Font size
WorksheetsNUR114 Exam 1 Practice
Total questions: 103
Worksheet time: 51mins
What are risk factors for developing colon cancer?
Age and lifestyle
Genetic
Inflammatory bowel disease
All of the above
Which of the following is NOT an early warning sign of colon cancer?
Diarrhea and constipation
Blood in stool
Vomiting
Rectal bleed
What is a test used to help diagnose colon cancer?
Fecal occult blood test (FOBT)
Colonscopy
CT colonography
MRI
Where does colon cancer usually spread?
Kidney
Bones
Brain
Liver
Most people should start colorectal screening at age 45
True
False
What are the symptoms of colon cancer in early stages of this illness?
Lower gastrointestinal bleeding and rectal bleeding
It does not usually give symptoms until advanced stages
Changes in bowel movements
Abdominal pain
How is a colon (or any type) cancer formed?
You get it by someone who spreaded it to you
Cells' DNA gets damaged and they start dividing without control, forming a tumor
Cells' DNA gets damaged and they turn into evil cells which damage other cells and transform them into more evil cells
Find the impostor: Which of these ISN'T a treatment for colon cancer?
Radiotherapy
Chemotherapy
Vasectomy
Partial colectomy
Ostomy pouches are usually changed
Every day
Every time feces are present
Every 3 to 7 days
Every month
Which will not prevent ostomy pouch odors?
Good hygiene
Emptying the pouch
Putting deodorants into the pouch
Eating cucumbers and radishes
A person has an ostomy pouch. The pouch is bulging from flatus. What should you do?
Call for the nurse.
Make a hole in the pouch for the escape of gas.
Open the pouch.
Change the pouch.
These statements are about colostomies. Which is incorrect?
The person wears a pouch to collect feces and flatus.
Stool consistency depends on the colostomy site.
The more colon remaining, the more formed the stool.
The more colon remaining, the more liquid the stool.
Distention of ureter with urine due to blockage
hydrouretha
hydroplane
hydroureter
hydronephritis
BPH stands for
Beginning Prostatic Hyperplasia
Benign Prostatic Hyperplasia
Benign Prostate Hyperplasia
Begin Prostatic Hyperplasia
The medical term for the presence of stones in the kidney
nephrolith
nephrosis
nephrolithiasis
nephropexy
Surgical repair of damage/defect in the walls of the urethra
urethroplasty
urethropexy
urethrolith
urethrotomy
Distention of ureter due to hydroureter or congenital abnormalities is known as
ureteropexy
ureterolith
ureteroplasty
ureterectasis
Discharge of blood from the ureter is known as
ureterphagia
ureteremia
ureterorrhagia
ureteropexy
A stone located in the bladder is called a/an
ureterolith
cystolith
nephrolith
cholelith
The surgical removal of a nephrolith through a small opening in the back
percutaneous nephrolithotomy
percutaneous lithotripsy
percutaneous repair
percutaneous nephritis
The results from compression of urethra due to benign prostatic hyperplasia (BPH)
prostatectomy
prostatism
prostopexy
prostatic
BPH causes
enlargement of urethra
enlargement of penis
enlargement of bladder
enlargement of prostate
The surgical incision into the renal pelvis
ureterotomy
cystotomy
renalotomy
pyelotomy
OBA : A 30-year-old man is awakened from sleep with pain radiating from left flank to groin. The pain is intense and comes in waves. Next morning he observes dark brown discolouration of urine. He is afebrile. Urinalysis shows p H 4.5 (5.5 - 6) and negative reaction for leukocyte esterase and nitrite. Urine microscopy shows numerous RBCs and crystals as given in the picture.
Which of the following is the most likely type of renal stone present in this patient?
Calcium oxalate
Cystine
Triple phosphate
Uric acid
OBA A 50-year-old woman has a history of recurrent urinary tract infection.For the past 4 days, she has burning pain while micturition, fever and chills. She also has colicky pain in right flank. Urinalysis shows a p H 7.5 (5.5 - 6), positive leukocyte esterase and nitrite reactions and crystals as given in the picture. Ultrasonogram shows a 4 cm irregular branched calculus in right renal pelvis.
Which of the following is the most likely type of renal stone in this patient?
Calcium phosphate
Magnesium ammonium phosphate
Uric acid
Cystine
True/false
A 55-year-old man with a history of chronic gout presents with colicky abdominal pain. Urinalysis shows specific gravity 1.040 (1.010 - 1.030) , p H 4 (5.5 -6 ), negative leukocyte esterase and nitrite reactions. Urine microscopy shows pale yellow crystals of various shapes. USG reveals a 3mm calculus in right upper ureter.
