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    Exam Review

    1. A nurse is providing discharge teaching about clean intermittent self-catheterization for a client who has benign prostatic hyperplasia. Which of the following instructions should the nurse include?
      A)Hold the penis at a 30° to 45° angle when inserting the catheter.
      B)Perform catheterization when you recognize the urge to void.
      C)Use soap and water to wash the catheter after each use.
      D)Inflate the balloon when the urine flow stops.
    2. A nurse is assisting a patient in making dietary choices that promote healthy bowel elimination. Which menu option should the nurse recommend?
      A)Grapes and walnut chicken salad sandwich on whole wheat bread. A healthy diet for the bowel should include foods high in bulk-forming fiber.
      B)Dinner salad topped with hard-boiled eggs, cheese, and fat-free dressing
      C)Broccoli and cheese soup with potato bread
      D)Turkey and mashed potatoes with brown gravy
    3. The nurse is emptying an ileostomy pouch for a patient Which assessment finding will the nurse report immediately?
      A)Continuous output from the stoma
      B)Presence of blood in the stool
      C)Malodorous Stool
      D)Liquid consistency with hard stool particles
    4. A nurse administers an antimuscarinic to a patient. A decrease in which findings indicate the patient is having therapeutic effects from this medication? (Select all that apply.)(SATA)
      A)(Select All that Apply.)
      B)Urgency
      C)Frequency
      D)Dysuria
      E)Prostate size
      F)Bladder infection
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    Exam Review

    1. A nurse assessing a client’s notes that the client has a constant leakage of small amounts of urine and a bladder that is distended and palpable. The nurse should associate these findings with which of the following types of urinary incontinence?
      A)Reflex incontinence
      B)Urge incontinence
      C)Stress incontinence
      D)Overflow incontinence
    2. A nurse is assessing an older adult client who reports a sudden onset of urinary incontinence. The nurse should recognize which of the following conditions can cause incontinence in the older adult client?
      A)Uremia
      B)Cystitis
      C)Diverticulitis
      D)Nephrosclerosis
    3. A nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel (AP)?
      A)Irrigating a catheter
      B)Interpreting a bladder scan result
      C)Obtaining a midstream urine specimen
      D)inserting a straight catheter
    4. A nurse is teaching a client about which foods she should include in her low-fiber diet. Which of the following statements indicates the client understands the teaching?
      A)“I can prepare refried beans for supper.”
      B)“I should choose white rice as a side dish."
      C)"A fresh pear would be a good snack option."
      D)"Bran cereal would be a good breakfast choice."
    Page 2 of 5

    Exam Review

    1. A nurse is reviewing urinary laboratory results. Which finding will cause the nurse to follow up?
      A)Urine output of 80 mL/hr
      B)Specific gravity of 1.036
      C)pH of 6.4
      D)Protein level of 2 mg/100 mL
    2. A nurse at a health fair is assessing the weight status of four clients. Which of the following clients are classified as overweight?
      A)A female client who has a body mass index of 24
      B)A male client who has a body mass index of 29
      C)A male client who has a waist circumference of 96.52 cm (38 in)
      D)A female client who has a waist circumference of 101.6 cm (40 in)
    3. The nurse is doing a nutrition assessment on a patient that weighs 185 pounds and is 5' 8" tall. Calculate the patients BMI. (Round to the nearest whole number)
    4. A nurse is educating a group of older adults in a community center on weight management using the BMI scale. Using the client's height and weight to calculate BMI, which of the following clients has a healthy BMI?
      A)A client with a weight of 150 lb and height of 68 inches
      B)A client with a weight of 128 lb and height of 70 inches
      C)A client with a weight of 200 lb and height of 72 inches
      D)A client with a weight of 133 lb and a height of 60 inches
    Page 3 of 5

    Exam Review

    1. A patient asks about treatment for stress urinary incontinence. Which is the nurse's best response?
      A)Wear an adult diaper.
      B)Avoid voiding frequently
      C)Perform pelvic floor exercises
      D)Drink cranberry juice.
    2. An 85-year-old client is experiencing uncontrollable leakage of urine with a strong desire to void and even leaks on the way to the toilet. Which priority nursing diagnosis will the nurse include in the client's plan of care?
      A)Functional urinary incontinence
      B)Urinary retention
      C)Urge urinary incontinence
      D)Impaired skin integrity
    3. The nurse performing a fecal occult blood test should take what action?
      A)Report a positive finding to the provider.
      B)Don sterile disposable gloves.
      C)Test the quality control section before testing the stool specimen.
      D)Apply liberal amounts of stool to the guaiac paper.
    4. The nurse is preparing to test a patient for postvoid residual with a bladder scan. Which action will the nurse take?
      A)Measure bladder with had of bed raised to 60 degrees.
      B)Measure bladder with head of bed raised to 90 degrees.
      C)Measure bladder within 15 minutes after the patient voids
      D)Measure bladder before the patient voids.
    Page 4 of 5

    Exam Review

    1. A nurse is teaching a client who is scheduled for a cystoscopy. Which of the following information should the nurse include in the teaching?
      A)"You may have pink-tinged urine after this procedure."
      B)"You should limit fluids for 12 hr following the procedure."
      C)"You will be placed on your right side during the procedure."
      D)"You can eat a full liquid meal up to 1 hour before the procedure."
    2. A patient requests the nurse's help to the bedside commode and becomes frustrated when unable to void in front of the nurse. How should the nurse interpret the patient's inability to void?
      A)The patient is lonely and calling then nurse in under false pretenses is a way to get attention.
      B)The patient does not recognize the physiological signals that indicate a need to void.
      C)The patient is not drinking enough fluids to produce adequate urine output.
      D)The patient can be anxious, making it difficult for abdominal and perineal muscles to relax enough to void.
    3. A nurse is caring for a client and observes that the client's urine is dark amber, cloudy, and has an unpleasant odor. The nurse should recognize that these findings are associated with which of the following?
      A)Urinary tract infection
      B)Urinary retention
      C)Urinary incontinence
      D)Urinary frequency
    4. A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following food choices for this child?
      A)Rye
      B)Rice
      C)Barley
      D)Wheat
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