Sample Questions and Answers
What is the normal urine output for an adult?
A) 500-1,000 mL/day
B) 1,000-2,000 mL/day
C) 2,000-3,000 mL/day
D) 3,000-4,000 mL/day
Answer: B) 1,000-2,000 mL/day
A patient with a history of urinary retention should be taught to:
A) Drink 1 liter of water before bedtime
B) Void every 8 hours
C) Perform intermittent self-catheterization
D) Avoid fluids after 6 PM
Answer: C) Perform intermittent self-catheterization
Which of the following medications is most likely to cause urinary retention?
A) Morphine
B) Furosemide
C) Metoprolol
D) Docusate
Answer: A) Morphine
The nurse is caring for a patient who has just had a cystoscopy. Which of the following is the most appropriate intervention to reduce post-procedure complications?
A) Encourage the patient to drink plenty of fluids
B) Monitor the urine for a deep red color
C) Administer antibiotics as ordered
D) Teach the patient to avoid sitting for prolonged periods
Answer: A) Encourage the patient to drink plenty of fluids
A nurse is assessing a patient who has a Foley catheter in place. The nurse notes that the urine is cloudy with a foul odor. What should the nurse do next?
A) Irrigate the catheter with sterile saline
B) Notify the physician of a possible urinary tract infection
C) Change the catheter immediately
D) Increase fluid intake for the patient
Answer: B) Notify the physician of a possible urinary tract infection
Which of the following is a risk factor for urinary incontinence?
A) Increased fiber intake
B) Pregnancy
C) Decreased caffeine intake
D) Use of diuretics
Answer: B) Pregnancy
A 75-year-old patient is experiencing nocturia. The nurse should:
A) Recommend reducing fluid intake after 4 PM
B) Teach pelvic floor exercises
C) Ask the patient to void once an hour
D) Increase caffeine intake to prevent nocturia
Answer: A) Recommend reducing fluid intake after 4 PM
The nurse is assessing a client with urinary retention. Which of the following is a common sign of this condition?
A) Urgency
B) Painful urination
C) Inability to void despite a full bladder
D) Dysuria
Answer: C) Inability to void despite a full bladder
Which of the following is a common cause of stress incontinence in women?
A) Obesity
B) Neurological disorders
C) Pregnancy and childbirth
D) Renal failure
Answer: C) Pregnancy and childbirth
The nurse is caring for a client with a nephrostomy tube. Which of the following is a priority assessment?
A) Drainage color and amount
B) Intake and output
C) Daily weights
D) Skin integrity around the stoma
Answer: A) Drainage color and amount
A patient is undergoing bladder training. The nurse should encourage the patient to:
A) Void every 2 hours during the day
B) Drink excessive fluids to stimulate bladder function
C) Limit fluid intake to decrease bladder capacity
D) Avoid scheduling bathroom breaks to avoid urinary urgency
Answer: A) Void every 2 hours during the day
A patient reports a sudden inability to urinate. The nurse suspects urinary retention. What is the priority intervention?
A) Encourage fluid intake
B) Insert a urinary catheter
C) Provide a warm bath
D) Offer cranberry juice
Answer: B) Insert a urinary catheter
Which of the following is an expected finding in a patient with a catheterized urinary system?
A) Constant small amounts of clear urine
B) A large volume of concentrated urine
C) Pale yellow, clear urine
D) Urine with a fruity odor
Answer: C) Pale yellow, clear urine
A patient with a history of frequent urinary tract infections (UTIs) is admitted for a kidney stone. What is the nurse’s priority intervention?
A) Administer antibiotics
B) Increase fluid intake
C) Perform a urinalysis
D) Provide pain management
Answer: B) Increase fluid intake
A nurse is preparing to collect a urine specimen from a patient with a Foley catheter. The nurse should:
A) Collect the specimen from the catheter bag
B) Use a sterile syringe to withdraw urine from the catheter port
C) Have the patient void into a clean container
D) Clean the catheter before obtaining the specimen
Answer: B) Use a sterile syringe to withdraw urine from the catheter port
Which condition is characterized by the involuntary loss of urine during activities such as coughing or sneezing?
A) Urge incontinence
B) Overflow incontinence
C) Stress incontinence
D) Functional incontinence
Answer: C) Stress incontinence
The nurse is assessing a patient with a urinary retention issue. Which symptom should the nurse expect?
A) Frequent small amounts of urine voided
B) Difficulty initiating urination
C) Urine with a foul odor
D) Abdominal pain with urination
Answer: B) Difficulty initiating urination
Which of the following is a normal age-related change in urinary elimination?
A) Increased bladder capacity
B) Increased frequency of nocturia
C) Decreased urinary frequency
D) Increase in bladder tone
Answer: B) Increased frequency of nocturia
A nurse is teaching a patient about urinary incontinence. What is the most important instruction to provide?
