Urinary Tract Infection (UTI) NCLEX
You're assessing your patients during morning rounding. Which patient below is at MOST risk for
developing a urinary tract infection?
A. A 25 year old patient who finished a regime of antibiotics for strep throat 10 weeks ago.
B. A 55 year old female who is post-opt day 7 from hip surgery.
C. A 68 year old male who is experiencing nausea and vomiting.
D. A 87 year old female with Alzheimer's disease who is experiencing bowel incontinence. -
Answer- D. A 87 year old female with Alzheimer's disease who is experiencing bowel
incontinence.
A 36 year old female, who is 29 weeks pregnant, reports she is experiencing burning when
voiding. The physician orders a urinalysis. Which statement by the patient demonstrates she
understands how to collect the specimen?*
A. "I'll hold the cup firmly against the urethra while collecting the sample."
B. "I will cleanse back to front with the antiseptic wipe before peeing in the cup."
C. "First, I will pee a small amount of urine in the toilet and then collect the rest in the cup."
D. "I will be sure to drink a lot of fluids to keep the urine diluted before peeing into the cup." -
Answer- C. "First, I will pee a small amount of urine in the toilet and then collect the rest in the
cup."
During a head-to-toe assessment on a patient with a possible urinary tract infection, you perform
costovertebral angle percussion. The costovertebral angle is found?*
A. between the bottom of the 12th rib and spine
B. between the right upper quadrant and umbilicus
C. between the sternal notch and angle of Louis
D. between the ischial spine and umbilicus - Answer- A. between the bottom of the 12th rib and
spine.
A 76 year old female is admitted due to a recent fall. The patient is confused and agitated. The
family members report that this is not normal behavior for the patient. They explain that the patient
is very active in the community and cares for herself. Based on the information you have gathered
about the patient, which physician's order takes priority?*
A. "Collect a urinalysis"
B. "Collect a T3 and T4 level"
C. "Insert a Foley Catheter"
D. "Keep patient NPO" - Answer- A. "Collect a urinalysis"
The physician orders a urine culture on your patient in room 5505 with a urinary tract infection. In
addition, the patient is ordered to start IV Bactrim (Sulfamethoxazole/Trimethoprim). How will you
proceed with following this order?*
A. First, hang the antibiotic, and then collect the urine culture.
B. First, hang the antibiotic and when the antibiotic is finished infusing collect the urine culture.
C. First, collect the urine culture, and then hang the antibiotic.
D. First, collect the urine culture and then hold the dose of the antibiotic until the urine culture is
back from the lab. - Answer- C. First, collect the urine culture, and then hang the antibiotic.
You're assessing your patients during morning rounding. Which patient below is at MOST risk for
developing a urinary tract infection?
A. A 25 year old patient who finished a regime of antibiotics for strep throat 10 weeks ago.
B. A 55 year old female who is post-opt day 7 from hip surgery.
C. A 68 year old male who is experiencing nausea and vomiting.
D. A 87 year old female with Alzheimer's disease who is experiencing bowel incontinence. -
Answer- D. A 87 year old female with Alzheimer's disease who is experiencing bowel
incontinence.
A 36 year old female, who is 29 weeks pregnant, reports she is experiencing burning when
voiding. The physician orders a urinalysis. Which statement by the patient demonstrates she
understands how to collect the specimen?*
A. "I'll hold the cup firmly against the urethra while collecting the sample."
B. "I will cleanse back to front with the antiseptic wipe before peeing in the cup."
C. "First, I will pee a small amount of urine in the toilet and then collect the rest in the cup."
D. "I will be sure to drink a lot of fluids to keep the urine diluted before peeing into the cup." -
Answer- C. "First, I will pee a small amount of urine in the toilet and then collect the rest in the
cup."
During a head-to-toe assessment on a patient with a possible urinary tract infection, you perform
costovertebral angle percussion. The costovertebral angle is found?*
A. between the bottom of the 12th rib and spine
B. between the right upper quadrant and umbilicus
C. between the sternal notch and angle of Louis
D. between the ischial spine and umbilicus - Answer- A. between the bottom of the 12th rib and
spine.
A 76 year old female is admitted due to a recent fall. The patient is confused and agitated. The
family members report that this is not normal behavior for the patient. They explain that the patient
is very active in the community and cares for herself. Based on the information you have gathered
about the patient, which physician's order takes priority?*
A. "Collect a urinalysis"
B. "Collect a T3 and T4 level"
C. "Insert a Foley Catheter"
D. "Keep patient NPO" - Answer- A. "Collect a urinalysis"
The physician orders a urine culture on your patient in room 5505 with a urinary tract infection. In
addition, the patient is ordered to start IV Bactrim (Sulfamethoxazole/Trimethoprim). How will you
proceed with following this order?*
A. First, hang the antibiotic, and then collect the urine culture.
B. First, hang the antibiotic and when the antibiotic is finished infusing collect the urine culture.
C. First, collect the urine culture, and then hang the antibiotic.
D. First, collect the urine culture and then hold the dose of the antibiotic until the urine culture is
back from the lab. - Answer- C. First, collect the urine culture, and then hang the antibiotic.
