NURS 651 EXAM 3 MARYVILLE UNIVERSITY LATEST 2023-2024 ACTUAL EXAM 150 QUESTIONS AND
CORRECT DETAILED ANSWERS
UTI: Defintion - (answer) Includes bladder, (cystitis) urethera (urethritis) and kidney (pyelonephritis)
Signs and symptoms of UTI - (answer) -Fever may be only sign infants a & young child
-Older children=urinary symptoms ( new onset incontinence, dysuria, frequency, abdominal pain
Risk factors of UTI - (answer) FEMALE, Uncircumcised male, GENETICS, (Anatomy), BOWEL/BLADDER
Dysfunction, Obstruction, Catheterization, SEX, Reflux
Exam for UTI - (answer) Temp, BP, abd exam for mass, tenderness. suprapubic or costovertebral
tenderness, check external genitalia, eval lower back for signs of occult myelomeningiocele, check other
sources for fever.
UTI testing - (answer) -clean catch, cath, suprapubic UA
*dipstick, urine culture.
-+ leukocyte esterase=pyuria
-+nitrate=bacteria
*C/S
-+100,000 colonies for dx; may treat 50,000 or greater
UTI cal app to estimate probability of UTI (ages 2 -23 months)
Indications for urine sample - (answer) Girls:
2-11 months of age temp > 100.4 (non-black)
2-11 months of age temp of 102.2 OR the,p 100.4 and no other fever source identified.
12-24 months of age temp 102.2 (non black)
12-24 months of age 102.2 and no other source of fever identified.
>24 months One or more of the following: dysuria, frequency, new onset incontinence, back pain,
abdominal pain, fever of 102.2 and no other acute cause.
,NURS 651 EXAM 3 MARYVILLE UNIVERSITY LATEST 2023-2024 ACTUAL EXAM 150 QUESTIONS AND
CORRECT DETAILED ANSWERS
Infant UTI - (answer) non specific symptoms or asymptomatic
UTI symptom cluster - (answer) Newborn- irritability, poor feeding, diarrhea, fever, vomiting. jaundice,
hypothermia, cyanosis, lethargy
Infants//todlers/preschool: diarrhea, vomiting, fever, poor feeding, strong urine odor, irritability, poor
weight gain, diaper rash
Schoolage/adolescents; fever, vomiting, strong urine odor, urethral pain or suprapubic, dysuria,
incontinence.
UTI differential diagnosis - (answer) Chemical irritation (bubble bath)
vulvovaginitis
dysfunctional voiding
acute abdomen ( appe, STD)
Foreign body
Sexual abuse
Dysfunctional voiding related to constipation
UTI specimen collection - (answer) Clean catch urine midstream
(bagged specimen don't do it)
Straight Cath for mod to severe symptoms
Suprapubic aspiration: only when culture is urgently needed. ( + is > 1000 colonies)
_blood culture obtained for <12months and suspected sepsis
Indications for radiology in UTI - (answer) -Symptoms of pyelonephritis regardless of age and gender
-UTI in child <3 months
-males with first infection and females with second infection. even if not pyelonephritis and child > 3
months of age.
, NURS 651 EXAM 3 MARYVILLE UNIVERSITY LATEST 2023-2024 ACTUAL EXAM 150 QUESTIONS AND
CORRECT DETAILED ANSWERS
UTI treatment - (answer) -IV ABX- newborns, infants, or older children with vomiting, severe symptoms
systemic illness or unable to take fluids
-ORAL- 10 day regimen, or 14 days with completed infection.
UTI drugs - (answer) 1. Bactrim ( infants >2 months) TMP 8-10mg/kg.BID Recommended until
sensitivities are back since most UTI are caused by E. coli.
2. Amoxicillin 30-40 mg/kg/day TID <3months
3. Augmentin 40mg/kg/day TID
4. Sulfisoxazole 150mg/kg/day QID
5. Cephalexin 50mg/kg/day TID
6. Nitrofurantin 5-7mg/kg/day in divided doses
(ideal treatment for UTI due to highly concentrated in the urine, but less effective for systemic/renal
infections as it does not concentrate well in blood)
Follow up Urine cultures - (answer) -2nd culture at 72 hours after initiating treatment if symptoms are
not rsolving
-culture 1 week after completion of treatment when test of cure is indicated.
