NR 507 MIDTERM EXAM 2025/2026 – ADVANCED
PATHOPHYSIOLOGY PRACTICE QUESTIONS,
ANSWER KEY, AND STUDY GUIDE (CHAMBERLAIN
COLLEGE OF NURSING)
Which Of The Following Can Help To Prevent A UTI?
A. Use Spermicides During Sexual Intercourse
B. Taking More Vitamin D
C. Douching To Prevent The Growth Of Bacteria
D. Increase Water Consumption
ANS>>D. Increase Water Consumption
Water Consumption Prevents UTI As It Keeps Bacteria Flushed Out Of The Urinary Tract.
A Symptom Of A Lower Urinary Tract Infection Includes:
A. Fever
B. Urgency
C. Flank Pain
D. Decreased Urination
ANS>>B. Urgency Is A Symptom Of Lower Tract UTI.
Which Of The Following Is A Risk Factor For The Development Of A Urinary Tract Infection (UTI)?
A. Pregnancy
B. Perimenopause
C. Marathon Running
D. Frequent Showering
ANS>>A. Pregnancy Is A Risk Factor The Development Of A UTI.
,Women Are At A Higher Risk For The Development Of A UTI Because Of Having A Shorter Urethra.
True
False
ANS>>True, Women Have A Shorter Urethra That Puts Them At Higher Risk For Developing A UTI.
Which Of The Following Is True Regarding A Complicated Urinary Tract Infection?
A. It Is Usually Asymptomatic
B. Bacteria Is Located Mostly In The Lower Urinary Tract
C. Is Associated With Young Adults
D. Can Be Caused By A Structural Urinary Tract Disorder
ANS>>D. A Complicated UTI Can Be Caused By A Structural Issue In The Urinary Tract.
The Urinalysis Of A Patient With A Complicated UTI Will Show Wbcs And Casts:
True
False
ANS>>True. Casts Are Present In A Complicated UTI.
The NP Would Know That The Patient Most Likely Has An Uncomplicated UTI Because:
A. Flank Pain Is Present But Minimal.
B. There Is Low-Grade Fever.
C. The Bacteria Are Contained Within The Bladder.
D. The UTI Responds Well To A Short Course Of Antibiotic Therapy.
ANS>>D. An Uncomplicated UTI Responds To A Short Course Of Antibiotic Therapy. The Other Choices
Are Not Typical Of An Uncomplicated UTI.
,A Common Organism That Causes A Urinary Tract Infection Include:
A. Staphylococcus Saprophyticus.
B. Streptococcus Pneumonia.
C. Syncytial Virus.
D. Methicillin Resistant Staphylococcus Aureus (MRSA).
ANS>>A. Staphylococcus Saprophyticus Is The Only Choice Listed That Commonly Causes A UTI.
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
False
ANS>>True. Because Of The Vaginal Discharge That Contains An Odor, The NP Will Most Likely Perform
A Vaginal Exam To Rule Out An STD.
Upon Examination Of A Urinalysis, The NP Can Highly Suspect That The Causative Bacteria Are Gram
Negative Because Of The Presence Of:
A. Nitrites.
B. Wbcs.
C. Rbcs.
D. Casts.
ANS>>A. The Presence Of Nitrites Indicates That The Causative Bacteria Is Gram-Negative.
On A Digital Rectal Exam To Assess The Quality Of The Prostate, The NP Would Be Concerned With
Which Of The Following Findings?
A Soft-Smooth Prostate.
, A Hard Nodule.
A Rubber-Like Quality Of The Prostate.
A Lack Of Pain On Palpation.
ANS>>A Hard Nodule Can Indicate Prostate Cancer.
The Purpose Of Straining In BPH Is To Overcome The Obstruction Encountered During Urination.
True
False
ANS>>True. The Individual Strains To Overcome The Obstruction In Order To Release The Urine.
There Is A Significant Risk For Men With Benign Prostatic Hyperplasia (BPH) To Develop Cellular
Mutations That Lead To Prostate Cancer.
True
False
ANS>>False. BPH Does Not Lead To Prostate Cancer.
The Peripheral Zone Of The Prostate Is The Largest Zone.
True
False
ANS>>True. Anatomically, The Peripheral Zone Is The Largest One.
