NURB 3040: Urinary Elimination Questions
with Verified Correct Answers
A patient has a postvoid residual (PVR) volume of 180 mL. What is the nurse's primary
concern?
The bladder is not emptying correctly, indicating potential urinary retention.
During female catheterization, no urine returns after inserting the catheter. What is the
next action?
Leave the catheter in place as a landmark and insert a new sterile catheter.
A nurse meets resistance when inserting a catheter into a male patient. What should
they do?
Stop inserting, ask the patient to take deep breaths, and use a Coudé catheter.
During a 24-hour urine collection, the patient accidentally discards one void. What
must the nurse do?
Discard all previously collected urine and restart the entire 24-hour collection period.
A patient reports burning and pink-tinged urine after a cystoscopy. What is the nurse's
response?
Explain that these are expected findings and encourage increased fluid intake.
Which post-cystoscopy finding requires immediate notification of the healthcare
provider?
Bright red blood or large blood clots in the urine.
What is the priority nursing assessment prior to an Intravenous Pyelogram (IVP)?
, Assess the patient for allergies to iodine, shellfish, or contrast media.
What is the priority nursing intervention for a patient returning from an IVP?
Encourage high fluid intake to flush contrast dye and prevent renal damage.
Upon inspecting an ileal conduit stoma, the nurse notes it is pale and bluish-purple.
Action?
Notify the provider immediately, as this indicates stoma ischemia or necrosis.
The nurse notes mucous shreds in a patient's ileal conduit drainage bag. What action is
required?
Document the finding; mucus is expected because the conduit is made of bowel.
At what point should a urinary diversion pouch be emptied to prevent leakage?
When the pouch is one-third to one-half full.
What is the optimal time of day to change a patient's urostomy appliance?
Early morning, when urine production is at its lowest.
An older adult patient exhibits sudden onset confusion and agitation. What is the
priority action?
Obtain a urine specimen for urinalysis to rule out a UTI.
How should a nurse obtain a sterile urine specimen from an indwelling catheter?
Clamp below the port, clean the port, and withdraw urine using a sterile syringe.
Why is collecting a urine specimen directly from a catheter drainage bag
contraindicated?
The urine is stagnant and may contain bacterial growth, leading to inaccurate results.
with Verified Correct Answers
A patient has a postvoid residual (PVR) volume of 180 mL. What is the nurse's primary
concern?
The bladder is not emptying correctly, indicating potential urinary retention.
During female catheterization, no urine returns after inserting the catheter. What is the
next action?
Leave the catheter in place as a landmark and insert a new sterile catheter.
A nurse meets resistance when inserting a catheter into a male patient. What should
they do?
Stop inserting, ask the patient to take deep breaths, and use a Coudé catheter.
During a 24-hour urine collection, the patient accidentally discards one void. What
must the nurse do?
Discard all previously collected urine and restart the entire 24-hour collection period.
A patient reports burning and pink-tinged urine after a cystoscopy. What is the nurse's
response?
Explain that these are expected findings and encourage increased fluid intake.
Which post-cystoscopy finding requires immediate notification of the healthcare
provider?
Bright red blood or large blood clots in the urine.
What is the priority nursing assessment prior to an Intravenous Pyelogram (IVP)?
, Assess the patient for allergies to iodine, shellfish, or contrast media.
What is the priority nursing intervention for a patient returning from an IVP?
Encourage high fluid intake to flush contrast dye and prevent renal damage.
Upon inspecting an ileal conduit stoma, the nurse notes it is pale and bluish-purple.
Action?
Notify the provider immediately, as this indicates stoma ischemia or necrosis.
The nurse notes mucous shreds in a patient's ileal conduit drainage bag. What action is
required?
Document the finding; mucus is expected because the conduit is made of bowel.
At what point should a urinary diversion pouch be emptied to prevent leakage?
When the pouch is one-third to one-half full.
What is the optimal time of day to change a patient's urostomy appliance?
Early morning, when urine production is at its lowest.
An older adult patient exhibits sudden onset confusion and agitation. What is the
priority action?
Obtain a urine specimen for urinalysis to rule out a UTI.
How should a nurse obtain a sterile urine specimen from an indwelling catheter?
Clamp below the port, clean the port, and withdraw urine using a sterile syringe.
Why is collecting a urine specimen directly from a catheter drainage bag
contraindicated?
The urine is stagnant and may contain bacterial growth, leading to inaccurate results.
