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

Exam : CBUNA Certified Urologic Registered Nurse (CURN)

Number of Questions: 150

Question Type : multiple-choice questions.

Note: Some older sources mention 175 or 200 questions, but the most consistent and recent information confirms 150 questions for the CURN exam.

Passing Marks: The passing score for the CURN exam is 70%



1. Anatomy and Physiology of the Urologic System (10-15%)

- Kidneys, ureters, bladder, urethra, and male reproductive organs (prostate, testes, penis).

- Nephron structure and function.

- Pelvic floor muscles and their role in continence.



- Urine formation (filtration, reabsorption, secretion, excretion).

- Hormonal regulation (e.g., antidiuretic hormone, aldosterone).

- Micturition reflex and bladder control.



- Glomerular filtration rate (GFR)

- Hydronephrosis

- Detrusor muscle

- Sphincter mechanisms

- Renal perfusion



2. Common Urologic Conditions and Pathophysiology (25-30%)

- Urinary Tract Infections (UTIs):

- Causes (e.g., Escherichia coli), risk factors, and complications (e.g., pyelonephritis).

- Types: Cystitis, urethritis, prostatitis.



- Urolithiasis (Kidney Stones):

- Types (calcium oxalate, uric acid, struvite).

- Risk factors, symptoms (renal colic), and complications (obstruction).



- Benign Prostatic Hyperplasia (BPH):

- Pathophysiology, symptoms (lower urinary tract symptoms - LUTS), and complications (e.g., bladder outlet obstruction).



- Urologic Cancers:

- Bladder cancer, prostate cancer, renal cell carcinoma, testicular cancer.

- Risk factors, staging, and metastatic patterns.



- Voiding Dysfunction:

- Overactive bladder (OAB), urinary incontinence (stress, urge, mixed, overflow).

- Neurogenic bladder (e.g., due to spinal cord injury, multiple sclerosis).



- Congenital and Pediatric Conditions:

- Vesicoureteral reflux (VUR), hypospadias, cryptorchidism.



- Interstitial cystitis/painful bladder syndrome.

- Erectile dysfunction (ED) and male infertility.

- Acute and chronic kidney injury (AKI, CKD).



- Hematuria

- Dysuria

- Nocturia

- Post-void residual (PVR)

- Azotemia

- Oliguria/Anuria



3. Diagnostic Procedures and Assessments (15-20%)

- Laboratory Tests:

- Urinalysis (specific gravity, pH, protein, blood, nitrites).

- Urine culture and sensitivity.

- Serum creatinine, blood urea nitrogen (BUN), and estimated GFR.

- Prostate-specific antigen (PSA) for prostate cancer screening.



- Imaging Studies:

- Ultrasound (renal, bladder, prostate).

- CT scan for stones or masses.

- Intravenous pyelogram (IVP) and voiding cystourethrogram (VCUG).



- Urodynamic Testing:

- Cystometry, uroflowmetry, and pressure-flow studies.

- Assessing bladder capacity, compliance, and detrusor activity.



- Endoscopic Procedures:

- Cystoscopy and ureteroscopy.

- Biopsy techniques for cancer diagnosis.



- Physical Assessments:

- Digital rectal exam (DRE) for prostate evaluation.

- Pelvic floor exam for incontinence.



- Cystometrogram (CMG)

- KUB (kidneys, ureters, bladder) X-ray

- Urethral pressure profile

- Retrograde pyelography

- Creatinine clearance



4. Treatments and Interventions (20-25%)

- Pharmacologic Management:

- Antibiotics for UTIs (e.g., nitrofurantoin, ciprofloxacin).

- Alpha-blockers (e.g., tamsulosin) and 5-alpha-reductase inhibitors (e.g., finasteride) for BPH.

- Anticholinergics (e.g., oxybutynin) for overactive bladder.

- Chemotherapy, immunotherapy (e.g., BCG for bladder cancer), and hormone therapy for cancers.



- Surgical Interventions:

- Transurethral resection of the prostate (TURP).

- Nephrectomy, cystectomy, and prostatectomy.

- Ureteral stent placement and lithotripsy for stones.



- Non-Surgical Procedures:

- Catheterization (indwelling, intermittent, suprapubic).

- Bladder irrigation and instillation therapies (e.g., for bladder cancer).

- Pelvic floor therapy and biofeedback for incontinence.



- Lifestyle and Behavioral Interventions:

- Bladder training, timed voiding, and fluid management.

- Dietary modifications for stone prevention (e.g., low-oxalate diet).



- Extracorporeal shock wave lithotripsy (ESWL)

- Clean intermittent catheterization (CIC)

- Intravesical therapy

- Kegel exercises

- Nephrostomy tube



5. Patient Care and Education (15-20%)

- Pre- and Post-Procedure Care:

- Preparing patients for surgery (e.g., bowel prep, fasting).

- Post-operative monitoring for complications (e.g., infection, bleeding).

- Catheter care and prevention of catheter-associated UTIs (CAUTIs).



- Patient Education:

- Teaching self-catheterization and catheter maintenance.

- Educating on medication adherence and side effects.

- Counseling on lifestyle changes to manage incontinence or prevent stones.



- Psychosocial Support:

- Addressing sensitive issues (e.g., sexual dysfunction, incontinence).

- Supporting patients with cancer diagnoses or chronic conditions.



- Stoma care

- Bladder diary

- Patient compliance

- Health literacy

- Shared decision-making



6. Professional Practice and Ethical Considerations (5-10%)

- Scope of Practice:

- Understanding RN responsibilities in urologic care.

- Collaboration with urologists, nurse practitioners, and other healthcare providers.



- Ethical Issues:

- Patient confidentiality, especially with sensitive urologic conditions.

- Informed consent for procedures and treatments.



- Quality Improvement:

- Implementing evidence-based practices to reduce CAUTIs or Excellerate outcomes.

- Participating in urologic research or quality audits.



- Evidence-based practice

- Informed consent

- HIPAA compliance

- Clinical practice guidelines

- Continuing competence



- Anatomy/Physiology:

- Renal pelvis, calyces, trigone, seminal vesicles.

- Peristalsis (ureteral), micturition, continence.

- Pathophysiology:

- Pyuria, bacteriuria, glycosuria.

- Vesicoureteral reflux (VUR), bladder diverticulum.

- Priapism, phimosis, varicocele.

- Diagnostics:

- Uroflowmetry, post-void residual (PVR).

- Renal scintigraphy, magnetic resonance urography (MRU).

- Treatments:

- Percutaneous nephrolithotomy (PCNL).

- Botulinum toxin (Botox) for overactive bladder.

- Penile prosthesis, vasectomy.

- Patient Care:

- Symptom management, care coordination.

- Patient advocacy, cultural competence.

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