The Patient Most Often Develops Symptoms Of BPH When:
A. The Bladder Becomes Obstructed.
B. The Patient's PSA Becomes Elevated.
C. A Nodule Forms On The Prostate.
D. The Prostatic Urethra Becomes Obstructed.
PATHOPHYSIOLOGY PRACTICE QUESTIONS,
ANSWER KEY, AND STUDY GUIDE (CHAMBERLAIN
COLLEGE OF NURSING)
Which Of The Following Can Help To Prevent A UTI?
A. Use Spermicides During Sexual Intercourse
B. Taking More Vitamin D
C. Douching To Prevent The Growth Of Bacteria
D. Increase Water Consumption
ANS>>D. Increase Water Consumption
Water Consumption Prevents UTI As It Keeps Bacteria Flushed Out Of The Urinary Tract.
A Symptom Of A Lower Urinary Tract Infection Includes:
A. Fever
B. Urgency
C. Flank Pain
D. Decreased Urination
ANS>>B. Urgency Is A Symptom Of Lower Tract UTI.
Which Of The Following Is A Risk Factor For The Development Of A Urinary Tract Infection (UTI)?
A. Pregnancy
B. Perimenopause
C. Marathon Running
D. Frequent Showering
ANS>>A. Pregnancy Is A Risk Factor The Development Of A UTI.
,Women Are At A Higher Risk For The Development Of A UTI Because Of Having A Shorter Urethra.
True
False
ANS>>True, Women Have A Shorter Urethra That Puts Them At Higher Risk For Developing A UTI.
Which Of The Following Is True Regarding A Complicated Urinary Tract Infection?
A. It Is Usually Asymptomatic
B. Bacteria Is Located Mostly In The Lower Urinary Tract
C. Is Associated With Young Adults
D. Can Be Caused By A Structural Urinary Tract Disorder
ANS>>D. A Complicated UTI Can Be Caused By A Structural Issue In The Urinary Tract.
The Urinalysis Of A Patient With A Complicated UTI Will Show Wbcs And Casts:
True
False
ANS>>True. Casts Are Present In A Complicated UTI.
The NP Would Know That The Patient Most Likely Has An Uncomplicated UTI Because:
A. Flank Pain Is Present But Minimal.
B. There Is Low-Grade Fever.
C. The Bacteria Are Contained Within The Bladder.
D. The UTI Responds Well To A Short Course Of Antibiotic Therapy.
ANS>>D. An Uncomplicated UTI Responds To A Short Course Of Antibiotic Therapy. The Other Choices
Are Not Typical Of An Uncomplicated UTI.
,A Common Organism That Causes A Urinary Tract Infection Include:
A. Staphylococcus Saprophyticus.
B. Streptococcus Pneumonia.
C. Syncytial Virus.
D. Methicillin Resistant Staphylococcus Aureus (MRSA).
ANS>>A. Staphylococcus Saprophyticus Is The Only Choice Listed That Commonly Causes A UTI.
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
False
ANS>>True. Because Of The Vaginal Discharge That Contains An Odor, The NP Will Most Likely Perform
A Vaginal Exam To Rule Out An STD.
Upon Examination Of A Urinalysis, The NP Can Highly Suspect That The Causative Bacteria Are Gram
Negative Because Of The Presence Of:
A. Nitrites.
B. Wbcs.
C. Rbcs.
D. Casts.
ANS>>A. The Presence Of Nitrites Indicates That The Causative Bacteria Is Gram-Negative.
On A Digital Rectal Exam To Assess The Quality Of The Prostate, The NP Would Be Concerned With
Which Of The Following Findings?
A Soft-Smooth Prostate.
, A Hard Nodule.
A Rubber-Like Quality Of The Prostate.
A Lack Of Pain On Palpation.
ANS>>A Hard Nodule Can Indicate Prostate Cancer.
The Purpose Of Straining In BPH Is To Overcome The Obstruction Encountered During Urination.
True
False
ANS>>True. The Individual Strains To Overcome The Obstruction In Order To Release The Urine.
There Is A Significant Risk For Men With Benign Prostatic Hyperplasia (BPH) To Develop Cellular
Mutations That Lead To Prostate Cancer.
True
False
ANS>>False. BPH Does Not Lead To Prostate Cancer.
The Peripheral Zone Of The Prostate Is The Largest Zone.
True
False
ANS>>True. Anatomically, The Peripheral Zone Is The Largest One.
The Patient Most Often Develops Symptoms Of BPH When:
A. The Bladder Becomes Obstructed.
B. The Patient's PSA Becomes Elevated.
C. A Nodule Forms On The Prostate.
D. The Prostatic Urethra Becomes Obstructed.
