PRNU 210 Module 5 Actual Exam:
Practice – Higher Education Practical
Nursing Curriculum – 2026/2027
Academic Year – Verified Questions
and Answers for University and
College-Level Nursing Students
Genitourinary Disorders
1. Why are young children particularly predisposed to urinary tract infections
(UTIs)?
A) Increased urine concentration
B) Immature immune systems
C) Shorter urethras
D) Decreased fluid intake
Answer: C) Shorter urethras
Rationale: Young children have anatomically shorter urethras, which provides a shorter
pathway for bacteria to ascend to the bladder. This is a primary anatomical factor that
increases susceptibility to UTIs in the pediatric population.
,2. What is nocturnal enuresis, and what medication may be prescribed at bedtime
to treat it?
A) Daytime wetting; Oxybutynin
B) Bedwetting; DDAVP (desmopressin)
C) Urinary frequency; Antibiotics
D) Bladder spasms; Anticholinergics
Answer: B) Bedwetting; DDAVP (desmopressin)
Rationale: Nocturnal enuresis refers to bedwetting during sleep. DDAVP (desmopressin)
is an antidiuretic hormone analog that reduces urine production at night, making it an
effective treatment option.
3. What distinguishes diurnal enuresis from nocturnal enuresis?
A) Diurnal enuresis occurs only at night
B) Diurnal enuresis is daytime wetting
C) Diurnal enuresis is caused by diabetes
D) Diurnal enuresis requires surgical intervention
Answer: B) Diurnal enuresis is daytime wetting
Rationale: Diurnal enuresis refers specifically to daytime wetting episodes, as opposed to
nocturnal enuresis (bedwetting that occurs during sleep).
4. If a child with enuresis also presents with polyuria and polydipsia, what
condition should be suspected?
, A) Urinary tract infection
B) Vesicoureteral reflux
C) Diabetes
D) Nephrotic syndrome
Answer: C) Diabetes
Rationale: The combination of enuresis with polyuria (excessive urination) and polydipsia
(excessive thirst) suggests possible diabetes mellitus or diabetes insipidus, requiring
further diagnostic evaluation.
5. Which of the following is NOT a factor predisposing females to UTIs?
A) Shorter urethra
B) Urinary tract closer to the anus
C) Increased fluid intake
D) Improper cleansing techniques
Answer: C) Increased fluid intake
Rationale: While increased fluid intake is actually protective against UTIs, the
predisposing factors include shorter urethra, proximity of the urinary tract to the anus,
improper cleansing techniques, bubble baths, and underwear made from non-cotton
materials.
6. What is Vesicoureteral Reflux (VUR)?
A) Obstruction at the ureteropelvic junction
, B) Abnormal backflow of urine from the bladder to the kidney
C) Swelling of the kidney due to urine backup
D) Inflammation of the kidney tubules
Answer: B) Abnormal backflow of urine from the bladder to the kidney
Rationale: VUR is a condition where urine flows backward from the bladder into the
ureters and kidneys. There is no actual obstruction; rather, the valve mechanism is
dysfunctional.
7. In managing a patient with Vesicoureteral Reflux, should fluid be restricted?
A) Yes, to reduce urine production
B) No, fluids should be pushed to prevent UTIs
C) Only if the patient has edema
D) Only during active infection
Answer: B) No, fluids should be pushed to prevent UTIs
Rationale: Fluid restriction would deprive the unaffected kidney. Instead, fluids should
be encouraged to prevent urinary tract infections by promoting frequent voiding and
bacterial washout.
8. True or False: Prophylactic antibiotics are often prescribed to prevent UTIs in
patients diagnosed with VUR.
A) True
B) False
Practice – Higher Education Practical
Nursing Curriculum – 2026/2027
Academic Year – Verified Questions
and Answers for University and
College-Level Nursing Students
Genitourinary Disorders
1. Why are young children particularly predisposed to urinary tract infections
(UTIs)?
A) Increased urine concentration
B) Immature immune systems
C) Shorter urethras
D) Decreased fluid intake
Answer: C) Shorter urethras
Rationale: Young children have anatomically shorter urethras, which provides a shorter
pathway for bacteria to ascend to the bladder. This is a primary anatomical factor that
increases susceptibility to UTIs in the pediatric population.
,2. What is nocturnal enuresis, and what medication may be prescribed at bedtime
to treat it?
A) Daytime wetting; Oxybutynin
B) Bedwetting; DDAVP (desmopressin)
C) Urinary frequency; Antibiotics
D) Bladder spasms; Anticholinergics
Answer: B) Bedwetting; DDAVP (desmopressin)
Rationale: Nocturnal enuresis refers to bedwetting during sleep. DDAVP (desmopressin)
is an antidiuretic hormone analog that reduces urine production at night, making it an
effective treatment option.
3. What distinguishes diurnal enuresis from nocturnal enuresis?
A) Diurnal enuresis occurs only at night
B) Diurnal enuresis is daytime wetting
C) Diurnal enuresis is caused by diabetes
D) Diurnal enuresis requires surgical intervention
Answer: B) Diurnal enuresis is daytime wetting
Rationale: Diurnal enuresis refers specifically to daytime wetting episodes, as opposed to
nocturnal enuresis (bedwetting that occurs during sleep).
4. If a child with enuresis also presents with polyuria and polydipsia, what
condition should be suspected?
, A) Urinary tract infection
B) Vesicoureteral reflux
C) Diabetes
D) Nephrotic syndrome
Answer: C) Diabetes
Rationale: The combination of enuresis with polyuria (excessive urination) and polydipsia
(excessive thirst) suggests possible diabetes mellitus or diabetes insipidus, requiring
further diagnostic evaluation.
5. Which of the following is NOT a factor predisposing females to UTIs?
A) Shorter urethra
B) Urinary tract closer to the anus
C) Increased fluid intake
D) Improper cleansing techniques
Answer: C) Increased fluid intake
Rationale: While increased fluid intake is actually protective against UTIs, the
predisposing factors include shorter urethra, proximity of the urinary tract to the anus,
improper cleansing techniques, bubble baths, and underwear made from non-cotton
materials.
6. What is Vesicoureteral Reflux (VUR)?
A) Obstruction at the ureteropelvic junction
, B) Abnormal backflow of urine from the bladder to the kidney
C) Swelling of the kidney due to urine backup
D) Inflammation of the kidney tubules
Answer: B) Abnormal backflow of urine from the bladder to the kidney
Rationale: VUR is a condition where urine flows backward from the bladder into the
ureters and kidneys. There is no actual obstruction; rather, the valve mechanism is
dysfunctional.
7. In managing a patient with Vesicoureteral Reflux, should fluid be restricted?
A) Yes, to reduce urine production
B) No, fluids should be pushed to prevent UTIs
C) Only if the patient has edema
D) Only during active infection
Answer: B) No, fluids should be pushed to prevent UTIs
Rationale: Fluid restriction would deprive the unaffected kidney. Instead, fluids should
be encouraged to prevent urinary tract infections by promoting frequent voiding and
bacterial washout.
8. True or False: Prophylactic antibiotics are often prescribed to prevent UTIs in
patients diagnosed with VUR.
A) True
B) False
