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CBUNA-CUNP : CBUNA Certified Urologic Nurse Practitioner Exam

Nursing CBUNA-CUNP Questions & Answers

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Nursing


CBUNA-CUNP


CBUNA Certified Urologic Nurse Practitioner


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Question: 1000


year-old male presents with penile discharge. Nucleic acid amplification testing reveals Chla matis. Which of the following should be included in his treatment regimen?


thromycin triaxone xycycline tronidazole


er: A


nation: Azithromycin is effective for treating uncomplicated Chlamydia infections.


ion: 1001


year-old male presents with difficulty urinating and a history of recurrent urinary tract infecti an reveals a 2 cm prostate mass. What is the most appropriate next step in management?


tchful waiting

erral for radiation therapy

iation of 5-alpha reductase inhibitors state biopsy


er: D


nation: Given the prostate mass and urinary symptoms, a biopsy is necessary to determine if

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mass is malignant, guiding further management.


Question: 1002


During a case discussion regarding a patient with prostate cancer, what is the most effective way for a urologic nurse practitioner to present their findings?


  1. By solely focusing on their diagnostic conclusions

  2. By avoiding discussion of the patient's psychosocial aspects

  3. By presenting data in a disorganized manner

  4. By integrating clinical findings with patient-reported outcomes and preferences Answer: D

Explanation: Integrating clinical findings with patient-reported outcomes and preferences allows for a more patient-centered approach that can influence treatment decisions.


Question: 1003



rates dalafil denafil rdenafil


er: A


nation: Nitrates are contraindicated in patients taking phosphodiesterase inhibitors due to the hypotension.


ion: 1004


ear-old girl presents with enuresis and abdominal pain. Upon further evaluation, a renal ultra hydronephrosis. What is the most likely cause of her enuresis?


dder overactivity due to pain

structive uropathy due to a structural anomaly chosocial factors due to pain

urological cause related to hydronephrosis er: B

nation: Hydronephrosis suggests an obstructive uropathy, which can lead to urinary retention uently cause enuresis.

A 60-year-old male presents with erectile dysfunction and has a history of coronary artery disease. Which of the following medications is contraindicated for him?


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Question: 1005


A 42-year-old male presents with sudden onset flank pain and hematuria after lifting heavy weights. A CT scan shows a renal hematoma but no laceration. What is the most appropriate management for this patient?


  1. Bed rest and observation

  2. Immediate nephrectomy

  3. Angiographic embolization

  4. Open surgical intervention Answer: A

Explanation: In cases of renal hematoma without laceration and with stable vital signs, bed rest and observation are typically sufficient for management.


Question: 1006



cusing only on curative options

erring to oncologists without input from the patient

uring that all team members are aware of the treatment options derstanding the patient’s values and preferences for end-of-life care


er: D


nation: Understanding the patient’s values and preferences is crucial in guiding palliative car sions and ensuring that their needs are met during treatment.


ion: 1007


of the following factors is a significant prognostic indicator for patients with non-muscle in cancer following TURBT?


mor grade and number of lesions ient age at diagnosis

sence of hematuria at presentation tory of smoking


er: A


nation: Tumor grade and the number of lesions are significant prognostic factors that help pre ence and progression in non-muscle invasive bladder cancer.

In discussions about palliative care options for a patient with advanced urological disease, what should a urologic nurse practitioner prioritize?


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Question: 1008


A 62-year-old female patient presents with urinary urgency, frequency, and pelvic pain. She reports that symptoms worsen during her menstrual cycle. What diagnosis should be considered?


  1. Radiation-induced cystitis

  2. Acute cystitis

  3. Interstitial cystitis

  4. Chronic pyelonephritis

Answer: C


Explanation: The cyclical nature of symptoms in relation to the menstrual cycle is suggestive of interstitial cystitis, often exacerbated by hormonal changes.


