NRNP 6550 Final Exam 2025/2026 UPDATE | MOST TESTED FINSL
EXAM QUESTIONS AND VERIFIED ANSWERS GRADED A+ ASSURED
SUCCESS
1. Urine culture 100.000 colonies in asymptomatic: bacteruria
with UTI 10 - 10.000 colonies in symptomatic patients but also
pyuria
pyuria: more than 10 leukocytes
elevated erythrocytes with pyelonephritis
WBC in urine
false positive with tumor, urethritis and poor collection
technique
Repeat in pregnant women
2. Lower urinary bladder and urethra: cystitis/ urethritis/ prostatitis
tract UTI and up- kidney and ureters: pyelonephritis/ renal abcess
per urinary tract
UTI
3. Uncomplicated Uncomplicated: in normal working urinary tract
and complicated Complicated: defects in urinary tract or with other health
uti problems
4. Common E.coli (elderly women)
pathogens for Staphylococcus
UTI proteus mirabilis (elderly men)
Klebsiella
enterecoccus
pseudomonas
Providencia (institutionalized)
Fungus: candida
5. Risk factors for Female
UTI critically ill
elderly
catheter (caused by biofilm)
DM
calculi, tumor, stricture
neurogenic bladder
Women:
, NRNP 6550 Final Exam 2025/2026 UPDATE | MOST TESTED FINSL
EXAM QUESTIONS AND VERIFIED ANSWERS GRADED A+ ASSURED
SUCCESS
sexual intercourse or
new sex partner
, NRNP 6550 Final Exam 2025/2026 UPDATE | MOST TESTED FINSL
EXAM QUESTIONS AND VERIFIED ANSWERS GRADED A+ ASSURED
SUCCESS
pregnancy
previous UTI
Men:
prostate enlargement
prostatitis
lack of circumcision
gay
HIV
6. Findings UTI Lower:
Dysuria/ urgency/ frequency/ incontinence
suprapubic pain
hematuria
fever/ chills uncommon
No flank pain
Upper:
flank pain
fever and chills
hematuria
n/v
ams (in elderly)
malaise
tachycardia/ tachypnea
7. Testing and re- Gold standard: urine culture and sensitivity: detection of
sults for UTI bacteria. Start with POC: urine analysis.
UA: pos for nitrite or leukocyte or blood
CBC: leukocyte with left shift in pyelonephritis
For recurrent UTI in women or UTI in men rule out ob-
struction, calculi, or necrosis with:
xr voiding
CT abdomen
US pelvis
MRI pelvis
8. Management First line:
acute cystitis - Single dose Fosfomycin (monurol)
, NRNP 6550 Final Exam 2025/2026 UPDATE | MOST TESTED FINSL
EXAM QUESTIONS AND VERIFIED ANSWERS GRADED A+ ASSURED
SUCCESS
- 3 day: sulfa:
trimethoprim/ sulfa
(bactrim) (do not
give
EXAM QUESTIONS AND VERIFIED ANSWERS GRADED A+ ASSURED
SUCCESS
1. Urine culture 100.000 colonies in asymptomatic: bacteruria
with UTI 10 - 10.000 colonies in symptomatic patients but also
pyuria
pyuria: more than 10 leukocytes
elevated erythrocytes with pyelonephritis
WBC in urine
false positive with tumor, urethritis and poor collection
technique
Repeat in pregnant women
2. Lower urinary bladder and urethra: cystitis/ urethritis/ prostatitis
tract UTI and up- kidney and ureters: pyelonephritis/ renal abcess
per urinary tract
UTI
3. Uncomplicated Uncomplicated: in normal working urinary tract
and complicated Complicated: defects in urinary tract or with other health
uti problems
4. Common E.coli (elderly women)
pathogens for Staphylococcus
UTI proteus mirabilis (elderly men)
Klebsiella
enterecoccus
pseudomonas
Providencia (institutionalized)
Fungus: candida
5. Risk factors for Female
UTI critically ill
elderly
catheter (caused by biofilm)
DM
calculi, tumor, stricture
neurogenic bladder
Women:
, NRNP 6550 Final Exam 2025/2026 UPDATE | MOST TESTED FINSL
EXAM QUESTIONS AND VERIFIED ANSWERS GRADED A+ ASSURED
SUCCESS
sexual intercourse or
new sex partner
, NRNP 6550 Final Exam 2025/2026 UPDATE | MOST TESTED FINSL
EXAM QUESTIONS AND VERIFIED ANSWERS GRADED A+ ASSURED
SUCCESS
pregnancy
previous UTI
Men:
prostate enlargement
prostatitis
lack of circumcision
gay
HIV
6. Findings UTI Lower:
Dysuria/ urgency/ frequency/ incontinence
suprapubic pain
hematuria
fever/ chills uncommon
No flank pain
Upper:
flank pain
fever and chills
hematuria
n/v
ams (in elderly)
malaise
tachycardia/ tachypnea
7. Testing and re- Gold standard: urine culture and sensitivity: detection of
sults for UTI bacteria. Start with POC: urine analysis.
UA: pos for nitrite or leukocyte or blood
CBC: leukocyte with left shift in pyelonephritis
For recurrent UTI in women or UTI in men rule out ob-
struction, calculi, or necrosis with:
xr voiding
CT abdomen
US pelvis
MRI pelvis
8. Management First line:
acute cystitis - Single dose Fosfomycin (monurol)
, NRNP 6550 Final Exam 2025/2026 UPDATE | MOST TESTED FINSL
EXAM QUESTIONS AND VERIFIED ANSWERS GRADED A+ ASSURED
SUCCESS
- 3 day: sulfa:
trimethoprim/ sulfa
(bactrim) (do not
give
