Question 1

While receiving a shift report on a patient,the nurse is informed that the patient has urinary incontinence.Upon assessment,what would the nurse expect to find?

Accepted Answer

A) An in-dwelling Foley catheter. 
B) Reddened irritated skin on the buttocks. 
C) Tiny blood clots in the patient's urine. 
D) Foul-smelling discharge indicative of a UTI. 
A) An in-dwelling Foley catheter. 
B) Reddened irritated skin on the buttocks. 
C) Tiny blood clots in the patient's urine. 
D) Foul-smelling discharge indicative of a UTI. B

Question 2

The nurse knows that urinary tract infection (UTI)is the most common health care-associated infection for which of the following reasons?

Accepted Answer

A) Catheterization procedures are performed more frequently than indicated. 
B) Escherichia coli pathogens are transmitted during surgical or catheterization procedures. 
C) Perineal care is often neglected by nursing staff. 
D) Bedpans and urinals are not stored properly and transmit infection. 
A) Catheterization procedures are performed more frequently than indicated. 
B) Escherichia coli pathogens are transmitted during surgical or catheterization procedures. 
C) Perineal care is often neglected by nursing staff. 
D) Bedpans and urinals are not stored properly and transmit infection. B

Question 3

Which of the following is the primary function of the kidneys?

Accepted Answer

A) Metabolizing and excreting medications. 
B) Maintaining fluid and electrolyte balance. 
C) Storing and excreting urine. 
D) Filtering blood cells and proteins. 
A) Metabolizing and excreting medications. 
B) Maintaining fluid and electrolyte balance. 
C) Storing and excreting urine. 
D) Filtering blood cells and proteins. B

Question 4

Which observation by the nurse best indicates that bladder irrigation for urinary retention has been effective?

Accepted Answer

A) An output that is larger than the amount instilled. 
B) The presence of blood clots or sediment in the drainage bag. 
C) Reduction in discomfort from bladder distension. 
D) Visualizing clear urinary catheter tubing. 
A) An output that is larger than the amount instilled. 
B) The presence of blood clots or sediment in the drainage bag. 
C) Reduction in discomfort from bladder distension. 
D) Visualizing clear urinary catheter tubing.

Question 5

A patient requests the nurse's assistance to the bedside commode and becomes frustrated when unable to void in front of the nurse.The nurse understands that the patient is unable to void for which reason?

Accepted Answer

A) Anxiety can make it difficult for abdominal and perineal muscles to relax enough to void. 
B) The patient does not recognize the physiological signals that indicate a need to void. 
C) The patient is lonely,and calling the nurse in under false pretenses is a way to get attention. 
D) The patient is not drinking enough fluids to produce adequate urine output. 
A) Anxiety can make it difficult for abdominal and perineal muscles to relax enough to void. 
B) The patient does not recognize the physiological signals that indicate a need to void. 
C) The patient is lonely,and calling the nurse in under false pretenses is a way to get attention. 
D) The patient is not drinking enough fluids to produce adequate urine output.

Question 6

When viewing a urine specimen under a microscope,what would the nurse expect to see in a patient with a urinary tract infection?

Accepted Answer

A) Bacteria. 
B) Casts. 
C) Crystals. 
D) Protein. 
A) Bacteria. 
B) Casts. 
C) Crystals. 
D) Protein.

Question 7

Which statement by the patient about upcoming computed tomographic (CT)scanning indicates a need for further teaching?

Accepted Answer

A) "I'm allergic to shrimp,so I should monitor myself for an allergic reaction." 
B) "I will complete my bowel prep program the night before the scan." 
C) "I will be anaesthetized so that I lie perfectly still during the procedure." 
D) "I will ask the technician to play music to ease my anxiety." 
A) "I'm allergic to shrimp,so I should monitor myself for an allergic reaction." 
B) "I will complete my bowel prep program the night before the scan." 
C) "I will be anaesthetized so that I lie perfectly still during the procedure." 
D) "I will ask the technician to play music to ease my anxiety."

Question 8

Many individuals have difficulty voiding in a bedpan or urinal while lying in bed for which reason?

Accepted Answer

A) They are embarrassed that they will urinate on the bedding. 
B) They would feel more comfortable assuming a normal voiding position. 
C) They feel they are losing their independence by asking the nursing staff to help. 
D) They are worried about acquiring a urinary tract infection. 
A) They are embarrassed that they will urinate on the bedding. 
B) They would feel more comfortable assuming a normal voiding position. 
C) They feel they are losing their independence by asking the nursing staff to help. 
D) They are worried about acquiring a urinary tract infection.

Question 9

A nurse is caring for an 8-year-old patient who is embarrassed about urinating in his bed at night.Which intervention should the nurse suggest to reduce the frequency of this occurrence?

