The Urinary System and Related Care Exam Prep Chapter 22

Chapter 22

Multiple Choice Questions

1. Urine formation is the complex process that

A) regulates the body's fluids, electrolytes, blood pressure, and pH

B) cleans blood plasma of unnecessary substances

C) removes waste products from the body

D) all of the above

LO#1-Describe the anatomy and physiology of the urinary system.

2. When a client experiences a fluid loss, or a decrease in the amount of fluid in the tissues, it is called

A) digitalization

B) dehydration

C) determination

D) depilation

LO#4-Describe the connection between homeostasis and fluid balance.

3. You are doing I & O for a client. At the beginning of the shift, you give the client a water pitcher with 270 mL (9 oz.) of water. At the end of your shift, you note that 35 mL of water is left in the pitcher. The client has consumed

A) 35 mL.

B) 235 mL.

C) 175 mL.

D) none of the above

LO#5-Explain the procedure for measuring and recording fluid intake and output.

4. To help the client who requires forced fluids you should

A) offer liquids without being asked

B) show enthusiasm

C) provide favorite drinks as allowed

D) all of the above

LO#5-Explain the procedure for measuring and recording fluid intake and output.

5. The word "calibrated" means

A) divided into sections for equal distribution to all clients

B) marked with lines and numbers for measuring

C) marked with lines and formulas for weighing

D) divided into portions for use throughout the week

LO#5-Explain the procedure for measuring and recording fluid intake and output.

6. You are beginning to care for a client who has just been placed on NPO status. You should

A) keep encouraging the client to eat and drink

B) constantly keep his/her water pitcher filled

C) partly fill the water container as directed

D) remove the water pitcher and all items of food and drink

LO#6-Explain Special Fluid Orders, including encourage, restrict, or nothing by mouth.

7. A client has a catheter, which is draining urine into a plastic container bag. To measure output, you should

A) open the drain and run the urine into a graduate

B) snap off the tubing and pour out the urine

C) read the amount on the bag calibration

D) remove the catheter and drain the urine

LO#7-Compare and contrast indwelling urinary and condom catheters.

8. The amount of fluid taken in by the client during the 24-hour period is called

A) fluid output.

B) client intake.

C) fluid intake.

D) edema.

LO#4-Describe the connection between homeostasis and fluid balance.

9. Medical conditions of the urinary system include all of the following EXCEPT:

A) cystitis

B) dysuria

C) renal failure

D) hepatitis

LO#3-Discuss common diseases and disorders of the urinary system.

10. Fluid balance means

A) intake approximately equals output

B) indwelling catheter in a male

C) poor hygiene or poor catheter care

D) decreased efficiency of the ureters

LO#4-Describe the connection between homeostasis and fluid balance.

11. You notice that a client with a catheter has rapidly increased urine output. You should

A) question the client about his/her intake

B) report to the doctor

C) report to the head nurse or immediate supervisor

D) continue your assignment unless the bag is almost full

LO#7-Compare and contrast indwelling urinary and condom catheters.

12. You notice that a client with a catheter has no urine output over the last 2 hours. You

should

A) report this to the head nurse or immediate supervisor.

B) report this to his/her doctor.

C) continue with your assignment unless the bag is full.

D) question the client about his/her intake.

LO#7-Compare and contrast indwelling urinary and condom catheters.

13. To keep a urinary catheter from being pulled out of the bladder, it should be taped to the

A) client's buttocks.

B) client's inner thigh.

C) sheet.

D) any of the above

LO#7-Compare and contrast indwelling urinary and condom catheters.

14. The urinary collection bag should always be placed

A) on the floor.

B) on the side rail.

C) above the client's bladder.

D) lower than the client's bladder.

LO#7-Compare and contrast indwelling urinary and condom catheters.

15. A client who has been ordered "NPO"

A) needs extra fluids.

B) is allowed nothing by mouth.

C) has fluids limited.

D) is allowed a clear liquid diet.

LO#6-Explain Special Fluid Orders, including encourage, restrict, or nothing by mouth.

16. When measuring I & O, what system of measurement is used?

A) grams

B) ounces

C) milliliters

D) inches

LO#5-Explain the procedure for measuring and recording fluid intake and output.

17. Blood found in the urine is known as

A) polyuria.

B) oliguria.

C) dysuria.

D) hematuria.

LO#3-Discuss common diseases and disorders of the urinary system.

