Urinary Elimination Fundamentals of Nursing Exam Q & A /2023, Exams of Nursing

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NURSING EXAM Q & A/

1. The student nurse studying the anatomy and physiology of the urinary system knows that the following are functions of the bladder. Select all that apply. A) The bladder serves as a temporary reservoir for urine. B) The sympathetic system carries inhibitory impulses to the bladder. C) Urine from the bladder empties into the pelvis of each kidney. D) A fold of membrane in the bladder closes the entrance to the ureters when pressure exists. E) The parasympathetic system carries motor impulses to the bladder and inhibitory impulses to the internal sphincter. F) From the bladder, urine is transported by rhythmic peristalsis through the ureters to the kidneys.
2. A nurse is preparing to catheterize a female patient. What will the nurse consider when comparing the anatomy of the female urethra with that of the male urethra? A) has different innervation B) no connection with bladder C) shorter in length D) longer in length
3. Which of the following describes the term micturition? A) emptying the bladder B) catheterizing the bladder C) collecting a urine specimen

NURSING EXAM Q & A/

D) experiencing total incontinence

4. A nurse working in a community pediatric clinic explains the process of toilet training to mothers of toddlers. Which of the following is a recommended guideline for initiating this training? A) The child should be able to hold urine for 4 hours. B) The child should be between 18 and 24 months old. C) The child should be able to communicate the need to void. D) The child does not need to desire to gain control of voiding.

NURSING EXAM Q & A/

8. 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
9. A nurse is assessing the urine on a newborn's diaper. What would be a normal assessment finding? A) scanty to no urine B) highly concentrated urine C) light in color and odorless D) dark in color and odorous

NURSING EXAM Q & A/

10. An older woman who is a resident of a long-term care facility has to get up and void several times during the night. This can be the result of what physiologic change with normal aging? A) diminished kidney ability to concentrate urine B) increased bladder muscle tone causing urinary frequency C) increased bladder contractility causing urinary stasis D) decreased intake of fluids during daytime hours
11. A nurse is conducting a health history interview for an office patient who is having problems with urinary control. What would be an appropriate interview question to collect further data? A) “Why don't you go to the bathroom more?” B) “How have you handled this problem?” C) “What does your wife think about this problem?” D) “What makes you think you have a problem?”
12. 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
13. A nurse is delegating the collection of urinary output to an assistant. What should the nurse tell the assistant to do while measuring the urine? A) Compare the amount of output with intake. B) Use a clean measuring cup for each voiding.

NURSING EXAM Q & A/

15. 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.
16. 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.
17. An elderly woman living alone at home is incontinent of urine. Which of the following nursing diagnoses would be appropriate for a plan of care? A) Risk for Activity Intolerance B) Risk for Impaired Skin Integrity C) Risk for Falls D) Risk for Infection
18. An older adult woman has constant dribbling of urine. The associated discomfort, odor, and embarrassment may support which of the following nursing diagnoses? A) Social Isolation B) Impaired Adjustment C) Defensive Coping

NURSING EXAM Q & A/

D) Impaired Memory

19. 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.

NURSING EXAM Q & A/

24. 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.”

NURSING EXAM Q & A/

25. A man with urinary incontinence tells the nurse he wears adult diapers for protection. What risks should the nurse discuss with this patient? A) public embarrassment B) skin breakdown and UTI C) inability to control urine D) odor and leakage
26. A patient complains of having to void frequently, burning on urination, and odorous urine. Based on these assessment findings, the nurse would suspect the patient has which of the following conditions? A) stress incontinence B) urge incontinence C) urinary tract infection D) lower colon infection
27. A school nurse is teaching a class of middle-school girls how to promote urinary system health. Which of the following statements by one of the girls indicates a need for more information? A) “I will take showers rather than baths.” B) “I will wear underpants with cotton crotches.” C) “I will tell my parents if I have burning or pain.” D) “I will wipe back to front after going to the toilet.”
28. A home care patient has an indwelling catheter connected to a leg bag. What can the nurse recommend to help prevent development of a urinary tract infection? A) Empty the leg bag at regular intervals. B) Always wipe from front to back after voiding.

NURSING EXAM Q & A/

30. A nurse is preparing a patient for an invasive diagnostic procedure of the urinary system. What statement by the nurse would help reduce the patient's anxiety? A) “We do these procedures every day, so you don't need to worry.” B) “I have had this done to me, and it only hurt for a little while.” C) “Why are you so worried? Do you think you have a tumor?” D) “Let me explain to you what they do during this procedure.”

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