Quiz
Urinary
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Questions in this quiz (35)
1During a visit to the pediatrician’s office, a parent inquires about toilet training her daughter age 2 years. The nurse informs the mother that one factor in determining toilet-training readiness is when …
- Athe child can recognize bladder fullness.
- Bthe child can hold the urine for four to five hours.
- CThe child cannot control urination until seated on the toilet.
- DThe child ignores the desire to void.
2A client with urine retention related to a complete prostatic obstruction requires a urinary catheter to drain the bladder. Which type of catheter is most appropriate for a client that has an obstructed urethra?
- ASuprapubic catheter
- BIndwelling urethral catheter
- CIntermittent urethral catheter
- DStraight catheter
3A patient has developed edema in her lower legs and feet, prompting her physician to prescribe furosemide (Lasix), a diuretic medication. After the client has begun this new medication, what should the nurse anticipate?
- AIncreased output of dilute urine
- BIncreased urine concentration
- CA risk of urinary tract infections
- DTransient incontinence and increased urine production
4A nurse is preparing to catheterize a female client. What will the nurse consider when comparing the anatomy of the female urethra with that of the male urethra?
- AHas different innervation
- BNo connection with bladder
- CShorter in length
- DLonger in length
5Which of the following describes the term micturition?
- AEmptying the bladder
- BCatheterizing the bladder
- CCollecting a urine specimen
- DExperiencing total incontinence
6A nurse working in a community pediatric clinic explains the process of toilet training to mothers of toddlers. Which is a recommended guideline for initiating this training?
- AThe child should be able to hold urine for four hours.
- BThe child should be between 18 and 24 months old.
- CThe child should be able to communicate the need to void.
- DThe child does not need the desire to gain control of voiding.
7A nurse is caring for older adult clients in an assisted-living facility. Which effect of aging should the nurse consider when performing a urinary assessment?
- AThe diminished ability of the kidneys to concentrate urine may result in urinary tract infection.
- BIncreased bladder muscle tone may reduce the capacity of the bladder to hold urine, resulting in frequency.
- CDecreased bladder contractility may lead to urine retention and stasis, which increase the likelihood of urinary tract infection.
- DNeuromuscular problems may result in the client finding urinary control too much trouble, resulting in incontinence.
8A nurse is assessing the urine output of a client with Parkinson’s disease who is on levodopa. Which of the following is a common finding for a client on this medication?
- AThe urine may be brown or black.
- BThe urine may be blood-tinged.
- CThe urine may be green or blue-green.
- DThe urine may be orange or orange-red.
9A client tells the nurse, “Every time I sneeze, I wet my pants.” What is this type of involuntary escape of urine called?
- AUrinary incontinence
- BUrinary incompetence
- CNormal micturition
- DUncontrolled voiding
10During a health history interview, a male client 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?
- AUrinary incontinence
- BUrinary retention
- CInvoluntary voiding
- DUrinary frequency
11A nurse is assessing the urine on a newborn’s diaper. What would be a normal assessment finding?
- AScanty to no urine
- BHighly concentrated urine
- CLight in color and odorless
- DDark in color and odorous
12An 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?
- ADiminished kidney ability to concentrate urine
- BIncreased bladder muscle tone causing urinary frequency
- CIncreased bladder contractility causing urinary stasis
- DDecreased intake of fluids during daytime hours
13After surgery, a postoperative client has not voided for eight hours. Where would the nurse assess the bladder for distention?
- ABetween the symphysis pubis and the umbilicus
- BOver the costovertebral region of the flank
- CIn the left lower quadrant of the abdomen
- DBetween ribs 11 and 12 and the umbilicus
14A nurse is delegating the collection of urinary output to an assistant. What should the nurse tell the assistant to do while measuring the urine?
- ACompare the amount of output with intake.
- BUse a clean measuring cup for each voiding.
- CTell the client to wash the urethra before voiding.
- DWear gloves when handling a client’s urine.
15A nurse has instructed a client at the clinic about collecting a specimen for a routine urinalysis. The client 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.”
16A student is collecting a sterile urine specimen from an indwelling catheter. How will the student correctly obtain the specimen?
- APour urine from the collecting bag.
- BRemove the catheter and ask the client to void.
- CAspirate urine from the collecting bag.
- DAspirate urine from the collection port.
17A nurse is initiating a 24-hour urine collection for a client at home. What will be the first thing the nurse will ask the client to do at the beginning of the specimen collection?
