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N3280 Final Exam 2025 Questions and Answers

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N3280 Final Exam 2025 Questions and Answers How often does the body's total blood volume pass through the kidneys for waste removal? - ANS volume passes through in 30 minutes Function of the Kidneys/Ureters - ANS maintain composition and volume of body fluids, filter and excrete blood constituents not needed and retain those that are needed, and excrete waste product (urine) How do the nephrons work? - ANS remove the end products of metabolism, such as urea, creatinine, and uric acid from the blood plasma and urine. They also maintain and regulate fluid balance What does each nephron consist of? - ANS complicated system of arterioles, capillaries, and tubules How many nephrons are in each kidney? - ANS approximately 1 million in each kidney Bladder - ANS smooth muscle sac that serves as a temporary reservoir for urine Detrusor muscle - ANS three layers of muscle tissue called the inner longitudinal layer, the middle circular layer, and the outer longitudinal layer Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED. Function of the sphincter - ANS guards opening between urinary bladder and urethra Function of the urethra - ANS convey urine from the bladder to exterior of body Where is the prostate gland located? - ANS located below the urethra of a male True or false: No portion of the female urethra is external to the body? - ANS true. there is no portion exposed What are the parts of a male urethra? - ANS prostatic, membranous, and cavernous portions It is approximately 5 1/2 to 6 1/4 inches long Act of urination (micturation) - ANS the process of emptying the bladder Where are the nerve centers for urination situated? - ANS the nerve centers for this are located in the brain and spinal cord Process of emptying the bladder - ANS detrusor muscle contracts internal sphincter relaxes urine enters posterior urethra muscles of perineum and external sphincter relax muscles of abdominal wall contracts slightly diaphragm lowers, micturation occurs Autonomic bladder - ANS bladder no longer controlled by the brain due to injury or disease Urinary incontinence - ANS any involuntary loss of urine Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED. Dysuria - ANS painful or difficult urination Frequency - ANS increased incidence of voiding nocturia - ANS awakening at night to urinate anuria - ANS 24 hour urine output is less than 50 mL oliguria - ANS 24 hour urine output is less than 400 mL polyuria - ANS excessive urination proteinuria - ANS protein in the urine Hematuria - ANS blood in the urine glycosuria - ANS glucose in the urine pyuria - ANS pus in the urine Urgency - ANS strong desire to void urine urinary incontinence - ANS involuntary loss of urine nocturia - ANS voiding

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N3280 Final Exam 2025 Questions and
Answers



How often does the body's total blood volume pass through the kidneys for waste removal? -
ANS volume passes through in 30 minutes



Function of the Kidneys/Ureters - ANS maintain composition and volume of body fluids, filter
and excrete blood constituents not needed and retain those that are needed, and excrete
waste product (urine)



How do the nephrons work? - ANS remove the end products of metabolism, such as urea,
creatinine, and uric acid from the blood plasma and urine. They also maintain and regulate fluid
balance



What does each nephron consist of? - ANS complicated system of arterioles, capillaries, and
tubules



How many nephrons are in each kidney? - ANS approximately 1 million in each kidney



Bladder - ANS smooth muscle sac that serves as a temporary reservoir for urine



Detrusor muscle - ANS three layers of muscle tissue called the inner longitudinal layer, the
middle circular layer, and the outer longitudinal layer




Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.

,Function of the sphincter - ANS guards opening between urinary bladder and urethra



Function of the urethra - ANS convey urine from the bladder to exterior of body



Where is the prostate gland located? - ANS located below the urethra of a male



True or false: No portion of the female urethra is external to the body? - ANS true. there is
no portion exposed



What are the parts of a male urethra? - ANS prostatic, membranous, and cavernous portions
It is approximately 5 1/2 to 6 1/4 inches long



Act of urination (micturation) - ANS the process of emptying the bladder



Where are the nerve centers for urination situated? - ANS the nerve centers for this are
located in the brain and spinal cord



Process of emptying the bladder - ANS detrusor muscle contracts
internal sphincter relaxes
urine enters posterior urethra
muscles of perineum and external sphincter relax
muscles of abdominal wall contracts slightly
diaphragm lowers, micturation occurs



Autonomic bladder - ANS bladder no longer controlled by the brain due to injury or disease



Urinary incontinence - ANS any involuntary loss of urine



Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.

,Dysuria - ANS painful or difficult urination



Frequency - ANS increased incidence of voiding



nocturia - ANS awakening at night to urinate



anuria - ANS 24 hour urine output is less than 50 mL



oliguria - ANS 24 hour urine output is less than 400 mL



polyuria - ANS excessive urination



proteinuria - ANS protein in the urine



Hematuria - ANS blood in the urine



glycosuria - ANS glucose in the urine



pyuria - ANS pus in the urine



Urgency - ANS strong desire to void urine



urinary incontinence - ANS involuntary loss of urine



nocturia - ANS voiding at night



Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.

, Factors affecting micturation - ANS developmental considerations
food and fluid intake
activity and muscle tone
pathologic conditions
psychological variables
medications



Effect of aging on urination - ANS increased frequency
urine retention stasis
voluntary control affected by physical problems



Food and fluid intake and urination - ANS decrease in food and fluid intake leads to more
concentrated urine
Foods high in water intake can increase output and high sodium content in food can cause
water retention



pyschological variables and urination - ANS personal and private for many people
can cause embarassment and anxiety
stress can inhibit relaxation of external urethral sphincter



Factors that can lead to decreased urinary muscle tone - ANS immobility - abdominal
muscles lose tone because they are not moving around
childbearing - everything gets stretched out once the baby is born
menopause
trauma - injury to the pelvic area or spinal cord can lead to decreased bladder tone




Pg. 4 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.

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