UROLOGY EXAM QUESTIONS WITH CORRECT
SOLUTIONS
What is the hormone from the posterior pituitary gland that influences the amount of water that is
eliminated with the urine?
c. Antidiuretic hormone (ADH)
As the body breaks down protein, nitrogen wastes are broken down into urea, ammonia, and:
d. creatinine.
Because the kidneys are located in proximity to the vertebrae and are protected by the ribs, their
location in documentation is referred to as:
retroperitoneal.
A home health patient with end-stage renal disease (ESRD) has a patient problem of powerlessness
related to life-altering disease. Which nursing intervention would be most helpful?
b. Include the patient in making the plan of care.
What portion of the nephron is involved with filtration?
Glomerulus of the Bowman capsule
When the home health patient is started on dialysis, the home health nurse refers the patient to a
community support group that assists with the adjustments necessary to living with dialysis. Which
group offers this service?
b. American Association of Kidney Patients
The nurse is aware that as a person ages there is a loss of the mechanism of the kidney due to a
decrease in blood supply to the kidneys and loss of nephrons.
filtering
1
, A patient who is receiving continuous bladder irrigation following a transurethral resection of the
prostate (TURP) complains of “spasm-like” pain over his lower abdomen. What
should the initial intervention be by the nurse?
d. Check the catheter and drainage system for obstruction. ANS: D
A 56-year-old patient with cancer of the bladder is recovering from a cystectomy with an ileal
conduit. What is an important aspect in nursing interventions of the patient with an ileal conduit?
Instructing the patient to void when the urge is felt
It is 2 days after a 42-year-old male patient’s urinary diversion surgery. He continues to be critical of
the hospital and the nursing care, even though the staff has spent time explaining the care to him.
What is the most likely explanation for his behavior?
d. He is reacting to the loss of self-esteem and altered body image.
What should the nurse encourage, barring any other contraindication, when teaching a patient how
to decrease the chance of further problems with urolithiasis?
Increase his fluid intake.
The nurse notes the amount and color of the urine the patient with urolithiasis has voided. While
using Standard Precautions, what should be the nurse’s next action?
d. Strain the urine.
The nurse assessing a patient who is taking furosemide (Lasix) finds an irregular pulse. This is likely a
sign of:
c. hypokalemia.
The patient with nephrosis complains about the need for bed rest. How would the nurse explain the
benefit of bed rest?
The recumbent position may initiate diuresis.
What should the nurse instruct the patient to do before obtaining the urine specimen for a urine
culture?
2
SOLUTIONS
What is the hormone from the posterior pituitary gland that influences the amount of water that is
eliminated with the urine?
c. Antidiuretic hormone (ADH)
As the body breaks down protein, nitrogen wastes are broken down into urea, ammonia, and:
d. creatinine.
Because the kidneys are located in proximity to the vertebrae and are protected by the ribs, their
location in documentation is referred to as:
retroperitoneal.
A home health patient with end-stage renal disease (ESRD) has a patient problem of powerlessness
related to life-altering disease. Which nursing intervention would be most helpful?
b. Include the patient in making the plan of care.
What portion of the nephron is involved with filtration?
Glomerulus of the Bowman capsule
When the home health patient is started on dialysis, the home health nurse refers the patient to a
community support group that assists with the adjustments necessary to living with dialysis. Which
group offers this service?
b. American Association of Kidney Patients
The nurse is aware that as a person ages there is a loss of the mechanism of the kidney due to a
decrease in blood supply to the kidneys and loss of nephrons.
filtering
1
, A patient who is receiving continuous bladder irrigation following a transurethral resection of the
prostate (TURP) complains of “spasm-like” pain over his lower abdomen. What
should the initial intervention be by the nurse?
d. Check the catheter and drainage system for obstruction. ANS: D
A 56-year-old patient with cancer of the bladder is recovering from a cystectomy with an ileal
conduit. What is an important aspect in nursing interventions of the patient with an ileal conduit?
Instructing the patient to void when the urge is felt
It is 2 days after a 42-year-old male patient’s urinary diversion surgery. He continues to be critical of
the hospital and the nursing care, even though the staff has spent time explaining the care to him.
What is the most likely explanation for his behavior?
d. He is reacting to the loss of self-esteem and altered body image.
What should the nurse encourage, barring any other contraindication, when teaching a patient how
to decrease the chance of further problems with urolithiasis?
Increase his fluid intake.
The nurse notes the amount and color of the urine the patient with urolithiasis has voided. While
using Standard Precautions, what should be the nurse’s next action?
d. Strain the urine.
The nurse assessing a patient who is taking furosemide (Lasix) finds an irregular pulse. This is likely a
sign of:
c. hypokalemia.
The patient with nephrosis complains about the need for bed rest. How would the nurse explain the
benefit of bed rest?
The recumbent position may initiate diuresis.
What should the nurse instruct the patient to do before obtaining the urine specimen for a urine
culture?
2
