Genitourinary Disorders Management: Quizzes and Practice Questions

Question 1

Which interventions are crucial in managing a patient with acute kidney stones? (Select all that apply.)

Accepted Answer

Encourage adequate fluid intake.

Accepted Answer

Monitor for pain intensity.

Accepted Answer

Administer pain medication as prescribed.

Answer

Promote rest and relaxation.

Question 2

Regarding urinary tract infections (UTIs), which statement is accurate?

Accepted Answer

UTIs are more common in females than males.

Accepted Answer

Initial antibiotic therapy for UTIs should cover both gram-positive and gram-negative bacteria.

Answer

Asymptomatic bacteriuria requires treatment in all individuals.

Question 3

Which factors significantly increase the risk of developing bladder cancer, and how do these factors influence the management of the disease?

Accepted Answer

Smoking, exposure to occupational carcinogens, advanced age, and family history

Answer

Obesity, diabetes, and poor nutrition

Answer

Excessive alcohol consumption, urinary tract infections, and kidney stones

Answer

Regular exercise, a balanced diet, and sufficient hydration

Question 4

Which of the following is a predisposing factor for the development of pyelonephritis?

Accepted Answer

Vesicoureteral reflux

Answer

Urethral stricture

Answer

Bladder stones

Answer

Prostate hypertrophy

Question 5

For patients with end-stage renal disease (ESRD), what is the primary goal of nursing care?

Accepted Answer

To maximize comfort and prevent complications

Answer

To reverse renal dysfunction

Answer

To provide comprehensive education on dialysis options

Answer

To offer emotional support to the patient's family

Question 6

Stress urinary incontinence is commonly treated with which type of surgery?

Accepted Answer

Urethral sling

Answer

Cystoscopy

Answer

Urethroplasty

Answer

Nephrectomy

Question 7

Which type of kidney stone is the most prevalent?

Accepted Answer

Calcium oxalate

Answer

Uric acid

Answer

Struvite

Answer

Cystine

Question 8

What is the primary purpose of a nephrostomy tube?

Accepted Answer

To facilitate urine drainage from the kidney

Answer

To administer contrast dye into the urinary tract

Answer

To remove kidney stones

Answer

To perform biopsies of the kidney

Question 9

Which of the following accurately describes the anatomy and histology of the male urethra?

Accepted Answer

Muscular tube lined with non-keratinized stratified squamous epithelium

Answer

Cartilaginous tube lined with ciliated pseudostratified columnar epithelium

Answer

Fibrous tube lined with transitional epithelium

Question 10

For a patient with acute pyelonephritis prescribed ciprofloxacin, which nursing intervention is most important?

Accepted Answer

Encourage adequate fluid intake.

Answer

Monitor for rash and itching.

Answer

Check blood pressure prior to administration.

Answer

Obtain a urine culture before the first dose.

Question 11

Which lifestyle modification is NOT recommended for urinary incontinence?

Accepted Answer

Starting hormone replacement therapy.

Answer

Regular Kegel exercises.

Answer

Limiting caffeine intake.

Answer

Maintaining a healthy weight.

Question 12

Which medication is commonly used to treat overactive bladder?

Accepted Answer

Tolterodine.

Answer

Warfarin.

Answer

Ciprofloxacin.

Answer

Metformin.

Question 13

A patient with a urinary catheter is at risk for which infection?

Accepted Answer

Catheter-associated urinary tract infection (CAUTI).

Answer

Pneumonia.

Answer

Sepsis.

Answer

Endocarditis.

Question 14

In providing patient education for genitourinary disorders, which principle is of utmost importance?

Accepted Answer

Customizing education to each patient's unique situation and needs

Answer

Prioritizing disease-specific information exclusively

Answer

Employing complex medical terminology to ensure comprehension

Answer

Restricting education solely to written materials

Question 15

For a patient with an indwelling urinary catheter experiencing urinary incontinence, which nursing intervention is most effective?

Accepted Answer

Apply a peri-urethral clamp to the catheter.

Answer

Irrigate the catheter with sterile saline every 4 hours.

Answer

Change the catheter bag every 8 hours.

Answer

Increase the patient's fluid intake to 2,000 mL per day.

