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Worksheets

Unit 4

Total questions: 85

Worksheet time: 1hrs 6mins

Name
Class
Date
1.
Which are the tubes that carry urine from the kidney to the bladder?
a)
Adrenal tubes
b)
Kidneys
c)
Ureters
d)
Urethras
2.

Stores urine until urination occurs.

a)

Bladder

b)

Kidney

c)

Ureter

d)

Urethra

3.

The most important organ of the urinary system, where blood is filtered.

a)

Gallbladder

b)

Ureter

c)

Kidney

d)

Urinary bladder

4.

What is the main function of the urinary system?

a)

Circulate blood through body

b)

Removing carbon dioxide from the blood

c)

Removing wastes and toxins from your body

d)

Expelling feces

5.

Structure where urine is released from the body to the outside world.

a)

Kidney

b)

Urethra

c)

Renal Artery

d)

Ureter

e)

Renal Capsule

6.

The muscle that controls urine exiting the body is the...

a)

ureter.

b)

sphincter.

c)

urethra.

d)

bladder.

7.
The blood vessel carrying blood from the aorta into the kidney is the ________.
a)
renal artery
b)
hepatic artery
c)
renal vein
d)
glomerulus
8.

The leaking of urine from the body due to inability to control the urethral sphincter.

a)

incontinence

b)

filtrate

c)

renal

d)

dialysis

9.

The adjective that means "having to do with the kidney"

a)

renal

b)

hepatic

c)

urinary

d)

nephron

10.

"Filtrate" refers to... (pick TWO)

a)

What is KEPT after filtration

b)

What is REMOVED by filtration

c)

Blood

d)

Urine

11.

Renal Artery

a)

A

b)

D

c)

E

d)

F

e)

B

12.

Ureter

a)

A

b)

D

c)

E

d)

F

e)

B

13.

Urethra

a)

A

b)

B

c)

C

d)

D

14.

Ureter

a)

A

b)

B

c)

C

d)

D

15.

Put the movement of urine in order from creation to release

a)

kidney, ureter, bladder, urethra

b)

kidney, urethra, bladder, ureter

c)

bladder, ureter, kidney, urethra

d)

ureter, kidney, bladder, urethra

16.

A nurse is inserting an indwelling urethral catheter. Which action does the nurse take to prepare the client to cooperate during the insertion of a catheter?

a)

Provide the client with a booklet describing the procedure.

b)

Close the door and curtain and explain the procedure to the client.

c)

Explain the procedure to the family and have them explain to it to the client.

d)

Include the family by explaining the procedure.

17.

client at a health care facility has been diagnosed with polyuria. How would the nurse describe the client's condition in the medical record?

a)

greater than normal urinary volume

b)

inadequate elimination of urine

c)

absence of urine

d)

difficult or uncomfortable voiding

18.

A nurse notes that the volume of the client's urinary elimination is less than 300 ml/day. Which nursing intervention will be appropriate to use with this client?

a)

Requesting diuretic medication

b)

Screening for hyperglycemia

c)

Evaluating fluid intake

d)

Advising client to drink extra coffee

19.

The nurse is caring for a client who reports having cloudy, foul-smelling urine. Which assessment question should the nurse ask the client?

a)

“Are you experiencing burning and frequency?”

b)

“Do you have difficulty starting the stream of urine?”

c)

“Are you having episodes of clear urine mixed with episodes of cloudy urine?”

d)

“Do you have constipation?”

20.

The health care provider notifies a client of a diagnosis of glycosuria. Which additional assessment information will the nurse obtain from the client next?

a)

Frequency of urine

b)

Intake and output

c)

Blood pressure

d)

Blood sugar

21.

Upon assessment of the urine in a client's indwelling urinary catheter drain bag, the nurse notes the urine to be dark yellow. Which next step should the nurse implement?

a)

Encourage fluid intake.

b)

Restrict fluid intake.

c)

No action is required.

d)

Alert the health care provider of possible infection.

22.

The nurse is caring for a client with weakness who is ambulatory but tires easily. Which method for urinary elimination does the nurse recommend?

a)

fracture pan

b)

bedside commode

c)

bedpan

d)

regular bathroom

23.

A client at the health care facility has been diagnosed with total urinary incontinence. How could the nurse describe the condition of the client?

a)

loss of small amount of urine when intra-abdominal pressure rises

b)

need to void is perceived frequently, with short-lived ability to sustain control of flow

c)

loss of urine control because a toilet is not accessible

d)

loss of urine without any identifiable pattern or warning

24.

A nurse is caring for an older adult client at his home. The client has had a condom catheter applied. Which describes a condom catheter?

a)

a flexible sheath that is rolled around the penis

b)

a bag attached by adhesive backing to the skin around the genitals

c)

a urine drainage tube inserted but not left in place

d)

a urine drainage tube that is left in place over a period of time

25.

