NR 507 Final Exam with Answers
Which of the following is true regarding a complicated urinary tract infection? -
✔️✔️correct answer-Can be caused by a structural urinary tract disorder
Which of the following is a risk factor for the development of a urinary tract infection
(UTI)? - ✔️✔️correct answer-pregnancy
A symptom of a lower urinary tract infection includes: - ✔️✔️correct answer-urgency
Women are at a higher risk for the development of a UTI because of having a shorter
urethra. - ✔️✔️correct answer-true
Which of the following can help to prevent a UTI? - ✔️✔️correct answer-increase water
consumption
Risk factors for a UTI - ✔️✔️correct answer-pregnancy
sexually active
post-menopause
estrogen-deficiency
women (shorter urethra)
catheterization
An upper UTI is less common in men due to the longer urethra and ureter structures
that make it more difficult for bacteria to reach the kidney. - ✔️✔️correct answer-true
complicated UTI - ✔️✔️correct answer--A UTI that extends beyond the bladder
-Caused by structural or functional urinary tract abnormalities or untreated UTI
-Infants and older adults affected
-Associated with:indwelling cathetersrenal calculiDiabetesPregnancy
uncomplicated UTI - ✔️✔️correct answer--Occurs in the normal urinary tract
-Responds well to a short course of antibiotic therapy
-Simple cystitis in non-pregnant women without any urologic abnormalities
, Most common cause of UTI bacteria - ✔️✔️correct answer-E coli
Uncomplicated UTI - ✔️✔️correct answer-Protein +/_
Leukocyte Esterase +
Nitrites +/_
RBCs +/_
WBCs +/> 5000/hpf
Casts - None
Complicated UTI - ✔️✔️correct answer-Protein +/_
Leukocyte Esterase +
Nitrites +/_
RBCs +
WBCs +/> 100,000/hpf
Casts +
NP education - ✔️✔️correct answer--Drink more water.
-Although there are differences of opinions, cranberry juice and vitamin C can help to
acidify the urine.
-Urinate before and after sexual intercourse to remove bacteria from the urethral area.-
Encourage the female to avoid holding urine for extended periods of time
-Avoid the use of hygiene sprays and spermicides because they alter the normal
microbial flora to enhance the risk for infection.
-Encourage the female to wipe from the front to the back after a bowel movement to
avoid spreading bacteria to the urethra
-Encourages showers rather than bathing to avoid the spread of bacteria.
A 25 year- old female presents to the primary care office with urinary burning and
frequency for the last 3 days. She denies any fever, chills, back pain. Her gynecological
history is negative and reports no vaginal discharge. The only new information reported
is that she recently had sexual intercourse with a new male partner.
The NP obtains a urinalysis and determines that the urine contains leukocytes, RBCs,
nitrites, and WBCs. No casts are identified. Based on symptom presentation and UA
results, the patient can be diagnosed with: - ✔️✔️correct answer-cystitis
J.S. is an 80 -year-old patient who resides in a local nursing home. He recently became
confused and then fell while ambulating to the bathroom three days ago. Because of his
confusion and fall, he was transferred to the acute care facility for evaluation and
treatment. Lab work revealed that the patient was very dehydrated with hypernatremia
identified and appropriate intravenous fluids started. Cystitis was also identified from the
urinalysis. He was also noted to have red and excoriated skin between the buttocks and
inner thighs due to urinary frequency and dribbling. To help with skin healing and to
prevent further urine leakage, an indwelling catheter was inserted. Two days after the
catheter was placed, the patient spiked a fever of 102 degrees Fahrenheit associated
with shaking chills. An intense, foul odor was noted in the urine. On examination of the
Which of the following is true regarding a complicated urinary tract infection? -
✔️✔️correct answer-Can be caused by a structural urinary tract disorder
Which of the following is a risk factor for the development of a urinary tract infection
(UTI)? - ✔️✔️correct answer-pregnancy
A symptom of a lower urinary tract infection includes: - ✔️✔️correct answer-urgency
Women are at a higher risk for the development of a UTI because of having a shorter
urethra. - ✔️✔️correct answer-true
Which of the following can help to prevent a UTI? - ✔️✔️correct answer-increase water
consumption
Risk factors for a UTI - ✔️✔️correct answer-pregnancy
sexually active
post-menopause
estrogen-deficiency
women (shorter urethra)
catheterization
An upper UTI is less common in men due to the longer urethra and ureter structures
that make it more difficult for bacteria to reach the kidney. - ✔️✔️correct answer-true
complicated UTI - ✔️✔️correct answer--A UTI that extends beyond the bladder
-Caused by structural or functional urinary tract abnormalities or untreated UTI
-Infants and older adults affected
-Associated with:indwelling cathetersrenal calculiDiabetesPregnancy
uncomplicated UTI - ✔️✔️correct answer--Occurs in the normal urinary tract
-Responds well to a short course of antibiotic therapy
-Simple cystitis in non-pregnant women without any urologic abnormalities
, Most common cause of UTI bacteria - ✔️✔️correct answer-E coli
Uncomplicated UTI - ✔️✔️correct answer-Protein +/_
Leukocyte Esterase +
Nitrites +/_
RBCs +/_
WBCs +/> 5000/hpf
Casts - None
Complicated UTI - ✔️✔️correct answer-Protein +/_
Leukocyte Esterase +
Nitrites +/_
RBCs +
WBCs +/> 100,000/hpf
Casts +
NP education - ✔️✔️correct answer--Drink more water.
-Although there are differences of opinions, cranberry juice and vitamin C can help to
acidify the urine.
-Urinate before and after sexual intercourse to remove bacteria from the urethral area.-
Encourage the female to avoid holding urine for extended periods of time
-Avoid the use of hygiene sprays and spermicides because they alter the normal
microbial flora to enhance the risk for infection.
-Encourage the female to wipe from the front to the back after a bowel movement to
avoid spreading bacteria to the urethra
-Encourages showers rather than bathing to avoid the spread of bacteria.
A 25 year- old female presents to the primary care office with urinary burning and
frequency for the last 3 days. She denies any fever, chills, back pain. Her gynecological
history is negative and reports no vaginal discharge. The only new information reported
is that she recently had sexual intercourse with a new male partner.
The NP obtains a urinalysis and determines that the urine contains leukocytes, RBCs,
nitrites, and WBCs. No casts are identified. Based on symptom presentation and UA
results, the patient can be diagnosed with: - ✔️✔️correct answer-cystitis
J.S. is an 80 -year-old patient who resides in a local nursing home. He recently became
confused and then fell while ambulating to the bathroom three days ago. Because of his
confusion and fall, he was transferred to the acute care facility for evaluation and
treatment. Lab work revealed that the patient was very dehydrated with hypernatremia
identified and appropriate intravenous fluids started. Cystitis was also identified from the
urinalysis. He was also noted to have red and excoriated skin between the buttocks and
inner thighs due to urinary frequency and dribbling. To help with skin healing and to
prevent further urine leakage, an indwelling catheter was inserted. Two days after the
catheter was placed, the patient spiked a fever of 102 degrees Fahrenheit associated
with shaking chills. An intense, foul odor was noted in the urine. On examination of the
