2026/2027 PRACTICE QUESTIONS AND STUDY GUIDE
COMPLETE ACCURATE EXAM ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH DETAILED
RATIONALES (RELIABLE SOLUTIONS) A NEW UPDATED
VERSION 2026 EDITION ||JUST RELEASED
What is urinary retention?
Inability to completely empty the bladder, resulting in urine remaining
after voiding.
What is urinary incontinence?
Unplanned, involuntary, or uncontrolled loss of urine from the
bladder.
What is stress incontinence?
Involuntary urine loss caused by increased abdominal pressure from
coughing, sneezing, exertion, or position changes.
What is urge incontinence?
Involuntary urine loss associated with a sudden strong urge to void
that cannot be suppressed.
What is overflow incontinence?
Involuntary urine loss caused by over distention of the bladder, often
associated with urinary retention.
,What are important components of a comprehensive urologic
assessment?
Voiding pattern, urine characteristics, fluid intake, pain, urinary
symptoms, medications, previous urinary disease, sexual history,
surgical history, and physical assessment.
What urinary symptoms should the nurse assess for?
Frequency, urgency, dysuria, nocturia, hesitancy, weak stream,
intermittency, dribbling, retention, incontinence, hematuria, and flank
pain.
What does a digital rectal examination assess?
The size, symmetry, shape, consistency, tenderness, and presence of
nodules in the prostate.
What does a normal prostate feel like on digital rectal examination?
Round, rubbery, symmetric, with a palpable median groove and no
nodules or masses.
What prostate finding is associated with BPH?
An enlarged but generally smooth, firm, rubbery, and symmetric
prostate.
What prostate finding is suspicious for prostate cancer?
A hard, irregular, nodular, fixed, or stony-hard prostate.
,What should be assessed during a testicular examination?
Nodules, masses, swelling, tenderness, inflammation, hydrocele,
hernia, torsion, epididymitis, orchitis, and tumors.
What is a urinary tract infection?
Infection caused by pathogenic microorganisms within the urinary
tract, which is normally sterile above the urethra.
What is cystitis?
Inflammation or infection of the urinary bladder.
What is pyelonephritis?
Infection and inflammation of the renal pelvis, calyces, medulla, and
potentially renal parenchyma.
What is the most common route of urinary tract infection?
The ascending or transurethral route, usually involving bacteria from
fecal contamination of the periurethral area.
, What are the three possible routes by which bacteria enter the urinary
tract?
Ascending transurethral infection, hematogenous spread through the
bloodstream, and direct extension through a fistula.
What are major risk factors for UTI?
Diabetes, pregnancy, neurologic disorders, urinary retention, urinary
stasis, immunosuppression, urinary instrumentation, catheterization,
obstruction, strictures, tumors, and calculi.
What are common manifestations of a lower UTI?
Dysuria, frequency, urgency, nocturia, suprapubic or pelvic pain,
incontinence, hematuria, and sometimes back pain.
What are common manifestations of acute pyelonephritis?
Fever, chills, leukocytosis, bacteriuria, flank or CVA pain, dysuria,
urgency, and frequency.
What is urosepsis?
A systemic infection arising from a urinary source that can progress to
septic shock.
What urinalysis findings commonly support a diagnosis of UTI?
Pyuria, bacteriuria, positive leukocyte esterase, and positive nitrites.