- AVoid and discard the urine.
- BBegin the collection at a specific time.
- CAdd the first voiding to the specimen.
- DKeep the urine warm during collection.
18An older adult woman has constant dribbling of urine. The associated discomfort, odor, and embarrassment may support which of the following nursing diagnoses?
- ASocial Isolation
- BImpaired Adjustment
- CDefensive Coping
- DImpaired Memory
19A male client who has had outpatient surgery is unable to void while lying supine. What can the nurse do to facilitate his voiding?
- AAssist him to a standing position.
- BTell him he has to void to be discharged.
- CPour cold water over his genitalia.
- DAsk his wife to assist with the urinal.
20A nurse is educating a client on the amount of water to drink each day. What is the recommended daily fluid intake for adults?
- A1 to 2 (4-oz) glasses per day
- B5 to 6 (6-oz) glasses per day
- C8 to 10 (8-oz) glasses per day
- D16 to 20 (12-oz) glasses per day
21A nurse is carrying out an order to remove an indwelling catheter. What is the first step of this skill?
- ADeflate the balloon by aspirating the fluid.
- BAsk the client to take several deep breaths.
- CTell the client burning may initially occur.
- DWash hands and put on gloves.
22A nurse has catheterized a client to obtain urine for measuring postvoid residual (PVR) amount. The nurse obtains 40 mL of urine. What should the nurse do next?
- AReport this abnormal finding to the physician.
- BPerform another catheterization to verify the amount.
- CDocument this normal finding for postvoid residual.
- DPalpate the abdomen for a distended bladder.
23A nurse is inserting an indwelling urethral catheter. What type of supplies will the nurse need for this procedure?
- AA clean catheter and rubber gloves
- BA sterile catheterization kit or tray
- CSolutions to sterilize the urethra
- DSolutions to sterilize the vagina
24A client has been taught how to do Kegel exercises. What statement by the client 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 two months.”
- D“I will contract the muscles in my abdomen and thighs.”
25A man with urinary incontinence tells the nurse he wears adult diapers for protection. What risks should the nurse discuss with this client?
- APublic embarrassment
- BSkin breakdown and UTI
- CInability to control urine
- DOdor and leakage
26A school nurse is educating a class of middle-school girls on 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.”
27A client is taking diuretics. What should the nurse teach the client about his urine?
- AUrinary output will be decreased.
- BUrinary output will be increased.
- CUrine will be a pale yellow color.
- DUrine may be brown or black.
28A nurse is preparing a client for an invasive diagnostic procedure of the urinary system. What statement by the nurse would help reduce the client’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.”
29A nurse is caring for a client who is being treated for bladder infection. The client complains to the nurse that he has been having difficulty voiding and feels uncomfortable. How should the nurse document the client’s condition?
- AAnuria
- BOliguria
- CPolyuria
- DDysuria
30A 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?
- ACondom catheter
- BUrinary bag
- CStraight catheter
- DRetention catheter
31A client with a urinary tract infection is to be discharged from the health care facility. After teaching the client about measures to prevent urinary tract infections, the nurse determines that the education was successful when the client states which of the following?
- A“I should take frequent bubble baths.”
- B“I need to void after sexual intercourse.”
- C“I should wipe from back to front after going to the bathroom.”
- D“I need to wear pants that are snug fitting.”
32A client is admitted to the health care facility with complaints of pain on urination that is secondary to a urinary tract infection (UTI). The nurse documents this finding as which of the following?
- APolyuria
- BDysuria
- CNocturia
- DHematuria
33What is the micturition reflex?
- AThe process of filtration beginning with the glomerulus
- BThe act of bladder contraction and perceived need to void
- CThe reabsorption of the substances the body wants to retain
- DThe secretion of electrolytes that are harmful to the body
34A nurse is using a bladder scanner to assess the bladder volume of a client with urinary frequency. In which of the following positions would the nurse place the client?
- ASupine
- BSims'
- CHigh Fowler's
- DDorsal recumbent
35The home health nurse is caring for an older adult woman living alone at home who is incontinent of urine and changes her adult diaper daily. Which of the following nursing diagnoses is the most appropriate for this client?
- ARisk for activity intolerance
- BRisk for impaired skin integrity
- CRisk for infection
- DRisk for falls
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- Test 3 Quiz on Urinary, created by Chris Tatam on 07/04/2019.
- Author
- Chris Tatam
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- English
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