Chapter 23, Urological Disorders
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which option indicates the minimum amount of urine the kidney produces in 1 day?
1. 250 mL
2. 400 mL
3. 550 mL
4. 700 mL
2. An older adult male client reports difficulty with urination. Which does the nurse identify as the
most common cause of urinary obstruction in men older than 60 years of age?
1. Cancers of the pelvic organs
2. Kidney stones
3. Benign prostate hyperplasia
4. Genetic mutation
3. Which information does the nurse provide to a client regarding the rate of recurrence of urolithiasis
within 5 years after it occurs in a client for the first time?
1. 35%
2. 45%
3. 52%
4. 62%
4. The nurse is providing care for a client with a spinal cord injury who is having difficulty urinating. If
the client is diagnosed with a calculi in the ureter, which type of stone does the nurse expect to be
present?
1. Calcium
2. Struvite
3. Uric acid
4. Cystine
5. The nurse is providing care for an adult female client who states, “I think I have a urinary infection.”
The client presents with frequency, pain on urination, urgency, and fever. Which is the most
important action for the nurse to perform?
1. Administers prescribed pain medication
2. Reports a possibility of pyelonephritis
3. Collects sterile urine sample for culture
4. Explains the necessity of increased fluids
6. The nurse is teaching an in-service to nurses about the epidemiology of lower urinary tract infections
(UTIs). Which statement made by an attending nurse indicates a need for clarification?
1. “Young adult women are more likely to suffer a lower UTI than are young adult
men.”
2. “Up to 40% of men in the United States, aged 20 to 40 years, have suffered a lower
UTI.”
3. “Benign prostate hyperplasia is a common cause of UTI in men older than 60 years
, of age.”
4. “Approximately 50% of all women are believed to have had a UTI at some point in
their lifetime.”
7. The nurse is reviewing the pathology report on a kidney stone passed by a client. If the client’s stone
is identified as a cysteine stone, which type of client teaching does the nurse perform?
1. Hypercalcemia
2. Ingestion of proteins
3. A genetic disorder
4. Anatomical abnormalities
8. Which statement about the pathophysiology of lower urinary tract infections (UTIs) is true?
1. The low osmolarity of urine diminishes bacterial viability in the bladder.
2. Any obstruction of urinary outflow decreases the bladder’s resistance to bacterial
infection.
3. Immunoglobulin A (IgA) facilitates adherence of bacteria to the bladder wall.
4. The presence of IgA in women decreases the ability to combat bacterial invasion
of the bladder.
9. The nurse is counseling a female client who is experiencing urinary incontinence. Which
intervention does the nurse initiate for this client?
1. Explanation and directions for Kegel’s exercises
2. Importance of drinking more than 3 liters of fluid daily
3. Preparations needed before cystoscopic surgery
4. Benefits of sound wave N thUeR
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p yIoNnGtT
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10. Which is a risk factor for both bacterial and fungal urinary tract infections (UTIs)?
1. Urinary catheters
2. Diabetes mellitus
3. Antibiotic use
4. Stagnation of urine flow
11. Which observation is associated with the nonulcerative type of interstitial cystitis (IC)?
1. Thickening of bladder mucosa
2. Hemorrhages when the bladder is distended
3. Erythema on the inner bladder surface
4. Inflammation on the inner bladder wall
12. Which type of stone, in the case of urolithiasis, is associated with indwelling catheters?
1. Calcium
2. Struvite
3. Uric acid
4. Cystine
13. The nurse is preparing a client for urodynamic studies. Which information does the nurse tell the
client the study will provide?
1. Determines the extent of bladder overfilling
2. Provides views of the arterial system of the kidneys
3. Observes the actual process of voiding
, 4. Excludes masses in the pelvis or abdomen
14. The nurse is caring for an older adult client with a history of spinal injury that has necessitated the
long-term use of an indwelling urinary catheter. A routine urine culture reveals the presence of
Proteus mirabilis. For which complication does the nurse carefully monitor?
