FoN Exam 2 Review

A nurse is reviewing the urinalysis report of a client who is suspected to have a urinary tract infection (UTI). Which of the following findings should the nurse expect?

• A. Protein 0, specific gravity 1.005

• B. Presence of leukocytes and nitrites

• C. Specific gravity 1.000

• D. pH of 4.0 with no bacteria present

A client is recovering from abdominal surgery and states, I havent had a bowel movement in three days. Which of the following is the best response by the nurse?

• A. “You should probably take a laxative.”

• B. “That’s normal after surgery, don’t worry.”

• C. “What is your usual bowel pattern?”

• D. “I’ll get you some prune juice to help.”

3. A nurse is caring for an older adult male client with benign prostatic hyperplasia (BPH) who has not voided for 8 hours and reports abdominal discomfort. Which of the following is the priority action?

• A. Encourage the client to drink fluids

• B. Use a bladder scanner to assess for retention

• C. Instruct the client to attempt voiding in a warm shower

• D. Apply a condom (Texas) catheter

4. A nurse is reinforcing education for a client at risk for constipation. Which of the following statements indicates the need for further teaching?

• A. “I should drink 6–8 glasses of water daily.”

• B. “I will eat high-fiber foods like fruits and vegetables.”

• C. “I should hold my urge to defecate until I have privacy.”

• D. “Regular exercise can help me stay regular.”

5. The nurse is caring for a client with a new colostomy. The client states, “I’ll never be able to touch this thing.” What is the nurse’s best response?

• A. “It sounds like you’re really upset.”

• B. “You’ll get used to it eventually.”

• C. “I’ll take care of it for you today.”

• D. “Would you like me to call the chaplain?”

6. A client has just returned from surgery and is unable to void. The nurse performs a bladder scan and finds 800 mL of retained urine. Which action is appropriate?

• A. Document findings and recheck in 4 hours

• B. Perform intermittent catheterization

• C. Provide caffeinated fluids to stimulate urination

• D. Ask the provider to prescribe diuretics

7. A nurse is delegating tasks to a UAP. Which task is appropriate to delegate?

• A. Performing a sterile straight catheterization

• B. Teaching a client how to care for a new urostomy

• C. Assessing the perineal area for skin breakdown

• D. Measuring output from an indwelling catheter bag

8. A nurse is preparing to administer enteric-coated aspirin. Which instruction should the nurse give the patient?

• A. “Crush the tablet and take it with food.”

• B. “Swallow it whole with a full glass of water.”

• C. “Chew the tablet to enhance absorption.”

• D. “Break the tablet in half for a smaller dose.”

9. A client with chronic pain is prescribed morphine. What is the most important assessment before administration?

• A. Heart rate

• B. Pain scale rating

• C. Respiratory rate

• D. Blood pressure

10. 10. A nurse is reviewing a provider’s order: “Furosemide 40 mg IVP stat.” What does this mean?

• A. Administer as needed

• B. Administer immediately once

• C. Administer every morning

• D. Administer before meals