Which of the following factors are involved in renal stone formation in this patient?
Dehydration
Hyperuricemia
Supersaturation of urine with urates
Acidic p H of urine
Urinary tract infection
True/false
A 60-year-old male presents with obstructive uropathy. Following are possible causes of urinary obstruction in this patient.
Benign prostatic hyperplasia
Carcinoma of prostate
Renal stones
Posterior urethral valve
Retroperitoneal tumours
Regarding hydronephrosis :
It is a consequence of obstructive uropathy
Dilated renal pelvis and calyces compress the cortex
Glomerular filtration is affected at an early stage of obstruction
Patients have an increased risk of urinary tract infection
Renal insufficiency is a complication
The most common site of cancer in older men within the reproductive system is:
The prostate gland
The cowper's gland
The testicles
The penis
Which of the accessory glands produces a liquid to let the sperm move?
Cowper's glands
Prostate
Seminal vesicles
Which Letter corresponds to the Prostate Gland?
B
D
G
K
Main hormone responsible for secondary sex characteristics in males?
FSH
LH
Testosterone
Progesterone
What is the generic name for Flomax?
Tamsulosin hydrochloride
Estradiol
Oxybutin
Finasteride
What is the generic name for Proscar?
Tamsulosin hydrochloride
Estradiol
Oxybutin
Finasteride
What is the generic name for Ditropan?
Tamsulosin hydrochloride
Estradiol
Oxybutin
Finasteride
What is the classification of Flomax?
5 Alpha-reductase inhibitor
Anitspasmodic
Estrogen
Alpha blocker
What is the classification of Proscar?
5 Alpha-reductase inhibitor
Anitspasmodic
Estrogen
Alpha blocker
What is the classification of Ditropan?
5 Alpha-reductase inhibitor
Anitspasmodic
Estrogen
Alpha blocker
What is the indication of Floxmax?
BPH
Hormone Replacement Therapy
OAB
What is the indication of Ditropan?
BPH
Hormone Replacement Therapy
OAB
What is the indication of Proscar?
BPH
Hormone Replacement Therapy
OAB
TRUE/FALSE?
Continuous Bladder Irrigation is used to maintain patency when blood, clots, or debris is anticipated
True
False
What type of catheter should be in place for a patient that is requiring continuous bladder irrigation?
double-lumen
single-lumen
triple-lumen
SATA: Which of the following supplies will the nurse need to perform continuous bladder irrigation (CBI) ?
insert 3-way(triple-lumen) indwelling catheter
2 bags of irrigation fluid hanging at all times
IV pole
Graduated cylinder
connecting tubing
Which of the following is the correct goal for continuous bladder irrigation for patients who have had a transurethral resection of the prostate?
keep urine light pink to clear
keep urine the color of ketchup
keep urine yellow
keep urine brown
The nurse is providing continuous bladder irrigation to a patient post transurethral resection of the prostate. She notices that the draining irrigant solution/urine in the collection bag appears to have red blood cells in it. What is the correct action the nurse should take?
increase the flow of irrigant
stop the irrigation and report to the primary care provider
slow down the flow of irrigant
perform intermittent bladder irrigation
A new nurse is performing continuous bladder irrigation and meets resistance, which of the follow is the correct action for the new nurse to take?
open the clamp wide open until bright red thick drainage collects in the collection bag
Stop the irrigation and discontinue the catheter
Ask the patient to turn slightly, and attempt a second time, then if resistance continues, stop procedure and notify the MD
use a needle to inject air into the drainage tubing
An RN is preparing continuous bladder irrigation, before beginning the flow of irrigation solution the nurse notices that the patients collection bag has 300 mL of urine, what should the nurse do with urine in the catheter collection bag?
empty any urine that is in the bedside drainage bag into a graduated cylinder, measure, and document the volume on the I/O flowsheet
leave it in the bag
empty it directly into the toilet and flush
pour it into a cup and have the patient drink it
Before performing CBI (continuous bladder irrigation) Which of the following pre procedure assessments should the nurse make? SELECT ALL THAT APPLY
Note characteristics of urine for amount, color, odor, and presence of clots or mucus
Assess for the presence and degree of bladder distension to establish a baseline for assessment
Assess the patient's pain level
Check the MD order for the amount and type of sterile solution and obtain at least 2 bags to keep at bedside at all times
Check the MD order and determine if the irrigant is to remain the bladder for any length of time
An RN working on a medsurg unit has 6 patients with high acuity levels and just received an order for continuous bladder irrigation for a post op patient that just returned from the OR. Which of the following members of the care team are appropriate to delegate bladder irrigation to? Select all that apply
RN
LPN
CNA
Secretary
An RN is gathering supplies to perform intermittent bladder irrigation on a patient with a 3 way cathether, which of the following is the correct syringe needed for this procedure?
