PROBLEMS EXAM 2025
1. A patient is experiencing urinary retention. Which teaching should the
nurse provide about the Credé's maneuver?
Contract the pelvic floor muscles several times a day.
Breathe deeply and slowly as the urinary catheter is advanced into
the meatus.
Use manual pressure on the bladder when urinating.
Hold the irrigation solution in the bladder for as long as possible
before releasing.
2. Which factor does the nurse suspect to be responsible for cystitis due to
a fungal infection in a patient?
Drinking about 3 liters of water every day
Consumption of high-fiber food
Prolonged use of antibiotics
Exposure to radiation therapy
3. The nurse collects data about a patient regarding a risk for stress
incontinence. What is a major contributing factor for this condition?
Weak pelvic muscles
Cognitive impairment
Decreased bladder capacity
Spinal cord dysfunction
,4. What is the primary cause of stress urinary incontinence as identified by
nurses?
Weak pelvic muscles
, Decreased bladder capacity
Spasmodic bladder
Impaired cognition
5. A patient with bladder cancer expresses concern about the potential
need for a colostomy. What should the nurse include in the patient's
education?
Respiratory exercises
Eye care
Diabetes management
Stoma care and potential complications
6. Describe the significance of flank pain in relation to kidney stones and
how it may present in patients.
Flank pain is unrelated to kidney stones and indicates a urinary
tract infection.
Flank pain indicates the presence of kidney stones and may
radiate to other areas such as the scrotum.
Flank pain is only present in patients with urinary incontinence.
Flank pain is a common symptom of dehydration and not kidney
stones.
7. Which principles regarding discharge activities would the certified
wound, ostomy and continence nurse teach a patient who has had a
cystectomy
nutritional care
wiping from from to back (asepsis)
stoma and pouch care
respiratory care
, 8. What is the recommended daily fluid intake to help prevent urinary tract
infections according to nursing guidelines?
1.5 to 2.5 liters
3 liters
1000 mL
500 mL
9. Which diagnostic test is indicated for assessing kidney function in patients
with renal impairment?
Magnetic resonance imaging
Nuclear renal scan
Computed tomography
Radiography
10. What is a common complication associated with the use of an indwelling
catheter in older patients?
Urine retention
Damage to tissues
Risk for infection
Skin breakdown
11. A cognitively impaired client has urge incontinence. Which method for
achieving continence does the nurse include in the client's care plan?
Bladder training
Kegel exercises
Habit training
Credé method