofen (Motrin)
b. warfarin (Coumadin)
c. folic acid (vitamin B9)
d. penicillin (Bicillin LA) - Answer ANS: A
The NSAIDs are nephrotoxic and must be avoided in any patient with impaired renal
function.
,A 79-year-old male client is admitted with benign prostatic hyperplasia. Which is most
appropriate to include in the nursing plan of care?
a. Restrict fluid intake to no more than 1000 mL/day.
b. Turn on a light in the bathroom and leave it on during the night.
c. Ask the patient to void into a urinal for precise measurement of urine output.
d. Place a protective pad on the patient's bed in the event of overflow incontinence.
-Answer ANS: B
The age and diagnosis of the patient support nocturia as the most likely problem for this
patient, so providing for a light to be turned on in the bathroom is an appropriate
provision. Fluids are encouraged because dehydration most often occurs in older
patients.
The nurse is performing a physical assessment on a newly admitted male client and is
unable to palpate either kidney. What should the nurse do next?
a. Ask for a urine specimen to test for hematuria.
b. Document the findings on the assessment form.
c. Ask the client if he has had a sore throat in the last few weeks.
d. Notify the health care provider of the finding and request an order for a renal
ultrasound. - Answer ANS: B
Abdominal organs, ribs, and muscles of the back protect the kidneys and thus may not
be palpable under normal circumstances. Therefore no action except documentation of
the assessment information is necessary.
, Scenario
How will the nurse assess for flank tenderness in a 30-year-old female patient with
suspected pyelonephritis?
a. Palpate along both sides of the lumbar vertebral column.
b. Strike a flat hand covering the costovertebral angle (CVA).
c. Press fingers upward into the two most inferior intercostal spaces.
d. Percuss between the iliac crest and the ribs along the midaxillary line. - Answer ANS:
B
Flank pain is best assessed by percussion of the CVA and questioning about pain.
-Assistant-
What GFR would a nurse expect for a 30-year-old client who has received a creatinine
clearance test result of 60 mL/min?
a. 60 mL/min
b. 90 mL/min
c. 120 mL/min
d. 180 mL/min - Answer ANS: A
The creatinine clearance approximates the GFR.
The nurse examining the renal system of a 45-year-old woman would auscultate to
a. determine kidney placement.
b. detect renal artery bruits.
c. assess for peristalsis of the ureters.
d. check for bladder distention. - Answer ANS: B
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