MSN 620 EXAMINATION SET 2026 SOLVED
QUESTIONS GRADED A+
● Uncomplicated UTI. Answer: Occurs in otherwise normal urinary tract
Usually involves only the bladder, may be treated with oral antibiotics
● Complicated UTI. Answer: occurs in individuals with structural or
functional urinary tract system or someone who is
immunocompromised, may require parental therapy until afebrile
● UTI signs and symptoms. Answer: dysuria, frequent urination,
urgency, fever, n/v, lower back pain, confusion if elderly, foul-smelling,
hematuria, chills, edema, bladder spasms
● UTI pathogens. Answer: Gram (-)
80-90% related to E.coli
- >70% - E. coli, klebsiella, proteus, enterobacter, pseudomonas
Gram (+)
10-15% related to gram positive
- Staph saprophyticus
- Enterococcus
,● UTI diagnosis. Answer: urinalysis and urine culture
● UTI (ultrasound). Answer: Especially useful in children
● Urodynamic evaluation. Answer: a series of procedures to evaluate the
motor and sensory functions of the bladder and efficiency of micturition
● UTI management first line. Answer: nitrofurantoin monohydrate
(Macrobid)/macrocrystals, Bactrim
● UTI management second line. Answer: Cipro, Levaquin
Alternate therapies: Augmentin, Keflex
pyridium for symptoms
● UTI management in pregnancy. Answer: Do not use Fluoroquinolones
(auditory and vestibular toxicity)
Do not use tetracycline (tooth staining)
Nitrofurantoin is contraindicated in pregnancy clients at term, during
labor, and during delivery
, ● UTI local antibiotic resistance. Answer: Use antiviral to check for
local resistance, these can be found at your local hospital
● pyelonephritis. Answer: Acute infection and inflammatory disease of
the upper urinary tract of one or both kidneys
● Acute pyelonephritis characterized by. Answer: Scarring to the
kidneys and may lead to significant damage, kidney failure, abscess
formation, and sepsis
● Upper UTI (pyelonephritis). Answer: Are less common, but more
serious than lower UTIs, may require hospitalization
● Pyelonephritis symptoms. Answer: 1) urinary frequency
2) urgency
3) fevers, chills, shaking
4) CVA tenderness
5) flank pain and tenderness.
6) nausea and vomiting
7) hematuria
8) abdominal pain or suprapubic heaviness
9) elderly may present with mental status change
QUESTIONS GRADED A+
● Uncomplicated UTI. Answer: Occurs in otherwise normal urinary tract
Usually involves only the bladder, may be treated with oral antibiotics
● Complicated UTI. Answer: occurs in individuals with structural or
functional urinary tract system or someone who is
immunocompromised, may require parental therapy until afebrile
● UTI signs and symptoms. Answer: dysuria, frequent urination,
urgency, fever, n/v, lower back pain, confusion if elderly, foul-smelling,
hematuria, chills, edema, bladder spasms
● UTI pathogens. Answer: Gram (-)
80-90% related to E.coli
- >70% - E. coli, klebsiella, proteus, enterobacter, pseudomonas
Gram (+)
10-15% related to gram positive
- Staph saprophyticus
- Enterococcus
,● UTI diagnosis. Answer: urinalysis and urine culture
● UTI (ultrasound). Answer: Especially useful in children
● Urodynamic evaluation. Answer: a series of procedures to evaluate the
motor and sensory functions of the bladder and efficiency of micturition
● UTI management first line. Answer: nitrofurantoin monohydrate
(Macrobid)/macrocrystals, Bactrim
● UTI management second line. Answer: Cipro, Levaquin
Alternate therapies: Augmentin, Keflex
pyridium for symptoms
● UTI management in pregnancy. Answer: Do not use Fluoroquinolones
(auditory and vestibular toxicity)
Do not use tetracycline (tooth staining)
Nitrofurantoin is contraindicated in pregnancy clients at term, during
labor, and during delivery
, ● UTI local antibiotic resistance. Answer: Use antiviral to check for
local resistance, these can be found at your local hospital
● pyelonephritis. Answer: Acute infection and inflammatory disease of
the upper urinary tract of one or both kidneys
● Acute pyelonephritis characterized by. Answer: Scarring to the
kidneys and may lead to significant damage, kidney failure, abscess
formation, and sepsis
● Upper UTI (pyelonephritis). Answer: Are less common, but more
serious than lower UTIs, may require hospitalization
● Pyelonephritis symptoms. Answer: 1) urinary frequency
2) urgency
3) fevers, chills, shaking
4) CVA tenderness
5) flank pain and tenderness.
6) nausea and vomiting
7) hematuria
8) abdominal pain or suprapubic heaviness
9) elderly may present with mental status change