18. Condom catheters are applied for which reason?

A) to reduce laundry costs for the healthcare institution

B) to make the family happy

C) to prevent accidents in the bed for the personal care provider’s assistant to clean up

D) It helps to reduce the fear of urinary accidents and it improves quality of life for the client.

LO#7-Compare and contrast indwelling urinary and condom catheters.

19. Insertion of an indwelling Foley catheter requires

A) explaining the procedure to the client.

B) use of aseptic technique.

C) passing competency tests in your facility.

D) use of sterile technique.

LO#7-Compare and contrast indwelling urinary and condom catheters.

20. The urethra is:
A) a tube which connects each kidney to the bladder
B) a tube by which urine leaves the body from the bladder
C) a bean-shaped organ
D) a sack designed to store urine

LO#1-Describe the anatomy and physiology of the urinary system.

21. Regarding age-related changes to the urinary system:

A) urinary incontinence is natural and inevitable for older adults
B) people often seek medical advice for incontinence
C) the size of the bladder decreases with age
D) the bladder can store more urine

LO#2-Discuss age-related changes associated with the urinary system.

22. Residual urine is known as:

A) the total amount of urine output
B) the total amount of urine input
C) the amount of urine input in the morning
D) urine left in the bladder after voiding

LO#2-Discuss age-related changes associated with the urinary system.

23. A midstream urine collection refers to:

A) urine which is not contaminated by anything outside the client’s body

B) urine collected from a client over a 24-hour period

C) a routine urine specimen

D) catching the urine specimen between the time the client begins to void and the time the client stops

LO#8-Demonstrate urine specimen collection methods.

24. When collecting a twenty-four hour urine specimen, the personal care provider should ask or remind the client the following:

A) to include the first voided urine in the morning
B) the test should begin with the bladder full
C) the test should begin with the bladder empty
D) for the next twenty-four hours, save all urine voided overnight

LO#8-Demonstrate urine specimen collection methods.

True/False Questions

1. The client's orders read "NPO after 4 P.M." This means that the personal care provider will

withhold the evening meal.

LO#6-Explain Special Fluid Orders, including encourage, restrict, or nothing by mouth.

2. You should measure output each time the client uses the specimen pan.

LO#5-Explain the procedure for measuring and recording fluid intake and output.

3. You are recording I & O for a client. At the beginning of your shift you give the client a water pitcher with 350 mL of water. At the end of the shift, you note that the client has 120 mL of water left in the pitcher. You should record 120 mL as intake for this client.

LO#5-Explain the procedure for measuring and recording fluid intake and output.

4. Dehydration rarely occurs in the elderly as they do NOT move around much.

LO#4-Describe the connection between homeostasis and fluid balance.

5. Items that should be calculated as fluid intake include water, coffee, and gelatin.

LO#5-Explain the procedure for measuring and recording fluid intake and output.

6. Cystitis, pyelonephritis, and urethritis are all types of inflammation of the urinary system.

LO#3-Discuss common diseases and disorders of the urinary system.

7. A client who is incontinent, cannot control his/her urine and/or feces.

LO#2-Discuss age-related changes associated with the urinary system.

8. A commercially-prepared condom catheter is sometimes used for external drainage of the urine from a male incontinent client.

LO#7-Compare and contrast indwelling urinary and condom catheters.

9. Step 1 in urine formation is glomerular filtration.

LO#1-Describe the anatomy and physiology of the urinary system.

10. Tubular secretion involves the movement of substances out of the blood and into the filtrate for excretion

LO#1-Describe the anatomy and physiology of the urinary system.

11. Urinary incontinence is the ability to control the passage of urine

LO#2-Discuss age-related changes associated with the urinary system.

12. Cystitis is a kidney infection.

LO#3-Discuss common diseases and disorders of the urinary system.

13. Tissue fluid is a watery environment around each cell

LO#4-Describe the connection between homeostasis and fluid balance.

14. When clients are NPO, frequent oral hygiene is avoided

LO#6-Explain Special Fluid Orders, including encourage, restrict, or nothing by mouth.

15. A straight urinary catheter is used for only one withdrawal of urine

LO#7-Compare and contrast indwelling urinary and condom catheters.

16. When testing urine with reagent strips, the personal care provider should immerse the reagent strip completely in the fresh urine sample

LO#8-Demonstrate urine specimen collection methods.

17. When collecting a twenty-four hour urine specimen, a sign should be posted over or on the client’s bed and in the client’s bathroom

LO#8-Demonstrate urine specimen collection methods.