CHAMBERLAIN COLLEGE OF NURSING NR 509 APEA EXAM 2024 – UROLOGY QUESTIONS AND ANSWERS WITH ELABORATIONS
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Course
NR 509 APEA
Institution
NR 509 APEA
CHAMBERLAIN COLLEGE OF NURSING NR 509 APEA EXAM 2024 – UROLOGY QUESTIONS AND ANSWERS WITH ELABORATIONS
Sample Questions:
Q 1
In men, painful urination without frequency or urgency suggests:
A. cystitis.
B. urethritis.
C. constipation.
D. acute prostatitis.
Elaboration:
In men, painful ur...
CHAMBERLAIN COLLEGE OF NURSING
NR 509 APEA EXAM – UROLOGY QUESTIONS AND
ANSWERS WITH ELABORATIONS
Q1
In men, painful urination without frequency or urgency suggests:
A. cystitis.
B. urethritis.
C. constipation.
D. acute prostatitis.
Elaboration:
In men, painful urination without frequency or urgency suggests urethritis. Cystitis
presents with frequency and urgency. Constipation usually does not present with urinary
tract symptoms. Acute prostatitis presents with frequency, urgency, and dysuria.
Q2
A 65-year-old woman complains that when she feels the urge to urinate, she has to go
immediately or else she urinates "on herself". She has become homebound because she
wants to stay close to the bathroom. This condition is termed:
A. functional incontinence.
B. overflow incontinence.
C. urge incontinence.
D. stress incontinence.
, Elaboration:
In urge incontinence, (overactive bladder), urgency is followed by immediate involuntary
leakage due to uncontrolled detrusor contractions that overcome urethral resistance.
Following an urge to void, there is an involuntary loss of urine since the patient cannot get
to the toilet quickly enough. Overflow incontinence is associated with a neurological or
anatomical obstruction from pelvic organs or the prostate which limits bladder emptying
and causes an overdistended bladder. Stress incontinence is commonly seen in women and
arises from decreased intraurethral pressure. This condition is generally noted when a
patient coughs, sneezes, or laughs. Functional incontinence usually arises from cognitive
impairment, musculoskeletal problems, or immobility.
Q3
Symptoms of proctitis may include all of the following except:
A. left-sided abdominal pain.
B. rectal pain.
C. suprapubic pain.
D. tenesmus.
Elaboration:
Proctitis is inflammation of the lining of the rectum leading to rectal pain, bleeding, and a
continuous sensation to defecate (tenesmus). Additional symptoms may also include left-
sided abdominal pain, diarrhea, pain with bowel movements, and a feeling of fullness in the
rectum. Suprapubic pain is not generally associated with proctitis.
Q4
A 40 year old male complains of right flank pain. His temperature is 102° F. These
symptoms may be characteristic of:
A. renal calculi.
B. acute pyelonephritis.
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