106. CCA Practice Quiz: Urinary System Disorders and Supporting Clients

Some urinary-system questions ask you to separate closely related findings, care measures, and CCA responsibilities. Others ask you to apply what you know in short situations. This practice quiz reviews urinary disorders, renal failure, dialysis, terminology, client support, and role boundaries, using a mix of knowledge, comparison, application, and judgment questions.

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#1. Why should a worker change out of the uniform before leaving the agency or client’s home?

Correct answer: A. To reduce the risk of spreading pathogens

Explanation: Changing out of the uniform before leaving helps reduce the risk of carrying and spreading pathogens.

Why B is wrong: Fluid retention is unrelated to changing uniforms.
Why C is wrong: Uniform changes do not affect urinary frequency.
Why D is wrong: Uniform changes do not prevent renal calculi.

#2. Which group contains three signs associated with chronic renal failure?

Correct answer: A. Yellow skin, dry or itchy skin, and inflammation of the mouth

Explanation: Chronic renal failure can cause yellow skin, dry, itchy, or brittle skin, and inflammation of the mouth.

Why B is wrong: Yellow skin fits, while thigh pain and urinary urgency belong to other urinary symptom patterns.
Why C is wrong: Dry skin fits, while hematuria and severe cramping below the ribs are associated with other urinary disorders.
Why D is wrong: Mouth inflammation fits, while dysuria and foul-smelling urine belong to other urinary symptom patterns.

#3. Which group contains other causes of chronic renal failure?

Correct answer: C. Infections, urinary tract obstruction, and tumours

Explanation: Infections, urinary tract obstruction, and tumours are among the other identified causes of chronic renal failure.

Why A is wrong: These causes are linked with acute renal failure.
Why B is wrong: These are renal calculi risk factors.
Why D is wrong: These are associated with UTI risk.

#4. Which group contains additional signs and symptoms associated with a UTI?

Correct answer: D. Foul-smelling urine, fever and chills, and lower abdominal or back pain

Explanation: Foul-smelling urine, fever and chills, and pain in the lower abdomen or back are all associated with UTIs. The other groups match findings discussed with other urinary disorders.

Why A is wrong: Nausea, vomiting, and pain extending toward the thigh fit the renal calculi symptom pattern.
Why B is wrong: Puffy and swollen areas fit fluid retention associated with renal failure.
Why C is wrong: These findings fit the chronic renal failure symptom pattern rather than the UTI group.

#5. Which statement correctly describes the possible course of acute renal failure?

Correct answer: A. It is usually temporary and may reverse with treatment, but it remains serious and can result in death.

Explanation: Acute renal failure is usually temporary and might reverse with treatment. It is still a serious condition and can result in death.

Why B is wrong: The supplied information links possible reversal with treatment and still describes the condition as serious.
Why C is wrong: Acute renal failure is described as usually temporary rather than usually permanent.
Why D is wrong: Some people later develop chronic renal failure, but this does not happen to everyone.

#6. Why should all urine be strained when a client has renal calculi?

Correct answer: A. To catch stones passed during urination

Explanation: All urine is strained so stones passed during urination can be caught. Straining has a specific collection purpose.

Why B is wrong: Straining is not performed to determine urine odour.
Why C is wrong: Straining urine does not measure fluid intake.
Why D is wrong: Straining is used to catch stones rather than relieve urinary discomfort.

#7. Which statement best describes the onset of acute renal failure?

Correct answer: D. It occurs suddenly after severely decreased blood flow to the kidneys.

Explanation: Acute renal failure begins suddenly and is associated with severely decreased blood flow to the kidneys. Gradual nephron destruction describes chronic rather than acute renal failure.

Why A is wrong: Destruction of nephrons over many years belongs to chronic renal failure.
Why B is wrong: Renal calculi are a separate urinary disorder and do not define acute renal failure.
Why C is wrong: Bladder inflammation describes cystitis and is not the supplied mechanism of acute renal failure.

#8. Why are women at increased risk for UTIs?

Correct answer: B. Pathogens enter more easily through their shorter urethra.

