Deck 20: Urinary System

Question 1

During the assessment of a client with multiple injuries,the nurse notices a large hematoma located at the left costovertebral angle.The nurse should suspect injury to which of the following organs?
1)Kidney
2)Ribs
3)Intestines
4)Bladder

Answer 1

1

Question 2

The nurse is caring for a client admitted with an infection of the ureters.The nurse realizes this infection could include which of the following structures of the kidney?
1)Capsule
2)Cortex
3)Medulla
4)Pelvis

Answer 2

4

Question 3

The nurse is percussing over the client's symphysis pubis area and notes a dull tone.The nurse understands that this represents which of the following?
1)The right kidney
2)A full bladder
3)A bladder tumor
4)Air trapped in the intestines

Answer 3

2

Question 4

A client presents with a medical diagnosis of uremia.The nurse expects to find which symptoms?
1)Itching
2)Weight loss
3)Altered mental status
4)Fluid retention
5)Insomnia

Question 5

The nurse is caring for a baby with newly diagnosed renal disease.The nurse would anticipate diagnostic tests to evaluate functioning of which of the following sytems to be the highest priority?
1)Ears
2)Heart
3)Lungs
4)Joints

Question 6

The nurse is preparing an educational session on kidney health for a church group.Which of the following groups would the nurse note to have the highest incidence of end-stage renal disease?
1)Mexicans
2)Asians
3)African Americans
4)American Indians

Question 7

The nurse is collecting a urine specimen from a client and notes the urine is foamy and amber in color.The nurse would suspect which of the following in this situation?
1)Kidney stones
2)Urinary tract infection
3)Prostate disease
4)Liver disease

Question 8

Since returning from surgery the client has not voided for 8 hours;therefore,the nurse determines it is necessary to assess the client for bladder distention.The nurse would palpate for bladder distention with the client in which of the following positions?
1)Supine with only a small pillow under their head.
2)Prone position
3)Sitting in bed at a 45-degree angle
4)Lying in a left lateral position

Question 9

The nurse is assessing a client admitted for oliguria of unknown origin.During the admission,the client asks the nurse what affects urinary output.The nurse would list which of the following when responding?
1)Bladder size
2)Bowel patterns
3)Medications
4)Client temperature
5)Fluid intake

Question 10

The nurse is teaching an adult client who is participating in rehabilitation for bladder retraining.Which of the following amounts of urine would cause the bladder to distend above the symphisis pubis?
1)100 ml
2)200 ml
3)500 ml
4)700 ml

Question 11

A client has a spinal cord injury with paralysis at C5 level.When completing discharge teaching,which of the following client statements would require further teaching?
1)"I need to perform self-catheterization three times daily."
2)"I know I cannot look to see if my bladder is full."
3)"I need to avoid bladder distention."
4)"I'll drink adequate amounts of liquids."

Question 12

The nurse is interviewing a client regarding urinary health.Which questions would the nurse include during the collection of subjective data?
1)"Do you have difficulty starting your stream of urine?"
2)"After you urinate,does your bladder feel full or empty?"
3)"Do you ever have an accident or wet yourself when you sneeze?"
4)"Do you have to hurry to the bathroom when you have to urinate?"
5)"Do you know the results of your recent urine analysis tests?"

Question 13

The nurse is obtaining a medication history on a newly admitted client with renal dysfunction.Which of the following medication classifications would the nurse note as significant for this client?
1)Antihypertensives
2)Analgesics
3)Antihyperlipidemics
4)Diuretics

Question 14

The nurse is preparing an educational session on kidney health for a church group.Which of the following would the nurse include as the leading cause of end-stage renal disease?
1)Diabetes mellitus
2)Alcoholism
3)Hypertension
4)Cardiovascular disease
5)Obesity

Question 15

The nurse is admitting a client with constant,severe flank pain,spasms,nausea and vomiting,and oliguria.The client states that the pain was initially intermittent and radiated from the low back to the lower quadrants of the abdomen.The nurse's next action is to:
1)administer pain medication.
2)notify the healthcare provider immediately.
3)obtain a urine specimen for culture.
4)complete the assessment.

Question 16

A client experienced blood loss from surgery.What is the impact of this blood loss on the kidney's functioning?
1)Altered filtering ability of the kidneys
2)No impact on kidney function
3)Absorption of calcium and phosphate decreased
4)Stimulation of the kidneys to produce erythropoietin

Question 17

The nurse is interviewing an elderly client in the clinic that reports incontinence.Numerous attempts in the recent past have been unsuccessful in helping to control the problem.A priority nursing diagnosis to consider for this client is which of the following?
1)Skin integrity impairment
2)Self-care deficit
3)Self-esteem,situational-low
4)Infection

Question 18

The nurse is performing a urinary system assessment and wishes to percuss at the right costovertebral angle.Draw an arrow to the spot where the nurse would find this.

