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Nur 203 GU Exam Questions And Correct Answers
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Nur 203 GU Exam Questions And CorrectAnswers 2024-2025
The student nurse is performing a physical assessment and tells her instructor that she
cannot palpate the patient's bladder. Which of the following instructor statements is
most appropriate? a) "Try to palpate again; it takes practice but you will locate it." b)
Palpate the patient's bladder only when it is distended by urine. c) "Document this
abnormal finding on the patient's chart."
d) "Immediately notify the nurse assigned to the care of your patient." - Answer Answer:
B
The bladder is not palpable unless it is distended by urine. It is not difficult to palpate the
bladder when distended. The nurse should document her finding, but it is not an
abnormal finding. It is not necessary to notify the nurse assigned to the patient.
Which of the following urine specific gravity would be expected in a patient admitted
with dehydration?
a) 1.002
b) 1.010
c) 1.021
d) 1.030 - Answer Answer: D
Normal urine specific gravity ranges from 1.010 to 1.025. Specific gravity less than
1.010 indicates fluid volume excess such as when the patient has fluid overload or when
the kidneys fail to concentrate urine whereas specific gravity greater 1.025 is a sign of
deficient fluid volume that occurs for example as a result of blood loss or dehydraation.
The nurse chooses the nursing diagnosis Urinary Incontinence (Total) for an older adult
client who has been admitted following a stroke. When caring for a client with Urinary
Incontinence, what complication is the patient at risk for? a) Skin Breakdown b) Urinary
Tract Infection c) Bowel Incontinence d) Renal Calculi - Answer Answer: A
Urine contains ammonia, which can cause excoriation if in continuous contact with the
skin for an extended period. Bowel Incontinence - not urinary places the patient at an
increased risk for UTI. Renal calculi is associated with a very real risk related to
,immobility and consumption of calcium-containing foods.
The nurse is caring for a PT who has had a bowel resection 2 hours ago. His urine output
over the past 2 hours is 50 mL total. What should the nurse do?
a) Do nothing; this is a normal postoperative urine output.
b) Increase the infusion rate of the PT's IV fluids.
c) Notify the provider about the PT's oliguria
d) Administer the PT's routine diuretic dose early. - Answer Answer: C
The output of 50 mL in 2 hours is not normal output. The kidneys should produce 60 mL
of urine per hour. Therefore, the nurse should notify the provider if the patient
demonstrates oliguria or decreased urine output. In the early postoperative periods of
time, many patients who undergo abdominal surgery require additional IV fluid
infusions. The nurse is not permitted to administer additional IV fluids without being
ordered to do so by a provider. The nurse should also not provide any medications any
sooner than prescribed unless ordered to do so. The provider may hold the patient's due
dose of diuretic if he deems that the patient has inadequate fluid volume.
The nurse monitors the urine output of a PT who requires using bedpan to void. What is
the initial nursing action? Wear gloves and :
a) Instruct the Pt. to void directly into the bedpan
b) Pour the urine into a graduated container
c) Read the volume with the container on a flat surface at eye level
d) Note the color and clarity of the urine in the bedpan - Answer Answer: A
The nurse should first don gloves and have the patient void directly into the bedpan. She
should then pass the urine into a graduated container, putting the measuring device on
a flat surface, and reading the amount at eye level. She should describe the color,
clarity, and the odor of the urine. Finally, if there is no requirement to collect any
specimen, she should dispose of the urine in the toilet and clean both the container and
the bedpan. Finally, she should record the amount of urine eliminated on the patient's
intake and output record.
The nurse instructs a female client on the collection of a clean-catch urine specimen.
Which of the following statements by the patient indicates that the patient understands
the test appropriately?
, a) I will be certain to urinate into the 'hat' that you place in the toilet seat
a) I will clean my genital area from front to back before I collect the specimen midstream
b) I will need to lie still while you insert a urinary catheter to obtain the specimen.
c) I will collect my urine each time I void for the next 24 hours.
Answer Answer: B
To obtain a clean-catch urine specimen, the nurse should instruct the patient to cleanse
the genital area from front to back and then obtain the specimen in midstream. This is
according to the principle of moving from "clean" to "dirty." The nurse should instruct
the ambulatory patient to void into a "hat" when measuring urinary output but not when
collecting a clean-catch urine specimen. The sterile urine specimen requires a urinary
catheter, not a clean-catch specimen. Some disorders may have to be evaluated with a
24-hour urine collection but a clean-catch specimen is a one-time collection.
What position should the patient assume before the nurse inserts an indwelling urinary
catheter?
a) Modified Trendelenburg
b) Prone
c) Dorsal Recumbent
d) Semi-Fowler's - Answer Answer: C
The patient should be positioned supine with knees flexed, feet flat on the bed in dorsal
recumbent position. If the patient is unable to assume this position, the nurse should
assist the patient to a side-lying position. Modified Trendelenburg position is used for
central venous catheter insertion. Prone position is sometimes utilized to enhance
oxygenation in patients with adult respiratory distress syndrome. Semi-Fowler's position
is utilized to prevent aspiration in those receiving enteral feedings.
A patient states that she leaks urine when she sneezes or coughs. What is the most
appropriate method for the nurse to document this complaint in the patient's health
record? a) Temporary Incontinence b) Overflow Incontinence c) Urge Incontinence d)
Stress incontinence - Answer Answer: D Stress incontinence is an involuntary loss of
urine associated with increased intra-abdominal pressure. Activities that commonly
reproduce the symptom include sneezing, coughing, laughing, lifting, and exercise.
Transient incontinence is a temporary incontinence that is predictable to disappear
spontaneously. It usually results from a urinary tract infection or from medications
including diuretics. Overflow incontinence refers to leakage of urine when the bladder
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