A postsurgical client has been admitted to the unit with an indwelling urinary catheter that was inserted in the operating room and which is scheduled for removal the following morning. How can the nurse best avoid backflow of urine into the client's bladder and subsequent infection?

a)

Ensure that the collection bag is always lower than the client's bladder.

b)

Irrigate the catheter if clots or pus are visible in the tubing or collection bag.

c)

Ensure that the contents of the collection bag do not exceed 50% of capacity.

d)

Position the client in a high Fowler position unless contraindicated.

26.

A nurse is the guest speaker at a women's club. Most of the women are older than 40 years of age and have asked the nurse to speak about health promotion topics. The nurse states that exercises may help with urinary urgency. Which exercise instruction will the nurse provide to the women?

a)

Contract abdominal muscles 10 times per day.

b)

Squat down and then jump up to a standing position.

c)

Lie on the floor, raise, then lower your legs 20 times per day.

d)

Contract the pubic muscles for 3 seconds, then relax.

27.

A client is preparing to give a clean-catch specimen. Which instruction will the nurse provide?

a)

Collect the first urine expelled.

b)

After the initial stream is initiated, collect the sample.

c)

Wait until the void is almost over to collect a specimen.

d)

Collect the entire urinary output.

28.

A client is admitted to the health care facility reporting pain on urination that is secondary to a urinary tract infection (UTI). The nurse documents this finding as:

a)

polyuria

b)

dysuria

c)

nocturia

d)

hematuria

29.

A nurse uses a catheter to collect a sterile urine specimen from a client at a health care facility. If a catheter is required temporarily, which type of catheter should the nurse use?

a)

condom catheter

b)

urinary bag

c)

straight catheter

d)

retention catheter

30.
A nurse is caring for elderly patients in an assisted-living facility. Which of the following effects of aging should the nurse consider when performing a urinary assessment?
a)
The diminished ability of the kidneys to concentrate urine may result in urinary tract infection.
b)
Increased bladder muscle tone may reduce the capacity of the bladder to hold urine, resulting in frequency.
c)
Decreased bladder contractility may lead to urine retention and stasis, which increase the likelihood of urinary tract infection.
d)
Neuromuscular problems may result in the patient finding urinary control too much trouble, resulting in incontinence.
31.
During a health history interview, a male patient tells the nurse that he does not feel that he completely empties his bladder when he voids. He has been diagnosed with an enlarged prostate. What is the name of this symptom?
a)
urinary incontinence
b)
urinary retention
c)
involuntary voiding
d)
urinary frequency
32.
After surgery, a postoperative patient has not voided for 8 hours. Where would the nurse assess the bladder for distention?
a)
between the symphysis pubis and the umbilicus
b)
over the costovertebral region of the flank
c)
in the left lower quadrant of the abdomen
d)
between ribs 11 and 12 and the umbilicus
33.
A nurse has instructed a clinic patient about collecting a specimen for a routine urinalysis. The patient makes the following statements. Which one indicates a need for more teaching?
a)
“I need to tell you that I am having my menstrual period.”
b)
“I will void into the specimen bottle you gave me.”
c)
“I will keep the toilet paper in the specimen.”
d)
“I will be sure that no stool is included in my urine.”
34.
A student is collecting a sterile urine specimen from an indwelling catheter. How will the student correctly obtain the specimen?
a)
Pour urine from the collecting bag.
b)
Remove the catheter and ask the patient to void.
c)
Aspirate urine from the collecting bag.
d)
Aspirate urine from the collection port.
35.
A nurse is initiating a 24-hour urine collection for a patient at home. What will be the first thing the nurse will ask the patient to do at the beginning of the specimen collection?
a)
Void and discard the urine.
b)
Begin the collection at a specific time.
c)
Add the first voiding to the specimen.
d)
Keep the urine warm during collection.
36.
A patient is taking diuretics. What should the nurse teach the patient about his urine?
a)
Urinary output will be decreased.
b)
Urinary output will be increased.
c)
Urine will be a pale yellow color.
d)
Urine may be brown or black.
37.
A patient has been taught how to do Kegel exercises. What statement by the patient indicates a need for further information?
a)
“I understand these will help me control stress incontinence.”
b)
“I know this is also called pelvic floor muscle training.”
c)
“I will do these 30 to 80 times a day for 2 months.”
d)
“I will contract the muscles in my abdomen and thighs.”
38.
A male patient who has had outpatient surgery is unable to void while lying supine. What can the nurse do to facilitate his voiding?
a)
Assist him to a standing position.
b)
Tell him he has to void to be discharged.
c)
Pour cold water over his genitalia.
d)
Ask his wife to assist with the urinal.
39.

A male patient in the clinic provides a urine sample that is red-orange in color. Which action should the nurse take first?

a)

Notify the patient's health care provider.

b)

Teach correct midstream urine collection.

c)

Ask the patient about current medications.

d)

Question the patient about urinary tract infection (UTI) risk factors.

40.

Nursing staff on a hospital unit are reviewing rates of hospital-acquired infections (HAI) of the urinary tract. Which nursing action will be most helpful in decreasing the risk for HAI in patients admitted to the hospital?

a)

Encouraging adequate oral fluid intake

b)

Testing urine with a dipstick daily for nitrites

c)

Avoiding unnecessary urinary catheterizations

d)

Providing frequent perineal hygiene to patients

41.

Which finding by the nurse will be most helpful in determining whether a 67-year-old patient with benign prostatic hyperplasia has an upper urinary tract infection (UTI)?

a)

Bladder distention

b)

Foul-smelling urine

c)

Suprapubic discomfort

d)

Costovertebral tenderness

42.

Nocturnal (a)   , known as nighttime bedwetting, usually subsides by 6 years of age.

43.

Incontinence that results from weakness of the pelvic floor muscles can be treated by teaching the patient to perform (a)   exercises.

44.

A urinary (a)   involves the surgical creation of an alternative route for excretion of urine.

45.

The specific (a)   of urine is a measure of the density of urine compared with the density of water.

46.

A patient has a new colostomy placed and states "I cannot live my life like I used to". What type of loss is this patient experiencing?

a)

Actual

b)

Percieved

c)

Maturation

d)

Anticipatory

47.

A person experiences a significant loss and refuses to acknowledge the loss. What type of grief is the person demonstrating

a)

Mourning

b)

Dysfunctional

c)

Disenfranchised

48.

True or false: There is a time limit by which a person should be done grieving a major loss.

a)

True

b)

False

49.

Which of the following are signs of impending death in a person we know is actively dying? Select all that apply.

a)

gurgling

b)

loss of continence

c)

mottling skin

d)

Cheyne-Stokes respirations

e)

Elevated BP

50.

A legal document that tells providers how you want to be treated if you cannot make decisions about your medical treatment.

a)

Living Will

b)

POLST

c)

DPOA for HC

51.

True or false: The nursing practicing on the hospital unit where a patient is being kept alive by medical intervention but has been declared brain dead should approach the family about organ donation?

a)

True

b)

False

52.

True or false: If a patient asks the nurse to pray with them, but the nurse would feel uncomfortable, the nurse should do it anyway to support the patient's spiritual health.

a)

True

b)

False

53.

Select all that apply: Which of the following are aspects of spiritual health?

a)

Purpose

b)

Love

c)

Belonging

d)

Forgiveness

54.

The absence of something to which the aected person has formed an attachment and can involve people, places, or things

a)

Loss

b)

Situational loss

c)

Maturational loss

d)

Actual loss

55.

Loss that normally occurs with expected life changes across the lifespan

a)

Loss

b)

Situational loss

c)

Maturational loss

d)

Actual loss

56.

Sudden unpredictable external events that bring change

a)

Perceived loss

b)

Situational loss

c)

Maturational loss

d)

Actual loss

57.

Occurs when a person can no longer feel, hear, see, or know a person or object

a)

Perceived loss

b)

Situational loss

c)

Maturational loss

d)

Actual loss

58.

Uniquely defines by the person experiencing loss

a)

Perceived loss

b)

Situational loss

c)

Maturational loss

d)

Actual loss

59.

The emotional response to loss

a)

Anticipatory grief

b)

Normal grief

c)

Grief

d)

Complicated grief

60.

Common reaction characterized by complex emotional, cognitive, social, and physical behavior

a)

Anticipatory grief

b)

Normal grief

c)

Grief

d)

Complicated grief

61.

Occurs before the actual loss or death

a)

Anticipatory grief

b)

Normal grief

c)

Disenfranchised grief

d)

Complicated grief

62.

Unusually prolonged grief with significant difficulty moving forwards

a)

Anticipatory grief

b)

Normal grief

c)

Disenfranchised grief

d)

Complicated grief

63.

Grief that cannot be shared openly bc the relationship is not socially sanctioned, can't be shared, or seems less important

a)

Anticipatory grief

b)

Normal grief

c)

Disenfranchised grief

d)

Complicated grief

64.

Legal document that communicates wishes about what type of medical care they want at end of life

a)

Living wants

b)

Advanced directive

c)

Direct orders

d)

Legal end of life direction

65.

Which brain structure controls heart rate, blood pressure, and respirations during the body’s fight or flight response?

a)

Pituitary Gland

b)

Medulla Oblongata

c)

Reticular Formulation

d)

Cerebellum

66.

After a provider has informed a patient that he has colon cancer, the nurse enters the room to find the patient gazing out the window in thought. Which response by the nurse is most appropriate?

a)

"Would you like for me to sit down with you for a few minutes so you can talk about this?"

b)

"Don't be sad. People live with cancer every day."

c)

"I know another patient whose colon cancer was cured with surgery."

d)

"Have you thought about how you are going to tell your family?"

