Urinary Elimination & specimen Collection Exam
Questions and Answers A+ Graded (2025)
1. Kidneys: .remove .waste .from .the .blood .to .form .urine
2. ureters: .transport .urine .from .the .kidneys .to .the .bladder
3. bladder: .reservoirs .for .urine .until .the .urge .to .urinate .develops
4. urethra: .urine .travels .from .the .bladder .and .exits .through .the .urethral .meatus
5. Physical .assessment .of .the .Renal .or .Urinary .System: .1.hydration .(skin .turgor)
2. Kidney .pain .(infection .& .inflammation)
3. Bladder .distention
4. Meatus/ .urethra .(discharge, .inflammation, .and .lesions)
6. Assessing .the .Urinary .System: .A.Skin .and .Mucosal .Membranes
-Assess .hydration
.B.Kidneys
-Flank .pain .may .occur .with .infection .or .inflammation
.C.Bladder
-Distended .bladder .rises .above .symphysis .pubis
.D.Urethral .Meatus
-Observe .for .discharge, .inflammation, .and .lesions
7. what .is .the .minimum .intake .and .output .for .assessment .of .urine?: .30 .ml/hr
8. what .color .should .urine .be?: .pale-straw .to .amber .color
9. what .should .you .look .for .with .clarity .of .urine: .transparent .unless .pathology .is
.present
10. what .should .urine .smell .like?: .ammonia .in .nature .(stronger=more)
11. •Assessing .the .female .client .would .be .best .in .this .position: .dorsal .recum-
.bent
12. Foley .insertion: .1..Ask .the .patient .to .take .a .deep .breath .and .slowly .exhale .while
.you .insert .the .catheter .tip. .2. .Advance .it .2 .to .3 .inches .until .urine .flow .starts.
3. .Advance .it .another .1 .to .2 .inches .to .make .sure .it's .in .the .bladder. .If .you .meet
.resistance, .slightly .rotate .the .catheter .or .maintain .pressure .on .it .until .the .sphincter
.relaxes
13. when .to .use .antimicrobial .solution .( .chlorhexidine): .if .pt .is .ordered .a .culture
, .and .sensitivity .(C&S) .the .hub .of .the .port .should .be .wiped .with .this .solution
14. intermittent .urethral .catheter .(straight): .used .to .drain .the .bladder .for .shorter
.periods .(5-10 .mins)
15. Indwelling .urinary .catheter .(foley): .used .when .a .catheter .is .to .remain .in .place
.for .continuous .drainage
- designed .using .an .inflated .balloon .so .that .it .does .not .slip .out .of .bladder
16. where .are .urine .specimens .collected .from .indwelling .catheters?: .speci-
.mens .are .collected .without .opening .drainage .system .using .a .special .port .in .tubing
Questions and Answers A+ Graded (2025)
1. Kidneys: .remove .waste .from .the .blood .to .form .urine
2. ureters: .transport .urine .from .the .kidneys .to .the .bladder
3. bladder: .reservoirs .for .urine .until .the .urge .to .urinate .develops
4. urethra: .urine .travels .from .the .bladder .and .exits .through .the .urethral .meatus
5. Physical .assessment .of .the .Renal .or .Urinary .System: .1.hydration .(skin .turgor)
2. Kidney .pain .(infection .& .inflammation)
3. Bladder .distention
4. Meatus/ .urethra .(discharge, .inflammation, .and .lesions)
6. Assessing .the .Urinary .System: .A.Skin .and .Mucosal .Membranes
-Assess .hydration
.B.Kidneys
-Flank .pain .may .occur .with .infection .or .inflammation
.C.Bladder
-Distended .bladder .rises .above .symphysis .pubis
.D.Urethral .Meatus
-Observe .for .discharge, .inflammation, .and .lesions
7. what .is .the .minimum .intake .and .output .for .assessment .of .urine?: .30 .ml/hr
8. what .color .should .urine .be?: .pale-straw .to .amber .color
9. what .should .you .look .for .with .clarity .of .urine: .transparent .unless .pathology .is
.present
10. what .should .urine .smell .like?: .ammonia .in .nature .(stronger=more)
11. •Assessing .the .female .client .would .be .best .in .this .position: .dorsal .recum-
.bent
12. Foley .insertion: .1..Ask .the .patient .to .take .a .deep .breath .and .slowly .exhale .while
.you .insert .the .catheter .tip. .2. .Advance .it .2 .to .3 .inches .until .urine .flow .starts.
3. .Advance .it .another .1 .to .2 .inches .to .make .sure .it's .in .the .bladder. .If .you .meet
.resistance, .slightly .rotate .the .catheter .or .maintain .pressure .on .it .until .the .sphincter
.relaxes
13. when .to .use .antimicrobial .solution .( .chlorhexidine): .if .pt .is .ordered .a .culture
, .and .sensitivity .(C&S) .the .hub .of .the .port .should .be .wiped .with .this .solution
14. intermittent .urethral .catheter .(straight): .used .to .drain .the .bladder .for .shorter
.periods .(5-10 .mins)
15. Indwelling .urinary .catheter .(foley): .used .when .a .catheter .is .to .remain .in .place
.for .continuous .drainage
- designed .using .an .inflated .balloon .so .that .it .does .not .slip .out .of .bladder
16. where .are .urine .specimens .collected .from .indwelling .catheters?: .speci-
.mens .are .collected .without .opening .drainage .system .using .a .special .port .in .tubing
