Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
The client informs the nurse that she is voiding a large volume of urine frequently.
Which factor should the nurse identify as a potential cause for urinary frequency?.
A. Urinary tract infection.
While a urinary tract infection can cause frequent urination, it’s usually accompanied by other symptoms such as pain or burning during urination.
B. Trauma to pelvic muscles.
Trauma to pelvic muscles can cause urinary incontinence, not necessarily increased frequency.
C. Urinary overflow.
Urinary overflow is a condition where the bladder is always full and can lead to frequent leakage of urine.
D. Postpartum diuresis.
Postpartum diuresis is the body’s way of getting rid of excess fluid accumulated during pregnancy, leading to increased urine production and frequency.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Custom 2023 Fall NPRO 1100 Proctored Exam 3. Take the full exam now
Full Explanation
The correct answer is choice D.
Choice A rationale:
While a urinary tract infection can cause frequent urination, it’s usually accompanied by other symptoms such as pain or burning during urination.
Choice B rationale:
Trauma to pelvic muscles can cause urinary incontinence, not necessarily increased frequency.
Choice C rationale:
Urinary overflow is a condition where the bladder is always full and can lead to frequent leakage of urine.
Choice D rationale:
Postpartum diuresis is the body’s way of getting rid of excess fluid accumulated during pregnancy, leading to increased urine production and frequency.
Similar Questions
A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor.
The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?.
A. Variable decelerations.
Variable decelerations are associated with problems with the umbilical cord, such as compression. This is because they occur irregularly and can happen at any time during the contraction cycle.
B. Early decelerations.
Early decelerations are usually benign and are associated with fetal head compression during a uterine contraction. They are not typically indicative of a problem with the umbilical cord.
C. Accelerations.
Accelerations are usually a sign of fetal well-being and are not typically associated with umbilical cord issues.
D. Late decelerations.
Late decelerations are associated with uteroplacental insufficiency, which is a decrease in the blood flow to the placenta that reduces the amount of oxygen and nutrients transferred to the fetus. They are not typically indicative of a problem with the umbilical cord.
Full Explanation
The correct answer is choice A.
Choice A rationale:
Variable decelerations are associated with problems with the umbilical cord, such as compression. This is because they occur irregularly and can happen at any time during the contraction cycle.
Choice B rationale:
Early decelerations are usually benign and are associated with fetal head compression during a uterine contraction. They are not typically indicative of a problem with the umbilical cord.
Choice C rationale:
Accelerations are usually a sign of fetal well-being and are not typically associated with umbilical cord issues.
Choice D rationale:
Late decelerations are associated with uteroplacental insufficiency, which is a decrease in the blood flow to the placenta that reduces the amount of oxygen and nutrients transferred to the fetus. They are not typically indicative of a problem with the umbilical cord.
A client experiencing contractions presents at a health care facility.
Assessment conducted by the nurse reveals that the client has been experiencing Braxton Hicks contractions.
The nurse has to educate the client on the usefulness of Braxton Hicks contractions.
Which role do Braxton Hicks contractions play in aiding labor?.
A. These contractions increase oxytocin sensitivity.
While oxytocin sensitivity is important for labor, there is no evidence to suggest that Braxton Hicks contractions increase oxytocin sensitivity.
B. These contractions increase the release of prostaglandins.
Prostaglandins play a crucial role in labor by causing the cervix to soften and dilate and the uterus to contract. However, there is no evidence to suggest that Braxton Hicks contractions increase the release of prostaglandins.
C. These contractions make maternal breathing easier.
While maternal comfort is important during labor, there is no evidence to suggest that Braxton Hicks contractions make maternal breathing easier.
D. These contractions help in softening and ripening the cervix.
Braxton Hicks contractions help in softening and ripening the cervix, which is an important part of preparing for labor.
Full Explanation
The correct answer is choice D.
Choice A rationale:
While oxytocin sensitivity is important for labor, there is no evidence to suggest that Braxton Hicks contractions increase oxytocin sensitivity.
Choice B rationale:
Prostaglandins play a crucial role in labor by causing the cervix to soften and dilate and the uterus to contract. However, there is no evidence to suggest that Braxton Hicks contractions increase the release of prostaglandins.
Choice C rationale:
While maternal comfort is important during labor, there is no evidence to suggest that Braxton Hicks contractions make maternal breathing easier.
Choice D rationale:
Braxton Hicks contractions help in softening and ripening the cervix, which is an important part of preparing for labor.
A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn.
The client reports feeling "down" and sad, having no energy, and wanting to cry.
Which of the following is a priority action by the nurse?.
A. Anticipate a prescription by the provider for an antidepressant.
While antidepressants can be an effective treatment for postpartum depression, it is not the priority action. The priority is to ensure the safety of the mother and the baby.
B. Reinforce postpartum and newborn care discharge teaching.
Reinforcing postpartum and newborn care discharge teaching is important, but it is not the priority action when a client is showing signs of postpartum depression.
C. Assist the family to identify prior use of positive coping skills in family crises.
Assisting the family to identify prior use of positive coping skills in family crises can be helpful, but it is not the priority action when a client is showing signs of postpartum depression.
D. Ask the client if she has considered harming herself or her newborn.
The priority action when a client is showing signs of postpartum depression is to assess for suicidal ideation or thoughts of harming herself or her baby. This is because postpartum depression can lead to thoughts of self-harm or harm to the baby, and immediate intervention is necessary to ensure the safety of both the mother and the baby.
Full Explanation
The correct answer is choice D.
Choice A rationale:
While antidepressants can be an effective treatment for postpartum depression, it is not the priority action. The priority is to ensure the safety of the mother and the baby.
Choice B rationale:
Reinforcing postpartum and newborn care discharge teaching is important, but it is not the priority action when a client is showing signs of postpartum depression.
Choice C rationale:
Assisting the family to identify prior use of positive coping skills in family crises can be helpful, but it is not the priority action when a client is showing signs of postpartum depression.
Choice D rationale:
The priority action when a client is showing signs of postpartum depression is to assess for suicidal ideation or thoughts of harming herself or her baby. This is because postpartum depression can lead to thoughts of self-harm or harm to the baby, and immediate intervention is necessary to ensure the safety of both the mother and the baby.