,Urologic Disorders
MULTIPLE CHOICE
1.What is the hormone from the posterior pituitary gland that influences the amount of water that
is eliminated with the urine?
a. Pitocin
b. Renin hormone
c. Antidiuretic hormone (ADH)
d. ACTH
ANS: C
ADH causes the cells of the distal convoluted tubules to increase their rate of water reabsorption.
2.As the body breaks down protein, nitrogen wastes are broken down into urea, ammonia, and:
a. nitrogen.
b. uric acid.
c. nitrates.
d. creatinine.
ANS: D
As proteins break down, nitrogenous wastesurea, ammonia, and creatinineare produced.
3.Because the kidneys are located in proximity to the vertebrae and are protected by the ribs,
their location in documentation is referred to as:
a. retroperitoneal.
b. diaphragm-vertebral.
, c. costovertebral.
d. urachal-peritoneal.
ANS: A
The kidneys lie behind the parietal peritoneum (retroperitoneal).
4.A home health patient with end-stage renal disease (ESRD) has a nursing diagnosis of
powerlessness related to life-altering disease. Which nursing intervention would be most helpful?
a. Ensure restricted protein intake to prevent nitrogenous product accumulation.
b. Include the patient in making the plan of care.
c. Counsel patient about end-of-life provisions.
d. Write out a detailed schedule of physicians appointments.
ANS: B
Listen to the patient and allow time for discussion about concerns and the plan of care to return
some sense of control. End-of-life discussions are premature.
5. What portion of the nephron is involved with filtration?
a. Glomerulus of the Bowman capsule
b. Henle loop
c. Proximal convoluted tubule
d. Distal convoluted tubule
ANS: A
Filtration of water and blood products occurs in the glomerulus of the Bowman capsule.
6. When the home health patient is started on dialysis, the home health nurse refers the patient to
a community support group that assists with the adjustments necessary to living with dialysis.
Which group offers this service?
a. National Kidney Foundation
b. American Association of Kidney Patients
c. American Red Cross
d. Veterans Administration
ANS: B
The American Association of Kidney Patients offer support to the patient and family as they
adapt to living with dialysis.
, 7. The nurse is aware that as a person ages there is a loss of the mechanism of the
kidney due to a decrease in blood supply to the kidneys and loss of nephrons.
a. filtering
b. reabsorption
c. sterile water.
d. concentrating
ANS: A
The filtering mechanism is most affected with aging. By the age of 70, the filtering mechanism is
only 50% as efficient as at 40 years of age.
8.A patient who is receiving continuous bladder irrigation following a transurethral resection of
the prostate (TURP) complains of spasm-like pain over his lower abdomen. What should the
initial intervention be by the nurse?
a. Inform the nurse in charge
b. Decrease the continuous bladder irrigation flow
c. Administer the prescribed analgesic
d. Check the catheter and drainage system for obstruction
ANS: D
The patient who has a TURP may have continuous closed bladder irrigation or intermittent
irrigation to prevent occlusion of the catheter with blood clots, which would cause bladder
spasms.
9.A 56-year-old patient with cancer of the bladder is recovering from a cystectomy with an ileal
conduit. What is an important aspect in nursing interventions of the patient with an ileal conduit?
a. Instructing the patient to void when the urge is felt.
b. Maintaining skin integrity.
c. Limiting oral intake to 1000 mL/day
d. Limiting acid-ash foods.
ANS: B
Care of the patient with an ileal conduit is a nursing challenge because of the continual drainage
of urine through the stoma. Complications of this procedure are wound infection, dehiscence,
and urinary leakage. The patient is urged to drink adequate fluids to flush the conduit.
MULTIPLE CHOICE
1.What is the hormone from the posterior pituitary gland that influences the amount of water that
is eliminated with the urine?
a. Pitocin
b. Renin hormone
c. Antidiuretic hormone (ADH)
d. ACTH
ANS: C
ADH causes the cells of the distal convoluted tubules to increase their rate of water reabsorption.
2.As the body breaks down protein, nitrogen wastes are broken down into urea, ammonia, and:
a. nitrogen.
b. uric acid.
c. nitrates.
d. creatinine.
ANS: D
As proteins break down, nitrogenous wastesurea, ammonia, and creatinineare produced.
3.Because the kidneys are located in proximity to the vertebrae and are protected by the ribs,
their location in documentation is referred to as:
a. retroperitoneal.
b. diaphragm-vertebral.
, c. costovertebral.
d. urachal-peritoneal.
ANS: A
The kidneys lie behind the parietal peritoneum (retroperitoneal).
4.A home health patient with end-stage renal disease (ESRD) has a nursing diagnosis of
powerlessness related to life-altering disease. Which nursing intervention would be most helpful?
a. Ensure restricted protein intake to prevent nitrogenous product accumulation.
b. Include the patient in making the plan of care.
c. Counsel patient about end-of-life provisions.
d. Write out a detailed schedule of physicians appointments.
ANS: B
Listen to the patient and allow time for discussion about concerns and the plan of care to return
some sense of control. End-of-life discussions are premature.
5. What portion of the nephron is involved with filtration?
a. Glomerulus of the Bowman capsule
b. Henle loop
c. Proximal convoluted tubule
d. Distal convoluted tubule
ANS: A
Filtration of water and blood products occurs in the glomerulus of the Bowman capsule.
6. When the home health patient is started on dialysis, the home health nurse refers the patient to
a community support group that assists with the adjustments necessary to living with dialysis.
Which group offers this service?
a. National Kidney Foundation
b. American Association of Kidney Patients
c. American Red Cross
d. Veterans Administration
ANS: B
The American Association of Kidney Patients offer support to the patient and family as they
adapt to living with dialysis.
, 7. The nurse is aware that as a person ages there is a loss of the mechanism of the
kidney due to a decrease in blood supply to the kidneys and loss of nephrons.
a. filtering
b. reabsorption
c. sterile water.
d. concentrating
ANS: A
The filtering mechanism is most affected with aging. By the age of 70, the filtering mechanism is
only 50% as efficient as at 40 years of age.
8.A patient who is receiving continuous bladder irrigation following a transurethral resection of
the prostate (TURP) complains of spasm-like pain over his lower abdomen. What should the
initial intervention be by the nurse?
a. Inform the nurse in charge
b. Decrease the continuous bladder irrigation flow
c. Administer the prescribed analgesic
d. Check the catheter and drainage system for obstruction
ANS: D
The patient who has a TURP may have continuous closed bladder irrigation or intermittent
irrigation to prevent occlusion of the catheter with blood clots, which would cause bladder
spasms.
9.A 56-year-old patient with cancer of the bladder is recovering from a cystectomy with an ileal
conduit. What is an important aspect in nursing interventions of the patient with an ileal conduit?
a. Instructing the patient to void when the urge is felt.
b. Maintaining skin integrity.
c. Limiting oral intake to 1000 mL/day
d. Limiting acid-ash foods.
ANS: B
Care of the patient with an ileal conduit is a nursing challenge because of the continual drainage
of urine through the stoma. Complications of this procedure are wound infection, dehiscence,
and urinary leakage. The patient is urged to drink adequate fluids to flush the conduit.