Accepted Answer

A) "Drink your nightly glass of milk earlier in the evening." 
B) "Set your alarm clock to wake you every 2 hours,so you can get up to void." 
C) "Line your bedding with plastic sheets to protect your mattress." 
D) "Empty your bladder completely before going to bed." 
A) "Drink your nightly glass of milk earlier in the evening." 
B) "Set your alarm clock to wake you every 2 hours,so you can get up to void." 
C) "Line your bedding with plastic sheets to protect your mattress." 
D) "Empty your bladder completely before going to bed."

Question 10

The nurse understands that peritoneal dialysis and hemodialysis involve which processes to clean the patient's blood? (Select all that apply. )

Accepted Answer

A) Gravity. 
B) Osmosis. 
C) Diffusion. 
D) Filtration. 
A) Gravity. 
B) Osmosis. 
C) Diffusion. 
D) Filtration.

Question 11

To obtain a clean-voided urine specimen for a female patient,the nurse should teach the patient to do which of the following?

Accepted Answer

A) Cleanse the urethral meatus from the area of most contamination to least. 
B) Initiate the first part of the urine stream directly into the collection cup. 
C) Hold the labia apart while voiding into the specimen cup. 
D) Drink fluids 5 minutes before collecting the urine specimen. 
A) Cleanse the urethral meatus from the area of most contamination to least. 
B) Initiate the first part of the urine stream directly into the collection cup. 
C) Hold the labia apart while voiding into the specimen cup. 
D) Drink fluids 5 minutes before collecting the urine specimen.

Question 12

Which nursing actions are acceptable when a urine specimen is collected? (Select all that apply. )

Accepted Answer

A) Growing urine cultures for up to 12 hours. 
B) Labelling all specimens with date,time,and initials. 
C) Wearing gown,gloves,and mask for all specimen handling. 
D) Allowing the patient adequate time and privacy to void. 
E) Squeezing urine from diapers into a urine specimen cup.
F)Transporting specimens to the laboratory in a timely manner.
G)Placing a plastic bag over the child's urethra to catch urine. 
A) Growing urine cultures for up to 12 hours. 
B) Labelling all specimens with date,time,and initials. 
C) Wearing gown,gloves,and mask for all specimen handling. 
D) Allowing the patient adequate time and privacy to void. 
E) Squeezing urine from diapers into a urine specimen cup.
F)Transporting specimens to the laboratory in a timely manner.
G)Placing a plastic bag over the child's urethra to catch urine.

Question 13

A nurse notifies the provider immediately if a patient with an in-dwelling catheter does which of the following?

Accepted Answer

A) Complains of discomfort upon insertion of the catheter. 
B) Places the drainage bag higher than the waist while ambulating. 
C) Has not collected any urine in the drainage bag for 2 hours. 
D) Is incontinent of stool and contaminates the external portion of the catheter. 
A) Complains of discomfort upon insertion of the catheter. 
B) Places the drainage bag higher than the waist while ambulating. 
C) Has not collected any urine in the drainage bag for 2 hours. 
D) Is incontinent of stool and contaminates the external portion of the catheter.

Question 14

Upon palpation,the nurse notices that the bladder is firm and distended;the patient expresses an urge to urinate.The nurse should follow up by asking which question?

Accepted Answer

A) "When was the last time you voided?" 
B) "Do you lose urine when you cough or sneeze?" 
C) "Have you noticed any change in your urination patterns?" 
D) "Do you have a fever or chills?" 
A) "When was the last time you voided?" 
B) "Do you lose urine when you cough or sneeze?" 
C) "Have you noticed any change in your urination patterns?" 
D) "Do you have a fever or chills?"

Question 15

A nurse is providing education to a patient being treated for a urinary tract infection.Which of the following statements by the patient indicates an understanding?

Accepted Answer

A) "Because I'm taking medication,I do not need to worry about proper hygiene." 
B) "I should drink 15 to 20 glasses of fluid a day to help flush the bacteria out." 
C) "My medication may discolour my urine;this should resolve once the medication is stopped." 
D) "I should not have sexual intercourse until the infection has resolved." 
A) "Because I'm taking medication,I do not need to worry about proper hygiene." 
B) "I should drink 15 to 20 glasses of fluid a day to help flush the bacteria out." 
C) "My medication may discolour my urine;this should resolve once the medication is stopped." 
D) "I should not have sexual intercourse until the infection has resolved."

Question 16

The nurse would question an order to insert a urinary catheter on which patient?