1. Prostate hyperplasia
2. Urosepsis
3. Vesicoureteral reflux
4. Urinary retention
15. The nurse is reviewing epidemiology of urolithiasis. Which conclusion drawn by the nurse indicates
the need for additional review?
1. “Urolithiasis occurs in 1 to 3 per 1,000 men.”
2. “Recurrence of calculi is 52% at 10 years after the initial incident.”
3. “Incidence of urolithiasis increases among men in their 20s.”
4. “The incidence of urolithiasis in women peaks in the late 50s.”
16. During a health screening a client’s urine culture shows a colony count of 110,000 bacteria. A
second culture confirms the initial finding. The client does not exhibit manifestations of a urinary
tract infection (UTI). Which nursing intervention does the nurse initiate?
1. Explaining the protocols for antibiotic therapy
2. Reinforcing the necessity of follow-up testing
3. Teaching the reasons to wipe from front to back
4. Focusing on the importance of good hand hygiene
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
17. The new nurse in the urology unit is comparing treatment methods for urolithiasis and urinary
incontinence. Which statement made by the nurse indicates proper understanding of the treatment
methods? Select all that apply.
1. “Local estrogen therapy is very effective in treating incontinence in women.”
2. “Kegel’s exercises are contraindicated in women with incontinence.”
3. “A transurethral catheter is recommended for long-term catheterization in the
treatment of incontinence.”
4. “Botulinum toxin injection is used as a last resort in the treatment of urolithiasis.”
5. “Hydrochlorothiazide is the drug of choice for the treatment of calcium stones.”
18. Which factors does a nurse identify as associated with the formation of struvite stones after
comparing struvite stones with calcium stones? Select all that apply.
1. Hypoparathyroidism
2. Dietary factors
3. Anatomical abnormalities in the urinary tract
4. Presence of urease-producing organisms
5. Neurological disorders of the bladder
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which option indicates the minimum amount of urine the kidney produces in 1 day?
1. 250 mL
2. 400 mL
3. 550 mL
4. 700 mL
2. An older adult male client reports difficulty with urination. Which does the nurse identify as the
most common cause of urinary obstruction in men older than 60 years of age?
1. Cancers of the pelvic organs
2. Kidney stones
3. Benign prostate hyperplasia
4. Genetic mutation
3. Which information does the nurse provide to a client regarding the rate of recurrence of urolithiasis
within 5 years after it occurs in a client for the first time?
1. 35%
2. 45%
3. 52%
4. 62%
4. The nurse is providing care for a client with a spinal cord injury who is having difficulty urinating. If
the client is diagnosed with a calculi in the ureter, which type of stone does the nurse expect to be
present?
1. Calcium
2. Struvite
3. Uric acid
4. Cystine
5. The nurse is providing care for an adult female client who states, “I think I have a urinary infection.”
The client presents with frequency, pain on urination, urgency, and fever. Which is the most
important action for the nurse to perform?
1. Administers prescribed pain medication
2. Reports a possibility of pyelonephritis
3. Collects sterile urine sample for culture
4. Explains the necessity of increased fluids
6. The nurse is teaching an in-service to nurses about the epidemiology of lower urinary tract infections
(UTIs). Which statement made by an attending nurse indicates a need for clarification?
1. “Young adult women are more likely to suffer a lower UTI than are young adult
men.”
2. “Up to 40% of men in the United States, aged 20 to 40 years, have suffered a lower
UTI.”
3. “Benign prostate hyperplasia is a common cause of UTI in men older than 60 years
, of age.”
4. “Approximately 50% of all women are believed to have had a UTI at some point in
their lifetime.”
7. The nurse is reviewing the pathology report on a kidney stone passed by a client. If the client’s stone
is identified as a cysteine stone, which type of client teaching does the nurse perform?
