NR 507 FINAL EXAM QUESTIONS &
DETAILED CORRECT ANSWERS 100%
Which of the following is true regarding a complicated urinary tract infection? - correct answer
✔✔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)? -
correct answer ✔✔Pregnancy
A symptom of a lower urinary tract infection includes: - correct answer ✔✔urgency
Women are at a higher risk for the development of a UTI because of having a shorter urethra. -
correct answer ✔✔true
Which of the following can help to prevent a UTI? - correct answer ✔✔Increase water
consumption
Uncomplicated UTI - correct answer ✔✔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 - correct answer ✔✔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: - correct answer ✔✔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 - correct
answer ✔✔pyelonephritis
Identify the major risk factor J.S. has that is associated with pyelonephritis: - correct answer
✔✔indwelling foley catheter
The urinalysis of a patient with a complicated UTI will show WBCs and casts - correct answer
✔✔true
Upon examination of a urinalysis, the NP can highly suspect that the causative bacteria are gram
negative because of the presence of: - correct answer ✔✔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. - correct answer ✔✔true
, The NP would know that the patient most likely has an uncomplicated UTI because: - correct
answer ✔✔The UTI responds well to a short course of antibiotic therapy.
A common organism that causes a urinary tract infection include: - correct answer
✔✔Staphylococcus saprophyticus.
E coli
The purpose of straining in BPH is to overcome the obstruction encountered during urination. -
correct answer ✔✔true
The peripheral zone of the prostate is the largest zone. - correct 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? - correct answer ✔✔hard nodule
There is a significant risk for men with benign prostatic hyperplasia (BPH) to develop cellular
mutations that lead to prostate cancer. - correct answer ✔✔false
The patient most often develops symptoms of BPH when: - correct answer ✔✔The prostatic
urethra becomes obstructed.
Irritative symptoms - correct answer ✔✔urinary frequency
nocturia
urgency that results from bladder hypertrophy and dysfunction
obstructive symptoms - correct answer ✔✔incomplete emptying
post-void dribbling
DETAILED CORRECT ANSWERS 100%
Which of the following is true regarding a complicated urinary tract infection? - correct answer
✔✔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)? -
correct answer ✔✔Pregnancy
A symptom of a lower urinary tract infection includes: - correct answer ✔✔urgency
Women are at a higher risk for the development of a UTI because of having a shorter urethra. -
correct answer ✔✔true
Which of the following can help to prevent a UTI? - correct answer ✔✔Increase water
consumption
Uncomplicated UTI - correct answer ✔✔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 - correct answer ✔✔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: - correct answer ✔✔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 - correct
answer ✔✔pyelonephritis
Identify the major risk factor J.S. has that is associated with pyelonephritis: - correct answer
✔✔indwelling foley catheter
The urinalysis of a patient with a complicated UTI will show WBCs and casts - correct answer
✔✔true
Upon examination of a urinalysis, the NP can highly suspect that the causative bacteria are gram
negative because of the presence of: - correct answer ✔✔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. - correct answer ✔✔true
, The NP would know that the patient most likely has an uncomplicated UTI because: - correct
answer ✔✔The UTI responds well to a short course of antibiotic therapy.
A common organism that causes a urinary tract infection include: - correct answer
✔✔Staphylococcus saprophyticus.
E coli
The purpose of straining in BPH is to overcome the obstruction encountered during urination. -
correct answer ✔✔true
The peripheral zone of the prostate is the largest zone. - correct 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? - correct answer ✔✔hard nodule
There is a significant risk for men with benign prostatic hyperplasia (BPH) to develop cellular
mutations that lead to prostate cancer. - correct answer ✔✔false
The patient most often develops symptoms of BPH when: - correct answer ✔✔The prostatic
urethra becomes obstructed.
Irritative symptoms - correct answer ✔✔urinary frequency
nocturia
urgency that results from bladder hypertrophy and dysfunction
obstructive symptoms - correct answer ✔✔incomplete emptying
post-void dribbling
