Final Exam: NSG320 / NSG 320 (Latest Update 2024 /
2025) Adult Health Nursing I Exam | Questions and
Verified Answers | 100% Correct | Grade A
A patient is suspected to have a UTI. Which lab tests are appropriate in the
diagnosis? - ANSWER Urinalysis for culture and
sensitivity
The nurse administers which of the following prescribed medications to a client
with recurrent UTIs caused by E. Coli? - ANSWER
Sulfamethoxazole and Trimethaprim (Bactrim DS)
The nurse instructs a client with pyelonephritis to drink 2.5 to 3L of fluid per day.
The nurse understands the rationale for this self care intervention as? -
ANSWER To prevent stasis of urine
The nurse is presenting a class on urinary tract infections. Which of the following
should be included in the presentation? (select all that apply) - ANSWER
- Males and females over the age of 65 are equally prone to UTIs
,- Women of menopausal age have an increased risk of UTIs
- E. Coli is the most common cause of bacterial UTIs
The nurse is teaching a client diagnosed with a urinary tract infection. An
intervention that needs to be followed by the client includes? - ANSWER
Avoid tight-fitting pants or clothing
Which medication taken at home by a patient with decreased renal function will
be of most concern to the nurse? - ANSWER Ibuprofen
(motrin)
The nurse completing a physical assessment for a newly admitted patient is
unable to feel either kidney on palpation. Which action should the nurse take? -
ANSWER Document the information on the assessment form
The nurse is assessing the urinary system of an older adult female client. Which of
the following findings would be an expected age related change? Select all that
apply. - ANSWER - palpable bladder after urination
- stress incontinence
,- nocturia
The nurse is assessing a client who states, "I feel like I am not emptying my
bladder completely." Which of the following would be the best action for the
nurse to take? - ANSWER Percuss for dullness over the
area of the symphysis pubis.
The nurse is developing the plan of care for a client with urge incontinence. Which
of the following should the nurse understand when developing the plan of care for
this client? - ANSWER The client will have the inability
to stop urine flow long enough to get to the toilet
The nurse is caring for a client who reports seeing a reddish colored tint in the
urine. Which of the following questions would be most appropriate for the nurse
to ask? - ANSWER "Do you take prescribed
anticoagulants?"
The nurse is assessing a client diagnosed with acute pyelonephritis. Which of the
following assessment findings should the nurse expect? - ANSWER
Costovertebral tenderness
, The nurse is assessing a group of assigned clients. Which of the following clients
has the highest risk of developing a urinary tract infection? - ANSWER
56-year-old female client with poorly controlled type 2, diabetes mellitus.
How do you test for suspected pyelonephritis? - ANSWER
Check for flank pain by percussion of the CVA and asking the patient about pain-
strike a flat hand covering the costovertebral angle CVA
The nurse is assessing a client who reports having a sharp pain along the
costovertebral angles. The nurse recognizes that this assessment finding might be
due to which of the following? - ANSWER kidney
inflammation
What is the most common cause of healthcare associated infections? -
ANSWER Urinary catheterization
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