ATI MEDSURG
ATI MEDSURG URINARY TRACT
DISORDERS LATEST 2024-2025 EXAM
TEST BANK 50 QUESTIONS AND
CORRECT DETAILED ANSWERS
A married female patient has a history of repeated urinary tract infections (UTIs). Which
of the following should the nurse include while assessing this patient?
1. preferred method of birth control
2. employment status
3. height and weight
4. activity status -Correct Answer✔: 1
Rationale: Risk factors for urinary tract infections (UTIs) include sexual intercourse and
the use of diaphragm and spermicidal compounds for birth control and pregnancy.
Employment status, height and weight, and activity status do not have a direct
relationship to repeat UTI.
Which of the following methods of bladder emptying would be preferred for an elderly
patient who is prone to developing urinary tract infections (UTIs)?
1. intermittent catheterization
2. indwelling urinary catheterizations
3. Credé maneuver
4. timed intervals for taking patient to bathroom to void -Correct Answer✔: 1
Rationale: Intermittent catheterization carries a lower risk of infection than an indwelling
catheter, and is preferred for patients who are unable to empty their bladder by voiding.
The Credé maneuver is a technique used to assist patients with spinal cord injury to
empty the bladder. Timed intervals to take patients to void would not be effective if they
are not able to empty their bladder by voluntary voiding. The urine would remain in the
bladder and be a site for infection to develop.
A patient is diagnosed with chronic pyelonephritis. The nurse realizes that this patient is
prone to developing which of the following?
1. chronic renal failure
2. cystitis
3. acute renal failure
4. renal calculi -Correct Answer✔: 1
ATI MEDSURG
, ATI MEDSURG
Rationale: Chronic pyelonephritis involves chronic inflammation and scarring of the
tubules and interstitial tissues of the kidney. It is a common cause of chronic renal
failure. Cystitis may cause acute pyelonephritis and acute renal failure. Renal calculi are
generally caused by dietary intake and not by chronic pyelonephritis.
A patient with an indwelling urinary catheter is demonstrating signs of asymptomatic
bacteriuria. Which of the following would be the best course of action for this patient?
1. Remove the catheter and begin antibiotic therapy.
2. Begin intravenous antibiotic therapy.
3. Begin oral antibiotic therapy for three days.
4. Remove the catheter and monitor for continued signs of bacteriuria. -Correct
Answer✔: 1
Rationale: Antibiotics and urinary anti-infectives are not generally recommended to treat
asymptomatic bacteriuria in catheterized patients. The preferred treatment for catheter-
associated urinary tract infections (UTIs) is to remove the indwelling catheter, than
administer a 10 to 14 day course of oral antibiotic therapy to eliminate the infection.
Removing the catheter without the initiation of antibiotic therapy would not solve the
problem. The infection could worsen.
A patient asks the nurse for ways to prevent recurrent urinary tract infections. Which of
the following is an appropriate nursing response?
1. "Avoid douching."
2. "Clean the perineal area from back to front."
3. "Use feminine hygiene sprays."
4. "Wear clean nylon underpants." -Correct Answer✔: 1
Rationale: An appropriate response to this patient is to avoid douching. Instruct women
to cleanse the perineal area from front to back after voiding and defecating. Teach
women to void before and after sexual intercourse to flush out bacteria introduced into
the urethra and bladder. Teach measures to maintain integrity of perineal tissues such
as avoiding bubble baths, feminine hygiene sprays and vaginal douches; wearing cotton
briefs and avoiding synthetic materials such as nylon; if postmenopausal, using
hormone replacement therapy or estrogen cream.
A male patient comes into the emergency department with symptoms of renal colic. The
nurse realizes that this patient most likely has a calculi that is obstructing which of the
following?
1. ureter
2. bladder
3. renal pelvis
4. urethra -Correct Answer✔: 1
ATI MEDSURG
ATI MEDSURG URINARY TRACT
DISORDERS LATEST 2024-2025 EXAM
TEST BANK 50 QUESTIONS AND
CORRECT DETAILED ANSWERS
A married female patient has a history of repeated urinary tract infections (UTIs). Which
of the following should the nurse include while assessing this patient?
1. preferred method of birth control
2. employment status
3. height and weight
4. activity status -Correct Answer✔: 1
Rationale: Risk factors for urinary tract infections (UTIs) include sexual intercourse and
the use of diaphragm and spermicidal compounds for birth control and pregnancy.
Employment status, height and weight, and activity status do not have a direct
relationship to repeat UTI.
Which of the following methods of bladder emptying would be preferred for an elderly
patient who is prone to developing urinary tract infections (UTIs)?
1. intermittent catheterization
2. indwelling urinary catheterizations
3. Credé maneuver
4. timed intervals for taking patient to bathroom to void -Correct Answer✔: 1
Rationale: Intermittent catheterization carries a lower risk of infection than an indwelling
catheter, and is preferred for patients who are unable to empty their bladder by voiding.
The Credé maneuver is a technique used to assist patients with spinal cord injury to
empty the bladder. Timed intervals to take patients to void would not be effective if they
are not able to empty their bladder by voluntary voiding. The urine would remain in the
bladder and be a site for infection to develop.
A patient is diagnosed with chronic pyelonephritis. The nurse realizes that this patient is
prone to developing which of the following?
1. chronic renal failure
2. cystitis
3. acute renal failure
4. renal calculi -Correct Answer✔: 1
ATI MEDSURG
, ATI MEDSURG
Rationale: Chronic pyelonephritis involves chronic inflammation and scarring of the
tubules and interstitial tissues of the kidney. It is a common cause of chronic renal
failure. Cystitis may cause acute pyelonephritis and acute renal failure. Renal calculi are
generally caused by dietary intake and not by chronic pyelonephritis.
A patient with an indwelling urinary catheter is demonstrating signs of asymptomatic
bacteriuria. Which of the following would be the best course of action for this patient?
1. Remove the catheter and begin antibiotic therapy.
2. Begin intravenous antibiotic therapy.
3. Begin oral antibiotic therapy for three days.
4. Remove the catheter and monitor for continued signs of bacteriuria. -Correct
Answer✔: 1
Rationale: Antibiotics and urinary anti-infectives are not generally recommended to treat
asymptomatic bacteriuria in catheterized patients. The preferred treatment for catheter-
associated urinary tract infections (UTIs) is to remove the indwelling catheter, than
administer a 10 to 14 day course of oral antibiotic therapy to eliminate the infection.
Removing the catheter without the initiation of antibiotic therapy would not solve the
problem. The infection could worsen.
A patient asks the nurse for ways to prevent recurrent urinary tract infections. Which of
the following is an appropriate nursing response?
1. "Avoid douching."
2. "Clean the perineal area from back to front."
3. "Use feminine hygiene sprays."
4. "Wear clean nylon underpants." -Correct Answer✔: 1
Rationale: An appropriate response to this patient is to avoid douching. Instruct women
to cleanse the perineal area from front to back after voiding and defecating. Teach
women to void before and after sexual intercourse to flush out bacteria introduced into
the urethra and bladder. Teach measures to maintain integrity of perineal tissues such
as avoiding bubble baths, feminine hygiene sprays and vaginal douches; wearing cotton
briefs and avoiding synthetic materials such as nylon; if postmenopausal, using
hormone replacement therapy or estrogen cream.
A male patient comes into the emergency department with symptoms of renal colic. The
nurse realizes that this patient most likely has a calculi that is obstructing which of the
following?
1. ureter
2. bladder
3. renal pelvis
4. urethra -Correct Answer✔: 1
ATI MEDSURG
