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Quizzes > Health & Medicine > Human Anatomy & Medicine

Take the Urinary Elimination NCLEX Fundamentals Quiz!

Think you can ace urinary elimination questions? Start the quiz!

Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Paper art bladder diagram NCLEX quiz sheet timer pencil on golden yellow background

Nursing students, get ready to master urine care! Our free, timed quiz on urinary elimination nclex questions will test your grasp of key urinary elimination questions and reinforce essentials for the urinary system nursing quiz section. This fundamentals of nursing NCLEX quiz delivers real-world scenarios and targeted nursing elimination NCLEX practice to boost your confidence. Track your score, identify knowledge gaps, and prepare for exam day - all at your pace. Want a comprehensive challenge? Dive into our fundamentals of nursing NCLEX quiz now and prove you've got what it takes!

Which structure serves as the functional unit of the kidney, responsible for filtration, reabsorption, and secretion?
Renal pelvis
Ureter
Glomerulus
Nephron
The nephron is the microscopic functional unit of the kidney that performs filtration of blood, reabsorption of needed substances, and secretion of wastes. Each kidney contains around one million nephrons. The glomerulus is a component of the nephron where filtration begins. Cleveland Clinic
What is the average daily urine output for a healthy adult?
500 - 800 mL
1,500 - 2,000 mL
800 - 1,200 mL
1,200 - 1,500 mL
A healthy adult typically produces between 1,200 and 1,500 mL of urine per day under normal hydration conditions. Variations occur based on fluid intake, temperature, and renal function. Outputs below or above this range may warrant further assessment. NCBI Bookshelf
What is the minimum acceptable hourly urine output in an adult to ensure adequate kidney perfusion?
40 mL/hour
30 mL/hour
50 mL/hour
20 mL/hour
An hourly urine output of at least 30 mL is considered the minimum to demonstrate adequate renal perfusion and function in an adult. Outputs below this threshold may indicate hypovolemia or renal impairment. Continuous monitoring can guide fluid and therapy adjustments. MedlinePlus
Which range reflects a normal urine specific gravity in an adult?
1.001 - 1.005
1.050 - 1.070
1.005 - 1.030
1.030 - 1.050
Normal urine specific gravity ranges from 1.005 to 1.030, reflecting the kidney's ability to concentrate or dilute urine. Values below this range suggest overhydration or impaired concentrating ability, while higher values may indicate dehydration. Monitoring specific gravity aids assessment of fluid balance. Merck Manual
Which nursing practice is most effective in preventing catheter-associated urinary tract infections?
Performing daily tub baths
Maintaining a closed urinary drainage system
Changing the catheter every 72 hours
Instilling antiseptic solution into the bag
Maintaining a closed drainage system ensures that no microorganisms enter the catheter or tubing, reducing infection risk. Routine changes and instilling solutions can actually introduce pathogens. The CDC recommends closed systems and aseptic technique during insertion. CDC Guidelines
Which intervention most effectively reduces the risk of catheter-associated UTIs during prolonged catheterization?
Securing the catheter tubing to the patient's thigh
Providing a daily tub bath
Performing perineal hygiene with soap and water daily
Increasing irrigation frequency
Daily perineal hygiene with soap and water helps remove bacteria around the catheter entry site and lowers infection risk. Securing tubing prevents traction but has less impact on bacteremia prevention. Routine irrigation is not recommended unless obstruction occurs. CDC Prevention
A client reports inability to void and has lower abdominal discomfort. Which assessment finding supports a diagnosis of urinary retention?
Dribbling urine with a palpable lower abdominal mass
Bladder dome not palpable
Clear urine with high specific gravity
Frequent small voids of 200 mL each
Urinary retention often presents as dribbling (overflow) and a distended, palpable bladder mass in the suprapubic area. Discomfort and inability to initiate voiding are key symptoms. Frequent small voids are normal in polyuria, not retention. NCBI Bookshelf
Which urine pH value is most suggestive of a urinary tract infection?
7.5
6.0
4.5
9.0
A urine pH above 7 often indicates bacterial infection since many urinary pathogens produce urease, which raises pH. Normal pH ranges from 4.6 to 8.0, but values above 7.5 strongly suggest infection. Very high pH (like 9.0) may also occur but is less common. Merck Manual
Postvoid residual (PVR) volume above which value generally indicates significant urinary retention requiring intervention?
100 mL
50 mL
200 mL
150 mL
A PVR volume greater than 150 mL is often considered clinically significant retention and may require catheterization or further evaluation. Volumes below 100 mL are usually acceptable, while 100 - 150 mL is a gray zone based on symptoms. Accurate PVR assessment guides management. Urology Health
During bladder training for urge incontinence, what initial voiding interval is recommended?
Every 2 hours
Every 1 hour
Every 4 hours
Every 30 minutes
Bladder training typically starts with timed voiding every 2 hours to increase bladder capacity and control urgency. Intervals gradually lengthen as the patient develops control. Too frequent voiding can reinforce urgency. AUA Guidelines
Which nursing intervention is most appropriate for a patient with overflow urinary incontinence due to incomplete bladder emptying?
Teach Kegel exercises only
Implement scheduled intermittent catheterization
Encourage fluid restriction
Advise wearing an external condom catheter
Scheduled intermittent catheterization helps ensure complete bladder emptying in overflow incontinence, reducing residual volumes and dribbling. Kegel exercises are more effective for stress incontinence. Fluid restriction can worsen retention. External catheters do not address retention. Urology Health
What is the best practice for skin care around a suprapubic catheter insertion site?
Clean daily with mild soap and water
Leave site exposed without dressing
Clean once weekly with hydrogen peroxide
Apply antibiotic ointment twice daily
Daily cleansing of the suprapubic catheter site with mild soap and water prevents infection and skin breakdown. Hydrogen peroxide can be harsh and delay healing. Ointments promote moisture but aren't needed without signs of infection. A sterile dressing provides protection. Nursing Times
A BUN-to-creatinine ratio above 20:1 is most indicative of which type of azotemia?
Prerenal azotemia
Intrinsic renal azotemia
Postrenal azotemia
Hepatorenal syndrome
A BUN-to-creatinine ratio greater than 20:1 typically indicates prerenal azotemia due to reduced renal perfusion, such as hypovolemia or heart failure. Intrinsic and postrenal causes usually produce ratios closer to 10 - 15:1. Hepatorenal syndrome has a different pathophysiology. National Kidney Foundation
The micturition reflex center that coordinates bladder contraction and urethral relaxation is located in which spinal cord segments?
L1 - L3
C1 - C4
T10 - L2
S2 - S4
The micturition reflex center resides in the sacral spinal cord segments S2 - S4, which coordinate detrusor muscle contraction and urethral sphincter relaxation. Lesions above this level can lead to reflex bladder dysfunction. Thoracolumbar segments mediate sympathetic storage reflexes. ScienceDirect
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Study Outcomes

