Test Bank Unit 9 : Understanding Medical-Surgical Nursing 6th Edition Linda S. Williams Paula D. Hopper ||Chapter 36 -37
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Course
Medical Surgical Nursing
Institution
Medical Surgical Nursing
Test Bank Unit 9: Understanding Medical-Surgical
Nursing 6th Edition Linda S. Williams Paula D.
Hopper
Chapter 36. Urinary System Function, Asses
and Therapeutic Measures
Chapter 36. Urinary System Function, Assessment, and Therapeutic Measures
Multiple Choice
Identify the choice that best...
Test Bank Unit 9: Understanding Medical-Surgical
Nursing 6th Edition Linda S. Williams Paula D.
Hopper
Chapter 36. Urinary System Function, Asses
and Therapeutic Measures
Chapter 36. Urinary System Function, Assessment, and Therapeutic Measures
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse is reviewing the anatomy of the kidney with a patient scheduled for renal sur
should the nurse explain as being the structural and functional unit of the kidney?
a. Cortex
b. Medulla
c. Pyramid
d. Nephron
2. The nurse is caring for a patient with a kidney infection. When providing prescribed med
nurse should recall that which structure is the capillary network in each nephron?
a. Corpuscles
b. Glomerulus
c. Renal tubules
d. Bowman’s capsule
3. A patient has a glomerular filtration rate of 55%. What should this value indicate to the n
a. This is a normal value.
b. The patient is in renal failure.
c. The patient needs to be on a fluid restriction.
d. The patient’s other tests will be in the normal range.
5. The nurse is collectiSntugviad
.coamta feoMraarkeptpa
- Th l acteie
ton
Btu yw
anidt h
Selk
l yiod
unr Se
tuy
dyd
Miastee
ria
a l se. When reviewing a urinalys
range should the nurse recognize as normal specific gravity of urine?
,a. 0.080 to 0.100
lOMoARcPSD|190 184 64
b. 1.002 to 1.035
c. 2.600 to 3.000
d. 4.612 to 5.030
6. The nurse is reviewing a urinalysis report. What should the nurse recognize as the norm
urine?
a. 2
b. 4.2
c. 6
d. 7.4
7. The nurse needs to obtain a urine specimen from a female patient. What action should
when obtaining this specimen?
a. Obtain the first voided urine of the day.
b. Direct the patient to wash her perineum before collecting the urine specimen.
c. Have the patient urinate into a bedpan, then pour the urine into the specimen container.
d. Have the patient void, throw that urine away, and then collect another specimen at least 1 h
8. A patient’s urinalysis results are: white blood cells (WBC) 100+/hpf; red blood cells (RBC)
moderate amount; nitrite, positive; specific gravity, 1.025; urine, cloudy. What should the nurse
findings indicate?
a. Dehydration
b. Urinary tract infection
c. Contamination from menstruation
d. Contamination of the specimen from bacteria on the perineum
9. The nurse is reviewing a patient’s history and physical report. What term should the nur
being used to describe waste products building up in the blood?
a. Uremia
b. Septicemia
c. Nitrosemia
d. Proteinemia
10. The nurse is to obtain orthostatic blood pressure measurements for a patient on dialys
renal disease. What should the nurse do when measuring this patient’s blood pressure?
a. Take blood pressure before and after dialysis treatments.
b. Check blood pressure every minute three times for four readings.
c. Obtain blood pressure while the patient is lying, sitting, and standing.
d. Monitor blood pressure before and after an antihypertensive medication is given.
, lOMoARcPSD|190 184 64
12. A patient is scheduled for an intravenous pyelogram (IVP). What care should the nurse
the patient has this procedure?
a. IV antibiotics
b. Opioid pain medication
c. Enema evening before the test
d. Bedrest for 16 hours before the test
13. The nurse is caring for a patient who is scheduled for a cystoscopy (C&P) with basket e
stone. What is the most important postoperative care for the nurse to provide?
a. Limiting fluid intake
b. Measuring urine output
c. Monitoring daily weights
d. Observing for acute kidney injury
14. The nurse contributes to the plan of care for a patient with edema. Which action shoul
as the best indicator of this patient’s fluid volume status?
a. Vital signs
b. Skin turgor
c. Daily weight
d. Intake and output
15. The nurse is collecting data from a patient with stress incontinence. Which finding sho
document?
a. The patient is unable to tell when there is the need to urinate.
b. The patient is unable to hold urine when under emotional stress.
c. The patient is unable to reach the bathroom and urinates in underwear.
d. The patient loses small amounts of urine when he or she coughs or sneezes.
16. The nurse is caring for a male patient with functional incontinence. What action should
to help prevent incontinence?
a. Teach the patient how to do Kegel exercises.
b. Ensure that the patient has ready access to the urinal.
c. Teach the patient to increase the time between voiding.
d. Give the patient cranberry juice to keep the urine acidic.
17. A patient is being evaluated for renal dialysis. What creatinine clearance value should t
this patient must have to live without needing dialysis treatments?
a. 5 mL
b. 10 mL
c. 20 mL
d. 50 mL
, lOMoARcPSD|190 184 64
19. The nurse is caring for a patient with kidney disease. How should the nurse end a 24-h
the end of the 24 hours?
a. The final voiding before 24 hours is discarded.
b. The patient voids at the end of 24 hours, adding it to the collection container.
c. One hundred milliliters of collected urine is placed into a specimen cup and sent to the labor
d. The patient voids, and the first and last specimens from 24 hours are sent to the laboratory.
20. The nurse is helping to prepare a patient for a renal biopsy. In which position should th
the patient assume?
a. Sims’
b. Prone
c. Supine
d. Fowler’s
21. The nurse is caring for a patient recovering from a renal biopsy. For which complicatio
nurse monitor the patient during the 24 hours after the procedure?
a. Polyuria
b. Bleeding
c. Infection
d. Urinary obstruction
22. A patient recovering from radiological studies of the renal system has a nursing diagno
Urinary Elimination. Which outcome indicates that the nursing interventions have been effectiv
a. Patient voids 35 mL/hour of clear urine.
b. Patient voids 30 mL/hour of cloudy urine.
c. Patient voids 10 mL/hour of reddish urine.
d. Patient voids an average of 15 mL/hour of dark-colored urine.
23. The nurse is instructing a patient on the use of Kegel exercises. How many times a day
nurse recommend that these exercises be performed?
a. 10 to 20
b. 15 to 30
c. 30 to 80
d. 85 to 100
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