NR 570 FINAL EXAM
COMMON DIAGNOSIS & MANAGEMENT IN ACUTE CARE PRACTICUM
Premium Original Practice Questions • Detailed Rationales • Acute-Care Clinical Reasoning • Weeks 1–8 Review
Important: This is an independently written study resource based on the publicly visible subject areas of the referenced
Stuvia listing. It does not reproduce the paid/locked document and does not claim to contain actual, leaked, recalled, or
verified Chamberlain examination questions.
NR 570 — Independent Acute Care Study Resource Page 1
, RENAL & URINARY PRESENTATIONS
Question: A patient has sudden severe flank pain radiating toward the groin with nausea and
microscopic hematuria. Which diagnosis is most likely?
A. Nephrolithiasis
B. Uncomplicated cystitis
C. Diverticulitis
D. Pneumonia
Correct Answer: A. Nephrolithiasis
Rationale: Ureteral stones classically cause acute, colicky flank pain that may migrate toward the groin as the stone
moves distally. Nausea and hematuria are common accompanying findings.
Exam Tip: Exam trap: Fever and systemic toxicity suggest infection and should change the urgency and differential.
Question: Which imaging study is commonly preferred when definitive evaluation of suspected
ureteral stone is needed in a nonpregnant adult?
A. Noncontrast CT of the abdomen/pelvis
B. Chest x-ray
C. MRI brain
D. Colonoscopy
Correct Answer: A. Noncontrast CT of the abdomen/pelvis
Rationale: Noncontrast CT is highly sensitive for urinary calculi and can identify alternative causes of acute flank pain.
Ultrasound is particularly valuable when radiation should be avoided, such as pregnancy, and for assessing obstruction.
Exam Tip: Clinical pearl: Imaging choice depends on patient factors, availability and the clinical question.
Question: A patient with flank pain also has fever, rigors and costovertebral-angle tenderness. What
must be considered urgently?
A. Pyelonephritis/complicated urinary infection
B. Simple musculoskeletal pain only
C. Allergic rhinitis
D. Tension headache
Correct Answer: A. Pyelonephritis/complicated urinary infection
Rationale: Fever and systemic illness accompanying flank pain and urinary findings raise concern for upper urinary tract
infection. Obstruction plus infection can become a urologic emergency and requires prompt evaluation.
Exam Tip: Exam priority: Infection + obstruction is a dangerous combination.
NR 570 — Independent Acute Care Study Resource Page 2
COMMON DIAGNOSIS & MANAGEMENT IN ACUTE CARE PRACTICUM
Premium Original Practice Questions • Detailed Rationales • Acute-Care Clinical Reasoning • Weeks 1–8 Review
Important: This is an independently written study resource based on the publicly visible subject areas of the referenced
Stuvia listing. It does not reproduce the paid/locked document and does not claim to contain actual, leaked, recalled, or
verified Chamberlain examination questions.
NR 570 — Independent Acute Care Study Resource Page 1
, RENAL & URINARY PRESENTATIONS
Question: A patient has sudden severe flank pain radiating toward the groin with nausea and
microscopic hematuria. Which diagnosis is most likely?
A. Nephrolithiasis
B. Uncomplicated cystitis
C. Diverticulitis
D. Pneumonia
Correct Answer: A. Nephrolithiasis
Rationale: Ureteral stones classically cause acute, colicky flank pain that may migrate toward the groin as the stone
moves distally. Nausea and hematuria are common accompanying findings.
Exam Tip: Exam trap: Fever and systemic toxicity suggest infection and should change the urgency and differential.
Question: Which imaging study is commonly preferred when definitive evaluation of suspected
ureteral stone is needed in a nonpregnant adult?
A. Noncontrast CT of the abdomen/pelvis
B. Chest x-ray
C. MRI brain
D. Colonoscopy
Correct Answer: A. Noncontrast CT of the abdomen/pelvis
Rationale: Noncontrast CT is highly sensitive for urinary calculi and can identify alternative causes of acute flank pain.
Ultrasound is particularly valuable when radiation should be avoided, such as pregnancy, and for assessing obstruction.
Exam Tip: Clinical pearl: Imaging choice depends on patient factors, availability and the clinical question.
Question: A patient with flank pain also has fever, rigors and costovertebral-angle tenderness. What
must be considered urgently?
A. Pyelonephritis/complicated urinary infection
B. Simple musculoskeletal pain only
C. Allergic rhinitis
D. Tension headache
Correct Answer: A. Pyelonephritis/complicated urinary infection
Rationale: Fever and systemic illness accompanying flank pain and urinary findings raise concern for upper urinary tract
infection. Obstruction plus infection can become a urologic emergency and requires prompt evaluation.
Exam Tip: Exam priority: Infection + obstruction is a dangerous combination.
NR 570 — Independent Acute Care Study Resource Page 2
