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Urology & Renal Nursing Exam Questions – 30+ Q&A with Rationales | GU System, Incontinence, Prostatitis, Epididymitis, Pyelonephritis, Glomerulonephritis

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Topics Covered: Male Reproductive/Genitourinary: Urethritis – painful urination without frequency/urgency Acute Prostatitis – frequency, urgency, dysuria Benign Prostatic Hypertrophy (BPH) – begins in third decade, androgen-dependent Epididymitis – coexists with Chlamydia infection Varicocele – "bag of worms" sensation, left side, disappears when supine Spermatocele – painless cystic mass above testicle, positive transillumination Cryptorchidism – undescended testicle(s) Cremasteric Reflex – testing technique (scratch inner thigh) Smegma – whitish sebaceous secretion Proctitis – rectal pain, tenesmus, left-sided abdominal pain; causes include frequent anal intercourse Overflow Incontinence – neurological/anatomical obstruction, distended bladder Urge Incontinence – uncontrolled detrusor contractions, urgency with leakage Functional Incontinence – cognitive impairment, musculoskeletal problems, immobility Renal: Acute Pyelonephritis – flank pain, fever, chills Acute Glomerulonephritis – hematuria, proteinuria, hypertension, edema; NOT polyuria Post-Streptococcal Glomerulonephritis – tea-colored urine (blood + protein) Renal Adaptation in Newborns – inability to concentrate urine, risk of dehydration, metabolic acidosis Urinary Calculi – flank pain, no fever (differentiate from pyelonephritis) Includes: Correct answers with detailed rationales for EVERY option. Perfect for: Medical-Surgical Nursing exams, Urology/Genitourinary nursing, Pathophysiology, NCLEX-RN prep, HESI, and ATI.

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UROLOGY & RENAL NURSING
EXAM QUESTIONS

30+ Q&A with Rationales

GU System / Incontinence / Prostatitis
Pyelonephritis / Glomerulonephritis

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Subject: Medical-Surgical Nursing / Urology
Level: Bachelor's / Master's Degree – Nursing
Year: 2026/2027
Author: Nursing Student

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� TOPICS COVERED

✅Male Reproductive / GU
Urethritis, Prostatitis, BPH
Epididymitis (Chlamydia)
Varicocele, Spermatocele
Cryptorchidism, Cremasteric Reflex
Proctitis, Smegma

✅Incontinence
Urge Incontinence (Overactive Bladder)
Overflow Incontinence
Functional Incontinence
Stress Incontinence

✅Renal Disorders
Acute Pyelonephritis (Flank Pain, Fever)
Acute Glomerulonephritis (Hematuria, Proteinuria)
Post-Streptococcal GN (Tea-Colored Urine)
Renal Adaptation in Newborns
Urinary Calculi

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✅Correct Answers with Detailed Rationales
✅Perfect for Med-Surg, NCLEX, HESI, ATI

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, Urology & Renal Nursing Exam Questions – 30+ Q&A with
Rationales | GU System, Incontinence, Prostatitis, Epididymitis,
Pyelonephritis, Glomerulonephritis

Question:

In men, painful urination without frequency or urgency suggests:



cystitis. Incorrecturethritis. Correctconstipation.acute prostatitis.



Explanation:

In men, painful urination without frequency or urgency suggests urethritis. Cystitis presents with
frequency and urgency. Constipation usually does not present with urinary tract symptoms. Acute
prostatitis presents with frequency, urgency, and dysuria.

Question:

A 65-year-old woman complains that when she feels the urge to urinate, she has to go immediately or
else she urinates "on herself". She has become homebound because she wants to stay close to the
bathroom. This condition is termed:



functional incontinence.overflow incontinence.urge incontinence. Correctstress incontinence.



Explanation:

In urge incontinence, (overactive bladder), urgency is followed by immediate involuntary leakage due to
uncontrolled detrusor contractions that overcome urethral resistance. Following an urge to void, there is
an involuntary loss of urine since the patient cannot get to the toilet quickly enough. Overflow
incontinence is associated with a neurological or anatomical obstruction from pelvic organs or the
prostate which limits bladder emptying and causes an overdistended bladder. Stress incontinence is
commonly seen in women and arises from decreased intraurethral pressure. This condition is generally
noted when a patient coughs, sneezes, or laughs. Functional incontinence usually arises from cognitive
impairment, musculoskeletal problems, or immobility.

Question:

Symptoms of proctitis may include all of the following except:

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