Accepted Answer

A) A 26-year-old patient with a recent spinal cord injury at T2. 
B) A 30-year-old patient requiring drug screening for employment. 
C) A 40-year-old patient undergoing bladder repair surgery. 
D) An 86-year-old patient requiring monitoring of urinary output for renal failure. 
A) A 26-year-old patient with a recent spinal cord injury at T2. 
B) A 30-year-old patient requiring drug screening for employment. 
C) A 40-year-old patient undergoing bladder repair surgery. 
D) An 86-year-old patient requiring monitoring of urinary output for renal failure.

Question 17

An 86-year-old patient asks the nurse what lifestyle changes will reduce the chance of a urinary tract infection.Which response is accurate?

Accepted Answer

A) Urinary tract infections are unavoidable in older people because of a weakened immune system. 
B) Decreasing fluid intake will decrease the amount of urine with bacteria produced. 
C) Making sure to cleanse the perineal area from back to front after voiding will reduce the chance of infection. 
D) Increasing consumption of acidic foods such as cranberry juice will reduce the chance of infection. 
A) Urinary tract infections are unavoidable in older people because of a weakened immune system. 
B) Decreasing fluid intake will decrease the amount of urine with bacteria produced. 
C) Making sure to cleanse the perineal area from back to front after voiding will reduce the chance of infection. 
D) Increasing consumption of acidic foods such as cranberry juice will reduce the chance of infection.

Question 18

When caring for a patient with urinary retention,the nurse would anticipate an order for which of the following?

Accepted Answer

A) Limited fluid intake. 
B) A urinary catheter. 
C) Diuretic medication. 
D) Renal angiography. 
A) Limited fluid intake. 
B) A urinary catheter. 
C) Diuretic medication. 
D) Renal angiography.

Question 19

An 86-year-old patient tells the nurse that she is experiencing uncontrollable leakage of urine.Which nursing diagnosis should the nurse include in the patient's plan of care?

Accepted Answer

A) Urinary retention. 
B) Hesitancy. 
C) Urgency. 
D) Urinary incontinence. 
A) Urinary retention. 
B) Hesitancy. 
C) Urgency. 
D) Urinary incontinence.

Question 20

The nurse knows that which in-dwelling catheter procedure places the patient at greatest risk for acquiring a urinary tract infection?

Accepted Answer

A) Emptying the drainage bag every 8 hours or when half full. 
B) Kinking the catheter tubing to obtain a urine specimen. 
C) Placing the drainage bag on the side rail of the patient's bed. 
D) Failing to secure the catheter tubing to the patient's thigh. 
A) Emptying the drainage bag every 8 hours or when half full. 
B) Kinking the catheter tubing to obtain a urine specimen. 
C) Placing the drainage bag on the side rail of the patient's bed. 
D) Failing to secure the catheter tubing to the patient's thigh.

Exam 43: Urinary Elimination

While receiving a shift report on a patient,the nurse is informed that the patient has urinary incontinence.Upon assessment,what would the nurse expect to find?

The nurse knows that urinary tract infection (UTI)is the most common health care-associated infection for which of the following reasons?

Which of the following is the primary function of the kidneys?

Which observation by the nurse best indicates that bladder irrigation for urinary retention has been effective?

A patient requests the nurse's assistance to the bedside commode and becomes frustrated when unable to void in front of the nurse.The nurse understands that the patient is unable to void for which reason?

When viewing a urine specimen under a microscope,what would the nurse expect to see in a patient with a urinary tract infection?

Which statement by the patient about upcoming computed tomographic (CT)scanning indicates a need for further teaching?

Many individuals have difficulty voiding in a bedpan or urinal while lying in bed for which reason?

A nurse is caring for an 8-year-old patient who is embarrassed about urinating in his bed at night.Which intervention should the nurse suggest to reduce the frequency of this occurrence?

The nurse understands that peritoneal dialysis and hemodialysis involve which processes to clean the patient's blood? (Select all that apply. )

To obtain a clean-voided urine specimen for a female patient,the nurse should teach the patient to do which of the following?

Which nursing actions are acceptable when a urine specimen is collected? (Select all that apply. )

A nurse notifies the provider immediately if a patient with an in-dwelling catheter does which of the following?

Upon palpation,the nurse notices that the bladder is firm and distended;the patient expresses an urge to urinate.The nurse should follow up by asking which question?

A nurse is providing education to a patient being treated for a urinary tract infection.Which of the following statements by the patient indicates an understanding?

The nurse would question an order to insert a urinary catheter on which patient?

An 86-year-old patient asks the nurse what lifestyle changes will reduce the chance of a urinary tract infection.Which response is accurate?

When caring for a patient with urinary retention,the nurse would anticipate an order for which of the following?

An 86-year-old patient tells the nurse that she is experiencing uncontrollable leakage of urine.Which nursing diagnosis should the nurse include in the patient's plan of care?

The nurse knows that which in-dwelling catheter procedure places the patient at greatest risk for acquiring a urinary tract infection?

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