NSG 3850 Exam 3 – Urinary Elimination
& Infections 2026
Question 1
The nurse is providing teaching to a client regarding stress urinary incontinence (SUI).
The nurse provides correct teaching when stating:
a. “SUI occurs because health facilities may have physical barriers to accessing
bathrooms”
b. “SUI is only seen in postmenopausal women as result of estrogen hormone loss”
c. “SUI is mainly caused by neurological or psychological problems unrelated to bladder
function”
d. “SUI is typically caused by an involuntarily loss of functional support of the pelvic floor
muscles”
Answer: d
Rationale:
a: Incorrect – Physical barriers to accessing bathrooms describe functional
incontinence, not stress urinary incontinence.
b: Incorrect – While estrogen loss contributes, SUI can occur in younger women,
especially after childbirth or pelvic surgery.
c: Incorrect – SUI is caused by weak pelvic floor muscles and urethral hypermobility, not
neurological or psychological issues.
d: Correct – Loss of pelvic floor muscle support allows leakage when intra-abdominal
pressure increases (coughing, sneezing).
,Question 2
The nurse preceptor has discussed with a newly hired nurse the types of urinary
incontinence. Which statement by the newly hired nurse indicates correct
understanding?
a. “Stress incontinence develops in response to bladder lining irritants”
b. “Functional incontinence occurs due to a fecal impaction”
c. “Neuron demyelination causes a loss of messages to the bladder”
d. “Pregnancy puts a client at increased risk for having urge incontinence”
Answer: c
Rationale:
a: Incorrect – Bladder lining irritants (caffeine, alcohol) typically cause urge
incontinence, not stress incontinence.
b: Incorrect – Fecal impaction can cause overflow incontinence (mechanical pressure),
not primarily functional incontinence.
c: Correct – Demyelination (e.g., multiple sclerosis) disrupts nerve signals, leading to
neurogenic bladder and urge/reflex incontinence.
d: Incorrect – Pregnancy increases risk for stress incontinence (pelvic floor weakness),
not primarily urge incontinence.
Question 3
The nurse is caring for a female client who has stress incontinence. Which precipitating
factor should the nurse expect the client to report?
a. Taking furosemide daily
b. Coughing
c. History of cervical cancer
d. Alcohol intake
,Answer: b
Rationale:
a: Incorrect – Furosemide increases urine volume but does not specifically trigger stress
leakage; it may worsen any incontinence.
b: Correct – Coughing increases intra-abdominal pressure, causing leakage in SUI due
to weak pelvic floor support.
c: Incorrect – Cervical cancer history does not directly precipitate SUI unless surgery or
radiation damaged pelvic support.
d: Incorrect – Alcohol is a bladder irritant and diuretic, more commonly associated with
urge incontinence.
Question 4
The nurse is caring for a 72-year-old client with frequency, urgency, and dysuria. Which
additional age-related manifestation might suggest cystitis?
a. Vomiting
b. Delirium
c. Diarrhea
d. Dementia
Answer: b
Rationale:
a: Incorrect – Vomiting is not typical for cystitis in older adults; it is more common with
pyelonephritis.
, b: Correct – Older adults with cystitis often present with delirium or acute confusion
instead of classic urinary symptoms.
c: Incorrect – Diarrhea is not a typical sign of cystitis; it may suggest a gastrointestinal
infection.
d: Incorrect – Dementia is a chronic condition, not an acute manifestation of cystitis.
Question 5
The nurse has taught a group about urethral and bladder infections. Which statement
indicates a need for further teaching?
a. “Infections in men are typically due to sexually transmitted infection (STI) or
immunosuppression”
b. “Bacteria is normally eliminated from the bladder during urination”
c. “Rare symptoms of these infections include increased blood pressure and dark
colored urine”
Answer: c
Rationale:
a: Correct statement – In men, UTIs are often linked to STIs or immunosuppression (no
further teaching needed).
b: Correct statement – Urination flushes bacteria from the bladder, a key defense
mechanism.
c: Incorrect/needs further teaching – Increased blood pressure is not a symptom of
urethral/bladder infections; dark urine may occur but is not a rare symptom, and
hypertension is unrelated.