Tanner staging female pubic hair - (answer) 1. No pubic hair (preadolescent)
2. little pigment straight hair,
3. Pigmented, straight medial border of labia sparse
4. pigment, curly, abundant but less than adult
5. lateral spread of hair, triangle
6. only occurs in 10% of women
Tanner staging female breast development - (answer) 1. Preadolescent nipple elevation
2. Breast buds with areolar enlargement
3. Breast enlargement without separate contour with nipple.
CORRECT DETAILED ANSWERS
UTI: Defintion - (answer) Includes bladder, (cystitis) urethera (urethritis) and kidney (pyelonephritis)
Signs and symptoms of UTI - (answer) -Fever may be only sign infants a & young child
-Older children=urinary symptoms ( new onset incontinence, dysuria, frequency, abdominal pain
Risk factors of UTI - (answer) FEMALE, Uncircumcised male, GENETICS, (Anatomy), BOWEL/BLADDER
Dysfunction, Obstruction, Catheterization, SEX, Reflux
Exam for UTI - (answer) Temp, BP, abd exam for mass, tenderness. suprapubic or costovertebral
tenderness, check external genitalia, eval lower back for signs of occult myelomeningiocele, check other
sources for fever.
UTI testing - (answer) -clean catch, cath, suprapubic UA
*dipstick, urine culture.
-+ leukocyte esterase=pyuria
-+nitrate=bacteria
*C/S
-+100,000 colonies for dx; may treat 50,000 or greater
UTI cal app to estimate probability of UTI (ages 2 -23 months)
Indications for urine sample - (answer) Girls:
2-11 months of age temp > 100.4 (non-black)
2-11 months of age temp of 102.2 OR the,p 100.4 and no other fever source identified.
12-24 months of age temp 102.2 (non black)
12-24 months of age 102.2 and no other source of fever identified.
>24 months One or more of the following: dysuria, frequency, new onset incontinence, back pain,
abdominal pain, fever of 102.2 and no other acute cause.
,NURS 651 EXAM 3 MARYVILLE UNIVERSITY LATEST 2023-2024 ACTUAL EXAM 150 QUESTIONS AND
CORRECT DETAILED ANSWERS
Infant UTI - (answer) non specific symptoms or asymptomatic
UTI symptom cluster - (answer) Newborn- irritability, poor feeding, diarrhea, fever, vomiting. jaundice,
hypothermia, cyanosis, lethargy
Infants//todlers/preschool: diarrhea, vomiting, fever, poor feeding, strong urine odor, irritability, poor
weight gain, diaper rash
Schoolage/adolescents; fever, vomiting, strong urine odor, urethral pain or suprapubic, dysuria,
incontinence.
UTI differential diagnosis - (answer) Chemical irritation (bubble bath)
vulvovaginitis
dysfunctional voiding
acute abdomen ( appe, STD)
Foreign body
Sexual abuse
Dysfunctional voiding related to constipation
UTI specimen collection - (answer) Clean catch urine midstream
(bagged specimen don't do it)
Straight Cath for mod to severe symptoms
Suprapubic aspiration: only when culture is urgently needed. ( + is > 1000 colonies)
_blood culture obtained for <12months and suspected sepsis
Indications for radiology in UTI - (answer) -Symptoms of pyelonephritis regardless of age and gender
-UTI in child <3 months
-males with first infection and females with second infection. even if not pyelonephritis and child > 3
months of age.
, NURS 651 EXAM 3 MARYVILLE UNIVERSITY LATEST 2023-2024 ACTUAL EXAM 150 QUESTIONS AND
CORRECT DETAILED ANSWERS
UTI treatment - (answer) -IV ABX- newborns, infants, or older children with vomiting, severe symptoms
systemic illness or unable to take fluids
-ORAL- 10 day regimen, or 14 days with completed infection.
UTI drugs - (answer) 1. Bactrim ( infants >2 months) TMP 8-10mg/kg.BID Recommended until
sensitivities are back since most UTI are caused by E. coli.
2. Amoxicillin 30-40 mg/kg/day TID <3months
3. Augmentin 40mg/kg/day TID
4. Sulfisoxazole 150mg/kg/day QID
5. Cephalexin 50mg/kg/day TID
6. Nitrofurantin 5-7mg/kg/day in divided doses
(ideal treatment for UTI due to highly concentrated in the urine, but less effective for systemic/renal
infections as it does not concentrate well in blood)
Follow up Urine cultures - (answer) -2nd culture at 72 hours after initiating treatment if symptoms are
not rsolving
-culture 1 week after completion of treatment when test of cure is indicated.
Tanner staging female pubic hair - (answer) 1. No pubic hair (preadolescent)
2. little pigment straight hair,
3. Pigmented, straight medial border of labia sparse
4. pigment, curly, abundant but less than adult
5. lateral spread of hair, triangle
6. only occurs in 10% of women
Tanner staging female breast development - (answer) 1. Preadolescent nipple elevation
2. Breast buds with areolar enlargement
3. Breast enlargement without separate contour with nipple.
