ATI SKILLS MODULE 3.0 - URINARY ELIMINATION
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
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Core Domains
Urinary System Anatomy and Physiology
Assessment of Urinary Elimination
Urinary Catheterization and Care
Specimen Collection Procedures
Urinary Incontinence and Retention Management
Renal and Urologic Diagnostic Procedures
Urinary Diversions and Surgical Interventions
Legal, Ethical, and Safety Considerations
Introduction
This assessment evaluates nursing knowledge and clinical
judgment in urinary elimination across the lifespan. The
examination assesses understanding of renal physiology,
catheterization techniques, specimen collection, incontinence
management, and complication prevention. Questions are
structured as multiple-choice and scenario-based items that
emphasize real-world application and clinical decision-
,making. Candidates must demonstrate competency in
foundational theory, applied professional knowledge,
regulatory compliance, and ethical standards. The content
reflects current evidence-based nursing practice for safe,
effective urinary elimination care. Each item requires critical
thinking and prioritization to reflect the demands of
professional nursing practice.
SECTION ONE: QUESTIONS 1–100
1. A nurse is reviewing the anatomy of the urinary system.
Which structure is primarily responsible for the filtration of
blood and formation of urine?
A. Ureter
B. Bladder
C. Nephron
D. Urethra
🟢 Correct answer: C. Nephron
🔴 RATIONALE: The nephron is the functional unit of the
kidney responsible for filtration, reabsorption, and secretion.
Each kidney contains approximately one million nephrons
,that filter blood to form urine. The ureters transport urine,
the bladder stores it, and the urethra eliminates it.
2. A nurse is assessing a client's urine output. Which
finding requires immediate follow-up?
A. 50 mL/hr for the past 4 hours
B. 25 mL/hr for the past 2 hours
C. 1200 mL in 24 hours
D. Straw-colored urine
🟢 Correct answer: B. 25 mL/hr for the past 2 hours
🔴 RATIONALE: Urine output less than 30 mL/hr for 2 or
more consecutive hours indicates inadequate renal
perfusion and requires prompt notification of the provider.
Normal adult urine output is 1,500 to 2,000 mL per day
(approximately 30-50 mL/hr).
3. A nurse is preparing to insert an indwelling urinary
catheter for a female client. Which action should the nurse
take first?
, A. Inflate the balloon with sterile water
B. Perform hand hygiene and apply sterile gloves
C. Cleansing the urinary meatus with antiseptic solution
D. Lubricate the catheter tip generously
🟢 Correct answer: B. Perform hand hygiene and apply
sterile gloves
🔴 RATIONALE: The nurse must perform hand hygiene and
don sterile gloves before beginning the catheterization
procedure to maintain surgical asepsis. This is the
foundational step before any sterile procedure. Cleansing,
lubrication, and balloon inflation occur in subsequent steps.
4. A male client is scheduled for intermittent urethral
catheterization. Which position of the penis should the
nurse use during insertion?
A. Pointing downward toward the feet
B. Lifted perpendicular to the body
C. Angled at 45 degrees to the left
D. Left in its natural resting position
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
Urinary System Anatomy and Physiology
Assessment of Urinary Elimination
Urinary Catheterization and Care
Specimen Collection Procedures
Urinary Incontinence and Retention Management
Renal and Urologic Diagnostic Procedures
Urinary Diversions and Surgical Interventions
Legal, Ethical, and Safety Considerations
Introduction
This assessment evaluates nursing knowledge and clinical
judgment in urinary elimination across the lifespan. The
examination assesses understanding of renal physiology,
catheterization techniques, specimen collection, incontinence
management, and complication prevention. Questions are
structured as multiple-choice and scenario-based items that
emphasize real-world application and clinical decision-
,making. Candidates must demonstrate competency in
foundational theory, applied professional knowledge,
regulatory compliance, and ethical standards. The content
reflects current evidence-based nursing practice for safe,
effective urinary elimination care. Each item requires critical
thinking and prioritization to reflect the demands of
professional nursing practice.
SECTION ONE: QUESTIONS 1–100
1. A nurse is reviewing the anatomy of the urinary system.
Which structure is primarily responsible for the filtration of
blood and formation of urine?
A. Ureter
B. Bladder
C. Nephron
D. Urethra
🟢 Correct answer: C. Nephron
🔴 RATIONALE: The nephron is the functional unit of the
kidney responsible for filtration, reabsorption, and secretion.
Each kidney contains approximately one million nephrons
,that filter blood to form urine. The ureters transport urine,
the bladder stores it, and the urethra eliminates it.
2. A nurse is assessing a client's urine output. Which
finding requires immediate follow-up?
A. 50 mL/hr for the past 4 hours
B. 25 mL/hr for the past 2 hours
C. 1200 mL in 24 hours
D. Straw-colored urine
🟢 Correct answer: B. 25 mL/hr for the past 2 hours
🔴 RATIONALE: Urine output less than 30 mL/hr for 2 or
more consecutive hours indicates inadequate renal
perfusion and requires prompt notification of the provider.
Normal adult urine output is 1,500 to 2,000 mL per day
(approximately 30-50 mL/hr).
3. A nurse is preparing to insert an indwelling urinary
catheter for a female client. Which action should the nurse
take first?
, A. Inflate the balloon with sterile water
B. Perform hand hygiene and apply sterile gloves
C. Cleansing the urinary meatus with antiseptic solution
D. Lubricate the catheter tip generously
🟢 Correct answer: B. Perform hand hygiene and apply
sterile gloves
🔴 RATIONALE: The nurse must perform hand hygiene and
don sterile gloves before beginning the catheterization
procedure to maintain surgical asepsis. This is the
foundational step before any sterile procedure. Cleansing,
lubrication, and balloon inflation occur in subsequent steps.
4. A male client is scheduled for intermittent urethral
catheterization. Which position of the penis should the
nurse use during insertion?
A. Pointing downward toward the feet
B. Lifted perpendicular to the body
C. Angled at 45 degrees to the left
D. Left in its natural resting position
