NURS 620 MARYVILLE EXAM 3 (ACTUAL 2025/2026)
QUESTIONS AND VERIFIED ANSWERS GRADED A+
What are potential causes of chronic infection/UTI?
-obstructions
-antibiotic-resistant bacteria ---- presence of multiple strains of
bacteria
What additional HPI questions would you want to ask a patient with
urinary complaints (dyuria, urgency, etc.)?
-fever
-N/V
-Pain (abdominal, pelvic, back)
-LMP
-Contraceptive use
-Sexual partners
-hygeine habits
-Vaginal discharge/irritation
-hx of UTIs
Preferred collection method for UA?
clean-catch midstream urine specimen
,What characteristics of UA/C&S indicates infection?
> 100,000 organisms/ml plus presence of characteristic clinical
symptoms.
Gold standard of laboratory confirmation of UTI
Urine culture
Diagnostic testing for lower UTI
UA/C&S
IC: potassium sensitivity test (PST)
What do nitrates signal on a UA?
gram negative bacteria
Which diagnostic is often the first indicator of renal problem?
Proteinuria
What symptoms may be different for the geriatric population with
UTI?
,Hematuria may be only symptom
May present with altered MS
Dizziness-early symptom
Low back pain is an indication of what form of complicated UTI?
Pyleonephritis
What population is at increased risk of pyleonephritis?
Pregnant
geriatric
Possible differential diagnosis for lower/uncomplicated UTI?
Pyleonephritis (upper UTI)
STI
Tumor/bladder cancer
Interstital cystitis
Vaginitis
What signs of sepsis will not be seen with lower/uncomplicated UTI?
Fever
Chills
, WBC casts
CVAT
What is the mainstay of treatment for uncomplicated UTI?
pharmacological antimicrobial tx
Which classes of antibiotics are becoming increasingly resistant to
bacteria associated with UTI?
Ampicillin and sulfonamides
Which bacteria is nitrofurantoin most effective on?
gram-negative
What is the antibiotic regimin for bactrim or septra with
uncomplicated UTI?
1 DS BID x 3 days
What is the antibiotic regmin for cefdinir with uncomplicated UTI?
500 mg BID x 5 days
QUESTIONS AND VERIFIED ANSWERS GRADED A+
What are potential causes of chronic infection/UTI?
-obstructions
-antibiotic-resistant bacteria ---- presence of multiple strains of
bacteria
What additional HPI questions would you want to ask a patient with
urinary complaints (dyuria, urgency, etc.)?
-fever
-N/V
-Pain (abdominal, pelvic, back)
-LMP
-Contraceptive use
-Sexual partners
-hygeine habits
-Vaginal discharge/irritation
-hx of UTIs
Preferred collection method for UA?
clean-catch midstream urine specimen
,What characteristics of UA/C&S indicates infection?
> 100,000 organisms/ml plus presence of characteristic clinical
symptoms.
Gold standard of laboratory confirmation of UTI
Urine culture
Diagnostic testing for lower UTI
UA/C&S
IC: potassium sensitivity test (PST)
What do nitrates signal on a UA?
gram negative bacteria
Which diagnostic is often the first indicator of renal problem?
Proteinuria
What symptoms may be different for the geriatric population with
UTI?
,Hematuria may be only symptom
May present with altered MS
Dizziness-early symptom
Low back pain is an indication of what form of complicated UTI?
Pyleonephritis
What population is at increased risk of pyleonephritis?
Pregnant
geriatric
Possible differential diagnosis for lower/uncomplicated UTI?
Pyleonephritis (upper UTI)
STI
Tumor/bladder cancer
Interstital cystitis
Vaginitis
What signs of sepsis will not be seen with lower/uncomplicated UTI?
Fever
Chills
, WBC casts
CVAT
What is the mainstay of treatment for uncomplicated UTI?
pharmacological antimicrobial tx
Which classes of antibiotics are becoming increasingly resistant to
bacteria associated with UTI?
Ampicillin and sulfonamides
Which bacteria is nitrofurantoin most effective on?
gram-negative
What is the antibiotic regimin for bactrim or septra with
uncomplicated UTI?
1 DS BID x 3 days
What is the antibiotic regmin for cefdinir with uncomplicated UTI?
500 mg BID x 5 days
