NR 507 FINAL TEST REVIEW
QUESTIONS WITH COMPLETE
SOLUTIONS
The NP would know that the patient most likely has an uncomplicated UTI because: -
Answer-The UTI responds well to a short course of antibiotic therapy.
A common organism that causes a urinary tract infection include: - Answer-
Staphylococcus saprophyticus.
E coli
The purpose of straining in BPH is to overcome the obstruction encountered during
urination. - Answer-true
The peripheral zone of the prostate is the largest zone. - Answer-true
On a digital rectal exam to assess the quality of the prostate, the NP would be
concerned with which of the following findings? - Answer-hard nodule
There is a significant risk for men with benign prostatic hyperplasia (BPH) to develop
cellular mutations that lead to prostate cancer. - Answer-false
The patient most often develops symptoms of BPH when: - Answer-The prostatic
urethra becomes obstructed.
Irritative symptoms - Answer-urinary frequency
nocturia
urgency that results from bladder hypertrophy and dysfunction
obstructive symptoms - Answer-incomplete emptying
post-void dribbling
The action of a 5-Alpha-reductase inhibitor causes: - Answer-Shrinkage of the prostate
gland.
Men who have BPH are prone to developing a UTI because: - Answer-Stagnated urine
in the bladder promotes bacterial growth.
The prostate specific antigen (PSA) helps to liquefy semen post-ejaculation. - Answer-
true
The underlying cause of BPH is that normal prostate cells respond to increases in
dihydrotestosterone that causes them to live longer and multiply. - Answer-true
, The location of the characteristic hyperplastic nodules of BPH is: - Answer-In the
periurethral zone.
The type of stone that forms due to a urinary tract infection is: - Answer-Struvite stone.
Renal stones are formed when calcium and oxalate in the urine combine. - Answer-true
Renal calculi are typically confined to the bladder. - Answer-false
The most common type of stone is: - Answer-calcium stone
The gold standard for diagnosing a renal stone is a urinalysis. - Answer-false (ct scan)
A 45-year-old male presents to the primary care office with right flank pain that he
describes as unremitting; he also reports nausea and vomiting. The NP performs an
exam and observes him writhing in pain on the exam table with the inability to find a
comfortable position. He is afebrile, BP 156/88 mmHg and HR 106/min. Right flank is
mildly tender on palpation. Abdominal exam is negative for any abnormality. A urinalysis
was performed and revealed 1+ blood. Urine microscopy also revealed 10-20 RBCs per
high-power field (hpf). A kidney stone is suspected. The patient reports no prior history
of a kidney stone. After providing the patient an analgesic, where the patient reported
mild relief, the NP had the patient transferred to the emergency room for intravenous
fluids, pain management and further work-up for the kidney stone. Upon follow-up in the
office a week later, the patient reported that he was diagnosed with - Answer-adequate
hydration
balanced diet
Lithotripsy is an invasive procedure used to break up the stone - Answer-false
The most common stone found in the patient with gout is: - Answer-uric acid stone
Hematuria can be seen with kidney stones because: - Answer-The stone injures the
urinary structures as it passes through them.
Renal colic is caused by the passing of the stone through the ureter. - Answer-true
At least half of individuals with renal stones will have a reoccurrence within 10 years of
the prior stone. - Answer-true
Which of the following actions will relax the detrusor muscle of the bladder? - Answer-
Activation of Beta-2 receptors by the sympathetic nervous system.
The relay station in the brain that plays a major role in regulating micturition is: -
Answer-Pontine micturition center.
QUESTIONS WITH COMPLETE
SOLUTIONS
The NP would know that the patient most likely has an uncomplicated UTI because: -
Answer-The UTI responds well to a short course of antibiotic therapy.
A common organism that causes a urinary tract infection include: - Answer-
Staphylococcus saprophyticus.
E coli
The purpose of straining in BPH is to overcome the obstruction encountered during
urination. - Answer-true
The peripheral zone of the prostate is the largest zone. - Answer-true
On a digital rectal exam to assess the quality of the prostate, the NP would be
concerned with which of the following findings? - Answer-hard nodule
There is a significant risk for men with benign prostatic hyperplasia (BPH) to develop
cellular mutations that lead to prostate cancer. - Answer-false
The patient most often develops symptoms of BPH when: - Answer-The prostatic
urethra becomes obstructed.
Irritative symptoms - Answer-urinary frequency
nocturia
urgency that results from bladder hypertrophy and dysfunction
obstructive symptoms - Answer-incomplete emptying
post-void dribbling
The action of a 5-Alpha-reductase inhibitor causes: - Answer-Shrinkage of the prostate
gland.
Men who have BPH are prone to developing a UTI because: - Answer-Stagnated urine
in the bladder promotes bacterial growth.
The prostate specific antigen (PSA) helps to liquefy semen post-ejaculation. - Answer-
true
The underlying cause of BPH is that normal prostate cells respond to increases in
dihydrotestosterone that causes them to live longer and multiply. - Answer-true
, The location of the characteristic hyperplastic nodules of BPH is: - Answer-In the
periurethral zone.
The type of stone that forms due to a urinary tract infection is: - Answer-Struvite stone.
Renal stones are formed when calcium and oxalate in the urine combine. - Answer-true
Renal calculi are typically confined to the bladder. - Answer-false
The most common type of stone is: - Answer-calcium stone
The gold standard for diagnosing a renal stone is a urinalysis. - Answer-false (ct scan)
A 45-year-old male presents to the primary care office with right flank pain that he
describes as unremitting; he also reports nausea and vomiting. The NP performs an
exam and observes him writhing in pain on the exam table with the inability to find a
comfortable position. He is afebrile, BP 156/88 mmHg and HR 106/min. Right flank is
mildly tender on palpation. Abdominal exam is negative for any abnormality. A urinalysis
was performed and revealed 1+ blood. Urine microscopy also revealed 10-20 RBCs per
high-power field (hpf). A kidney stone is suspected. The patient reports no prior history
of a kidney stone. After providing the patient an analgesic, where the patient reported
mild relief, the NP had the patient transferred to the emergency room for intravenous
fluids, pain management and further work-up for the kidney stone. Upon follow-up in the
office a week later, the patient reported that he was diagnosed with - Answer-adequate
hydration
balanced diet
Lithotripsy is an invasive procedure used to break up the stone - Answer-false
The most common stone found in the patient with gout is: - Answer-uric acid stone
Hematuria can be seen with kidney stones because: - Answer-The stone injures the
urinary structures as it passes through them.
Renal colic is caused by the passing of the stone through the ureter. - Answer-true
At least half of individuals with renal stones will have a reoccurrence within 10 years of
the prior stone. - Answer-true
Which of the following actions will relax the detrusor muscle of the bladder? - Answer-
Activation of Beta-2 receptors by the sympathetic nervous system.
The relay station in the brain that plays a major role in regulating micturition is: -
Answer-Pontine micturition center.
