NSG 3800 Actual Exam 3 | Nursing Practice Adult Health II |
2026/2027 Complete Practice Questions, Correct Answers &
Detailed Rationales
Genitourinary / Renal Disorders
1.
A client with a urinary tract infection reports dysuria and urinary
frequency. Which additional finding is most consistent with cystitis?
A. Flank pain and costovertebral-angle tenderness
B. Suprapubic discomfort
C. Generalized edema
D. Severe oliguria
Correct Answer: B. Suprapubic discomfort
Rationale: Cystitis commonly causes dysuria, frequency, urgency, and
suprapubic discomfort. Flank pain and CVA tenderness suggest upper
urinary tract involvement.
2.
Which assessment finding most strongly suggests pyelonephritis rather
than uncomplicated cystitis?
A. Urinary urgency
B. Burning with urination
C. Costovertebral-angle tenderness
D. Mild suprapubic discomfort
,Correct Answer: C. Costovertebral-angle tenderness
Rationale: Pyelonephritis involves the renal pelvis and kidney tissue and
commonly produces fever, flank pain, and CVA tenderness.
3.
A client with pyelonephritis has a temperature of 39.2°C (102.6°F).
Which intervention is most appropriate?
A. Restrict fluids
B. Encourage prescribed fluid intake
C. Encourage prolonged bed rest without repositioning
D. Administer antidiarrheal medication
Correct Answer: B. Encourage prescribed fluid intake
Rationale: Adequate hydration supports urinary flow and helps prevent
urinary stasis when not contraindicated.
4.
Which client has the greatest risk for a complicated urinary tract
infection?
A. Healthy 22-year-old with occasional urgency
B. Client with an indwelling urinary catheter
C. Client who drinks adequate fluids
D. Client with occasional nocturia
Correct Answer: B. Client with an indwelling urinary catheter
Rationale: Indwelling catheters provide a pathway for microorganisms
to enter the urinary tract and increase infection risk.
5.
,Which instruction should the nurse provide to a client with recurrent
urinary tract infections?
A. Delay voiding as long as possible
B. Increase fluid intake if not contraindicated
C. Use scented feminine hygiene products
D. Reduce bathroom trips
Correct Answer: B. Increase fluid intake if not contraindicated
Rationale: Adequate hydration promotes regular urine production and
may reduce urinary stasis.
6.
A client with urinary incontinence reports leakage when coughing and
sneezing. Which type of incontinence is most likely?
A. Urge
B. Overflow
C. Stress
D. Functional
Correct Answer: C. Stress
Rationale: Stress incontinence occurs when increased intra-abdominal
pressure causes urine leakage.
7.
Which finding is characteristic of overflow incontinence?
A. Leakage associated only with coughing
B. Sudden compelling urge followed by leakage
C. Incomplete bladder emptying with dribbling
D. Inability to reach the bathroom because of mobility problems
, Correct Answer: C. Incomplete bladder emptying with dribbling
Rationale: Overflow incontinence occurs when the bladder becomes
overly distended and urine leaks intermittently.
8.
A client reports a sudden intense urge to urinate followed by
involuntary urine loss. Which type of incontinence is indicated?
A. Stress
B. Urge
C. Overflow
D. Functional
Correct Answer: B. Urge
Rationale: Urge incontinence involves involuntary bladder contractions
accompanied by a sudden, difficult-to-control urge to void.
9.
Which intervention is appropriate for a client with functional urinary
incontinence?
A. Scheduled toileting
B. Fluid restriction
C. Indwelling catheterization for all activities
D. Avoiding mobility assistance
Correct Answer: A. Scheduled toileting
Rationale: Functional incontinence may result from mobility or
cognitive barriers, so scheduled toileting can reduce episodes.
10.
2026/2027 Complete Practice Questions, Correct Answers &
Detailed Rationales
Genitourinary / Renal Disorders
1.
A client with a urinary tract infection reports dysuria and urinary
frequency. Which additional finding is most consistent with cystitis?
A. Flank pain and costovertebral-angle tenderness
B. Suprapubic discomfort
C. Generalized edema
D. Severe oliguria
Correct Answer: B. Suprapubic discomfort
Rationale: Cystitis commonly causes dysuria, frequency, urgency, and
suprapubic discomfort. Flank pain and CVA tenderness suggest upper
urinary tract involvement.
2.
Which assessment finding most strongly suggests pyelonephritis rather
than uncomplicated cystitis?
A. Urinary urgency
B. Burning with urination
C. Costovertebral-angle tenderness
D. Mild suprapubic discomfort
,Correct Answer: C. Costovertebral-angle tenderness
Rationale: Pyelonephritis involves the renal pelvis and kidney tissue and
commonly produces fever, flank pain, and CVA tenderness.
3.
A client with pyelonephritis has a temperature of 39.2°C (102.6°F).
Which intervention is most appropriate?
A. Restrict fluids
B. Encourage prescribed fluid intake
C. Encourage prolonged bed rest without repositioning
D. Administer antidiarrheal medication
Correct Answer: B. Encourage prescribed fluid intake
Rationale: Adequate hydration supports urinary flow and helps prevent
urinary stasis when not contraindicated.
4.
Which client has the greatest risk for a complicated urinary tract
infection?
A. Healthy 22-year-old with occasional urgency
B. Client with an indwelling urinary catheter
C. Client who drinks adequate fluids
D. Client with occasional nocturia
Correct Answer: B. Client with an indwelling urinary catheter
Rationale: Indwelling catheters provide a pathway for microorganisms
to enter the urinary tract and increase infection risk.
5.
,Which instruction should the nurse provide to a client with recurrent
urinary tract infections?
A. Delay voiding as long as possible
B. Increase fluid intake if not contraindicated
C. Use scented feminine hygiene products
D. Reduce bathroom trips
Correct Answer: B. Increase fluid intake if not contraindicated
Rationale: Adequate hydration promotes regular urine production and
may reduce urinary stasis.
6.
A client with urinary incontinence reports leakage when coughing and
sneezing. Which type of incontinence is most likely?
A. Urge
B. Overflow
C. Stress
D. Functional
Correct Answer: C. Stress
Rationale: Stress incontinence occurs when increased intra-abdominal
pressure causes urine leakage.
7.
Which finding is characteristic of overflow incontinence?
A. Leakage associated only with coughing
B. Sudden compelling urge followed by leakage
C. Incomplete bladder emptying with dribbling
D. Inability to reach the bathroom because of mobility problems
, Correct Answer: C. Incomplete bladder emptying with dribbling
Rationale: Overflow incontinence occurs when the bladder becomes
overly distended and urine leaks intermittently.
8.
A client reports a sudden intense urge to urinate followed by
involuntary urine loss. Which type of incontinence is indicated?
A. Stress
B. Urge
C. Overflow
D. Functional
Correct Answer: B. Urge
Rationale: Urge incontinence involves involuntary bladder contractions
accompanied by a sudden, difficult-to-control urge to void.
9.
Which intervention is appropriate for a client with functional urinary
incontinence?
A. Scheduled toileting
B. Fluid restriction
C. Indwelling catheterization for all activities
D. Avoiding mobility assistance
Correct Answer: A. Scheduled toileting
Rationale: Functional incontinence may result from mobility or
cognitive barriers, so scheduled toileting can reduce episodes.
10.
