NURS 620 Exam 2 Questions And 100% Correct Answers
The most common etiology of sepsis among older adults is:
A. Common cold
B. Urinary tract infection
C. Urinary stasis
D. Kidney stone - ANSWER B. Urinary tract infection
What is the typical 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 apparent.
D. Dysuria, urgency, frequency, nocturia, and suprapubic heaviness. - ANSWER D.
Dysuria, urgency, frequency, nocturia, and suprapubic heaviness.
Which of the following statements best describes functional incontinence?
A. Incontinence with leakage of urine during increases in abdominal pressure, such as
with coughing, sneezing, and laughing.
B. Incontinence results from overdistention of the bladder.
C. Most of the causes are factors outside the urinary tract, mainly immobilization, which
prevents appropriate toileting behavior.
D. Characterized by inability to delay urination, with a sudden and intense urge to void. -
ANSWER C. Predominantly due to factors outside the urinary tract, particularly
immobility, which prevents adequate toileting.
,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 - ANSWER B. 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 - ANSWER A. 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 - ANSWER C. 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 - ANSWER D. Diabetic nephropathy
The most frequent sign of bladder cancer is:
A. Nocturia
B. Dysuria
C. Flank pain
D. Hematuria - ANSWER D. Hematuria
Overdistension of the bladder with inability to empty leading to frequent loss of small
amounts of urine describes which type of incontinence?
A. Reflex incontinence
B. Stress incontinence
C. Overflow incontinence
D. Urge incontinence - ANSWER C. 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 - ANSWER D. A decreased estrogen level
, Joyce is being conservatively treated 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 acetaminophene, 650 mg three times daily. - ANS D. She could try
acetaminophene, 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. - ANS C. A urine culture.
Clients can output up to how much urine in a 24-hour period for a diagnosis of anuria, if
renal function is being evaluated?
A. No production of urine whatsoever
B. Less than 100 mL
C. 100 to 150 mL
D. 151 to 200 mL - ANSWER B. Less than 100 mL
Which of the following diuretics acts by inhibiting the reabsorption of sodium chloride in
the thick ascending limb of the loop of Henle?
A. Furosemide (Lasix)
B. Mannitol (Osmitrol)
The most common etiology of sepsis among older adults is:
A. Common cold
B. Urinary tract infection
C. Urinary stasis
D. Kidney stone - ANSWER B. Urinary tract infection
What is the typical 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 apparent.
D. Dysuria, urgency, frequency, nocturia, and suprapubic heaviness. - ANSWER D.
Dysuria, urgency, frequency, nocturia, and suprapubic heaviness.
Which of the following statements best describes functional incontinence?
A. Incontinence with leakage of urine during increases in abdominal pressure, such as
with coughing, sneezing, and laughing.
B. Incontinence results from overdistention of the bladder.
C. Most of the causes are factors outside the urinary tract, mainly immobilization, which
prevents appropriate toileting behavior.
D. Characterized by inability to delay urination, with a sudden and intense urge to void. -
ANSWER C. Predominantly due to factors outside the urinary tract, particularly
immobility, which prevents adequate toileting.
,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 - ANSWER B. 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 - ANSWER A. 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 - ANSWER C. 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 - ANSWER D. Diabetic nephropathy
The most frequent sign of bladder cancer is:
A. Nocturia
B. Dysuria
C. Flank pain
D. Hematuria - ANSWER D. Hematuria
Overdistension of the bladder with inability to empty leading to frequent loss of small
amounts of urine describes which type of incontinence?
A. Reflex incontinence
B. Stress incontinence
C. Overflow incontinence
D. Urge incontinence - ANSWER C. 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 - ANSWER D. A decreased estrogen level
, Joyce is being conservatively treated 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 acetaminophene, 650 mg three times daily. - ANS D. She could try
acetaminophene, 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. - ANS C. A urine culture.
Clients can output up to how much urine in a 24-hour period for a diagnosis of anuria, if
renal function is being evaluated?
A. No production of urine whatsoever
B. Less than 100 mL
C. 100 to 150 mL
D. 151 to 200 mL - ANSWER B. Less than 100 mL
Which of the following diuretics acts by inhibiting the reabsorption of sodium chloride in
the thick ascending limb of the loop of Henle?
A. Furosemide (Lasix)
B. Mannitol (Osmitrol)
