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Certified Urologic Nurse Practitioner Practice Test

CBUNA-CUNP exam Format | Course Contents | Course Outline | exam Syllabus | exam Objectives

- Common Pediatric Disorders
- Congenital anomalies
- hypospadias
- epispadias
- cryptorchidism
- Vesicoureteral reflux (VUR) and its management.
- Neurogenic bladder in pediatric patients.
- Urinary tract infections (UTIs) in children.
- Enuresis
- daytime incontinence
- nighttime incontinence
- Posterior urethral valves and other obstructive uropathies in children.

- Urinary Tract Inflammations and Disorders
- Cystitis
- bacterial
- interstitial
- radiation-induced
- Pyelonephritis
- acute
- chronic
- Urethritis and sexually transmitted infections (STIs).
- Prostatitis
- acute bacterial
- chronic bacterial
- chronic pelvic pain syndrome
- Epididymitis and orchitis.
- Urologic manifestations of systemic diseases
- lupus
- diabetes

- Voiding Dysfunctions- Including Incontinence
- Overactive bladder (OAB) and detrusor overactivity.
- Stress urinary incontinence (SUI).
- Mixed urinary incontinence.
- Neurogenic bladder
- due to spinal cord injury
- multiple sclerosis
- Post-void residual (PVR) and its implications.
- Behavioral and pharmacologic management of voiding dysfunctions.

- Obstructive Uropathies and Trauma- Including Stones and BPH
- Benign prostatic hyperplasia (BPH) and lower urinary tract symptoms (LUTS).
- Urolithiasis
- kidney stones
- ureteral stones
- bladder stones
- Ureteral and urethral strictures.

- Bladder outlet obstruction (BOO).
- Trauma to the genitourinary system
- renal trauma
- urethral injury
- Post-obstructive diuresis and its management.

- Sexual Dysfunctions- Disorders of Genitalia- and Male Infertility
- Erectile dysfunction (ED) and its evaluation/treatment.
- Peyronie’s disease.
- Priapism.
- Male infertility
- varicocele
- azoospermia
- Testicular pain and scrotal masses.
- Disorders of the penis and scrotum
- phimosis
- paraphimosis
- hydrocele

- Genitourinary Lesions- Benign and Malignant
- Prostate cancer
- screening
- diagnosis
- management
- Bladder cancer
- non-muscle invasive
- muscle-invasive
- Renal cell carcinoma (RCC).
- Testicular cancer.
- Penile and urethral cancers.
- Benign prostatic hyperplasia (BPH) and its complications.
- Hematuria evaluation
- gross
- microscopic

- Assess and Diagnose Pathologic Processes and Complications of Urologic Conditions
- Comprehensive history-taking and physical examination.
- Interpretation of diagnostic tests
- urinalysis
- urodynamics
- imaging
- Differential diagnosis of urologic conditions.
- Recognition of complications
- sepsis
- acute kidney injury

- Prescribe/Perform Interventions- Including Treatments- Therapies- and Procedures
- Pharmacologic management
- antibiotics
- alpha-blockers
- anticholinergics
- Non-pharmacologic interventions
- bladder training
- pelvic floor exercises
- Minor procedures
- catheterization
- bladder irrigation
- Pre- and post-operative care for urologic surgeries.
- Pain management strategies.

- Educate Patient- Family- Other Health Care Professionals- and the Public
- Patient education on disease prevention and management.
- Counseling on lifestyle modifications
- diet
- smoking cessation
- Teaching about self-catheterization- stoma care- and continence products.
- Providing resources and support for patients with chronic urologic conditions.
- Educating other healthcare providers about urologic care best practices.

- Consult for and with Peers and Other Health Care Professionals Regarding Specific Cases
- Collaborating with urologists- oncologists- nephrologists- and other specialists.
- Participating in multidisciplinary team meetings.
- Referring patients to appropriate specialists when needed.
- Providing second opinions or expert advice on complex cases.

- Participate in Practice Management and Research Activities to Promote Optimal Outcomes
- Case management and coordination of care for urologic patients.
- Quality improvement initiatives in urologic care.
- Participation in clinical research and evidence-based practice.
- Documentation and coding for urologic conditions and procedures.
- Ensuring compliance with regulatory and ethical standards.