Explanation: Women have a shorter urethra, which gives pathogens easier entry into the urinary system. The increased risk is linked specifically to urethral length and pathogen entry.

Why A is wrong: Bladder capacity is not identified as the reason for the increased risk.
Why C is wrong: Kidney removal of pathogens is not identified as the reason.
Why D is wrong: Slower ureter emptying is not identified as the reason.

#9. Which statement best describes renal failure?

Correct answer: C. The kidneys do not function or are severely impaired, allowing wastes and fluids to accumulate.

Explanation: Renal failure occurs when the kidneys do not function or are severely impaired. Waste products are not removed properly from the blood, and the body retains fluid.

Why A is wrong: Renal failure is a problem of kidney function rather than bladder storage.
Why B is wrong: Ureter movement does not define renal failure.
Why D is wrong: Failure involves impaired kidney function and inadequate waste removal.

#10. In Nova Scotia, which statement about home dialysis is accurate?

Correct answer: B. Trained patients may perform their own peritoneal dialysis or hemodialysis at home.

Explanation: In Nova Scotia, trained patients may perform their own peritoneal dialysis or hemodialysis through home-dialysis services. Current provincial practice therefore includes trained patients performing dialysis themselves at home.

Why A is wrong: Home dialysis is not limited to nurses performing the treatment.
Why C is wrong: Independent clinical decisions about starting dialysis are not part of the CCA role.
Why D is wrong: Home dialysis is a dialysis service rather than something limited to post-transplant care.

#11. Why can chronic renal failure affect every body system?

Correct answer: B. Waste products build up in the blood.

Explanation: Chronic renal failure affects body systems because wastes build up in the blood when the kidneys do not remove them adequately.

Why A is wrong: Bladder storage does not explain the widespread effects of chronic renal failure.
Why C is wrong: Kidney stones do not spread through the bloodstream.
Why D is wrong: The supplied explanation centres on waste buildup rather than loss of ureter function.

#12. Which description identifies congestive heart failure, or CHF?

Correct answer: D. Abnormal heart pumping that causes blood to back up and fluid to collect in tissues

Explanation: CHF occurs when the heart cannot pump blood normally. Blood backs up, causing an abnormal amount of fluid to collect in tissues.

Why A is wrong: This describes renal failure rather than CHF.
Why B is wrong: Gradual nephron destruction belongs to chronic renal failure.
Why C is wrong: A metabolic disorder involving high blood sugar describes diabetes.

#13. In Nova Scotia, a CCA records a vital sign that meets an established escalation indicator. What action fits the CCA role?

Correct answer: C. Document the information and follow the established reporting or escalation direction.

Explanation: A Nova Scotia CCA may measure vital signs, collect information, document it, and follow reporting or escalation indicators identified by a regulated healthcare professional. Point-of-care assessment remains observational and does not give the CCA authority to make independent clinical or care-planning decisions.

Why A is wrong: Comprehensive clinical evaluation used for clinical decisions is outside the observational CCA assessment described here.
Why B is wrong: Measuring and recording information does not authorize independent changes to care.
Why D is wrong: The CCA follows the established reporting direction rather than independently determining a diagnosis.

#14. What does hematuria describe?

Correct answer: A. Blood in the urine

Explanation: Hematuria means blood in the urine. The term describes what is present in the urine rather than the amount produced or discomfort during urination.

Why B is wrong: Pus in the urine describes pyuria.
Why C is wrong: Scant urine describes oliguria.
Why D is wrong: Painful urination describes dysuria.

#15. Which description matches the first phase of acute renal failure?

Correct answer: D. Oliguria with less than 400 mL in 24 hours, lasting a few days to 2 weeks

Explanation: Acute renal failure begins with an oliguria phase. Urine output is less than 400 mL in 24 hours, and this phase lasts from a few days to about 2 weeks.

Why A is wrong: Less than 30 mL per hour is a reporting threshold for a catheterized client, not the definition and duration of the first phase.
Why B is wrong: Output of about 1,000 to 5,000 mL per day belongs to the diuresis phase.
Why C is wrong: The less-than-400-mL threshold describes the oliguria phase rather than the recovery phase.

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