NUR 318 Pathophysiology Chapter 35
Exam 2025 With 100% Correct Answers
A client is admitted with lower urinary tract obstruction and stasis. Which action is the primary
intervention? - correct answers ✔✔Urinary catheterization
What is the most common sign of bladder cancer? - correct answers ✔✔Painless hematuria
The older adult client tells the health care provider about experiencing incontinence ever since starting
diuretic therapy 2 weeks ago. What term should the provider document in the medical record related to
the type of incontinence? - correct answers ✔✔Transient
A nurse suspects a client may be experiencing flaccid bladder dysfunction based on 24-hour intake and
output. Which diagnostic method is most likely to confirm or rule out whether the client is retaining
urine? - correct answers ✔✔Measurement of postvoid residual (PVR) by ultrasound
The nurse understands that medications, although very beneficial to clients, can have harmful effects.
When working with older adult clients the nurse should recognize that which outcome is a common
result of potent, fast-acting diuretics? - correct answers ✔✔Urge incontinence
Which clinical manifestations would tell a nurse that a client is having progressive decompensation
related to obstruction of urinary outflow? - correct answers ✔✔When tested for residual urine volume,
1400 mL of urine is obtained when client is catheterized.
A 65-year-old female who smokes presents with increased urinary frequency, dysuria, and sporadic,
painless hematuria. The client's follow-up will likely include: - correct answers ✔✔cystoscopy.
The nursing students have learned in class that causes of urinary obstruction and urinary incontinence
include which of the following? Select all that apply. - correct answers ✔✔Structural changes in the
bladder
Impairment of neurologic control of bladder function
Structural changes in the urethra
, A client asks the nurse what the most common sign/symptom of bladder cancer is. Which is the best
response by the nurse? - correct answers ✔✔Painless hematuria
The nursing instructor, while teaching about renal function and disorders, informs the students that the
most frequent form of urinary tract cancer is: - correct answers ✔✔Bladder
A warehouse worker is experiencing trouble with incontinence, especially when lifting heavy objects.
What intervention is most appropriate for this client's needs? - correct answers ✔✔Administration of
alpha-adrenergic agonist drugs as ordered
An older male comes to the clinic with the chief report of having difficulty voiding. The physician
diagnoses him with a lower urinary tract obstruction and stasis. What should the nurse suspect to be the
most frequent cause of this client's problem? - correct answers ✔✔Enlargement of prostate gland
A client who has a problem with incontinence loses a small amount of urine every time she coughs or
sneezes. This type of incontinence is known as: - correct answers ✔✔Stress
Which type of pharmacologic therapy does the nurse anticipate administering to a client for treatment
of a spastic bladder in order to decrease bladder hyperactivity? - correct answers ✔✔Anticholinergic
medications
A 56-year-old client reports urinary incontinence when laughing. The nurse documents this as which
type of incontinence? - correct answers ✔✔Stress
A 40-year-old mother of three reports incontinence. Her physician suggests Kegel exercises because they
strengthen the pelvic floor muscles. Kegel exercises are most likely to help which type of incontinence? -
correct answers ✔✔Stress incontinence
The nurse is evaluating client risk for the development of overactive bladder/urge incontinence and
determines that which client is at highest risk for this condition? - correct answers ✔✔A client with
diabetes mellitus
Exam 2025 With 100% Correct Answers
A client is admitted with lower urinary tract obstruction and stasis. Which action is the primary
intervention? - correct answers ✔✔Urinary catheterization
What is the most common sign of bladder cancer? - correct answers ✔✔Painless hematuria
The older adult client tells the health care provider about experiencing incontinence ever since starting
diuretic therapy 2 weeks ago. What term should the provider document in the medical record related to
the type of incontinence? - correct answers ✔✔Transient
A nurse suspects a client may be experiencing flaccid bladder dysfunction based on 24-hour intake and
output. Which diagnostic method is most likely to confirm or rule out whether the client is retaining
urine? - correct answers ✔✔Measurement of postvoid residual (PVR) by ultrasound
The nurse understands that medications, although very beneficial to clients, can have harmful effects.
When working with older adult clients the nurse should recognize that which outcome is a common
result of potent, fast-acting diuretics? - correct answers ✔✔Urge incontinence
Which clinical manifestations would tell a nurse that a client is having progressive decompensation
related to obstruction of urinary outflow? - correct answers ✔✔When tested for residual urine volume,
1400 mL of urine is obtained when client is catheterized.
A 65-year-old female who smokes presents with increased urinary frequency, dysuria, and sporadic,
painless hematuria. The client's follow-up will likely include: - correct answers ✔✔cystoscopy.
The nursing students have learned in class that causes of urinary obstruction and urinary incontinence
include which of the following? Select all that apply. - correct answers ✔✔Structural changes in the
bladder
Impairment of neurologic control of bladder function
Structural changes in the urethra
, A client asks the nurse what the most common sign/symptom of bladder cancer is. Which is the best
response by the nurse? - correct answers ✔✔Painless hematuria
The nursing instructor, while teaching about renal function and disorders, informs the students that the
most frequent form of urinary tract cancer is: - correct answers ✔✔Bladder
A warehouse worker is experiencing trouble with incontinence, especially when lifting heavy objects.
What intervention is most appropriate for this client's needs? - correct answers ✔✔Administration of
alpha-adrenergic agonist drugs as ordered
An older male comes to the clinic with the chief report of having difficulty voiding. The physician
diagnoses him with a lower urinary tract obstruction and stasis. What should the nurse suspect to be the
most frequent cause of this client's problem? - correct answers ✔✔Enlargement of prostate gland
A client who has a problem with incontinence loses a small amount of urine every time she coughs or
sneezes. This type of incontinence is known as: - correct answers ✔✔Stress
Which type of pharmacologic therapy does the nurse anticipate administering to a client for treatment
of a spastic bladder in order to decrease bladder hyperactivity? - correct answers ✔✔Anticholinergic
medications
A 56-year-old client reports urinary incontinence when laughing. The nurse documents this as which
type of incontinence? - correct answers ✔✔Stress
A 40-year-old mother of three reports incontinence. Her physician suggests Kegel exercises because they
strengthen the pelvic floor muscles. Kegel exercises are most likely to help which type of incontinence? -
correct answers ✔✔Stress incontinence
The nurse is evaluating client risk for the development of overactive bladder/urge incontinence and
determines that which client is at highest risk for this condition? - correct answers ✔✔A client with
diabetes mellitus
