NCLEX CRUSADE ACADEMY TEST - 2 URINARY ELIMINATION NURSING INTERVENTIONS

1. Which structure is considered the functional filtering unit of the kidney?. Renal pelvis. Nephron. Ureter. Bladder.

2. After filtration in the nephron, urine is transported to the bladder through which structure?. Urethra. Loop of Henle. Ureters. Renal artery.

3. Which urinary output amount best defines anuria in adults?. <100 mL in 24 hours. 400 mL in 24 hours. 800 mL in 24 hours. >2000 mL in 24 hours.

4. Oliguria is best defined as which urinary output measurement?. <100 mL/day. About 400 mL/day. >2000 mL/day. 1500 mL/day.

5. Which condition is characterized by excessive urine output greater than 2000 mL/day?. Dysuria. Polyuria. Oliguria. Anuria.

6. Dysuria refers to which clinical symptom?. Blood in urine. Painful urination. Increased urine output. Decreased urine output.

7. Potassium chloride should be withheld if urine output is less than: 0.5 mL/kg/hr. 12 mL/kg/hr. 5 mL/kg/hr. 10 mL/kg/hr.

8. Elevated BUN and creatinine levels most commonly indicate which condition?. Hyperthyroidism. Dehydration or renal impairment. Hyperkalemia. Hypoglycemia.

9. Which urine characteristic is expected in a normal urinalysis?. Positive nitrites. Presence of bacteria. Negative protein. Positive glucose.

10. High urine specific gravity usually indicates which condition?. Overhydration. Dilute urine. Concentrated urine. Kidney failure.

11. Low urine specific gravity indicates which condition?. Concentrated urine. Dilute urine. Kidney obstruction. Bladder retention.

12. Which factor can invalidate urine specific gravity testing?. Recent radiographic contrast exposure. Eating carbohydrates. Mild exercise. Drinking water.

13. Glomerular filtration rate (GFR) normally declines approximately how much per decade with age?. 2%. 5%. 10%. 20%.

14. Older adults with urinary tract infections often present with which atypical symptom?. Severe flank pain. Mental confusion or agitation. Excessive thirst. Polyuria.

15. Which nursing intervention supports healthy urinary elimination?. Restrict fluids. Encourage 15002000 mL fluid intake daily. Limit bathroom access. Increase sodium intake.

16. Habit training in urinary elimination involves: Forcing urination every hour. Supporting natural voiding routines. Avoiding bathroom schedules. Using only catheterization.

17. Pelvic floor exercises primarily strengthen which muscle group?. Quadriceps. Levator ani muscles. Deltoid muscles. Abdominal obliques.

18. Kegel exercises may help control which type of incontinence?. Stress incontinence. Renal failure. Hematuria. Kidney stones.

19. Which patient condition increases the risk for neurogenic bladder requiring bladder training?. Hypertension. Spinal cord injury. Hyperthyroidism. Asthma.

20. Intermittent catheterization is typically performed how frequently?. Every 30 minutes. Every 23 hours. Once daily. Once weekly.

21. Which nursing action is the FIRST step before removing a Foley catheter?. Remove securing device. Explain the procedure and verify patient. Pull catheter out. Empty urine bag.

22. What equipment is used to deflate the Foley catheter balloon?. 5 mL syringe. 10 mL syringe. 20 mL syringe. IV tubing.

23. After removing a Foley catheter, the nurse should monitor: Patient blood pressure only. First urinary void. Skin color. Heart rate.

24. What is the purpose of establishing a sterile field before catheter insertion?. Improve patient comfort. Prevent infection. Reduce urine output. Increase bladder pressure.

25. Which step occurs AFTER catheter insertion during Foley placement?. Lubricating catheter. Inflating the balloon. Cleaning perineum. Opening kit.