Question 19

The nurse is palpating the left flank area and feels a sharp edge with definite delineated margins.The nurse is most likely palpating which of the following?
1)An enlarged spleen
2)An enlarged kidney
3)The colon
4)A distended bladder

Question 20

A client's blood pressure suddenly falls from 120/80 to 90/60.Which of the following is a major role of the kidney in this situation?
1)Increasing hydrostatic pressure
2)Release of renin
3)Increasing glomerular filtration rate
4)Dilation of renal vessels

Question 21

An elderly female comes into the clinic to be seen for urinary incontinence.The nurse recognizes that this problem:
1)Is common with aging.
2)Often occurs as a secondary problem.
3)Indicates decreased renal blood flow.
4)Is related to medications.

Question 22

A postpartum client with a difficult vaginal delivery 36 hours ago tells the nurse that she has not felt the need to void much since delivery.The nurse would respond with which of the following statements?
1)"The inside of your bladder is most likely swollen,which makes you feel like you don't have to urinate."
2)"You must be overdoing it with your activity level so soon after delivery."
3)"I will need to catheterize you."
4)"Your uterus must not be enlarged any longer."

Question 23

The nurse is measuring the urinary output for a client and notes 450 ml of urine.The nurse would determine that this urine amounts is:
1)Decreased from normal.
2)Concentrated from what is normal.
3)Increased from normal.
4)Normal amount.

Question 24

The nurse is preparing a client for assessment of the urinary system.The nurse would include which of the following assessment techniques in this examination?
1)Inspection
2)Palpation
3)Percussion
4)Auscultation
5)Client interview

Question 25

During the assessment of a client's renal system,the nurse is unable to palpate the kidneys.This nurse would consider this finding as:
1)An indication of an inflammatory condition of the kidneys.
2)A sign of acute or chronic renal disease.
3)Normal.
4)A sign of polycystic kidney disease.

Question 26

A client is admitted with possible renal calculi.The client asks,"Are there are any tests that can be performed to show the doctor if there are any kidney stones?" The nurse would be correct in responding:
1)"The intravenous pyelogram will allow the healthcare provider to visualize kidney stones."
2)"A 24-hour urine specimen will allow the healthcare provider to visualize kidney stones."
3)"A routine urinalysis will allow the healthcare provider to visualize kidney stones."
4)"A kidney biopsy will allow the healthcare provider to visualize kidney stones."

Question 27

A teenage girl visits the school nurse to ask why she is getting frequent urinary tract infections.Which of the following questions should the nurse ask the client during this visit?
1)"Have you been eating foods that have high acidity?"
2)"Do you drink a lot of milk?"
3)"Do you take bubble baths frequently?"
4)"What direction do you wipe after a bowel movement?"
5)"Do you have a family history of urinary tract infections?"

Question 28

The nurse is able to percuss a dull tone over a client's bladder after the client has voided 300 ml of urine.The nurse would conclude which of the following is most likely the cause of this finding?
1)This is a normal finding
2)Possible urinary tract infection
3)This is a sign of prostate enlargement
4)Probable urinary retention

Question 29

During the assessment of a client's urinary system,the nurse learns that the client has painful urination.The nurse would document this finding as:
1)Dysuria.
2)Hematuria.
3)Oliguria.
4)Polyuria.

Question 30

Draw an arrow to the structure in the kidney that is made up of pyramids and calyces,whose function is to collect urine and transport it into the renal pelvis.

Question 31

The nurse is interviewing a client who states the presence of urinary incontinence with coughing and sneezing.The nurse would correctly document this type of incontinence as which of the following?
1)Functional
2)Reflex
3)Stress
4)Urge

Question 32

The nurse is assessing a client after a motor vehicle accident and notes the presence of ecchymosis in the left flank area.The nurse would interpret this finding as which of the following?
1)Positive Grey Turner's sign
2)Costovertebral angle tenderness
3)Possible clotting dysfunction
4)A precursor to hematuria

Question 33

The nurse is preparing to catheterize a client after the client has just independently voided.The purpose of this catheterization would be to:
1)serve as a urine output baseline.
2)support the diagnosis of kidney stones.
3)evaluate the ability of the client to empty the bladder.
4)evaluate renal function.