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PRACTICING FOR NCLEX

MULTIPLE CHOICE QUESTIONS

Circle the letter that corresponds to the best

answer for each question.

1.A woman who notices an involuntary loss of

urine following a coughing episode is most

likely experiencing which of the following

types of incontinence?

a.Stress incontinence

b.Urge incontinence

c.Overflow incontinence

d.Functional incontinence

2.Measurement of residual urine by catheteriza-

tion after voiding verifies which of the

following conditions?

a.Urinary tract infection

b.Urinary retention

c.Urinary incontinence

d.Urinary suppression

3.Which of the following catheters should be

used to drain a patient’s bladder for short

periods (5 to 10 minutes)?

a.Foley catheter

b.Suprapubic catheter

c.Indwelling urethral catheter

d.Straight catheter

4.Which of the following facts about the lower

urinary tract system should be kept in mind

when considering catheterization?

a.The bladder normally is a sterile cavity.

b.The external opening to the urethra should

always be sterilized.

c.Pathogens introduced into the bladder re-

main in the bladder.

d.A normal bladder is as susceptible to infec-

tion as an injured one.

5.Which of the following events occurs when

micturition is initiated?

a.The detrusor muscle expands.

b.The internal sphincter contracts.

c.Urine enters the posterior urethra.

d.The muscles of the perineum and external

sphincter contract.

6.Which of the following collection devices is

a nurse’s best option when collecting urine

from a nonambulatory male patient?

a.Specimen hat

b.Large urine collection bag

c.Bedpan

d.Urinal

7.Mr. Gonos is being transferred to the hospital

from a nursing home with a diagnosis of

dehydration and urinary bladder infection.

His skin is also excoriated from urinary

incontinence. Which of the following is the

most appropriate nursing diagnosis for

Mr. Gonos?

a.Impaired Skin Integrity related to

functional incontinence

b.Urinary Incontinence related to urinary

tract infection

CHAPTER^37

Urinary Elimination

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