Nursing School Test Banks
Chapter 42: Urologic Disorders
Chapter 42: Urologic Disorders
Linton: Introduction to Medical-Surgical Nursing, 6th Edition
MULTIPLE CHOICE
1. A nurse is assessing a patient with renal impairment. Which facial characteristic is a sign of fl
a. Broken blood vessels around the nose
b. Periorbital edema
c. Rash on cheeks and neck
d. Facial twitching
ANS: B
Periorbital edema is a sign of fluid retention. Because the patient with renal impairment has ge
ma, this facial feature is extremely significant in assessing edema.
DIF: Cognitive Level: Comprehension REF: p. 895 OBJ: 1
TOP: Sign of Fluid Retention KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
2. What laboratory value change should indicate to a nurse that a patient with renal failure has
oliguric stage?
a. Blood urea nitrogen (BUN) level rises.
b. Serum calcium increases.
c. Blood volume decreases.
d. Urine osmolality increases.
ANS: A
In the oliguric stage of renal failure, the urine output decreases to less than 400 mL/day; the BU
and potassium increase; and the serum calcium decreases. The patient becomes hypervolemic
molality increases.
, MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. What should nursing care focus on when caring for a patient with a ureteral catheter in place
moval of a kidney stone?
a. Irrigating the catheter regularly
b. Assessing for patency
c. Including ureteral output with the bladder output
d. Early ambulation
ANS: B
Patency of the ureteral catheter is essential to prevent injury to the kidney. The patient is on be
ureteral catheter is removed. The output from the ureteral catheter is measured and recorded
irrigation, if performed, is not done on a regular schedule and is not more than 5 mL.
DIF: Cognitive Level: Application REF: p. 903 OBJ: 2
TOP: Ureteral Catheter KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
4. What is true about the urine osmolality when the kidney is adequately functioning?
a. Equal to the osmolality of the serum
b. Approximately half of the serum
c. In a ratio of 10:1 with the serum
d. Equal to the excretion of urea
ANS: A
If the blood osmolality is high, the kidneys need to dilute the blood and excrete more concentra
the reverse is true. The osmolality of the serum and the urine should be equal.
DIF: Cognitive Level: Comprehension REF: p. 885 OBJ: 2
TOP: Kidney Function Tests KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
5. Which urine test provides the most accurate measurement of renal function?
a. BUN
b. Phosphates
c. Specific gravity
d. Creatinine
ANS: D
Creatinine is not affected by diet, hydration, or liver function and is a better measurement of liv
than the BUN.
Chapter 42: Urologic Disorders
Chapter 42: Urologic Disorders
Linton: Introduction to Medical-Surgical Nursing, 6th Edition
MULTIPLE CHOICE
1. A nurse is assessing a patient with renal impairment. Which facial characteristic is a sign of fl
a. Broken blood vessels around the nose
b. Periorbital edema
c. Rash on cheeks and neck
d. Facial twitching
ANS: B
Periorbital edema is a sign of fluid retention. Because the patient with renal impairment has ge
ma, this facial feature is extremely significant in assessing edema.
DIF: Cognitive Level: Comprehension REF: p. 895 OBJ: 1
TOP: Sign of Fluid Retention KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
2. What laboratory value change should indicate to a nurse that a patient with renal failure has
oliguric stage?
a. Blood urea nitrogen (BUN) level rises.
b. Serum calcium increases.
c. Blood volume decreases.
d. Urine osmolality increases.
ANS: A
In the oliguric stage of renal failure, the urine output decreases to less than 400 mL/day; the BU
and potassium increase; and the serum calcium decreases. The patient becomes hypervolemic
molality increases.
, MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. What should nursing care focus on when caring for a patient with a ureteral catheter in place
moval of a kidney stone?
a. Irrigating the catheter regularly
b. Assessing for patency
c. Including ureteral output with the bladder output
d. Early ambulation
ANS: B
Patency of the ureteral catheter is essential to prevent injury to the kidney. The patient is on be
ureteral catheter is removed. The output from the ureteral catheter is measured and recorded
irrigation, if performed, is not done on a regular schedule and is not more than 5 mL.
DIF: Cognitive Level: Application REF: p. 903 OBJ: 2
TOP: Ureteral Catheter KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
4. What is true about the urine osmolality when the kidney is adequately functioning?
a. Equal to the osmolality of the serum
b. Approximately half of the serum
c. In a ratio of 10:1 with the serum
d. Equal to the excretion of urea
ANS: A
If the blood osmolality is high, the kidneys need to dilute the blood and excrete more concentra
the reverse is true. The osmolality of the serum and the urine should be equal.
DIF: Cognitive Level: Comprehension REF: p. 885 OBJ: 2
TOP: Kidney Function Tests KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
5. Which urine test provides the most accurate measurement of renal function?
a. BUN
b. Phosphates
c. Specific gravity
d. Creatinine
ANS: D
Creatinine is not affected by diet, hydration, or liver function and is a better measurement of liv
than the BUN.
