NURS 620 Exam 2 |QUESTIONS AND
VERIFIED ANSWERS |LATEST UPDATE
The most common cause of sepsis in older adults is:
A. Common cold
B. Urinary tract infection
C. Urinary stasis
D. Kidney stone - CORRECT ANSWERB. Urinary tract infection
What is the usual clinical presentation of an adult patient with cystitis?
A. Acute onset of chills, fever, flank pain, headache, malaise, and costovertebral angle
tenderness.
B. Signs and symptoms of fever, irritability, decreased appetite, vomiting, diarrhea,
constipation, dehydration, and jaundice.
C. No symptoms noted.
D. Complaints of dysuria, urgency, frequency, nocturia, and suprapubic heaviness. -
CORRECT ANSWERD. Complaints of dysuria, urgency, frequency, nocturia, and
suprapubic heaviness.
Which statement characterizes functional incontinence?
A. Leakage of urine during activities that increase abdominal pressure, such as
coughing, sneezing, and laughing.
B. Occurrence of incontinence with overdistention of the bladder.
C. Mainly caused by factors outside the urinary tract, especially immobility, that prohibit
proper toileting habits.
D. Characterized by the inability to delay urination, with an abrupt and strong desire to
void. - CORRECT ANSWERC. Mainly caused by factors outside the urinary tract,
especially immobility, that prohibit proper toileting habits.
What are the two most common pathogens in community-acquired UTIs?
A. Escherichia coli and Proteus mirabills
B. Staphylococcus saprophyticus and Eschericia coli
C. Klebsiella and Proteus mirabills
D. Proteus mirabills and Staphylococcus saprophyticus - CORRECT ANSWERB.
Staphylococcus saprophyticus and Eschericia coli
When prescribing oxybutinin (Ditropan) for the patient with overactive bladder
symptoms, the nurse practitioner must consider which
disorder in the medical history before prescribing?
A. Narrow-angle glaucoma
B. Cough
C. Gallstones
D. Diabetes - CORRECT ANSWERA. Narrow-angle glaucoma
The clinical presentation of a client with urolithiasis would include:
,A. A fever of 101° F or above
B. A gradual onset of nagging pain
C. Pain starting in the flank and localizing in the costovertebral angle
D. Marked leukocytes - CORRECT ANSWERC. Pain starting in the flank and localizing
in the costovertebral angle
What is the most common cause of chronic renal failure (CRF)?
A. A combination of urological diseases
B. Glomerulonephritis
C. Hypertension
D. Diabetic nephropathy - CORRECT ANSWERD. Diabetic nephropathy
The most frequent sign of bladder cancer is:
A. Nocturia
B. Dysuria
C. Flank pain
D. Hematuria - CORRECT ANSWERD. Hematuria
The inability to empty the bladder, resulting in overdistension and frequent loss of small
amounts of urine, describes which type of urinary incontinence?
A. Reflex incontinence
B. Stress incontinence
C. Overflow incontinence
D. Urge incontinence - CORRECT ANSWERC. Overflow incontinence
A factor contributing to stress incontinence is:
A. Bladder irritation from a urinary tract infection
B. Prostatic hypertrophy
C. A spinal cord lesion or trauma above S2
D. A decreased estrogen level - CORRECT ANSWERD. A decreased estrogen level
Joyce is being treated conservatively for her low back pain with NSAIDs, muscle
relaxants, and physical therapy. She recently has been diagnosed with chronic kidney
disease. Which of the following statements is true?
A. She should switch to a different NSAID because some are safer than others.
B. She should not be taking anything for pain other than narcotics.
C. We should increase her physical therapy and hope for the best.
D. She could try acetaminophen, 650 mg three times daily. - CORRECT ANSWERD.
She could try acetaminophen, 650 mg three times daily.
A urinary tract infection is best detected by performing:
A. A nitrite dipstick test.
B. A urinalysis.
C. A urine culture.
D. Urine sensitivity. - CORRECT ANSWERC. A urine culture.
, In an assessment of renal function, what is the maximum amount of urine in a 24-hour
period that a client would produce for a diagnosis of anuria to be considered?
A. No urine output at all
B. Less than 100 mL
C. 100 to 150 mL
D. 151 to 200 mL - CORRECT ANSWERB. Less than 100 mL
Which diuretic acts by inhibiting sodium chloride reabsorption in the thick ascending
limb of the loop of Henle?
A. Furosemide (Lasix)
B. Mannitol (Osmitrol)
C. Hydrochlorothiazide (HydroDiuril)
D. Acetazolamide (Diamox) - CORRECT ANSWERA. Furosemide (Lasix)
Clinical manifestations of metabolic alkalosis include:
A. Tetany.
B. Nausea and vomiting.
C. Weakness.
D. Bradycardia. - CORRECT ANSWERA. Tetany.
What is the percussion tone heard over a distended bladder?
A. Dullness
B. Resonance
C. Hyperresonance
D. Tympany - CORRECT ANSWERA. Dullness
About 80% of all cases of dysuria are caused by ascending bacterial infection of the
urinary tract by which organism?
A. Klebsiella
B. Proteus
C. Escherichia coli
D. Staphylococcus saprophyticus - CORRECT ANSWERC. Escherichia coli
Most calcium phosphate kidney stones are caused by:
A. A high calcium intake.
B. A high phosphorus intake.
C. Primary hyperparathyroidism.
D. Hyperthyroidism. - CORRECT ANSWERC. Primary hyperparathyroidism.
Which nephrotoxic agent should be avoided in clients with chronic renal failure?
A. NSAIDs
B. Kayexalate
C. Calcium carbonate
D. Erythropoietin - CORRECT ANSWERA. NSAIDs
Which type of bloody urine is characteristic of bleeding from the upper urinary tract?