67.

The patient has just received news of the death of a relative. Over the next few hours, what physiologic response should the nurse attribute to the alarm reaction caused by the stress of this event?

a)

Drop in blood pressure from 130/80 to 120/70

b)

Increase in heart rate from 65 to 90

c)

Increase in urine output from 60mL/hr to 200mL/hr

d)

Decrease in oxygen saturation from 94% to 89%

68.

Jean, an experienced nurse, gradually begins to fatigue easily. She also becomes emotionally exhausted, asking herself, “Why did I ever become a nurse?” What syndrome is Jean experiencing?

a)

Compassion fatigue

b)

Burnout

c)

Stress Management

d)

Depression

69.
People react differently to stress.
a)
True
b)
False
70.
A __________ is a way of dealing with or handling stress
a)
coping mechanism 
b)
to do list
c)
strategy 
d)
Appointment 
71.

Which of the following is a behavioral change to stress?

a)

overeating

b)

muscle tension

c)

nervousness

d)

impatient

72.
Which of the following is an emotional symptom of stress?
a)
Feeling angry
b)
Shaking hands
c)
Sweating
d)
Upset Stomach
73.
Which of the following is a physical symptom of stress?
a)
Feeling angry
b)
Sweating
c)
Feeling Sad
d)
Feeling overwhelmed
74.

During which stage of the body's stress response does your body adapt to the stressor and you become irritable?

a)

Alarm

b)

Resistance

c)

Fatigue

d)

Exhaustion

75.

During which stage of the body's stress response are hormones released?

a)

Resistance

b)

Alarm

c)

Fatigue

d)

Recovery

76.
What is negative stress?
a)
Stress that prevents you from doing something or functioning in your every day life
b)
stress that lasts a long amount of time
c)
stress that has many symptoms
d)
stress that do not speak to anyone about
77.
What is positive stress? 
a)
A type of stress that is not THAT bad
b)
Stress that has no physical or emotional symptoms
c)
stress that causes you to perform better or get things done
d)
Stress that does not last long
78.
Stress is always bad for you.
a)
True
b)
False
79.

The nurse repositions a client who has difficulty breathing. Which nursing action, when performed following the intervention, demonstrates evaluation?

a)

Instructing the client the importance of mobility

b)

Arranging the pillows behind the client's back

c)

Checking the client's respiratory status

d)

Changing the rate of flow for the oxygen delivery system

80.

One hour after receiving pain medication, a postoperative client reports intense pain. What is the nurse's most appropriate first action?

a)

Discuss the frequency of pain medication orders with the client.

b)

Assess the client to determine the cause of the pain

c)

Consult with the healthcare provider for additional pain orders

d)

Assist the client to reposition and splint the incision site

81.

What is the purpose of evaluation in the nursing process?

a)

To create a plan to address client problems.

b)

To determine the client problems.

c)

To systematically gather information related to the physical, mental, spiritual, socioeconomic, and cultural status of an individual, group, or community.

d)

To evaluate a client’s response to nursing interventions and reach a nursing judgment regarding the extent to which outcomes have been met.

82.

What is the purpose of reflection in the nursing process?

a)

To evaluate a client’s response to nursing interventions and reach a nursing judgment regarding the extent to which outcomes have been met.

b)

To determine the client problems.

c)

To systematically gather information related to the physical, mental, spiritual, socioeconomic, and cultural status of an individual, group, or community.

d)

To improve future nursing care by learning from past experiences.

83.

During the evaluation phase, the nurse finds that the patient’s condition has not improved as expected. Which is the best response to this scenario?

a)

Ignore these findings

b)

Change the diagnosis

c)

Implement the same plan more vigorously

d)

Reassess the patient and modify the care plan

84.

Which statement indicates that a plan to assist a client in developing and following an exercise program has been effective?

a)

"I have just been too busy to do my daily exercises."

b)

"I guess I will begin the activity we discussed next week."

c)

"I know I should exercise, but my health is not very good."

d)

"I have lost 10 pounds (4.5 kg) because I walk 2 miles (3.2 km) every day."

85.

The nurse is caring for a client who is postoperative and has pain that is an 8 on a scale of 0 to 10. There is an order for intravenous pain medication every 4 hours as needed. The nurse administers the prescribed pain medication to the client. What should the nurse do to assist in meeting this client’s desired outcome of a pain scale score less than 4 on a scale of 0 to 10?

a)

Call the surgeon to report the pain level.

b)

Continue making rounds on other clients and let the client rest.

c)

Evaluate the client’s pain level after the appropriate amount of time has elapsed for the pain medication to take effect.

d)

Modify the plan of care to include an additional pain medication because the client’s pain is so severe.