Question 16

What is the primary class of medication prescribed for overactive bladder?

Accepted Answer

Anticholinergic medications

Answer

Diuretics

Answer

Analgesics

Answer

Antidepressants

Question 17

Why is a patient with a urinary tract infection (UTI) instructed to drink plenty of fluids?

Accepted Answer

To flush out bacteria from the urinary tract

Answer

To prevent dehydration

Answer

To relieve pain and discomfort

Question 18

Which surgical intervention is most commonly used to treat benign prostatic hyperplasia (BPH)?

Accepted Answer

Transurethral resection of the prostate (TURP)

Answer

Cystectomy

Answer

Vasectomy

Answer

Nephrectomy

Question 19

What is a classic sign of a sexually transmitted infection (STI)?

Accepted Answer

Genital ulcers

Answer

Jaundice

Answer

Elevated blood pressure

Answer

Shortness of breath

Question 20

Which diagnostic test is primarily used to evaluate renal function?

Accepted Answer

Blood urea nitrogen (BUN) and creatinine

Answer

Electrocardiogram (ECG)

Answer

Chest X-ray

Answer

Urinalysis

Question 21

What is the most appropriate nursing intervention for a patient diagnosed with pyelonephritis?

Accepted Answer

Administering antibiotics as ordered

Answer

Applying a heating pad to the abdomen

Answer

Encouraging the patient to perform Kegel exercises

Answer

Providing the patient with dietary supplements

Question 22

Which factor is most closely associated with the development of kidney stones?

Accepted Answer

Dehydration

Answer

Hypertension

Answer

Diabetes

Answer

Obesity

Question 23

Which type of incontinence involves involuntary loss of urine during activities that increase abdominal pressure?

Accepted Answer

Stress incontinence

Answer

Urge incontinence

Answer

Total incontinence

Answer

Overflow incontinence

Question 24

Which of the following is a significant risk factor for developing kidney stones?

Accepted Answer

Low urine output

Answer

High fluid intake

Answer

Regular exercise

Answer

High dietary intake of fiber

Question 25

Which medication class is used to treat urinary symptoms caused by benign prostatic hyperplasia (BPH)?

Accepted Answer

Alpha-blockers

Answer

Beta-blockers

Answer

Diuretics

Answer

Anticholinergics

Question 26

Which symptom is most commonly associated with a urinary tract infection (UTI)?

Accepted Answer

Dysuria

Answer

Hematuria

Answer

Pneumaturia

Answer

Polyuria

Question 27

Which surgical procedure involves the removal of the prostate gland?

Accepted Answer

Prostatectomy

Answer

Nephrectomy

Answer

Cystectomy

Answer

Vasectomy

Question 28

Which lifestyle modification is recommended for individuals with chronic kidney disease (CKD)?

Accepted Answer

Restricting fluid intake as directed by a healthcare professional

Answer

Increasing salt intake

Answer

Regularly taking over-the-counter pain medications

Answer

Consuming large amounts of protein

Question 29

What is the primary function of the kidneys?

Accepted Answer

Filtering waste products from the blood

Answer

Digesting food

Answer

Producing red blood cells

Answer

Storing urine

Question 30

Which type of urinary incontinence is characterized by involuntary leakage of urine during activities like laughing or coughing?

Accepted Answer

Stress incontinence

Answer

Overflow incontinence

Answer

Urge incontinence

Answer

Nocturnal enuresis

Question 31

What is the first-line treatment for uncomplicated urinary tract infections (UTIs) in otherwise healthy women?

Accepted Answer

Antibiotics

Answer

Surgery

Answer

Catheterization

Answer

Observation

Question 32

Which condition is a common cause of kidney failure in people with diabetes?

Accepted Answer

Diabetic nephropathy

Answer

Pyelonephritis

Answer

Glomerulonephritis

Question 33

Regarding prostate cancer screening in men over 50, it is recommended to:

Accepted Answer

Discuss with a healthcare provider

Answer

Screen annually

Answer

Screen every 2 years

Question 34

The primary goal of surgery for urethral stricture disease is to:

Accepted Answer

Restore normal urinary flow

Answer

Prevent urinary tract infections

Answer

Manage urinary incontinence

Question 35

Which nursing intervention is essential in the management of renal calculi?

