NCLEX STYLE QUESTIONS URINARY
ELIMINATION questions with correct answers
During a visit to the pediatrician's office, a parent inquires about toilet
training her daughter age 2 years. The nurse
informs the mother that one factor in determining toilet-training
readiness is when ...
A) the child can recognize bladder fullness.
B) the child can hold the urine for four to five hours.
C) The child cannot control urination until seated on the toilet.
D) The child ignores the desire to void. Correct Answer-Ans: A
Feedback:
Toilet training usually begins around ages 2 or 3 years. Toilet training
should not begin until the child is able to hold
urine for two hours, recognize the feeling of bladder fullness,
communicate the need to void, and control urination until
seated on the toilet.
A client with urine retention related to a complete prostatic obstruction
requires a urinary catheter to drain the bladder.
Which type of catheter is most appropriate for a client that has an
obstructed urethra?
A) Suprapubic catheter
B) Indwelling urethral catheter
C) Intermittent urethral catheter
D) Straight catheter Correct Answer-Ans: A
,Feedback:
A suprapubic catheter is used for long-term continuous drainage and is
inserted through a small incision above the pubic
area. Suprapubic bladder drainage diverts urine from the urethra when
injury, stricture, prostatic obstruction, or
abdominal surgery has compromised the flow of urine through the
urethra.
A patient has developed edema in her lower legs and feet, prompting her
physician to prescribe furosemide (Lasix), a
diuretic medication. After the client has begun this new medication,
what should the nurse anticipate?
A) Increased output of dilute urine
B) Increased urine concentration
C) A risk of urinary tract infections
D) Transient incontinence and increased urine production Correct
Answer-Ans: A
Feedback:
Diuretics result in moderate to severe increases in the production of
dilute urine. Concentration will decrease, not
increase, and there is no accompanying risk of urinary tract infections.
For some clients, this sudden increase in urine
output may precipitate transient incontinence, but this remains an
abnormal finding.
, A nurse is preparing to catheterize a female client. What will the nurse
consider when comparing the anatomy of the
female urethra with that of the male urethra?
A) Has different innervation
B) No connection with bladder
C) Shorter in length
D) Longer in length Correct Answer-Ans: C
Feedback:
The anatomy of the urethra differs in males and females. The male
urethra is about 51
/2 to 61
/4 inches (13.7 to 16.2 cm)
long. The female urethra is about 11
/2 to 21
/2 inches (3.7 to 6.2 cm) long. This difference is important in terms of
catheterization and risk for infection.
Which of the following describes the term micturition?
A) Emptying the bladder
B) Catheterizing the bladder
C) Collecting a urine specimen
D) Experiencing total incontinence Correct Answer-Ans: A
Feedback:
ELIMINATION questions with correct answers
During a visit to the pediatrician's office, a parent inquires about toilet
training her daughter age 2 years. The nurse
informs the mother that one factor in determining toilet-training
readiness is when ...
A) the child can recognize bladder fullness.
B) the child can hold the urine for four to five hours.
C) The child cannot control urination until seated on the toilet.
D) The child ignores the desire to void. Correct Answer-Ans: A
Feedback:
Toilet training usually begins around ages 2 or 3 years. Toilet training
should not begin until the child is able to hold
urine for two hours, recognize the feeling of bladder fullness,
communicate the need to void, and control urination until
seated on the toilet.
A client with urine retention related to a complete prostatic obstruction
requires a urinary catheter to drain the bladder.
Which type of catheter is most appropriate for a client that has an
obstructed urethra?
A) Suprapubic catheter
B) Indwelling urethral catheter
C) Intermittent urethral catheter
D) Straight catheter Correct Answer-Ans: A
,Feedback:
A suprapubic catheter is used for long-term continuous drainage and is
inserted through a small incision above the pubic
area. Suprapubic bladder drainage diverts urine from the urethra when
injury, stricture, prostatic obstruction, or
abdominal surgery has compromised the flow of urine through the
urethra.
A patient has developed edema in her lower legs and feet, prompting her
physician to prescribe furosemide (Lasix), a
diuretic medication. After the client has begun this new medication,
what should the nurse anticipate?
A) Increased output of dilute urine
B) Increased urine concentration
C) A risk of urinary tract infections
D) Transient incontinence and increased urine production Correct
Answer-Ans: A
Feedback:
Diuretics result in moderate to severe increases in the production of
dilute urine. Concentration will decrease, not
increase, and there is no accompanying risk of urinary tract infections.
For some clients, this sudden increase in urine
output may precipitate transient incontinence, but this remains an
abnormal finding.
, A nurse is preparing to catheterize a female client. What will the nurse
consider when comparing the anatomy of the
female urethra with that of the male urethra?
A) Has different innervation
B) No connection with bladder
C) Shorter in length
D) Longer in length Correct Answer-Ans: C
Feedback:
The anatomy of the urethra differs in males and females. The male
urethra is about 51
/2 to 61
/4 inches (13.7 to 16.2 cm)
long. The female urethra is about 11
/2 to 21
/2 inches (3.7 to 6.2 cm) long. This difference is important in terms of
catheterization and risk for infection.
Which of the following describes the term micturition?
A) Emptying the bladder
B) Catheterizing the bladder
C) Collecting a urine specimen
D) Experiencing total incontinence Correct Answer-Ans: A
Feedback:
