1. The nurse is providing a teaching to a client regarding stress urinary incontinence (SUI).
The nurse provides correct teaching when stating
a. “SUI occurs because health facilities may have physical barriers to accessing
bathrooms”
b. “SUI is only seen in postmenopausal women as result of estrogen hormone loss”
c. “SUI is mainly caused by neurological or psychological problems unrelated to
bladder function”
d. “SUI is typically caused by an involuntarily loss of functional support of the
pelvic floor muslces” p. 612 left column stress urinary incontinence
2. The nurse preceptor has discussed with a newly hired nurse the types of urinary
incontinence. Which of the following statements by the newly hired nurse indicates a
correct understanding of the discussion?
a. “Stress incontinence develops in response to bladder lining irritants” p.611-12 last
sentence right column this is for urgency urinary incontinence not stress
incontinence pg. 611 right column at the bottom continuing until top left of pg
612
b. “Functional incontinence occurs due to a fecal impaction”
c. “Neuron demyelinization cause a loss of messages to the bladder” pg. 614
Neurogenic bladder & same page in Key Points box bottom right
d. “Pregnancy puts a client at increased risk for having urge incontinence”
3. The nurse is caring for a female client who has stress incontinence. Which of the
following should the nurse expect the client to report as a precipitating factor?
a. Taking furosemide daily
b. Coughing p. 612 stress urinary incontinence
c. History of cervical cancer
d. Alcohol intake
4. The nurse is caring for a 72-year-old client who has frequency, urgency, and dysuria.
Which of the following additional age-related clinical manifestations might the nurse
expect to see if this client is suspected of having cystitis?
a. Vomiting
b. Delirium p. 620 Clinical manifestations
c. Diarrhea
d. Dementia
5. The nurse has taught a group of clients about urethral and bladder infections. Which of
the following statements by the group indicates a need for further teaching?
a. “Infections in men are typically due to sexually transmitted infection (STI) or
immunosuppression” p. 619 last sentence left column
b. “Bacteria is normally eliminated from the bladder during urination” p. 620 right
column Etiology...
c. “Rare symptoms of these infections include increased blood pressure and dark
colored urine.”
, d. “Poor hygiene, especially after a bowel movement, can lead to infection” p. 620
Risk Factors box 29.3
6. The nurse is providing care for a client diagnosed with acute pyelonephritis. The nurse
knows that a common risk factor of this type of this type of infection is
a. Systemic bacteremia
b. Anatomic abnormalities p. 582 left column last sentence
c. Catheterization
d. Increasing age
7. The nurse is caring for a client who has acute pyelonephritis. Which of the following
clinical manifestations should the nurse expect in this client?
a. Ureteral spasms
b. Pink colored urine
c. Abdominal distention
d. Sudden fever and chills p. 582 Clinical manifestations
8. The nurse has taught a group of newly hired nurses about chronic pyelonephritis. Which
of the following statements by the group indicates need for follow up?
a. “Obstruction from renal calculi causes urinary stasis and growth of bacteria” p.
582 Etiology
b. “Infected urine will backflow into the kidneys due to an anatomic abnormality of
the urinary tract” p. 582 Etiology
c. “Cysts will develop in the kidney as infection begins to alter the intrarenal
structures”
d. “Renal imaging confirms diagnosis by revealing kidney atrophy and scarring” p.
582 Diagnosis and treatment
9. The nurse is caring for a client who has been in the clinic several times for reports of
persistent pelvic pain and urinary frequency and urgency. The client reports that the pain
improves upon emptying the bladder and denies fever. Repeated urinalysis over the past
few months have been normal, although there has been a history of frequent bladder
infections. The nurse knows, based on the history and complaints, the symptoms are most
characteristic of
a. Fibromyalgia
b. Interstitial cystitis p.613 bottom right column Bladder pain
c. Ureteral stone
d. Neurogenic bladder
10. The nurse is caring for a client who has nephrolithiasis. Which of the following should
the nurse associate with this problem?