Accepted Answer

Encourage increased fluid intake

Answer

Administer anticholinergic medications

Answer

Apply a heating pad to the abdomen

Answer

Elevate the legs

Question 36

What is the most frequent cause of acute pyelonephritis?

Accepted Answer

Urinary tract infection (UTI)

Answer

Renal calculi

Answer

Obstructive uropathy

Answer

Vesicoureteral reflux

Question 37

Which laboratory value is indicative of renal impairment?

Accepted Answer

Elevated creatinine level

Answer

Normal white blood cell count

Answer

Increased glucose level

Answer

Low hemoglobin level

Question 38

The initial step in the management of benign prostatic hyperplasia (BPH) is:

Accepted Answer

Lifestyle modifications

Answer

Surgical intervention

Answer

Radiotherapy

Answer

Pharmacological therapy

Question 39

A patient with an indwelling urinary catheter is at risk for:

Accepted Answer

Infection

Answer

Disturbed body image

Answer

Deficient knowledge

Answer

Impaired physical mobility

Question 40

Which type of urinary incontinence involves involuntary urine leakage during coughing or sneezing?

Accepted Answer

Stress incontinence

Answer

Urge incontinence

Answer

Overflow incontinence

Question 41

What is the most common symptom of prostatitis?

Accepted Answer

Painful urination (dysuria)

Answer

Hematuria

Answer

Nocturia

Answer

Urinary frequency

Question 42

A patient with an indwelling urinary catheter complains of pain and irritation during urination. What is the most appropriate nursing intervention?

Accepted Answer

Assess for signs of a urinary tract infection (UTI) and notify the healthcare provider.

Answer

Irrigate the catheter with sterile saline.

Answer

Apply a warm compress to the perineal area.

Answer

Encourage increased fluid intake.

Question 43

A patient with a history of kidney stones presents with acute renal colic. Which medication class is commonly used to manage this condition?

Accepted Answer

Opioid analgesics

Answer

Anticholinergics

Answer

Diuretics

Answer

Calcium channel blockers

Question 44

A patient with urinary incontinence is being considered for surgical intervention. Which assessment finding would be a contraindication for surgery?

Accepted Answer

Severe cognitive impairment

Answer

History of multiple previous surgeries

Answer

Obesity

Answer

Advanced age

Question 45

A patient with prostate cancer is scheduled for a transurethral resection of the prostate (TURP). What is a crucial nursing intervention in the preoperative period?

Accepted Answer

Instruct the patient to discontinue anticoagulants and antiplatelet medications.

Answer

Ensure the patient understands the post-operative care plan.

Answer

Prepare the patient for a potential blood transfusion.

Answer

Administer antibiotics to prevent surgical site infection.

Question 46

A patient with a nephrostomy tube experiences flank pain. Which nursing action should be taken first?

Accepted Answer

Assess the tube for patency and kinking.

Answer

Change the dressing on the insertion site.

Answer

Administer pain medication.

Answer

Notify the healthcare provider.

Question 47

A patient with an indwelling urinary catheter is at risk for which complication?

Accepted Answer

Urinary tract infection (UTI)

Answer

Skin breakdown

Answer

Constipation

Answer

Pneumonia

Question 48

A patient with a history of kidney stones is advised on lifestyle modifications to prevent stone formation. What is the primary dietary recommendation the nurse should provide?

Accepted Answer

Increase fluid intake to at least 3 liters per day.

Answer

Follow a low-sodium diet.

Answer

Decrease protein intake.

Answer

Limit calcium intake.

Question 49

A patient with overactive bladder (OAB) is prescribed oxybutynin. What common adverse effect should the nurse monitor for?

Accepted Answer

Dry mouth

Answer

Bradycardia

Answer

Nausea

Answer

Hypotension

Question 50

A patient with a suprapubic catheter presents with cloudy urine and burning during urination. Which nursing action is most appropriate?

Accepted Answer

Obtain a urine specimen for culture and sensitivity.

Answer

Administer antibiotics as ordered.

Answer

Irrigate the catheter with sterile saline.

Answer

Increase fluid intake to 4 liters per day.