Urinary Elimination – Final Quiz with
Answers | Nursing Fundamentals |
Comprehensive Review Material
Introduction:
This document contains a complete set of multiple-choice and
short-answer questions with detailed rationales on urinary
elimination, designed for final exam preparation in nursing
fundamentals. It covers catheter care, urinary retention,
incontinence types, urine characteristics, and nursing
interventions for urinary elimination. The content also includes
definitions of key terms such as dysuria, nocturia, and cystitis,
and provides best practices for maintaining urinary health and
preventing catheter-associated infections.
Questions and Answers:
1. If the catheter is removed at 9:00 AM, the nurse
recognizes that the client is due to void by-Answer:- 1700
Documentation of removal of a urinary catheter should include
the time the patient is due to void, which is within 8 hours.
,2. A male client with back and lower abdominal injuries
from a motor vehicle accident is unable to void. His health care
provider has ordered the insertion of a catheter to determine
the amount of residual urine and then to remain in place to
assist him with voiding during this post-trauma period. What
type of urinary catheter should the nurse anticipate using-
Answer:- An indwelling catheter
It is acceptable to use an indwelling catheter in this case to
obtain the residual urine amount. This reduces the number of
catheterizations to one, especially since the health care
provider has ordered the catheter to remain in place to assist
the client with voiding until the pain subsides.
3. A nurse is inserting an indwelling urinary catheter for a
male client. Which action will the nurse take-Answer:- Cleanse
the meatus with circular strokes beginning at the meatus and
working outward.
Using the uncontaminated dominant hand, cleanse the meatus
with cotton balls/swab sticks, using circular strokes, beginning
at the meatus and working outward in a spiral motion. Repeat
3 times using a clean cotton ball/swabstick each time. With the
nondominant hand (now contaminated), retract the foreskin
(if uncircumcised) and gently grasp the penis at the shaft just
below the glans. Hold the shaft of the penis at a right angle to
the body.
, 4. A nurse is teaching a client about the urinary system. In
which order will the nurse present the structures, following
the flow of urine-Answer:- kidney
ureters bladder urethra.The flow of urine follows these
structures in this order: kidney, ureters, bladder, and urethra.
5. A client has just had a urinary drainage catheter removed.
The nurse plans to measure intake and output for this client
for another-Answer:- 12 to 24 hours.
Measuring intake and output for 12 to 24 hours after catheter
removal allows time to note whether the bladder is draining
adequately.
6. The nurse, upon reviewing the history, discovers the
client has dysuria. Which assessment finding is consistent with
dysuria-Answer:- Burning upon urination
Dysuria is burning or pain with urination. Hematuria is blood
in the urine. Urgency is an immediate and strong desire to void
that is not easily deferred. Nocturia is awakening form sleep
due to urge to void.
7. A nurse is evaluating a UAPs care for a client with an
indwelling catheter. Which action by the UAP will cause the
Answers | Nursing Fundamentals |
Comprehensive Review Material
Introduction:
This document contains a complete set of multiple-choice and
short-answer questions with detailed rationales on urinary
elimination, designed for final exam preparation in nursing
fundamentals. It covers catheter care, urinary retention,
incontinence types, urine characteristics, and nursing
interventions for urinary elimination. The content also includes
definitions of key terms such as dysuria, nocturia, and cystitis,
and provides best practices for maintaining urinary health and
preventing catheter-associated infections.
Questions and Answers:
1. If the catheter is removed at 9:00 AM, the nurse
recognizes that the client is due to void by-Answer:- 1700
Documentation of removal of a urinary catheter should include
the time the patient is due to void, which is within 8 hours.
,2. A male client with back and lower abdominal injuries
from a motor vehicle accident is unable to void. His health care
provider has ordered the insertion of a catheter to determine
the amount of residual urine and then to remain in place to
assist him with voiding during this post-trauma period. What
type of urinary catheter should the nurse anticipate using-
Answer:- An indwelling catheter
It is acceptable to use an indwelling catheter in this case to
obtain the residual urine amount. This reduces the number of
catheterizations to one, especially since the health care
provider has ordered the catheter to remain in place to assist
the client with voiding until the pain subsides.
3. A nurse is inserting an indwelling urinary catheter for a
male client. Which action will the nurse take-Answer:- Cleanse
the meatus with circular strokes beginning at the meatus and
working outward.
Using the uncontaminated dominant hand, cleanse the meatus
with cotton balls/swab sticks, using circular strokes, beginning
at the meatus and working outward in a spiral motion. Repeat
3 times using a clean cotton ball/swabstick each time. With the
nondominant hand (now contaminated), retract the foreskin
(if uncircumcised) and gently grasp the penis at the shaft just
below the glans. Hold the shaft of the penis at a right angle to
the body.
, 4. A nurse is teaching a client about the urinary system. In
which order will the nurse present the structures, following
the flow of urine-Answer:- kidney
ureters bladder urethra.The flow of urine follows these
structures in this order: kidney, ureters, bladder, and urethra.
5. A client has just had a urinary drainage catheter removed.
The nurse plans to measure intake and output for this client
for another-Answer:- 12 to 24 hours.
Measuring intake and output for 12 to 24 hours after catheter
removal allows time to note whether the bladder is draining
adequately.
6. The nurse, upon reviewing the history, discovers the
client has dysuria. Which assessment finding is consistent with
dysuria-Answer:- Burning upon urination
Dysuria is burning or pain with urination. Hematuria is blood
in the urine. Urgency is an immediate and strong desire to void
that is not easily deferred. Nocturia is awakening form sleep
due to urge to void.
7. A nurse is evaluating a UAPs care for a client with an
indwelling catheter. Which action by the UAP will cause the