Question 6
& Infections 2026
Question 1
The nurse is providing teaching to a client regarding stress urinary incontinence (SUI).
The nurse provides correct teaching when stating:
a. “SUI occurs because health facilities may have physical barriers to accessing
bathrooms”
b. “SUI is only seen in postmenopausal women as result of estrogen hormone loss”
c. “SUI is mainly caused by neurological or psychological problems unrelated to bladder
function”
d. “SUI is typically caused by an involuntarily loss of functional support of the pelvic floor
muscles”
Answer: d
Rationale:
a: Incorrect – Physical barriers to accessing bathrooms describe functional
incontinence, not stress urinary incontinence.
b: Incorrect – While estrogen loss contributes, SUI can occur in younger women,
especially after childbirth or pelvic surgery.
c: Incorrect – SUI is caused by weak pelvic floor muscles and urethral hypermobility, not
neurological or psychological issues.
d: Correct – Loss of pelvic floor muscle support allows leakage when intra-abdominal
pressure increases (coughing, sneezing).
,Question 2
The nurse preceptor has discussed with a newly hired nurse the types of urinary
incontinence. Which statement by the newly hired nurse indicates correct
understanding?
a. “Stress incontinence develops in response to bladder lining irritants”
b. “Functional incontinence occurs due to a fecal impaction”
c. “Neuron demyelination causes a loss of messages to the bladder”
d. “Pregnancy puts a client at increased risk for having urge incontinence”
Answer: c
Rationale:
a: Incorrect – Bladder lining irritants (caffeine, alcohol) typically cause urge
incontinence, not stress incontinence.
b: Incorrect – Fecal impaction can cause overflow incontinence (mechanical pressure),
not primarily functional incontinence.
c: Correct – Demyelination (e.g., multiple sclerosis) disrupts nerve signals, leading to
neurogenic bladder and urge/reflex incontinence.
d: Incorrect – Pregnancy increases risk for stress incontinence (pelvic floor weakness),
not primarily urge incontinence.
Question 3
The nurse is caring for a female client who has stress incontinence. Which precipitating
factor should the nurse expect the client to report?
a. Taking furosemide daily
b. Coughing
c. History of cervical cancer
d. Alcohol intake
,Answer: b
Rationale:
a: Incorrect – Furosemide increases urine volume but does not specifically trigger stress
leakage; it may worsen any incontinence.
b: Correct – Coughing increases intra-abdominal pressure, causing leakage in SUI due
to weak pelvic floor support.
c: Incorrect – Cervical cancer history does not directly precipitate SUI unless surgery or
radiation damaged pelvic support.
d: Incorrect – Alcohol is a bladder irritant and diuretic, more commonly associated with
urge incontinence.
Question 4
The nurse is caring for a 72-year-old client with frequency, urgency, and dysuria. Which
additional age-related manifestation might suggest cystitis?
a. Vomiting
b. Delirium
c. Diarrhea
d. Dementia
Answer: b
Rationale:
a: Incorrect – Vomiting is not typical for cystitis in older adults; it is more common with
pyelonephritis.
, b: Correct – Older adults with cystitis often present with delirium or acute confusion
instead of classic urinary symptoms.
c: Incorrect – Diarrhea is not a typical sign of cystitis; it may suggest a gastrointestinal
infection.
d: Incorrect – Dementia is a chronic condition, not an acute manifestation of cystitis.
Question 5
The nurse has taught a group about urethral and bladder infections. Which statement
indicates a need for further teaching?
a. “Infections in men are typically due to sexually transmitted infection (STI) or
immunosuppression”
b. “Bacteria is normally eliminated from the bladder during urination”
c. “Rare symptoms of these infections include increased blood pressure and dark
colored urine”
Answer: c
Rationale:
a: Correct statement – In men, UTIs are often linked to STIs or immunosuppression (no
further teaching needed).
b: Correct statement – Urination flushes bacteria from the bladder, a key defense
mechanism.
c: Incorrect/needs further teaching – Increased blood pressure is not a symptom of
urethral/bladder infections; dark urine may occur but is not a rare symptom, and
hypertension is unrelated.
Question 6
