NR 661 UROLOGY 2026/2027 | ADVANCED NURSING QUESTIONS & ANSWERS | …
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NR 661 Urology 2026/2027 |
Advanced Nursing
Questions & Answers |
Latest Course Review
(Rationales)
Verified Answers Exam Ready With Rationales 43 QUESTIONS
DOCUMENT OVERVIEW
This document provides 43 advanced nursing questions and answers with detailed
rationales, covering urology. It directly aligns with the NR 661 course review for 2026/2027
and is suitable for in-depth study, comprehensive course review, and certification exam
preparation.
TOPICS
Urinary Tract Infections (UTIs) Q1–Q25
Urinary Incontinence and Specific Conditions Q26–Q26
Male Reproductive and Urinary Health Q27–Q37
Renal Function and Disease Q38–Q43
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 43
A 44 year old female patient is diagnosed with a urinary tract infection (UTI). Which bacteria
count collected via midstream, clean catch supports a diagnosis of UTI?
a. > 10,000 bacteria
b. >25,000 bacteria
c. >50,000 bacteria
d. >100,000 bacteria
RESPONSE
d. >100,000 bacteria
RATIONALE
A bacterial count exceeding 100,000 colony-forming units per milliliter (CFU/mL) in a midstream,
clean-catch urine specimen is the generally accepted threshold for diagnosing a symptomatic
urinary tract infection. This quantitative measure distinguishes true bacteriuria from
contamination, indicating a significant bacterial presence.
Q2 QUESTION 2 OF 43
A patient has been diagnosed with pyelonephritis. He probably will have:
a. costovertebral angle tenderness
b. a positive Murphys sign
c. burning with urination
d. pain which waxes and wanes
RESPONSE
a. costovertebral angle tenderness
RATIONALE
Pyelonephritis involves inflammation and infection of the renal parenchyma and pelvis. This
inflammatory process typically causes irritation of the kidney capsule and surrounding tissues,
leading to characteristic tenderness upon percussion over the costovertebral angle. This finding is
a hallmark of upper urinary tract infection.
Page 2
, Q3 QUESTION 3 OF 43
A patient has a urinary tract infection. What findings on urine dipstick best describes a
typical urinary tract infection?
a. positive leukocytes
b. positive nitrates
c. positive leukocytes, positive nitrates
d. positive nitrates and hematuria
RESPONSE
c. positive leukocytes, positive nitrates
RATIONALE
Leukocyte esterase on dipstick indicates pyuria, a sign of inflammation from infection. Nitrites are
formed from the breakdown of nitrates by common uropathogenic bacteria. Their combined
presence on a urinalysis dipstick is highly suggestive of a bacterial UTI.
Q4 QUESTION 4 OF 43
A 26 year old female presents with flank pain that waxes and wanes. What finding on
urinalysis should direct the nurse practitioner's next action?
a. Blood
b. Nitrates
c. Leukocytes
d. Calcium
RESPONSE
a. Blood
RATIONALE
Hematuria, indicated by blood in the urine, is a hallmark finding of nephrolithiasis, often presenting
with intermittent flank pain. The presence of blood on urinalysis strongly suggests a urinary tract
stone, prompting further diagnostic imaging.
Page 3
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NR 661 Urology 2026/2027 |
Advanced Nursing
Questions & Answers |
Latest Course Review
(Rationales)
Verified Answers Exam Ready With Rationales 43 QUESTIONS
DOCUMENT OVERVIEW
This document provides 43 advanced nursing questions and answers with detailed
rationales, covering urology. It directly aligns with the NR 661 course review for 2026/2027
and is suitable for in-depth study, comprehensive course review, and certification exam
preparation.
TOPICS
Urinary Tract Infections (UTIs) Q1–Q25
Urinary Incontinence and Specific Conditions Q26–Q26
Male Reproductive and Urinary Health Q27–Q37
Renal Function and Disease Q38–Q43
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 43
A 44 year old female patient is diagnosed with a urinary tract infection (UTI). Which bacteria
count collected via midstream, clean catch supports a diagnosis of UTI?
a. > 10,000 bacteria
b. >25,000 bacteria
c. >50,000 bacteria
d. >100,000 bacteria
RESPONSE
d. >100,000 bacteria
RATIONALE
A bacterial count exceeding 100,000 colony-forming units per milliliter (CFU/mL) in a midstream,
clean-catch urine specimen is the generally accepted threshold for diagnosing a symptomatic
urinary tract infection. This quantitative measure distinguishes true bacteriuria from
contamination, indicating a significant bacterial presence.
Q2 QUESTION 2 OF 43
A patient has been diagnosed with pyelonephritis. He probably will have:
a. costovertebral angle tenderness
b. a positive Murphys sign
c. burning with urination
d. pain which waxes and wanes
RESPONSE
a. costovertebral angle tenderness
RATIONALE
Pyelonephritis involves inflammation and infection of the renal parenchyma and pelvis. This
inflammatory process typically causes irritation of the kidney capsule and surrounding tissues,
leading to characteristic tenderness upon percussion over the costovertebral angle. This finding is
a hallmark of upper urinary tract infection.
Page 2
, Q3 QUESTION 3 OF 43
A patient has a urinary tract infection. What findings on urine dipstick best describes a
typical urinary tract infection?
a. positive leukocytes
b. positive nitrates
c. positive leukocytes, positive nitrates
d. positive nitrates and hematuria
RESPONSE
c. positive leukocytes, positive nitrates
RATIONALE
Leukocyte esterase on dipstick indicates pyuria, a sign of inflammation from infection. Nitrites are
formed from the breakdown of nitrates by common uropathogenic bacteria. Their combined
presence on a urinalysis dipstick is highly suggestive of a bacterial UTI.
Q4 QUESTION 4 OF 43
A 26 year old female presents with flank pain that waxes and wanes. What finding on
urinalysis should direct the nurse practitioner's next action?
a. Blood
b. Nitrates
c. Leukocytes
d. Calcium
RESPONSE
a. Blood
RATIONALE
Hematuria, indicated by blood in the urine, is a hallmark finding of nephrolithiasis, often presenting
with intermittent flank pain. The presence of blood on urinalysis strongly suggests a urinary tract
stone, prompting further diagnostic imaging.
Page 3
