NURB 3040- Urinary (Ch. 38) Questions with
Verified Correct Answers
1. A nurse is teaching a client about normal urination. Which statement best describes
micturition?
A. Movement of urine from the kidneys into the bloodstream
B. Emptying of the bladder through the urethra
C. Filtration of waste products by the nephron
D. Reabsorption of water in the renal tubules
B. Emptying of the bladder through the urethra
Rationale: Micturition, or voiding, is the act of emptying the bladder.
2. The nurse understands that urination is controlled by which systems?
A. Endocrine and skeletal
B. Digestive and respiratory
C. Autonomic and voluntary nervous systems
D. Immune and lymphatic systems
C. Autonomic and voluntary nervous systems
Rationale: Urination involves autonomic bladder reflexes and voluntary control of the
external sphincter.
3. A client reports voiding every 2 to 3 hours during the day. How should the nurse
interpret this?
A. Normal finding
B. Urinary retention
,C. Oliguria
D. Dysuria
A. Normal finding
Rationale: Voiding every few hours is generally normal, depending on intake and health
status.
4. Which finding is most concerning for urinary retention?
A. Urine output of 400 mL in 8 hours
B. Strong urge to void with inability to urinate
C. Pale yellow urine
D. Voiding after drinking coffee
B. Strong urge to void with inability to urinate
Rationale: Urinary retention is the inability to empty the bladder despite urge or bladder
fullness.
5. Which client is at greatest risk for urinary retention?
A. Client drinking 2 liters of water daily
B. Postoperative client receiving opioid pain medication
C. Client with increased caffeine intake
D. Client who exercises daily
B. Postoperative client receiving opioid pain medication
Rationale: Surgery, anesthesia, decreased mobility, and opioids increase urinary retention
risk.
, 6. Which food or fluid can increase urinary frequency?
A. Milk
B. Watermelon
C. Coffee
D. Rice
C. Coffee
Rationale: Caffeine acts as a bladder stimulant and mild diuretic.
7. A nurse is caring for an older adult client. Which age-related urinary change is
expected?
A. Increased bladder capacity
B. Decreased risk of nocturia
C. Decreased bladder muscle tone
D. Complete inability to void
C. Decreased bladder muscle tone
Rationale: Aging can cause decreased bladder tone and increased frequency/nocturia.
8. Which assessment question is most appropriate for urinary elimination?
A. "How often do you have bowel movements?"
B. "Do you ever leak urine when coughing or sneezing?"
C. "How many meals do you eat daily?"
D. "Do you have chest pain with activity?"
Verified Correct Answers
1. A nurse is teaching a client about normal urination. Which statement best describes
micturition?
A. Movement of urine from the kidneys into the bloodstream
B. Emptying of the bladder through the urethra
C. Filtration of waste products by the nephron
D. Reabsorption of water in the renal tubules
B. Emptying of the bladder through the urethra
Rationale: Micturition, or voiding, is the act of emptying the bladder.
2. The nurse understands that urination is controlled by which systems?
A. Endocrine and skeletal
B. Digestive and respiratory
C. Autonomic and voluntary nervous systems
D. Immune and lymphatic systems
C. Autonomic and voluntary nervous systems
Rationale: Urination involves autonomic bladder reflexes and voluntary control of the
external sphincter.
3. A client reports voiding every 2 to 3 hours during the day. How should the nurse
interpret this?
A. Normal finding
B. Urinary retention
,C. Oliguria
D. Dysuria
A. Normal finding
Rationale: Voiding every few hours is generally normal, depending on intake and health
status.
4. Which finding is most concerning for urinary retention?
A. Urine output of 400 mL in 8 hours
B. Strong urge to void with inability to urinate
C. Pale yellow urine
D. Voiding after drinking coffee
B. Strong urge to void with inability to urinate
Rationale: Urinary retention is the inability to empty the bladder despite urge or bladder
fullness.
5. Which client is at greatest risk for urinary retention?
A. Client drinking 2 liters of water daily
B. Postoperative client receiving opioid pain medication
C. Client with increased caffeine intake
D. Client who exercises daily
B. Postoperative client receiving opioid pain medication
Rationale: Surgery, anesthesia, decreased mobility, and opioids increase urinary retention
risk.
, 6. Which food or fluid can increase urinary frequency?
A. Milk
B. Watermelon
C. Coffee
D. Rice
C. Coffee
Rationale: Caffeine acts as a bladder stimulant and mild diuretic.
7. A nurse is caring for an older adult client. Which age-related urinary change is
expected?
A. Increased bladder capacity
B. Decreased risk of nocturia
C. Decreased bladder muscle tone
D. Complete inability to void
C. Decreased bladder muscle tone
Rationale: Aging can cause decreased bladder tone and increased frequency/nocturia.
8. Which assessment question is most appropriate for urinary elimination?
A. "How often do you have bowel movements?"
B. "Do you ever leak urine when coughing or sneezing?"
C. "How many meals do you eat daily?"
D. "Do you have chest pain with activity?"