1. Hypercalcemia
2. Ingestion of proteins
3. A genetic disorder
4. Anatomical abnormalities
8. Which statement about the pathophysiology of lower urinary tract infections (UTIs) is true?
1. The low osmolarity of urine diminishes bacterial viability in the bladder.
2. Any obstruction of urinary outflow decreases the bladder’s resistance to bacterial
infection.
3. Immunoglobulin A (IgA) facilitates adherence of bacteria to the bladder wall.
4. The presence of IgA in women decreases the ability to combat bacterial invasion
of the bladder.
9. The nurse is counseling a female client who is experiencing urinary incontinence. Which
intervention does the nurse initiate for this client?
1. Explanation and directions for Kegel’s exercises
2. Importance of drinking more than 3 liters of fluid daily
3. Preparations needed before cystoscopic surgery
4. Benefits of sound wave N thUeR
raS
p yIoNnGtT
heBb.laCdO
deMr
10. Which is a risk factor for both bacterial and fungal urinary tract infections (UTIs)?
1. Urinary catheters
2. Diabetes mellitus
3. Antibiotic use
4. Stagnation of urine flow
11. Which observation is associated with the nonulcerative type of interstitial cystitis (IC)?
1. Thickening of bladder mucosa
2. Hemorrhages when the bladder is distended
3. Erythema on the inner bladder surface
4. Inflammation on the inner bladder wall
12. Which type of stone, in the case of urolithiasis, is associated with indwelling catheters?
1. Calcium
2. Struvite
3. Uric acid
4. Cystine
13. The nurse is preparing a client for urodynamic studies. Which information does the nurse tell the
client the study will provide?
1. Determines the extent of bladder overfilling
2. Provides views of the arterial system of the kidneys
3. Observes the actual process of voiding
, 4. Excludes masses in the pelvis or abdomen
14. The nurse is caring for an older adult client with a history of spinal injury that has necessitated the
long-term use of an indwelling urinary catheter. A routine urine culture reveals the presence of
Proteus mirabilis. For which complication does the nurse carefully monitor?
1. Prostate hyperplasia
2. Urosepsis
3. Vesicoureteral reflux
4. Urinary retention
15. The nurse is reviewing epidemiology of urolithiasis. Which conclusion drawn by the nurse indicates
the need for additional review?
1. “Urolithiasis occurs in 1 to 3 per 1,000 men.”
2. “Recurrence of calculi is 52% at 10 years after the initial incident.”
3. “Incidence of urolithiasis increases among men in their 20s.”
4. “The incidence of urolithiasis in women peaks in the late 50s.”
16. During a health screening a client’s urine culture shows a colony count of 110,000 bacteria. A
second culture confirms the initial finding. The client does not exhibit manifestations of a urinary
tract infection (UTI). Which nursing intervention does the nurse initiate?
1. Explaining the protocols for antibiotic therapy
2. Reinforcing the necessity of follow-up testing
3. Teaching the reasons to wipe from front to back
4. Focusing on the importance of good hand hygiene
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
17. The new nurse in the urology unit is comparing treatment methods for urolithiasis and urinary
incontinence. Which statement made by the nurse indicates proper understanding of the treatment
methods? Select all that apply.
1. “Local estrogen therapy is very effective in treating incontinence in women.”
2. “Kegel’s exercises are contraindicated in women with incontinence.”
3. “A transurethral catheter is recommended for long-term catheterization in the
treatment of incontinence.”
4. “Botulinum toxin injection is used as a last resort in the treatment of urolithiasis.”
5. “Hydrochlorothiazide is the drug of choice for the treatment of calcium stones.”
18. Which factors does a nurse identify as associated with the formation of struvite stones after
comparing struvite stones with calcium stones? Select all that apply.
1. Hypoparathyroidism
2. Dietary factors
3. Anatomical abnormalities in the urinary tract
4. Presence of urease-producing organisms
5. Neurological disorders of the bladder