Question: 1009


A patient presents to the clinic with prolonged erections and is diagnosed with ischemic priapism. What is the most appropriate immediate treatment?


ply cold compresses

form cavernosal aspiration iate oral PDE5 inhibitors

minister systemic anticoagulation er: B

nation: Cavernosal aspiration is a critical intervention for ischemic priapism to relieve the ged erection and prevent complications, often leading to tissue damage.


ion: 1010


atient who has undergone a ureteroscopy, which of the following post-operative assessment the nurse prioritize to identify potential complications early?


sessing urine output and color nitoring vital signs every four hours aluating the surgical site for drainage

ecking the patient's pain level regularly er: A

nation: Assessing urine output and color post-ureteroscopy is critical to detect any potential ications such as obstruction or bleeding.

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    Question: 1011


    A 50-year-old male with persistent hematuria undergoes a workup. A renal biopsy reveals dysplasia. What does this finding suggest?


    1. Benign process

    2. Infection

    3. Increased cancer risk

    4. Inflammatory condition

    Answer: C


    Explanation: Dysplasia in a renal biopsy is indicative of a precancerous process, suggesting an increased risk for renal cell carcinoma.


    Question: 1012


    A 34-year-old male presents with acute flank pain and is found to have a 5 mm stone in the renal pelvis. He reports nausea and vomiting. What is the most appropriate acute management for this patient?


    racorporeal shock wave lithotripsy (ESWL) mediate nephrectomy

    management and hydration er: D

    nation: In acute management, pain control and hydration are essential for facilitating stone pa or ureteroscopy can be considered if symptoms persist or worsen.


    ion: 1013


    year-old male presents with urinary urgency and frequency. An ultrasound reveals a 70-gram

    e. What is the best first-line treatment option?


    tchful waiting

    lpha-reductase inhibitors ha-blockers

    gical intervention er: C

    nation: Alpha-blockers are the first-line treatment for managing urinary symptoms in patients roviding quick symptom relief.


    ion: 1014

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    Quest


    In a situation where a urologic nurse practitioner is asked for a second opinion on a patient diagnosed with complex urolithiasis, which approach should they adopt?


    1. They should immediately suggest surgical intervention.

    2. They should rely solely on the previous physician's notes.

    3. They should thoroughly review imaging studies and the patient's symptoms.

    4. They should ask the patient to wait for further testing before giving an opinion. Answer: C

    Explanation: A thorough review of imaging studies and the patient's symptoms is essential for forming an informed and accurate second opinion.


    Question: 1015


    During a well-child visit, a 4-year-old girl exhibits signs of urinary incontinence and recurrent UTIs. Upon further evaluation, VUR is diagnosed. Which of the following is a potential long-term consequence of untreated VUR?


    velopment of hypertension uresis

    gressive renal damage er: D

    nation: Untreated VUR can lead to progressive renal damage due to recurrent infections and opathy, potentially resulting in long-term renal impairment.


    ion: 1016


    a routine follow-up, a 70-year-old male with BPH reports worsening urinary stream and in ia. A post-void residual volume is measured at 600 mL. What intervention should be consid


    servation and lifestyle modifications

    iation of combination therapy with alpha-blockers and 5-alpha reductase inhibitors gical intervention

    odynamic studies er: B

    nation: Given the significant post-void residual volume, combination therapy can help manag symptoms and improve urinary flow.

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    Question: 1017


    In a scenario where a patient with a complex medical history presents with urological issues, what is the best approach for the urologic nurse practitioner?


    1. To focus on the current urological symptoms without considering the medical history

    2. To immediately refer the patient to another specialist without assessment

    3. To rely on previous notes without verifying the current status

    4. To conduct a holistic assessment that integrates the patient’s entire medical history

    Answer: D


    Explanation: A holistic assessment that considers the entire medical history is vital for understanding the context of the urological issues and guiding appropriate treatment.


    Question: 1018


    A 52-year-old male presents with erectile dysfunction and a history of prostate cancer treated with radiation. Which of the following is the most likely cause of his erectile dysfunction?


    scular damage from radiation rmonal therapy

    urogenic causes er: B

    nation: Radiation therapy can cause vascular damage, leading to erectile dysfunction in prost survivors.

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