Genito – Urinary System Nursing Questions and Answers

1. Spermatogenesis occurs?

a) At the time of puberty
b) At any time after the birth
c) Immediately following birth
d) During embryonic development

2. The main reason for testes are suspended in the scrotum is?

a) To protect the sperm from the acidity of urine
b) To facilitate passage of sperm
c) To protect the sperm from high abdominal temperature
d) To facilitate their maturation

3. The condition condylomata acuminata is also known as?

a) Scabies
b) Herpes zoster
c) Venereal warts
d) Cancer of epididymis

4. Which organism causes a Trichomonas vaginalis infection?

a) Yeast
b) Fungus
c) Protozoan
d) Spirochete

5. Which serum level should be monitored to follow the course of Cancer of the prostate?

a) Creatinine
b) Blood urea nitrogen
c) Nonprotein nitrogen
d) Prostate-specific antigen

6. Which of the following statement is correct regarding benign prostatic hyperplasia (BPH)?

a) It is a congenital abnormality
b) Usually becomes malignant
c) Predisposes to hydronephrosis
d) Causes an elevated acid phosphatase level

7. How the water is reabsorbed from glomerular filtrate in the kidney tubules?

a) Osmosis
b) Diffusion
c) Active dialysis
d) Active transport

8. The structure surrounding the male urethra is?

a) Epididymis
b) Prostate gland
c) Seminal vesicle
d) Bulbourethral gland

9. Which is the most common contributing factor to cystitis in females than in males?

a) Altered urinary pH
b) Hormonal secretion
c) The juxtaposition of the bladder
d) The proximity of the urethra to the anus

10. Which nursing action can best prevent infection from urinary retention catheter?

a) Cleansing the perineum
b) Encouraging adequate fluids
c) Irrigating the catheter once in daily
d) Cleansing around the meatus periodically

11. What should the nurse monitor when caring for a client who has Haematuria?

a) Intractable diarrhea
b) Acetone in the urine
c) Symptoms of peritonitis
d) Gross blood in the urine

12. The nurse is caring for clients with renal calculi, which is the most important nursing action?

a) Limit fluid intake at night
b) Strain the urine at each voiding
c) Record the client’s blood pressure
d) Administer analgesics every 3 hours

13. The urine routine examination report states that a client’s urinary calculus is composed of uric acid, which should the nurse instruct the client to avoid?

a) Eggs
b) Fruits
c) Meat extracts
d) Raw vegetables

14. Which clinical indicator of end-stage renal disease should the nurse expect?

a) Polyuria
b) Jaundice
c) Azotemia
d) Hypotension

15. The nurse is caring for a client with chronic kidney failure, which adaptation should the nurse expect?

a) Polyuria
b) Hypotension
c) Muscle twitching
d) Respiratory acidosis

16. The most likely cause of confused and irritable behavior of clients with acute kidney failure is?

a) Hyperkalemia
b) Hypernatremia
c) Potassium retention
d) A limited fluid intake

17. Which of the following is the common cause of muscle twitching in client’s with acute kidney failure?

a) Acidosis
b) Calcium depletion
c) Potassium retention
d) Sodium chloride depletion

18. Which is the most serious complication associated with hemodialysis doing with external shunt?

a) Septicemia
b) Clot formation
c) Exsanguination
d) Sclerosis of vessels

19. What is the most important action for the nurse to take when planning to irrigate the bladder through the indwelling catheter?

a) Use sterile equipment
b) Instill the fluid under high-pressure
c) Warm the solution to body temperature
d) Aspirate immediately to ensure the flow

20. When receiving hemodialysis, the complication of the removal of too much sodium may occur. Therefore the nurse should assess the client for?

a) Muscle cramps
b) Chvostek’s sign
c) Cardiac dysrhythmias
d) Increased temperature

21. The purpose of peritoneal dialysis is to?

a) Reestablish kidney function
b) Clean the peritoneal membrane
c) Provide fluid for intracellular spaces
d) Remove toxins in addition to other metabolic wastes

22. Which malarial parasite causes nephritic syndrome?

a) P. Falciparum
b) P. Vivax
c) P. Ovale
d) P. Malaria

23. Mulberry stones refers to?

a) Calcium oxalate stones
b) Uric acid stones
c) Cystine stones
d) Xanthine stones

24. The commonest bladder stone is?

a) Triple phosphate
b) Xanthine
c) Uric acid
d) Cysteine

25. Which of the following medication has to be avoided for a patient with BPH?

a) Diuretics
b) Antibiotics
c) Antitussive
d) Decongestants

26. A client with Foley’s catheter is in situ, complains of discomfort in the bladder and urethra. What should the nurse do first?

a) Notify the physician
b) Milk the tubing gently
c) Check the patency of the catheter
d) Irrigate the catheter with prescribed solutions

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1.Preprocedural preparation for a client for X-ray KUB?

NPO after 10 pm
Tranquilizer before the test
Enema before examination
No special preparation required

2. Nursing management of a client after IVP?

Maintain bed rest
Encourage fluid intake
Assessing for hematuria
Administer laxative

3. Pretest preparation for IVP include?

CBC
LFT
RFT
Last S.E

4. Fluoroscopic examination of the urinary tract after the injection with a radio-opaque day?

Cystoscopy
Intravenous pyelogram
Plain film/KUB
Urinalysis

5. The normal value of prostate-specific antigen?

<5ng/ml
<40mg/ml
<40ng/ml
40 mg/ml