NR 507 Final exam with complete
solutions
Which of the following is true regarding a complicated urinary tract infection?
- .......🔷ANSWERS🔶......✔✔ 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)?
- .......🔷ANSWERS🔶......✔✔ Pregnancy
A symptom of a lower urinary tract infection includes: - .......🔷ANSWERS🔶......✔✔ urgency
Women are at a higher risk for the development of a UTI because of having a shorter urethra.
- .......🔷ANSWERS🔶......✔✔ true
Which of the following can help to prevent a UTI? - .......🔷ANSWERS🔶......✔✔ Increase water
consumption
Uncomplicated UTI - .......🔷ANSWERS🔶......✔✔ 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 - .......🔷ANSWERS🔶......✔✔ 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: - .......🔷ANSWERS🔶......✔✔ 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 c - .......🔷ANSWERS🔶......✔✔ pyelonephritis
Identify the major risk factor J.S. has that is associated with pyelonephritis:
- .......🔷ANSWERS🔶......✔✔ indwelling foley catheter
The urinalysis of a patient with a complicated UTI will show WBCs and casts
- .......🔷ANSWERS🔶......✔✔ true
Upon examination of a urinalysis, the NP can highly suspect that the causative bacteria are gram
negative because of the presence of: - .......🔷ANSWERS🔶......✔✔ 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. - .......🔷ANSWERS🔶......✔✔ true
The NP would know that the patient most likely has an uncomplicated UTI because:
- .......🔷ANSWERS🔶......✔✔ The UTI responds well to a short course of antibiotic therapy.
A common organism that causes a urinary tract infection include: - .......🔷ANSWERS🔶......✔✔
Staphylococcus saprophyticus.
, E coli
The purpose of straining in BPH is to overcome the obstruction encountered during urination.
- .......🔷ANSWERS🔶......✔✔ true
The peripheral zone of the prostate is the largest zone. - .......🔷ANSWERS🔶......✔✔ true
On a digital rectal exam to assess the quality of the prostate, the NP would be concerned with which
of the following findings? - .......🔷ANSWERS🔶......✔✔ hard nodule
There is a significant risk for men with benign prostatic hyperplasia (BPH) to develop cellular
mutations that lead to prostate cancer. - .......🔷ANSWERS🔶......✔✔ false
The patient most often develops symptoms of BPH when: - .......🔷ANSWERS🔶......✔✔ The
prostatic urethra becomes obstructed.
Irritative symptoms - .......🔷ANSWERS🔶......✔✔ urinary frequency
nocturia
urgency that results from bladder hypertrophy and dysfunction
obstructive symptoms - .......🔷ANSWERS🔶......✔✔ incomplete emptying
post-void dribbling
The action of a 5-Alpha-reductase inhibitor causes: - .......🔷ANSWERS🔶......✔✔ Shrinkage of the
prostate gland.
Men who have BPH are prone to developing a UTI because: - .......🔷ANSWERS🔶......✔✔ Stagnated
urine in the bladder promotes bacterial growth.
The prostate specific antigen (PSA) helps to liquefy semen post-ejaculation.
- .......🔷ANSWERS🔶......✔✔ true
solutions
Which of the following is true regarding a complicated urinary tract infection?
- .......🔷ANSWERS🔶......✔✔ 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)?
- .......🔷ANSWERS🔶......✔✔ Pregnancy
A symptom of a lower urinary tract infection includes: - .......🔷ANSWERS🔶......✔✔ urgency
Women are at a higher risk for the development of a UTI because of having a shorter urethra.
- .......🔷ANSWERS🔶......✔✔ true
Which of the following can help to prevent a UTI? - .......🔷ANSWERS🔶......✔✔ Increase water
consumption
Uncomplicated UTI - .......🔷ANSWERS🔶......✔✔ 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 - .......🔷ANSWERS🔶......✔✔ 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: - .......🔷ANSWERS🔶......✔✔ 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 c - .......🔷ANSWERS🔶......✔✔ pyelonephritis
Identify the major risk factor J.S. has that is associated with pyelonephritis:
- .......🔷ANSWERS🔶......✔✔ indwelling foley catheter
The urinalysis of a patient with a complicated UTI will show WBCs and casts
- .......🔷ANSWERS🔶......✔✔ true
Upon examination of a urinalysis, the NP can highly suspect that the causative bacteria are gram
negative because of the presence of: - .......🔷ANSWERS🔶......✔✔ 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. - .......🔷ANSWERS🔶......✔✔ true
The NP would know that the patient most likely has an uncomplicated UTI because:
- .......🔷ANSWERS🔶......✔✔ The UTI responds well to a short course of antibiotic therapy.
A common organism that causes a urinary tract infection include: - .......🔷ANSWERS🔶......✔✔
Staphylococcus saprophyticus.
, E coli
The purpose of straining in BPH is to overcome the obstruction encountered during urination.
- .......🔷ANSWERS🔶......✔✔ true
The peripheral zone of the prostate is the largest zone. - .......🔷ANSWERS🔶......✔✔ true
On a digital rectal exam to assess the quality of the prostate, the NP would be concerned with which
of the following findings? - .......🔷ANSWERS🔶......✔✔ hard nodule
There is a significant risk for men with benign prostatic hyperplasia (BPH) to develop cellular
mutations that lead to prostate cancer. - .......🔷ANSWERS🔶......✔✔ false
The patient most often develops symptoms of BPH when: - .......🔷ANSWERS🔶......✔✔ The
prostatic urethra becomes obstructed.
Irritative symptoms - .......🔷ANSWERS🔶......✔✔ urinary frequency
nocturia
urgency that results from bladder hypertrophy and dysfunction
obstructive symptoms - .......🔷ANSWERS🔶......✔✔ incomplete emptying
post-void dribbling
The action of a 5-Alpha-reductase inhibitor causes: - .......🔷ANSWERS🔶......✔✔ Shrinkage of the
prostate gland.
Men who have BPH are prone to developing a UTI because: - .......🔷ANSWERS🔶......✔✔ Stagnated
urine in the bladder promotes bacterial growth.
The prostate specific antigen (PSA) helps to liquefy semen post-ejaculation.
- .......🔷ANSWERS🔶......✔✔ true
