Mastering Kaplan Renal & Urinary
Disorders: 200 Expert-Reviewed
Assessment Questions with Evidence-
Based Rationales & Current Guidelines –
Graded A+
KAPLAN RENAL & URINARY DISORDERS
ASSESSMENT – QUESTIONS & ☑VERIFIED
ANSWERS
Priority & Assessment Questions
Question 1
The nurse in the adult day care facility
counsels a patient who states that she is
having difficulty with stress incontinence.
The patient is a 78-year-old female, 5'2",
,weighs 180 lbs, and had 4 live births.
Which of the following statements by the
nurse is MOST appropriate?
A. "There are some very good adult diapers
available."
B. "Let's talk about ways to reduce your
weight."
C. "You should drink less water."
D. "Incontinence is to be expected at your
age."
☑VERIFIED ANSWER: B. "Let's talk about
ways to reduce your weight."
Rationale: Increased abdominal pressure
caused by obesity contributes to stress
incontinence. The nurse should instruct the
patient on how to perform pelvic muscle
exercises. It is inappropriate to refer to
,protective pads as "adult diapers," and
patients should avoid caffeine and alcohol
due to their diuretic effects.
Question 2
The nurse cares for patients in a residential
care facility. The nurse notes that a patient
is suddenly disoriented to person, place,
and time, and is falling. Which of the
following actions should the nurse take
FIRST?
A. Obtain an order for a vest restraint
B. Frequently orient the patient to person,
place, and time
C. Instruct the patient to call the nurse
before ambulating
, D. Assess for signs and symptoms of a
urinary tract infection
☑VERIFIED ANSWER: D. Assess for signs
and symptoms of a urinary tract infection.
Rationale: Increased mental confusion and
unexplained falls may indicate a UTI in the
elderly. Other signs may include loss of
appetite, nocturia, and dysuria.
Question 3
The older adult client reports having to
urinate frequently at night. The client's
adult child states, "My parent has been
falling and did not know our address this
morning, and that is really unusual." Which
is the priority action for the nurse to take?
Disorders: 200 Expert-Reviewed
Assessment Questions with Evidence-
Based Rationales & Current Guidelines –
Graded A+
KAPLAN RENAL & URINARY DISORDERS
ASSESSMENT – QUESTIONS & ☑VERIFIED
ANSWERS
Priority & Assessment Questions
Question 1
The nurse in the adult day care facility
counsels a patient who states that she is
having difficulty with stress incontinence.
The patient is a 78-year-old female, 5'2",
,weighs 180 lbs, and had 4 live births.
Which of the following statements by the
nurse is MOST appropriate?
A. "There are some very good adult diapers
available."
B. "Let's talk about ways to reduce your
weight."
C. "You should drink less water."
D. "Incontinence is to be expected at your
age."
☑VERIFIED ANSWER: B. "Let's talk about
ways to reduce your weight."
Rationale: Increased abdominal pressure
caused by obesity contributes to stress
incontinence. The nurse should instruct the
patient on how to perform pelvic muscle
exercises. It is inappropriate to refer to
,protective pads as "adult diapers," and
patients should avoid caffeine and alcohol
due to their diuretic effects.
Question 2
The nurse cares for patients in a residential
care facility. The nurse notes that a patient
is suddenly disoriented to person, place,
and time, and is falling. Which of the
following actions should the nurse take
FIRST?
A. Obtain an order for a vest restraint
B. Frequently orient the patient to person,
place, and time
C. Instruct the patient to call the nurse
before ambulating
, D. Assess for signs and symptoms of a
urinary tract infection
☑VERIFIED ANSWER: D. Assess for signs
and symptoms of a urinary tract infection.
Rationale: Increased mental confusion and
unexplained falls may indicate a UTI in the
elderly. Other signs may include loss of
appetite, nocturia, and dysuria.
Question 3
The older adult client reports having to
urinate frequently at night. The client's
adult child states, "My parent has been
falling and did not know our address this
morning, and that is really unusual." Which
is the priority action for the nurse to take?