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CBUNA-CUNP
CBUNA Certified Urologic Nurse Practitioner
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Question: 1000
A 29-year-old male presents with penile discharge. Nucleic acid amplification testing reveals Chlamydia
trachomatis. Which of the following should be included in his treatment regimen?
A. Azithromycin
B. Ceftriaxone
C. Doxycycline
D. Metronidazole
Answer: A
Explanation: Azithromycin is effective for treating uncomplicated Chlamydia infections.
Question: 1001
A 65-year-old male presents with difficulty urinating and a history of recurrent urinary tract infections. A
CT scan reveals a 2 cm prostate mass. What is the most appropriate next step in management?
A. Watchful waiting
B. Referral for radiation therapy
C. Initiation of 5-alpha reductase inhibitors
D. Prostate biopsy
Answer: D
Explanation: Given the prostate mass and urinary symptoms, a biopsy is necessary to determine if the
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?
A. By solely focusing on their diagnostic conclusions
B. By avoiding discussion of the patient's psychosocial aspects
C. By presenting data in a disorganized manner
D. 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
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?
A. Nitrates
B. Tadalafil
C. Sildenafil
D. Vardenafil
Answer: A
Explanation: Nitrates are contraindicated in patients taking phosphodiesterase inhibitors due to the risk of
severe hypotension.
Question: 1004
A 4-year-old girl presents with enuresis and abdominal pain. Upon further evaluation, a renal ultrasound
shows hydronephrosis. What is the most likely cause of her enuresis?
A. Bladder overactivity due to pain
B. Obstructive uropathy due to a structural anomaly
C. Psychosocial factors due to pain
D. Neurological cause related to hydronephrosis
Answer: B
Explanation: Hydronephrosis suggests an obstructive uropathy, which can lead to urinary retention and
subsequently cause enuresis.
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?
A. Bed rest and observation
B. Immediate nephrectomy
C. Angiographic embolization
D. 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
In discussions about palliative care options for a patient with advanced urological disease, what should a
urologic nurse practitioner prioritize?
A. Focusing only on curative options
B. Deferring to oncologists without input from the patient
C. Ensuring that all team members are aware of the treatment options
D. Understanding the patient�s values and preferences for end-of-life care
Answer: D
Explanation: Understanding the patient�s values and preferences is crucial in guiding palliative care
discussions and ensuring that their needs are met during treatment.
Question: 1007
Which of the following factors is a significant prognostic indicator for patients with non-muscle invasive
bladder cancer following TURBT?
A. Tumor grade and number of lesions
B. Patient age at diagnosis
C. Presence of hematuria at presentation
D. History of smoking
Answer: A
Explanation: Tumor grade and the number of lesions are significant prognostic factors that help predict
recurrence and progression in non-muscle invasive bladder cancer.
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?
A. Radiation-induced cystitis
B. Acute cystitis
C. Interstitial cystitis
D. 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?
A. Apply cold compresses
B. Perform cavernosal aspiration
C. Initiate oral PDE5 inhibitors
D. Administer systemic anticoagulation
Answer: B
Explanation: Cavernosal aspiration is a critical intervention for ischemic priapism to relieve the
prolonged erection and prevent complications, often leading to tissue damage.
Question: 1010
For a patient who has undergone a ureteroscopy, which of the following post-operative assessments
should the nurse prioritize to identify potential complications early?
A. Assessing urine output and color
B. Monitoring vital signs every four hours
C. Evaluating the surgical site for drainage
D. Checking the patient's pain level regularly
Answer: A
Explanation: Assessing urine output and color post-ureteroscopy is critical to detect any potential
complications such as obstruction or bleeding.
Question: 1011
A 50-year-old male with persistent hematuria undergoes a workup. A renal biopsy reveals dysplasia.
What does this finding suggest?
A. Benign process
B. Infection
C. Increased cancer risk
D. 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?
A. Ureteroscopy
B. Extracorporeal shock wave lithotripsy (ESWL)
C. Immediate nephrectomy
D. Pain management and hydration
Answer: D
Explanation: In acute management, pain control and hydration are essential for facilitating stone passage;
ESWL or ureteroscopy can be considered if symptoms persist or worsen.
Question: 1013
A 59-year-old male presents with urinary urgency and frequency. An ultrasound reveals a 70-gram
prostate. What is the best first-line treatment option?
A. Watchful waiting
B. 5-alpha-reductase inhibitors
C. Alpha-blockers
D. Surgical intervention
Answer: C
Explanation: Alpha-blockers are the first-line treatment for managing urinary symptoms in patients with
BPH, providing quick symptom relief.
Question: 1014
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?
A. They should immediately suggest surgical intervention.
B. They should rely solely on the previous physician's notes.
C. They should thoroughly review imaging studies and the patient's symptoms.
D. 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?
A. Acute kidney injury
B. Development of hypertension
C. Enuresis
D. Progressive renal damage
Answer: D
Explanation: Untreated VUR can lead to progressive renal damage due to recurrent infections and reflux
nephropathy, potentially resulting in long-term renal impairment.
Question: 1016
During a routine follow-up, a 70-year-old male with BPH reports worsening urinary stream and increased
nocturia. A post-void residual volume is measured at 600 mL. What intervention should be considered
next?
A. Observation and lifestyle modifications
B. Initiation of combination therapy with alpha-blockers and 5-alpha reductase inhibitors
C. Surgical intervention
D. Urodynamic studies
Answer: B
Explanation: Given the significant post-void residual volume, combination therapy can help manage
severe symptoms and Excellerate urinary flow.
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?
A. To focus on the current urological symptoms without considering the medical history
B. To immediately refer the patient to another specialist without assessment
C. To rely on previous notes without verifying the current status
D. 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?
A. Psychological factors
B. Vascular damage from radiation
C. Hormonal therapy
D. Neurogenic causes
Answer: B
Explanation: Radiation therapy can cause vascular damage, leading to erectile dysfunction in prostate
cancer survivors.
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