A) Drink plenty of fluids to increase bladder capacity
B) Perform Kegel exercises regularly to strengthen pelvic muscles
C) Avoid fluids after 6 PM to reduce nighttime urination
D) Limit dietary fiber intake to prevent constipation
Answer: B) Perform Kegel exercises regularly to strengthen pelvic muscles
Which of the following is a complication of prolonged urinary retention?
A) Urinary tract infection
B) Bladder cancer
C) Acute renal failure
D) Urinary incontinence
Answer: A) Urinary tract infection
The nurse is caring for a patient with a catheter. Which of the following interventions is most important to prevent catheter-associated urinary tract infection (CAUTI)?
A) Use a sterile technique for catheter insertion
B) Empty the catheter bag every 4 hours
C) Keep the drainage bag above the level of the bladder
D) Cleanse the urethral meatus with soap and water daily
Answer: A) Use a sterile technique for catheter insertion
Which of the following is an indication for the use of a suprapubic catheter?
A) Chronic urinary retention
B) Severe urethral trauma
C) Acute urinary tract infection
D) Bladder cancer
Answer: B) Severe urethral trauma
A nurse is caring for a patient with an indwelling catheter. Which of the following interventions should be included in the care plan?
A) Increase the patient’s fluid intake to 3 liters a day
B) Secure the catheter to prevent tension on the tubing
C) Perform catheter care twice a week
D) Remove the catheter as soon as possible
Answer: B) Secure the catheter to prevent tension on the tubing
The nurse should monitor for which of the following complications in a patient with a long-term catheter?
A) Hypertension
B) Urinary tract infection
C) Renal failure
D) Bladder perforation
Answer: B) Urinary tract infection
Which of the following is an appropriate action for a nurse caring for a patient with urinary incontinence?
A) Recommend a low-fiber diet to prevent constipation
B) Encourage the patient to limit fluid intake to reduce frequency
C) Teach the patient to void every 2-3 hours during the day
D) Recommend using adult diapers to manage incontinence
Answer: C) Teach the patient to void every 2-3 hours during the day
What should the nurse advise a patient to do if they have difficulty starting urination?
A) Increase fluid intake significantly
B) Relax and try to initiate urination without force
C) Use a warm compress on the abdomen
D) Change position frequently while attempting to urinate
Answer: B) Relax and try to initiate urination without force
A nurse is caring for a patient with urinary retention. What is the first action the nurse should take?
A) Encourage the patient to drink more fluids
B) Perform a bladder scan to assess for retention
C) Insert a Foley catheter to relieve the retention
D) Administer a diuretic as ordered
Answer: B) Perform a bladder scan to assess for retention
A nurse is caring for a client with a urinary catheter. Which of the following should be avoided to reduce the risk of infection?
A) Position the catheter bag below the bladder level
B) Clamp the catheter tubing to prevent backflow
C) Keep the catheter tubing coiled in the bed
D) Empty the catheter bag when it is half full
Answer: C) Keep the catheter tubing coiled in the bed
Which of the following is a sign of bladder distention?
A) Decreased urine output
B) Firmness and fullness in the lower abdomen
C) Pain in the lower back
D) Urgency to void
Answer: B) Firmness and fullness in the lower abdomen
What is the best method to prevent the spread of urinary tract infections in hospitalized patients?
A) Frequent changing of Foley catheters
B) Good hand hygiene and sterile technique during catheter insertion
C) Restricting fluids to reduce the risk of infection
D) Frequent administration of prophylactic antibiotics
Answer: B) Good hand hygiene and sterile technique during catheter insertion
31. A patient is diagnosed with a bladder infection. Which of the following is the most important nursing intervention?
A) Encourage the patient to drink plenty of fluids
B) Teach the patient to perform Kegel exercises
C) Administer diuretics as ordered
D) Restrict fluid intake to reduce bladder workload
Answer: A) Encourage the patient to drink plenty of fluids
32. The nurse is caring for a patient with overflow incontinence. What is the most likely cause of this condition?
A) Bladder infection
B) Spinal cord injury
C) Bladder outlet obstruction
D) Pelvic floor weakness
Answer: C) Bladder outlet obstruction
33. A 60-year-old male patient with benign prostatic hyperplasia (BPH) is complaining of difficulty urinating. What is the priority action?
A) Teach the patient Kegel exercises
B) Administer prescribed alpha-blockers
C) Perform a bladder scan
D) Encourage increased fluid intake
Answer: B) Administer prescribed alpha-blockers
34. A nurse is caring for a patient with a urinary diversion. What is the priority teaching topic for this patient?
A) How to irrigate the stoma
B) Importance of proper skin care around the stoma
C) When to change the diversion bag
D) Diet restrictions for urinary diversion patients
Answer: B) Importance of proper skin care around the stoma
35. The nurse is caring for a patient with a nephrostomy tube. Which of the following is the priority action?
A) Keep the nephrostomy tube above the level of the bladder
B) Flush the nephrostomy tube with saline every 4 hours
C) Check the nephrostomy tube for kinks and blockages
D) Restrict fluid intake to prevent overhydration
Answer: C) Check the nephrostomy tube for kinks and blockages
Reviews
There are no reviews yet.