30 mL syringe
10mL blunt needle syringe
Sterile 60mL syringe with large-gauge needleless access
1,000mL Syringe with filter needle attatchment
Which of the following should the nurse document/ record when performing continuous bladder irrigation? SELECT ALL THAT APPLY
Date/Time of procedure
Type of irrigant solution being used
Characteristics of urine (color, odor, clarity, sediment, presence of clots or mucus)
Evidence of catheter patency (flow of urine, absence of distention)
Pt reports of discomfort (pain/spasms)
Which of the following are screening tools to detect against prostate cancer? Select all that apply
DRE (digital rectal exam)
PSA- Prostate specific antigen testing
colonoscopy
mammogram
Which of the following medical diagnoses is a UTI infection that progresses upward to the ureters or kidneys?
pyelonephritis
urethritis
cystitis
kidney stone
Which of the following diagnostic blood studies are commonly used to assess renal function and hydration? Select all that apply
BUN (blood urea nitrogen)
Creatinine
PTT/INR
Blood glucose
What structure in the kidneys filters the blood?
Ureters
Nephrons
Bladder
Urethra
How is the female urethra different from the male urethra?
It is longer
It is wider
It is shorter
It is more narrow
What is another word for stone?
Calculus
Geometry
Algebra
Calcium
If someone has hematuria, they are experiencing
pus in the urine
blood in the urine
glucose in the urine
urea in the urine
bladder infection
Cystitis
Urethritis
Nephritis
Glomerulonephritis
Inflammation of urethra
Cystitis
Urethritis
Nephritis
Glomerulonephritis
Renal Calculi can be caused by
UTI
Food/Diet
Genetics
all of these
Damage to the filtration portion of the kidney
PKU
Glomerulonephritis
Cystitis
Acute Kidney failure
Requires dialysis & possibly kidney transplant
Renal Calculi
Urethritis
Kidney Failure
Edema
Difficulty urinating, can be due to an enlarged prostate
incontinence
UTI
Urinary Retention
Renal Failure
delivers blood to the kidney
bladder
ureter
kidney
Renal artery
urethra
tube that conducts urine to the outside of the body
bladder
ureter
kidney
Renal artery
urethra
tube that conducts urine from the kidney to the blader
bladder
ureter
kidney
Renal artery
urethra
A by product of protein synthesis is a nitrogenous waste that is eventually converted to ____
Sodium Nitrate
Calcium Carbonate
Urea
Carbon Dioxide
A disease that has a sudden and perhaps severe onset, is not long term, and can usually be treated is considered a _______ Condition
Acute
Chronic
Osetopathic
Nosocomial
the functional unit of the kidney is the
ureter
kidney
nephron
renal artery
The cavity within the kidney that collects urine is the
urinary bladder
renal pelvis
ureter
urethra
What hormone regulates the absorption of water in the kidneys?
ETP
FSH
PTH
ADH
The treatment for most kidney stones is
to wait until it passes.
lithotrypsy
break it down with a laser
surgery
Where and what are the kidneys?
Two inch-wide disks that flank the bladder and absorb nutrients for the body from the bloodstream
Small organs near the stomach that release hormones to encourage digestion
Fist-size organs below the ribs, on each side of the spine, that filter waste from the blood and produce urine
What is a kidney stone?
A tiny undigested piece of something hard often an actual stone that went undetected in food that's been eaten
hard deposits made of minerals and salts that form inside your kidneys.
A small piece of bone that's been dislodged somewhere in the body and settles in the kidney
Which are the most common symptoms when someone has a kidney stone?
Severe pain on one side of the lower back, fever, and nausea
A small lump that can be felt in the abdominal area, fatigue, and tingling in the legs.
Pain in the chest, blurred vision and dizziness
Which conditions or dietary habits are thought to be among the more likely causes of kidney stone formation?
Eating too little fiber and too few fruits with vitamin A
Both of the above
Inadequate water intake and eating too much salt or sugar
What are kidney stones?
crystallized bile
crystallized urine
crystallized saliva
salt accumulation
How much water should an adult drink daily?
half of a liter
1 liter
1.5 liter
2 liters
_________________ is a waste product that forms from the breakdown of amino acids and nucleic acids.
Ammonia
Urea
Ammonium
Uric Acid
