NR 507 Final Exam Questions with 100%
Verified Correct Answers
Which of the following is true regarding a complicated urinary tract infection?
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)?
Pregnancy
A symptom of a lower urinary tract infection includes:
urgency
Women are at a higher risk for the development of a UTI because of having a shorter
urethra.
true
Which of the following can help to prevent a UTI?
Increase water consumption
Uncomplicated UTI
Occurs in the normal urinary tract
Responds well to short course of antibiotic therapy
Simple cystitis in non-pregnant women without any urologic abnormalities
Complicated UTI
UTI extends beyond the bladder
Caused by structural or functional urinary tract abnormalities or untreated UTI
,Infants and older adults affected
Associated with: indwelling catheters, renal calculi, diabetes, pregnancy
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:
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
flank area, the patient yelled out when touched. A urine culture was obtained and came
back positive for nitrites and RBCs. Urine microscopy revealed >100,000 WBC/hpf and
casts.
, Based on the information provided in the case, the patient can most likely be diagnosed
with:
pyelonephritis
Identify the major risk factor J.S. has that is associated with pyelonephritis:
indwelling foley catheter
The urinalysis of a patient with a complicated UTI will show WBCs and casts
true
Upon examination of a urinalysis, the NP can highly suspect that the causative bacteria
are gram negative because of the presence of:
nitrites
A 21-year-old patient reports to the primary care clinic complaining of urinary
urgency, frequency and burning. She also reports a small amount of vaginal discharge
that contains an odor. It is likely that the NP will perform a vaginal exam at this visit.
true
The NP would know that the patient most likely has an uncomplicated UTI because:
The UTI responds well to a short course of antibiotic therapy.
A common organism that causes a urinary tract infection include:
Staphylococcus saprophyticus.
E coli
The purpose of straining in BPH is to overcome the obstruction encountered during
urination.
Verified Correct Answers
Which of the following is true regarding a complicated urinary tract infection?
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)?
Pregnancy
A symptom of a lower urinary tract infection includes:
urgency
Women are at a higher risk for the development of a UTI because of having a shorter
urethra.
true
Which of the following can help to prevent a UTI?
Increase water consumption
Uncomplicated UTI
Occurs in the normal urinary tract
Responds well to short course of antibiotic therapy
Simple cystitis in non-pregnant women without any urologic abnormalities
Complicated UTI
UTI extends beyond the bladder
Caused by structural or functional urinary tract abnormalities or untreated UTI
,Infants and older adults affected
Associated with: indwelling catheters, renal calculi, diabetes, pregnancy
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:
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
flank area, the patient yelled out when touched. A urine culture was obtained and came
back positive for nitrites and RBCs. Urine microscopy revealed >100,000 WBC/hpf and
casts.
, Based on the information provided in the case, the patient can most likely be diagnosed
with:
pyelonephritis
Identify the major risk factor J.S. has that is associated with pyelonephritis:
indwelling foley catheter
The urinalysis of a patient with a complicated UTI will show WBCs and casts
true
Upon examination of a urinalysis, the NP can highly suspect that the causative bacteria
are gram negative because of the presence of:
nitrites
A 21-year-old patient reports to the primary care clinic complaining of urinary
urgency, frequency and burning. She also reports a small amount of vaginal discharge
that contains an odor. It is likely that the NP will perform a vaginal exam at this visit.
true
The NP would know that the patient most likely has an uncomplicated UTI because:
The UTI responds well to a short course of antibiotic therapy.
A common organism that causes a urinary tract infection include:
Staphylococcus saprophyticus.
E coli
The purpose of straining in BPH is to overcome the obstruction encountered during
urination.
