NSG 3850 Exam 3
1.
A nurse is educating a client about stress urinary incontinence (SUI). Which statement
by the nurse is accurate?
A. “Stress urinary incontinence occurs because the bladder becomes infected.”
B. “This condition is commonly related to weakening of pelvic floor support.”
C. “SUI only affects older women after menopause.”
D. “The main cause is emotional stress.”
Correct Answer: B
Rationale: Stress urinary incontinence usually occurs when pelvic floor muscles and
tissues lose strength and support, leading to leakage during activities that increase
abdominal pressure such as coughing or sneezing.
2.
A nursing student is reviewing urinary incontinence disorders. Which statement
demonstrates correct understanding?
A. “Stress incontinence is caused by bladder irritation.”
B. “Overflow incontinence develops from emotional stress.”
C. “Neurologic damage can interfere with bladder signaling.”
D. “Pregnancy most commonly causes urge incontinence.”
Correct Answer: C
Rationale: Neurologic disorders can disrupt nerve communication to the bladder,
resulting in neurogenic bladder dysfunction and incontinence.
3.
,A female client reports urine leakage. Which factor would most likely trigger stress
incontinence?
A. Drinking alcohol
B. Taking diuretics
C. Coughing episodes
D. History of ovarian cysts
Correct Answer: C
Rationale: Activities that increase intra abdominal pressure, including coughing,
laughing, or sneezing, commonly trigger stress incontinence.
4.
An older adult diagnosed with cystitis is most likely to present with which symptom?
A. Diarrhea
B. Delirium or confusion
C. Severe headache
D. Skin rash
Correct Answer: B
Rationale: Older adults with urinary tract infections often present atypically with
confusion, agitation, or delirium instead of classic urinary symptoms.
5.
A nurse is teaching about bladder infections. Which statement by the client indicates
additional teaching is needed?
A. “Poor hygiene can increase infection risk.”
B. “Urination helps flush bacteria from the bladder.”
C. “High blood pressure and dark urine are common symptoms.”
, D. “Men with UTIs may have underlying conditions.”
Correct Answer: C
Rationale: Hypertension and dark urine are not common findings of uncomplicated
bladder infections. Typical manifestations include urgency, frequency, dysuria, and
suprapubic discomfort.
6.
Which factor commonly contributes to acute pyelonephritis?
A. Anatomic abnormalities
B. Excessive exercise
C. Low sodium intake
D. Hyperthyroidism
Correct Answer: A
Rationale: Structural abnormalities in the urinary tract can promote urinary stasis and
bacterial ascent into the kidneys.
7.
A client with acute pyelonephritis is expected to experience which symptom?
A. Severe chills and fever
B. Pink frothy sputum
C. Abdominal bloating only
D. Painless urination
Correct Answer: A
Rationale: Pyelonephritis commonly causes systemic infection symptoms including
fever, chills, flank pain, and malaise.
1.
A nurse is educating a client about stress urinary incontinence (SUI). Which statement
by the nurse is accurate?
A. “Stress urinary incontinence occurs because the bladder becomes infected.”
B. “This condition is commonly related to weakening of pelvic floor support.”
C. “SUI only affects older women after menopause.”
D. “The main cause is emotional stress.”
Correct Answer: B
Rationale: Stress urinary incontinence usually occurs when pelvic floor muscles and
tissues lose strength and support, leading to leakage during activities that increase
abdominal pressure such as coughing or sneezing.
2.
A nursing student is reviewing urinary incontinence disorders. Which statement
demonstrates correct understanding?
A. “Stress incontinence is caused by bladder irritation.”
B. “Overflow incontinence develops from emotional stress.”
C. “Neurologic damage can interfere with bladder signaling.”
D. “Pregnancy most commonly causes urge incontinence.”
Correct Answer: C
Rationale: Neurologic disorders can disrupt nerve communication to the bladder,
resulting in neurogenic bladder dysfunction and incontinence.
3.
,A female client reports urine leakage. Which factor would most likely trigger stress
incontinence?
A. Drinking alcohol
B. Taking diuretics
C. Coughing episodes
D. History of ovarian cysts
Correct Answer: C
Rationale: Activities that increase intra abdominal pressure, including coughing,
laughing, or sneezing, commonly trigger stress incontinence.
4.
An older adult diagnosed with cystitis is most likely to present with which symptom?
A. Diarrhea
B. Delirium or confusion
C. Severe headache
D. Skin rash
Correct Answer: B
Rationale: Older adults with urinary tract infections often present atypically with
confusion, agitation, or delirium instead of classic urinary symptoms.
5.
A nurse is teaching about bladder infections. Which statement by the client indicates
additional teaching is needed?
A. “Poor hygiene can increase infection risk.”
B. “Urination helps flush bacteria from the bladder.”
C. “High blood pressure and dark urine are common symptoms.”
, D. “Men with UTIs may have underlying conditions.”
Correct Answer: C
Rationale: Hypertension and dark urine are not common findings of uncomplicated
bladder infections. Typical manifestations include urgency, frequency, dysuria, and
suprapubic discomfort.
6.
Which factor commonly contributes to acute pyelonephritis?
A. Anatomic abnormalities
B. Excessive exercise
C. Low sodium intake
D. Hyperthyroidism
Correct Answer: A
Rationale: Structural abnormalities in the urinary tract can promote urinary stasis and
bacterial ascent into the kidneys.
7.
A client with acute pyelonephritis is expected to experience which symptom?
A. Severe chills and fever
B. Pink frothy sputum
C. Abdominal bloating only
D. Painless urination
Correct Answer: A
Rationale: Pyelonephritis commonly causes systemic infection symptoms including
fever, chills, flank pain, and malaise.