  1. Identify Urinary System Anatomy -

    After completing the quiz, readers will be able to accurately identify and label the major organs and structures of the urinary system essential for normal elimination.

  2. Analyze Urinary Elimination Processes -

    Readers will analyze normal versus abnormal urinary elimination processes and recognize pathophysiological changes that impact patient care.

  3. Demonstrate Proficiency in Urinary Elimination NCLEX Questions -

    Using this fundamentals of nursing NCLEX quiz, learners will enhance their ability to navigate and answer urinary elimination NCLEX questions with confidence and accuracy.

  4. Apply Nursing Interventions -

    Participants will apply fundamental nursing interventions for urinary elimination, including catheter management and patient education strategies in clinical scenarios.

  5. Interpret Assessment Data -

    After engaging with the quiz, readers will interpret urinary output measurements, lab values, and assessment findings to inform care decisions.

  6. Evaluate Patient Case Scenarios -

    Readers will evaluate patient scenarios to identify risk factors, prevent complications, and develop evidence-based care plans for urinary elimination issues.

Cheat Sheet

  1. Anatomy and Physiology Essentials -

    Review the structure of the kidneys, ureters, bladder, and urethra as detailed by the National Kidney Foundation. Use the mnemonic "RARE" (Renal artery → Afferent arteriole → Renal corpuscle → Efferent arteriole) to trace nephron blood flow. A solid grasp of this layout underpins many urinary elimination NCLEX questions.

  2. Filtration and Urine Formation -

    Understand the three key steps - glomerular filtration, tubular reabsorption, and tubular secretion - cited in medical physiology texts like Guyton and Hall. Remember "F.R.S." (Filter, Reabsorb, Secrete) to sequence how urine is produced. Recognizing how each stage alters fluid and solute balance helps you tackle fundamentals of nursing NCLEX quiz items.

  3. Normal Elimination Patterns and Assessment -

    Know standard urine output (0.5 - 1 mL/kg/hr or 1 - 2 L/day) and characteristics - color, clarity, odor - supported by CDC guidelines. Perform a bladder scan for post-void residuals, aiming for <50 mL to rule out retention. Tracking these norms informs nursing elimination NCLEX practice and sharpens critical assessment skills.

  4. Catheterization Best Practices & CAUTI Prevention -

    Follow AORN and CDC recommendations: use aseptic technique, maintain a closed drainage system, and secure the catheter to avoid traction. The "5 Rights" (Right patient, device, site, time, documentation) safeguard against CAUTIs. Mastering these interventions boosts your score on urinary elimination NCLEX questions about infection control.

  5. Lab Values and Fluid-Electrolyte Balance -

    Memorize key labs - specific gravity (1.005 - 1.030), BUN (7 - 20 mg/dL), creatinine (0.6 - 1.3 mg/dL) - using the phrase "Good Buffers Create" (Gravity, BUN, Creatinine). Correlate elevated values with dehydration or renal impairment as outlined by the National Institute of Health. Strong command of these values is vital for nursing elimination NCLEX practice scenarios.

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