NUR 228 EXAM 3 REVIEW QUESTIONS AND CORRECT ANSWERS
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Course
NUR 228
Institution
NUR 228
A 55 y.o. male patient is having a medical work-up for possible bladder cancer. While taking the patient's history, the nurse should focus on which risk factor for bladder cancer? His father died of prostate cancer. 40 year smoking history of 1-1.5 packs per day. He owns a butcher shop. History of ...
NUR 228 EXAM 3 REVIEW QUESTIONS
AND CORRECT ANSWERS
A 55 y.o. male patient is having a medical work-up for possible bladder cancer. While
taking the patient's history, the nurse should focus on which risk factor for bladder
cancer?
His father died of prostate cancer.
40 year smoking history of 1-1.5 packs per day.
He owns a butcher shop.
History of an acute urinary tract infection last year. ✅40 year smoking history of 1-1.5
packs per day
A client with a kidney stone develops renal colic. Typically, what kind of description of
renal colic can the nurse anticipate hearing from the client? (choose all that apply)
Associated symptoms: Chills and fever
Pain characteristic: Intermittent, sharp, severe
Pain characteristic: Continuous dull, deep ache
Associated symptoms: Vomiting, cool clammy skin
Pain location: Flank, on affected side ✅Pain characteristic: Intermittent, sharp, severe
Associated symptoms: Vomiting, cool clammy skin
Pain location: Flank, on affected side
A client is informed that she has calcium oxalate kidney stones (renal calculi). A
common cause of this form of stone is:
Urinary tract infection (UTI)
Overproduction of urate
Idiopathic
Overactivity of the thyroid gland ✅Idiopathic
A patient has been diagnosed with renal cell carcinoma (RCC). Which of these
manifestations are related to the primary tumor? (Choose all that apply)
Hematuria
Palpable abdominal mass
Bone pain
Flank pain ✅Hematuria
Palpable abdominal mass
Flank pain
While conducting a physical assessment on a client with osteoarthritis (OA), the nurse
notices Heberden nodes on the client's fingers. These manifestations of OA are
believed to be caused by:
Increased osteoclastic activity
Development of osteophytes
Loss of synovial membrane
, Acute synovial inflammation ✅Development of osteophytes
Which client is at higher risk for developing systemic lupus erythematosus?
A 35-year old Hispanic male
A 24-year old white female
A 25-year old Jewish female
A 27-year old African American female ✅A 27-year old African American female
A client is brought to the emergency department after injuring his right arm in an
accident. The orthopedic surgeon tells the nurse that the client has a greenstick fracture
of the arm. What does this mean?
One side of the bone is broken and the other side is bent.
Bone fragments are separated at the fracture line.
The fracture results from an underlying bone disorder.
The fracture line extends through the entire bone substance. ✅One side of the bone is
broken and the other side is bent.
A client with rheumatoid arthritis arrives at the clinic for a checkup. Which statement by
the client refers to the most obvious clinical manifestation of rheumatoid arthritis?
I have trouble with my balance.
My legs feel weak.
I have pain in my knee.
My finger joints are oddly shaped. ✅My finger joints are oddly shaped.
A male client comes to the clinic with complaints of pain in his right great toe. The client
reports that the pain is worse at night. Assessment reveals tophi. The nurse suspects
the client has:
Osteoarthritis
Systemic lupus erythematosus
Rheumatoid arthritis
Gouty arthritis ✅Gouty arthritis
A young boy is being treated for glomerulonephritis. Regardless of the origin or type of
glomerulonephritis, the disorder leads to which set of characteristics?
Polyuria, flank pain, and azotemia.
Fluid retention, jaundice, bloody urine, and azotemia.
Fluid retention, elevated serum albumin levels, and hematuria.
Hematuria, azotemia, fluid retention, and proteinuria. ✅Hematuria, azotemia, fluid
retention, and proteinuria.
Which of the following is an early manifestation of osteoporosis?
Hip fracture.
No manifestations.
Kyphosis.
Pain with bending over. ✅No manifestations.
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