Urinary Elimination Nursing Quiz
Questions: 16 · 10 minutes
1. A 70 kg adult produces about 20 mL of urine per hour for three consecutive hours. What should the nurse do first?
Assess the patient and drainage system, review relevant factors, and escalate the persistent low output as appropriate
Record the value as an expected adult output and continue routine care
Clamp the urinary catheter so urine can accumulate in the bladder
Remove the catheter immediately without checking the clinical plan
2. Which approach is generally appropriate for routine hygiene around an indwelling urinary catheter?
Apply antiseptic solution inside the urethral opening every shift
Scrub the catheter forcefully to remove all visible residue
Provide regular gentle hygiene with soap and water and clean after soiling
Use antibiotic ointment routinely even when it has not been prescribed
3. Which setup best supports unobstructed drainage from an indwelling urinary catheter?
The bag rests on the floor so the tubing remains straight
The bag is placed on the bed at the same height as the bladder
The tubing is looped over the bedrail to prevent movement
The bag remains below bladder level, off the floor, with tubing free of kinks
4. A patient has not voided for eight hours after surgery and reports lower abdominal pressure. The bladder is distended. Which problem best fits these findings?
Nocturia
Polyuria
Stress urinary incontinence
Urinary retention
5. Which instruction correctly describes collection of a clean-catch midstream urine specimen?
Collect the first urine that appears without cleansing the area
Cleanse as instructed, begin voiding, then collect urine without touching the container to the body
Void the entire amount into one container and transfer part of it later
Collect urine from the toilet after voiding is complete
6. Which term means producing an abnormally large volume of urine?
Dysuria
Nocturia
Hematuria
Polyuria
7. A patient describes a sudden, compelling need to urinate followed by leakage before reaching the toilet. Which pattern does this describe?
Stress urinary incontinence
Overflow urinary incontinence
Functional urinary incontinence
Urgency urinary incontinence
8. A patient leaks a small amount of urine while coughing, laughing, or lifting. Which type of incontinence is most consistent with this pattern?
Urgency urinary incontinence
Overflow urinary incontinence
Stress urinary incontinence
Functional urinary incontinence
9. What does urine specific gravity primarily reflect?
The concentration of dissolved substances in the urine
The amount of glucose in the urine
The number of bacteria in the urine
The volume remaining in the bladder after voiding
10. A urine culture is ordered for a patient with an indwelling urinary catheter. Where should the nurse obtain the specimen?
From urine that has collected in the drainage bag
From the disinfected sampling port using aseptic technique
From the catheter-to-tubing connection after disconnecting it
From urine squeezed out of the drainage tubing into a cup
11. Which action most directly reduces a patient's exposure to catheter-associated urinary tract infection risk?
Replacing the drainage bag at the end of every shift
Clamping the catheter periodically to exercise the bladder
Removing the catheter as soon as it is no longer indicated
Collecting routine urine cultures while the catheter remains in place
12. After surgery, a patient cannot void and a bladder scan shows a substantial volume of retained urine. What is the most appropriate nursing response?
Follow the retention protocol, reassess the patient, and notify the appropriate clinician as indicated
Encourage the patient to ignore the urge until the next scheduled toileting time
Document the scan result and wait until the end of the shift
Restrict oral fluids until spontaneous voiding occurs
13. A patient with a suprapubic catheter reports increasing lower abdominal discomfort, and no urine has entered the bag recently. What should the nurse do first?
Assess the patient and check the tubing, bag position, and system for kinks or obstruction
Irrigate the catheter immediately without an order or protocol
Raise the drainage bag above the bladder to encourage flow
Disconnect the closed system to inspect the catheter opening
14. Which technique is appropriate when inserting an indwelling urinary catheter?
Use clean gloves for all insertion steps because urine is normally sterile
Maintain the sterile field and use sterile equipment during insertion
Touch the catheter tip to the bed pad before insertion to improve control
Disconnect the drainage tubing after insertion to confirm urine flow
15. A patient voids, and a bladder scan is performed immediately afterward to estimate the urine still in the bladder. What is being measured?
Hourly urine output
Urine specific gravity
Post-void residual volume
Functional bladder capacity
16. A patient with urinary symptoms develops fever, chills, flank pain, and nausea. How should the nurse interpret this change?
It is typical stress incontinence and can be managed with scheduled toileting alone
It may indicate upper urinary tract involvement and warrants prompt clinical escalation
It is an expected effect of postponing urination briefly
It shows that concentrated urine is the only likely problem