1.Select the results (in italics) that are normal in a urinalysis.

A. pH 6
B. Specific gravity 1.015
C. Protein small
D. Sugar negative
E. Nitrate small
F. Leukocyte esterase positive
G. Bilirubin negative

ANS:
A, B, D, G

2.The nurse is teaching the client about self-catheterization in the home setting. (Select all that apply.)
A. Wash hands before and after self-catheterization.
B. Use a large-lumen catheter for each catheterization.
C. Use lubricant on the tip of the catheter prior to insertion.
D. Self-catheterize every 12 hours.
E. Use sterile gloves for the procedure.
F. Cleanse the catheter with soap and water between each use.
G. Store the catheter in a clean towel or plastic bag between use.

ANS:
A, C, F, G

1.The nurse is interviewing a client with a family history of polycystic kidney disease (PCKD).
Which of the following manifestations are typical of PCKD? (Select all that apply.)
A. Nocturia
B. Flank pain
C. Diarrhea
D. Hypotension
E. Dysuria
F. Bloody urine
G. Increased abdominal girth

ANS:
B, F, G

21. The nurse lists the functions of the kidney, which include: (Select all that apply.)

a. Regulation of electrolytes.
b. Elimination of metabolic waste.

c. Regulation of fluid volume.

d. Regulation of blood pressure.

e. Secretion of erythropoietin.

ANS: A, B, C, D, E

The nurse outlines the age-related changes that occur in the urinary system, which include:
(Select all that apply.)

a. Hypertrophy of the prostate.

b. Decrease in secretion of renin.

c. Decrease in muscle tone of bladder.

d. Enlargement of bladder.

e. Increase in ability to concentrate urine.

ANS: A, B, C

23. The nurse is

discussing bladder health with a patient. During the discussion, the nurse has
emphasized the need to void in a timely manner. Which statement by a patient indicates
understanding of the rationale behind the recommendations? (Select all that apply.)

Urinating regularly will prevent prolonged exposure of the bladder wall to harmful
a. wastes.

b. Allowing my bladder to overfill causes the walls to overstretch.

c. A full bladder can cause undue strain on the urinary sphincters.

The characteristics of urine can change after being in the bladder for overly extended
d. periods.

e. Pressure from a distended bladder can cause excessive pressure on my colon.

ANS: A, B, C
24. While caring for a patient with an indwelling catheter, the nurse will include in the daily care
the interventions of: (Select all that apply.)

a. Observing tube placement and level of urine in collection bag.

b. keeping the drainage bag below the level of the bed.

c. Avoiding patient ambulating with the catheter collection bag.

d. Cutting off the balloon arm when discontinuing the catheter.

e. Cleaning the meatus and catheter with soap and water.

ANS: A, B, E

25. When the patient complains of urinary retention, the nurse can help the patient to void by:
(Select all that apply.)

a. Accompanying the patient to the toilet.

b. Offering caffeine or carbonated drinks.

c. Providing a warm bath.

d. Instructing in the double void technique.

e. Running water in the lavatory to stimulate urination.

ANS: B, C, D, E

21. The nurse would question an order for carbenicillin for a patient with a urinary infection if the
patient is: (Select all that apply.)

a. Over 80 years of age.

b. Allergic to penicillin.

c. Taking warfarin.

d. Taking oral contraceptives.

e. Hypertensive.

ANS: B, C, D
22. When a patient with a urinary tract infection (UTI) is placed on cefazolin (Ancef), the nurse
will monitor for: (Select all that apply.)

a. Vaginitis.

b. Decreased clotting time.

c. Arrhythmias.

d. Rash.

e. Confusion.

ANS: A, C, D, E

23. A patient
has been admitted to the acute care facility to rule out glomerulonephritis.
Assessment findings that are supportive of the potential diagnosis include: (Select all that apply.)

a. Flank pain.

b. Hematuria.

c. Periorbital edema.

d. Decrease in blood urea nitrogen (BUN) and creatinine.

e. Hypertension.

ANS: A, B, C, E

24. While the patient is on plasmapheresis, the nurse should monitor for: (Select all that apply.)

a. An allergic reaction.

b. Bleeding at the puncture site.

c. A bruit at the shunt site.

d. Decreasing blood pressure.

e. Signs of hyperkalemia.

ANS: B, C, D, E
25. The nurse is collecting the health history of a patient who has had multiple episodes of renal
calculi formation. Which findings place the patient at an increased risk for the development of
the renal calculi? (Select all that apply.)

a. Uric acid crystals in urine

b. Frequent bacterial urinary infections

c. Inadequate fluid intake

d. Prolonged bed rest

e. Tumor of parathyroid gland

ANS: A, B, C, D, E

26. The home health nurse recognizes uremic signs in a patient with chronic renal failure, which
include: (Select all that apply.)

a. Restless legs syndrome.

b. Dry, scaly skin.

c. Urea crystals in eyebrows.

d. Muscle cramps.

e. Hypotension.

ANS: A, B, C, D

27. The nurse caring for a

patient who has just had an arteriovenous (AV) access created in his
right forearm this morning should assess: (Select all that apply.)

a. For a bruit on auscultation of the AV site.

b. Capillary refill in the left hand.

c. Blood pressure in the right arm.

d. Adequate elevation of the right arm.

e. Clotting of the AV access.

ANS: A, B, D, E

Blood pressure should not be taken in the affected arm.

1. UTI on ENSEF- Rush

Clotting Time

Vaginitis

Confusion

Arrthymias

2. Urothiliasis- ALL of the ABOVE

Frequent UTI

Immobility

Hyperthyroidism

Diet

3. Care of a bladder cancer patient- ALL THE ABOVE

4. Dialysis Teaching- Explain procedure

Informed Consent

Explain Dietary Restrictions

Self-Care and ADLS

5. BPH Complaints- All of the ABOVE

Nocturia

Pain

Frequency

Not able to pee

6. CRF- Headache

Lethargy

Asthenia

Anorexia

Pruritus

Elimination Changes

Anuria

Muscle spasms