NSG 6440 WEEK 4 APEA PREDICTOR EXAM
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A 34-year-old patient was treated for a urinary tract
infection (UTI) and has not responded to antibiotic therapy. Which
of the following actions should be taken next?
A. Send a urine specimen for microscopy looking for fungal colonies.
B. Increase the dose of antibiotic.
C. Order a cytoscopy.
D. Order a different antibiotic.
Answer:
a. Send a urine specimen for microscopy looking for fungal colonies.
Question 2: Which of the following are predisposing factors for
pyelonephritis?
A. Pregnancy
B. Dehydration
C. Smoking
D. Alkaline urine
Answer:
a. Pregnancy
Question 3: A 42-year-old woman is seen in the clinic with fever,
chills, vomiting, and severe dysuria. She is diagnosed with acute
pyelonephritis. How should this patient be managed?
A. 3-day course of oral antibiotics
, B. Hospitalization
C. Encourage cranberry juice intake
D. 6-week course of antibiotics
Answer:
b. Hospitalization
Question 4: A patient is seen with a sudden onset of flank pain
accompanied by nausea, vomiting, and diaphoresis. In addition to
nephrolithiasis, which of the following should be added to the list
of differential diagnoses?
A. Pancreatitis
B. Peptic ulcer disease
C. Diverticulitis
D. All of the above
Answer:
d. All of the above
Question 5: Which of the following instructions should be given to
the patient with nephrolithiasis?
A. Take ibuprofen 600 mg every 8 hours.
B. Take Tums for stomach upset.
C. Drink more black tea.
D. Increase intake of vegetables like spinach.
Answer:
a. Take ibuprofen 600 mg every 8 hours.
Question 6: Which of the following patients is at risk for developing
urinary tract cancer?
, A. The 45-year-old woman who is 100 lbs overweight
B. The 78-year-old man who smokes three packs of cigarettes a day
C. The 84-year-old man who worked in the asbestos mines
D. All of the above
Answer:
d. All of the above
Question 7: A patient is seen in the clinic and diagnosed with Stage
I renal cancer. The provider should refer to a nephrologist for which
of these appropriate treatments?
A. Chemotherapy
B. Nephrectomy
C. Palliative treatment
D. Radiation
Answer:
b. Nephrectomy
Question 8: An 86-year-old woman is seen in the clinic for recurrent
hematuria. The provider suspects bladder cancer. Which of the
following information from the history would be considered a risk
factor for this type of cancer?
A. History of alcoholism
B. Sedentary lifestyle
C. Obesity
D. 65-year smoking history
Answer:
d. 65-year smoking history
, Question 9: Which of the following diagnostic tests should be
ordered for a patient suspected of having bladder cancer?
A. KUB (kidneys, ureter, bladder) x-ray
B. Cystoscopy with biopsy
C. Magnetic resonance imaging (MRI)
D. Urine tumor marker (NMP22)
Answer:
b. Cystoscopy with biopsy
Question 10: A 78-year-old man is diagnosed with Stage D bladder
cancer and asks the provider what that means. Which is the best
response?
A. "There is no such thing as Stage D cancer."
B. "You have cancer that has spread to the surrounding tissue."
C. "Your cancer has spread to other organs."
D. "Your cancer can be cured by removing your bladder."
Answer:
c. "Your cancer has spread to other organs."
Question 11: The patient is diagnosed with acute renal failure
(ARF). Which of the following information obtained from the history
should alert the provider that this is a case of prerenal azotemia?
A. Recent heat stroke
B. Nephrolithiasis
C. Recent infection where gentamicin was used in treatment
D. All of the above
Answer:
a. Recent heat stroke
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A 34-year-old patient was treated for a urinary tract
infection (UTI) and has not responded to antibiotic therapy. Which
of the following actions should be taken next?
A. Send a urine specimen for microscopy looking for fungal colonies.
B. Increase the dose of antibiotic.
C. Order a cytoscopy.
D. Order a different antibiotic.
Answer:
a. Send a urine specimen for microscopy looking for fungal colonies.
Question 2: Which of the following are predisposing factors for
pyelonephritis?
A. Pregnancy
B. Dehydration
C. Smoking
D. Alkaline urine
Answer:
a. Pregnancy
Question 3: A 42-year-old woman is seen in the clinic with fever,
chills, vomiting, and severe dysuria. She is diagnosed with acute
pyelonephritis. How should this patient be managed?
A. 3-day course of oral antibiotics
, B. Hospitalization
C. Encourage cranberry juice intake
D. 6-week course of antibiotics
Answer:
b. Hospitalization
Question 4: A patient is seen with a sudden onset of flank pain
accompanied by nausea, vomiting, and diaphoresis. In addition to
nephrolithiasis, which of the following should be added to the list
of differential diagnoses?
A. Pancreatitis
B. Peptic ulcer disease
C. Diverticulitis
D. All of the above
Answer:
d. All of the above
Question 5: Which of the following instructions should be given to
the patient with nephrolithiasis?
A. Take ibuprofen 600 mg every 8 hours.
B. Take Tums for stomach upset.
C. Drink more black tea.
D. Increase intake of vegetables like spinach.
Answer:
a. Take ibuprofen 600 mg every 8 hours.
Question 6: Which of the following patients is at risk for developing
urinary tract cancer?
, A. The 45-year-old woman who is 100 lbs overweight
B. The 78-year-old man who smokes three packs of cigarettes a day
C. The 84-year-old man who worked in the asbestos mines
D. All of the above
Answer:
d. All of the above
Question 7: A patient is seen in the clinic and diagnosed with Stage
I renal cancer. The provider should refer to a nephrologist for which
of these appropriate treatments?
A. Chemotherapy
B. Nephrectomy
C. Palliative treatment
D. Radiation
Answer:
b. Nephrectomy
Question 8: An 86-year-old woman is seen in the clinic for recurrent
hematuria. The provider suspects bladder cancer. Which of the
following information from the history would be considered a risk
factor for this type of cancer?
A. History of alcoholism
B. Sedentary lifestyle
C. Obesity
D. 65-year smoking history
Answer:
d. 65-year smoking history
, Question 9: Which of the following diagnostic tests should be
ordered for a patient suspected of having bladder cancer?
A. KUB (kidneys, ureter, bladder) x-ray
B. Cystoscopy with biopsy
C. Magnetic resonance imaging (MRI)
D. Urine tumor marker (NMP22)
Answer:
b. Cystoscopy with biopsy
Question 10: A 78-year-old man is diagnosed with Stage D bladder
cancer and asks the provider what that means. Which is the best
response?
A. "There is no such thing as Stage D cancer."
B. "You have cancer that has spread to the surrounding tissue."
C. "Your cancer has spread to other organs."
D. "Your cancer can be cured by removing your bladder."
Answer:
c. "Your cancer has spread to other organs."
Question 11: The patient is diagnosed with acute renal failure
(ARF). Which of the following information obtained from the history
should alert the provider that this is a case of prerenal azotemia?
A. Recent heat stroke
B. Nephrolithiasis
C. Recent infection where gentamicin was used in treatment
D. All of the above
Answer:
a. Recent heat stroke
