Chapter 49: Genitourinary Dysfunction
MULTIPLE CHOICE
1. Which diagnostic test provides images of the renal parenchyma and renal pelvis without
exposing them to external beam radiation or radioactive isotopes?
a. Renal ultrasound
b. Computed tomography
c. Intravenous pyelography
d. Voiding cystourethrography
ANS: A
The transmission of ultrasonic waves through the renal parenchyma allows for visualization of
the renal parenchyma and renal pelvis without exposing them to external beam radiation or
radioactive isotopes. Computed tomography uses external radiation and sometimes a contrast
medium. Intravenous pyelography uses contrast medium and external radiation for x-ray films,
with contrast medium injected into the bladder through the urethral opening. External
radiation for x-ray films is used before, during, and after voiding.
DIF: Cognitive Level: ComprehensionREF: p. 1559 | Table 49-1 OBJ:
Nursing Process: Assessment
2. What is the term for inflammation of the bladder?
a. Cystitis
b. Urosepsis
c. Urethritis
d. Bacteriuria
ANS: A
Cystitis is an inflammation of the bladder. Urosepsis is a febrile urinary tract infection with
systemic signs of bacterial infection. Urethritis is an inflammation of the urethra. Bacteriuria is
the presence of bacteria in the urine.
DIF: Cognitive Level: Comprehension REF: p. 1562 OBJ: Nursing
Process: Assessment
3. Which factor predisposes the urinary tract to infection?
, a. Increased fluid intake
b. A short urethra in young girls
c. Prostatic secretions in males
d. Frequent emptying of the bladder
ANS: B
The short urethra in females provides a ready pathway for invading organisms. Increased fluid
intake and frequent bladder emptying offer protective measures against urinary tract
infections. Prostatic secretions have antibacterial properties that inhibit bacteria.
DIF: Cognitive Level: Comprehension REF: p. 1563 OBJ: Nursing
Process: Assessment
4. What should the nurse recommend to prevent urinary tract infections in young girls?
a. Wear cotton underpants.
b. Limit bathing as much as possible.
c. Increase fluids and decrease salt
intake.
d. Cleanse the perineum with water after
voiding.
ANS: A
Cotton underpants are preferable to nylon ones. No evidence exists that limiting bathing,
increasing fluids, decreasing salt intake, or cleansing the perineum with water decreases the
incidence of urinary tract infections in young girls.
DIF: Cognitive Level: Comprehension REF: p. 1565 |Guidelines box
OBJ: Nursing Process: Implementation
5. What is hypospadias?
a. Absence of a urethral opening
b. Penis shorter than usual for age
c. Urethral opening along dorsal surface
of penis
d. Urethral opening along ventral surface
of penis
ANS: D
Hypospadias is a congenital condition in which the urethral opening is located anywhere along
the ventral surface of the penis, not at the glans. Hypospadias does not refer to the size of the
MULTIPLE CHOICE
1. Which diagnostic test provides images of the renal parenchyma and renal pelvis without
exposing them to external beam radiation or radioactive isotopes?
a. Renal ultrasound
b. Computed tomography
c. Intravenous pyelography
d. Voiding cystourethrography
ANS: A
The transmission of ultrasonic waves through the renal parenchyma allows for visualization of
the renal parenchyma and renal pelvis without exposing them to external beam radiation or
radioactive isotopes. Computed tomography uses external radiation and sometimes a contrast
medium. Intravenous pyelography uses contrast medium and external radiation for x-ray films,
with contrast medium injected into the bladder through the urethral opening. External
radiation for x-ray films is used before, during, and after voiding.
DIF: Cognitive Level: ComprehensionREF: p. 1559 | Table 49-1 OBJ:
Nursing Process: Assessment
2. What is the term for inflammation of the bladder?
a. Cystitis
b. Urosepsis
c. Urethritis
d. Bacteriuria
ANS: A
Cystitis is an inflammation of the bladder. Urosepsis is a febrile urinary tract infection with
systemic signs of bacterial infection. Urethritis is an inflammation of the urethra. Bacteriuria is
the presence of bacteria in the urine.
DIF: Cognitive Level: Comprehension REF: p. 1562 OBJ: Nursing
Process: Assessment
3. Which factor predisposes the urinary tract to infection?
, a. Increased fluid intake
b. A short urethra in young girls
c. Prostatic secretions in males
d. Frequent emptying of the bladder
ANS: B
The short urethra in females provides a ready pathway for invading organisms. Increased fluid
intake and frequent bladder emptying offer protective measures against urinary tract
infections. Prostatic secretions have antibacterial properties that inhibit bacteria.
DIF: Cognitive Level: Comprehension REF: p. 1563 OBJ: Nursing
Process: Assessment
4. What should the nurse recommend to prevent urinary tract infections in young girls?
a. Wear cotton underpants.
b. Limit bathing as much as possible.
c. Increase fluids and decrease salt
intake.
d. Cleanse the perineum with water after
voiding.
ANS: A
Cotton underpants are preferable to nylon ones. No evidence exists that limiting bathing,
increasing fluids, decreasing salt intake, or cleansing the perineum with water decreases the
incidence of urinary tract infections in young girls.
DIF: Cognitive Level: Comprehension REF: p. 1565 |Guidelines box
OBJ: Nursing Process: Implementation
5. What is hypospadias?
a. Absence of a urethral opening
b. Penis shorter than usual for age
c. Urethral opening along dorsal surface
of penis
d. Urethral opening along ventral surface
of penis
ANS: D
Hypospadias is a congenital condition in which the urethral opening is located anywhere along
the ventral surface of the penis, not at the glans. Hypospadias does not refer to the size of the
