BSN 205 Final UPDATED Exam Questions
and CORECT Answers
Which of the following demonstrate that further teaching is required to prevent an infection
related to being catheterized? (Select all that apply.)
a. An elderly female carries her urinary drainage bag like a purse under her arm as she
ambulates.
b. The patient drinks an entire pitcher of water over the period of one day.
c. As a patient is being transferred in a wheelchair, he places the drainage bag in his lap.
d. The NAP places a patient's drainage bag on a lowered side rail or on the floor.
e. A female patient keeps her catheter secured to her thigh with tape. - CORRECT
ANSWER -a. An elderly female carries her urinary drainage bag like a purse under her
arm as she ambulates.
c. As a patient is being transferred in a wheelchair, he places the drainage bag in his lap.
d. The NAP places a patient's drainage bag on a lowered side rail or on the floor.
The urinary drainage bag should be kept below the level of the bladder to prevent reflux of urine
into the bladder. Patients should be instructed to carry the drainage bag below the level of the
bladder, and to secure the drainage bag to the side of the wheelchair below the level of the
bladder during transfer. The urinary drainage bag should never be placed on a bedside rail
because it could accidentally be raised to a height higher than the level of the bladder and urine
could reflux into the bladder. The urinary drainage bag should never be placed on the floor; this
is to avoid having bacteria enter the system through the drainage port. If allowed, fluids should
be encouraged. The catheter should be secured to the patient to prevent trauma to the urethra.
Swelling of tissues can impair urine flow and place the patient at further risk for urinary tract
infection
Which of the following are true regarding the impact of aging related to urinary elimination?
(Select all that apply.)
a. The elderly are better able to concentrate urine than the middle-aged adult.
b. Aging can affect continence if the patient experiences impaired mobility or decreased muscle
tone.
c. The elderly are less likely to experience urinary frequency than middle-aged adults because
they tend to drink less.
, d. The elderly are at increased risk for urinary tract infection because of retained urine in the
bladder
e. It is part of the normal aging process for elderly patients to become incontinent. - CORRECT
ANSWER -b.Aging can affect continence if the patient experiences impaired mobility or
decreased muscle tone
d. The elderly are at increased risk for urinary tract infection because of retained urine in the
bladder
The very young and very old are less able to concentrate urine, placing them at risk for
dehydration. The elderly are at an increased risk of urinary incontinence if they have impaired
mobility that prevents them from getting to the bathroom in time or from manipulating buttons
and zippers. Weak abdominal and pelvic floor muscles impair bladder contraction. Decreased
muscle tone increases the risk for urinary incontinence. However, urinary incontinence is not a
normal physiological result of the aging process. Urination frequency increases with age with
decreased bladder tone. Because the bladder cannot contract as effectively, an older person often
retains urine in the bladder after voiding (residual urine). This places the patient at increased risk
for bacterial growth and development of UTIs.
During change-of-shift report the nurse states that a patient has early renal failure and to be alert
to this when administering medications. Why would this be a concern?
a. The kidneys assist in the detoxification of medication metabolites.
b. The patient may not be able to absorb all of the medications.
c. The bladder acts as a filter to remove wastes and form urine.
d.The kidneys are the primary site for medication metabolism. - CORRECT ANSWER -
The kidneys assist in the detoxification of medication metabolites.
The kidneys detoxify and eliminate by products of medication metabolism. If the kidneys are
unable to perform this function, medication toxicity can develop. The nephron, the functional
unit of the kidney, forms the urine. The bladder holds the urine until it is excreted. The liver is a
primary site for medication metabolism
The nursing instructor is reviewing the renal system and urinary catheterization with her
students. Which statement, if made by a nursing student, indicates that further instruction is
needed?
a. "The urinary tract is considered to be sterile.
and CORECT Answers
Which of the following demonstrate that further teaching is required to prevent an infection
related to being catheterized? (Select all that apply.)
a. An elderly female carries her urinary drainage bag like a purse under her arm as she
ambulates.
b. The patient drinks an entire pitcher of water over the period of one day.
c. As a patient is being transferred in a wheelchair, he places the drainage bag in his lap.
d. The NAP places a patient's drainage bag on a lowered side rail or on the floor.
e. A female patient keeps her catheter secured to her thigh with tape. - CORRECT
ANSWER -a. An elderly female carries her urinary drainage bag like a purse under her
arm as she ambulates.
c. As a patient is being transferred in a wheelchair, he places the drainage bag in his lap.
d. The NAP places a patient's drainage bag on a lowered side rail or on the floor.
The urinary drainage bag should be kept below the level of the bladder to prevent reflux of urine
into the bladder. Patients should be instructed to carry the drainage bag below the level of the
bladder, and to secure the drainage bag to the side of the wheelchair below the level of the
bladder during transfer. The urinary drainage bag should never be placed on a bedside rail
because it could accidentally be raised to a height higher than the level of the bladder and urine
could reflux into the bladder. The urinary drainage bag should never be placed on the floor; this
is to avoid having bacteria enter the system through the drainage port. If allowed, fluids should
be encouraged. The catheter should be secured to the patient to prevent trauma to the urethra.
Swelling of tissues can impair urine flow and place the patient at further risk for urinary tract
infection
Which of the following are true regarding the impact of aging related to urinary elimination?
(Select all that apply.)
a. The elderly are better able to concentrate urine than the middle-aged adult.
b. Aging can affect continence if the patient experiences impaired mobility or decreased muscle
tone.
c. The elderly are less likely to experience urinary frequency than middle-aged adults because
they tend to drink less.
, d. The elderly are at increased risk for urinary tract infection because of retained urine in the
bladder
e. It is part of the normal aging process for elderly patients to become incontinent. - CORRECT
ANSWER -b.Aging can affect continence if the patient experiences impaired mobility or
decreased muscle tone
d. The elderly are at increased risk for urinary tract infection because of retained urine in the
bladder
The very young and very old are less able to concentrate urine, placing them at risk for
dehydration. The elderly are at an increased risk of urinary incontinence if they have impaired
mobility that prevents them from getting to the bathroom in time or from manipulating buttons
and zippers. Weak abdominal and pelvic floor muscles impair bladder contraction. Decreased
muscle tone increases the risk for urinary incontinence. However, urinary incontinence is not a
normal physiological result of the aging process. Urination frequency increases with age with
decreased bladder tone. Because the bladder cannot contract as effectively, an older person often
retains urine in the bladder after voiding (residual urine). This places the patient at increased risk
for bacterial growth and development of UTIs.
During change-of-shift report the nurse states that a patient has early renal failure and to be alert
to this when administering medications. Why would this be a concern?
a. The kidneys assist in the detoxification of medication metabolites.
b. The patient may not be able to absorb all of the medications.
c. The bladder acts as a filter to remove wastes and form urine.
d.The kidneys are the primary site for medication metabolism. - CORRECT ANSWER -
The kidneys assist in the detoxification of medication metabolites.
The kidneys detoxify and eliminate by products of medication metabolism. If the kidneys are
unable to perform this function, medication toxicity can develop. The nephron, the functional
unit of the kidney, forms the urine. The bladder holds the urine until it is excreted. The liver is a
primary site for medication metabolism
The nursing instructor is reviewing the renal system and urinary catheterization with her
students. Which statement, if made by a nursing student, indicates that further instruction is
needed?
a. "The urinary tract is considered to be sterile.