a. Neurogenic bladder
b. Hypoparathyroidism
c. Sickle cell disease
d. Gout p. 584 Box 27.3
The nurse provides correct teaching when stating
a. “SUI occurs because health facilities may have physical barriers to accessing
bathrooms”
b. “SUI is only seen in postmenopausal women as result of estrogen hormone loss”
c. “SUI is mainly caused by neurological or psychological problems unrelated to
bladder function”
d. “SUI is typically caused by an involuntarily loss of functional support of the
pelvic floor muslces” p. 612 left column stress urinary incontinence
2. The nurse preceptor has discussed with a newly hired nurse the types of urinary
incontinence. Which of the following statements by the newly hired nurse indicates a
correct understanding of the discussion?
a. “Stress incontinence develops in response to bladder lining irritants” p.611-12 last
sentence right column this is for urgency urinary incontinence not stress
incontinence pg. 611 right column at the bottom continuing until top left of pg
612
b. “Functional incontinence occurs due to a fecal impaction”
c. “Neuron demyelinization cause a loss of messages to the bladder” pg. 614
Neurogenic bladder & same page in Key Points box bottom right
d. “Pregnancy puts a client at increased risk for having urge incontinence”
3. The nurse is caring for a female client who has stress incontinence. Which of the
following should the nurse expect the client to report as a precipitating factor?
a. Taking furosemide daily
b. Coughing p. 612 stress urinary incontinence
c. History of cervical cancer
d. Alcohol intake
4. The nurse is caring for a 72-year-old client who has frequency, urgency, and dysuria.
Which of the following additional age-related clinical manifestations might the nurse
expect to see if this client is suspected of having cystitis?
a. Vomiting
b. Delirium p. 620 Clinical manifestations
c. Diarrhea
d. Dementia
5. The nurse has taught a group of clients about urethral and bladder infections. Which of
the following statements by the group indicates a need for further teaching?
a. “Infections in men are typically due to sexually transmitted infection (STI) or
immunosuppression” p. 619 last sentence left column
b. “Bacteria is normally eliminated from the bladder during urination” p. 620 right
column Etiology...
c. “Rare symptoms of these infections include increased blood pressure and dark
colored urine.”
, d. “Poor hygiene, especially after a bowel movement, can lead to infection” p. 620
Risk Factors box 29.3
6. The nurse is providing care for a client diagnosed with acute pyelonephritis. The nurse
knows that a common risk factor of this type of this type of infection is
a. Systemic bacteremia
b. Anatomic abnormalities p. 582 left column last sentence
c. Catheterization
d. Increasing age
7. The nurse is caring for a client who has acute pyelonephritis. Which of the following
clinical manifestations should the nurse expect in this client?
a. Ureteral spasms
b. Pink colored urine
c. Abdominal distention
d. Sudden fever and chills p. 582 Clinical manifestations
8. The nurse has taught a group of newly hired nurses about chronic pyelonephritis. Which
of the following statements by the group indicates need for follow up?
a. “Obstruction from renal calculi causes urinary stasis and growth of bacteria” p.
582 Etiology
b. “Infected urine will backflow into the kidneys due to an anatomic abnormality of
the urinary tract” p. 582 Etiology
c. “Cysts will develop in the kidney as infection begins to alter the intrarenal
structures”
d. “Renal imaging confirms diagnosis by revealing kidney atrophy and scarring” p.
582 Diagnosis and treatment
9. The nurse is caring for a client who has been in the clinic several times for reports of
persistent pelvic pain and urinary frequency and urgency. The client reports that the pain
improves upon emptying the bladder and denies fever. Repeated urinalysis over the past
few months have been normal, although there has been a history of frequent bladder
infections. The nurse knows, based on the history and complaints, the symptoms are most
characteristic of
a. Fibromyalgia
b. Interstitial cystitis p.613 bottom right column Bladder pain
c. Ureteral stone
d. Neurogenic bladder
10. The nurse is caring for a client who has nephrolithiasis. Which of the following should
the nurse associate with this problem?
a. Neurogenic bladder
b. Hypoparathyroidism
c. Sickle cell disease
d. Gout p. 584 Box 27.3