A. Grossly bloody urine
VERIFIED ANSWERS |LATEST UPDATE
The most common cause of sepsis in older adults is:
A. Common cold
B. Urinary tract infection
C. Urinary stasis
D. Kidney stone - CORRECT ANSWERB. Urinary tract infection
What is the usual clinical presentation of an adult patient with cystitis?
A. Acute onset of chills, fever, flank pain, headache, malaise, and costovertebral angle
tenderness.
B. Signs and symptoms of fever, irritability, decreased appetite, vomiting, diarrhea,
constipation, dehydration, and jaundice.
C. No symptoms noted.
D. Complaints of dysuria, urgency, frequency, nocturia, and suprapubic heaviness. -
CORRECT ANSWERD. Complaints of dysuria, urgency, frequency, nocturia, and
suprapubic heaviness.
Which statement characterizes functional incontinence?
A. Leakage of urine during activities that increase abdominal pressure, such as
coughing, sneezing, and laughing.
B. Occurrence of incontinence with overdistention of the bladder.
C. Mainly caused by factors outside the urinary tract, especially immobility, that prohibit
proper toileting habits.
D. Characterized by the inability to delay urination, with an abrupt and strong desire to
void. - CORRECT ANSWERC. Mainly caused by factors outside the urinary tract,
especially immobility, that prohibit proper toileting habits.
What are the two most common pathogens in community-acquired UTIs?
A. Escherichia coli and Proteus mirabills
B. Staphylococcus saprophyticus and Eschericia coli
C. Klebsiella and Proteus mirabills
D. Proteus mirabills and Staphylococcus saprophyticus - CORRECT ANSWERB.
Staphylococcus saprophyticus and Eschericia coli
When prescribing oxybutinin (Ditropan) for the patient with overactive bladder
symptoms, the nurse practitioner must consider which
disorder in the medical history before prescribing?
A. Narrow-angle glaucoma
B. Cough
C. Gallstones
D. Diabetes - CORRECT ANSWERA. Narrow-angle glaucoma
The clinical presentation of a client with urolithiasis would include:
,A. A fever of 101° F or above
B. A gradual onset of nagging pain
C. Pain starting in the flank and localizing in the costovertebral angle
D. Marked leukocytes - CORRECT ANSWERC. Pain starting in the flank and localizing
in the costovertebral angle
What is the most common cause of chronic renal failure (CRF)?
A. A combination of urological diseases
B. Glomerulonephritis
C. Hypertension
D. Diabetic nephropathy - CORRECT ANSWERD. Diabetic nephropathy
The most frequent sign of bladder cancer is:
A. Nocturia
B. Dysuria
C. Flank pain
D. Hematuria - CORRECT ANSWERD. Hematuria
The inability to empty the bladder, resulting in overdistension and frequent loss of small
amounts of urine, describes which type of urinary incontinence?
A. Reflex incontinence
B. Stress incontinence
C. Overflow incontinence
D. Urge incontinence - CORRECT ANSWERC. Overflow incontinence
A factor contributing to stress incontinence is:
A. Bladder irritation from a urinary tract infection
B. Prostatic hypertrophy
C. A spinal cord lesion or trauma above S2
D. A decreased estrogen level - CORRECT ANSWERD. A decreased estrogen level
Joyce is being treated conservatively for her low back pain with NSAIDs, muscle
relaxants, and physical therapy. She recently has been diagnosed with chronic kidney
disease. Which of the following statements is true?
A. She should switch to a different NSAID because some are safer than others.
B. She should not be taking anything for pain other than narcotics.
C. We should increase her physical therapy and hope for the best.
D. She could try acetaminophen, 650 mg three times daily. - CORRECT ANSWERD.
She could try acetaminophen, 650 mg three times daily.
A urinary tract infection is best detected by performing:
A. A nitrite dipstick test.
B. A urinalysis.
C. A urine culture.
D. Urine sensitivity. - CORRECT ANSWERC. A urine culture.
, In an assessment of renal function, what is the maximum amount of urine in a 24-hour
period that a client would produce for a diagnosis of anuria to be considered?
A. No urine output at all
B. Less than 100 mL
C. 100 to 150 mL
D. 151 to 200 mL - CORRECT ANSWERB. Less than 100 mL
Which diuretic acts by inhibiting sodium chloride reabsorption in the thick ascending
limb of the loop of Henle?
A. Furosemide (Lasix)
B. Mannitol (Osmitrol)
C. Hydrochlorothiazide (HydroDiuril)
D. Acetazolamide (Diamox) - CORRECT ANSWERA. Furosemide (Lasix)
Clinical manifestations of metabolic alkalosis include:
A. Tetany.
B. Nausea and vomiting.
C. Weakness.
D. Bradycardia. - CORRECT ANSWERA. Tetany.
What is the percussion tone heard over a distended bladder?
A. Dullness
B. Resonance
C. Hyperresonance
D. Tympany - CORRECT ANSWERA. Dullness
About 80% of all cases of dysuria are caused by ascending bacterial infection of the
urinary tract by which organism?
A. Klebsiella
B. Proteus
C. Escherichia coli
D. Staphylococcus saprophyticus - CORRECT ANSWERC. Escherichia coli
Most calcium phosphate kidney stones are caused by:
A. A high calcium intake.
B. A high phosphorus intake.
C. Primary hyperparathyroidism.
D. Hyperthyroidism. - CORRECT ANSWERC. Primary hyperparathyroidism.
Which nephrotoxic agent should be avoided in clients with chronic renal failure?
A. NSAIDs
B. Kayexalate
C. Calcium carbonate
D. Erythropoietin - CORRECT ANSWERA. NSAIDs
Which type of bloody urine is characteristic of bleeding from the upper urinary tract?
A. Grossly bloody urine
