Urinary (Renal) EXAM QUESTIONS
& ANSWERS PASSED GRADED A+
A client arrives at the emergency department with complaints of low abdominal pain and
hematuria. The client is afebrile. The nurse next assesses the client to determine a history of
which condition?
Pyelonephritis
Glomerulonephritis
Trauma to the bladder or abdomen
Renal cancer in the client's family - correct answer ✔✔Pyelonephritis - fever - flank pain
Glomerulonephritis - fever, flank pain
Trauma to the bladder or abdomen - correct answer
Renal cancer in the client's family - no pain
Rationale:
Bladder trauma or injury should be considered or suspected in the client with low abdominal
pain and hematuria. Glomerulonephritis and pyelonephritis would be accompanied by fever
and are thus not applicable to the client described in this question. Renal cancer would not
cause pain that is felt in the low abdomen; rather, the pain would be in the flank area.
The nurse is assessing a client who has a new ureterostomy. Which statement by the client
indicates the need for more education about urinary stoma care?
"I change my pouch every week."
"I change the appliance in the morning."
"I empty the urinary collection bag when it is two-thirds full."
"When I'm in the shower I direct the flow of water away from my stoma." - correct answer
✔✔"I empty the urinary collection bag when it's two-thirds full."
Rationale:
, The urinary collection bag should be changed when it is one-third full to prevent pulling of the
appliance and leakage. The remaining options identify correct statements about the care of a
urinary stoma.
A client is admitted to the emergency department following a motor vehicle accident. The client
was wearing a lap seat belt when the accident occurred and now the client has hematuria and
lower abdominal pain. To assess further whether the pain is caused by bladder trauma, the
nurse should ask the client if the pain is referred to which area?
Hip
Shoulder
Umbilicus
Costovertebral angle - correct answer ✔✔Shoulder due to the phrenic nerve.
Rationale:
Bladder trauma or injury is characterized by lower abdominal pain that may radiate to one of
the shoulders due to phrenic nerve irritation. Bladder injury pain does not radiate to the
umbilicus, costovertebral angle, or hip.
A male client has a tentative diagnosis of urethritis. The nurse should assess the client for which
manifestation of the disorder?
Hematuria and pyuria
Dysuria and proteinuria
Hematuria and urgency
Dysuria and penile discharge - correct answer ✔✔Dysuria and penile discharge
Rationale:
Urethritis in the male client often results from chlamydial infection and is characterized by
dysuria, which is accompanied by a clear to mucopurulent discharge. Because this disorder
often coexists with gonorrhea, diagnostic tests are done for both and include culture and rapid
assays.
& ANSWERS PASSED GRADED A+
A client arrives at the emergency department with complaints of low abdominal pain and
hematuria. The client is afebrile. The nurse next assesses the client to determine a history of
which condition?
Pyelonephritis
Glomerulonephritis
Trauma to the bladder or abdomen
Renal cancer in the client's family - correct answer ✔✔Pyelonephritis - fever - flank pain
Glomerulonephritis - fever, flank pain
Trauma to the bladder or abdomen - correct answer
Renal cancer in the client's family - no pain
Rationale:
Bladder trauma or injury should be considered or suspected in the client with low abdominal
pain and hematuria. Glomerulonephritis and pyelonephritis would be accompanied by fever
and are thus not applicable to the client described in this question. Renal cancer would not
cause pain that is felt in the low abdomen; rather, the pain would be in the flank area.
The nurse is assessing a client who has a new ureterostomy. Which statement by the client
indicates the need for more education about urinary stoma care?
"I change my pouch every week."
"I change the appliance in the morning."
"I empty the urinary collection bag when it is two-thirds full."
"When I'm in the shower I direct the flow of water away from my stoma." - correct answer
✔✔"I empty the urinary collection bag when it's two-thirds full."
Rationale:
, The urinary collection bag should be changed when it is one-third full to prevent pulling of the
appliance and leakage. The remaining options identify correct statements about the care of a
urinary stoma.
A client is admitted to the emergency department following a motor vehicle accident. The client
was wearing a lap seat belt when the accident occurred and now the client has hematuria and
lower abdominal pain. To assess further whether the pain is caused by bladder trauma, the
nurse should ask the client if the pain is referred to which area?
Hip
Shoulder
Umbilicus
Costovertebral angle - correct answer ✔✔Shoulder due to the phrenic nerve.
Rationale:
Bladder trauma or injury is characterized by lower abdominal pain that may radiate to one of
the shoulders due to phrenic nerve irritation. Bladder injury pain does not radiate to the
umbilicus, costovertebral angle, or hip.
A male client has a tentative diagnosis of urethritis. The nurse should assess the client for which
manifestation of the disorder?
Hematuria and pyuria
Dysuria and proteinuria
Hematuria and urgency
Dysuria and penile discharge - correct answer ✔✔Dysuria and penile discharge
Rationale:
Urethritis in the male client often results from chlamydial infection and is characterized by
dysuria, which is accompanied by a clear to mucopurulent discharge. Because this disorder
often coexists with gonorrhea, diagnostic tests are done for both and include culture and rapid
assays.
