AH2 Exam 4
AH2 Exam 4 Study Guide Questions and
Answers 2025-2026
The home health nurse reads in the patient's chart that the patient has asymptomatic
bacterial urinary tract infection. Which intervention will the nurse performed? - Correct
Ans-Closely monitor for conditions that cause progression to acute infection.
Which group has the highest prevalence of urinary tract infections? - Correct Ans-Older
women.
Which patient has the highest risk for developing a complicated UTI? - Correct Ans-A
22-year-old man who has a neurogenic bladder due to spinal cord injury.
The nurse is working in a long-term care facility. Which circumstance is cause for
greatest concern, because the facility has a large number of residents who are
developing UTIs? - Correct Ans-A large percentage of residents have indwelling urinary
catheters.
The nurse is caring for a patient with an indwelling catheter. What intervention does the
nurse used to minimize catheter related infections? - Correct Ans-Assess the patient
daily to determine need for the catheter.
Which task related to care of patients who have indwelling catheters can be delegated
to unlicensed assistive personnel? - Correct Ans-Perform daily catheter care by
washing the perineum and proximal portion of the catheter with soap and water.
in which patient circumstance would the nurse question the order for the insertion of an
indwelling catheter? - Correct Ans-patient has functional incontinence related to
Alzheimer's disease.
For a patient who needs an indwelling catheter for at least two weeks, which
intervention would help reduce the bacterial colonization along the catheter? - Correct
Ans-Consider the use of a coated catheter.
The nurse hears a report that the patient is being treated for a fungal UTI. In addition to
performing routine care and assessments, the nurse is extra vigilant for signs and
symptoms of which systemic disorder that may underlie the fungal UTI? - Correct Ans-
Immune system compromise.
The nurse is caring for a patient who has an indwelling catheter and subsequently
developed a UTI. The patient has been receiving antibiotics for several days, but
develops hypotension, a rapid pulse, and confusion. The nurse suspects urosepsis and
alerts the healthcare provider. Which diagnostic test is the provider most likely to order
to confirm urosepsis? - Correct Ans-Blood culture.
1|Page
,AH2 Exam 4
The nurse is teaching a woman how to prevent UTIs. What information does the nurse
include? - Correct Ans-Clean the perineal area from front to back.
The nurse is teaching a man about how to prevent UTIs. What information does the
nurse include? - Correct Ans-Gently wash the genital area before intercourse.
Patients who have central nervous system lesions from stroke, multiple sclerosis, or
parasacral spinal cord lesions may have which type of urinary incontinence? - Correct
Ans-Detrusor hyperreflexia.
A patient reports intense urgency, frequency, and bladder pain. Urinalysis results show
white blood cells and red blood cells and urine culture results are negative for infection.
How does the nurse interpret these findings? - Correct Ans-Interstitial cystitis.
A patient has been started on oxybutynin, Ditropan, for urinary incontinence. What is the
major action of this medication? - Correct Ans-Relaxes bladder muscles.
A young female patient reports experiencing burning with urination what question does
the nurse ask to differentiate between a vaginal infection and a urinary infection? -
Correct Ans-Have you noticed any vaginal discharge?
A patient reports symptoms indicating a UTI. Results from which diagnostic test will
verify a UTI? - Correct Ans-Urinalysis to test for leukocyte esterase and nitrate.
A patient is diagnosed with a fungal UTI. Which drug does the nurse anticipate the
patient will be treated with? - Correct Ans-Fluconazole-Diflucan.
the nurse is teaching a patient about self-care measures to prevent UTIs. Which daily
fluid intake does the nurse recommend to the patient to prevent a bladder infection? -
Correct Ans-2 to 3 L of water.
The nursing student sees an order for a urinalysis for a patient with frequency, urgency,
and dysuria. In order to collect the specimen, what does the student do? - Correct Ans-
Instruct the patient on how to collect a clean catch specimen.
The nurse is reviewing the laboratory results for an older adult patient with an indwelling
catheter. The urine culture is pending, but the urinalysis shows greater than 10 to the
fifth colony forming units, and the differential WBC count shows a "left shift." How does
the nurse interpret these findings? - Correct Ans-urosepsis.
A patient has UTI symptoms but there are no bacteria in the urine. The healthcare
provider suspects interstitial cystitis. The nurse prepares patient teaching materials for
which diagnostic test? - Correct Ans-Cystoscopy.
2|Page
,AH2 Exam 4
Several patients at the clinic have just been diagnosed with UTIs. Which patients may
need longer antibiotic treatment, 7 to 21 days, or different agents than the typical first-
line medications? - Correct Ans-Diabetic patient.
Immunosuppressed patient.
Pregnant patient.
The nurse is counseling a patient with recurrent symptomatic UTIs about dietary
therapy. What information does the nurse give to the patient? - Correct Ans-Drink 50 mL
of concentrated cranberry juice every day.
The patient received an antibiotic prescription several hours ago and has started the
medication, but requests "some relief from the burning." What comfort measures that
the nurse suggested the patient? - Correct Ans-Sit in a sitz bath and urinate into the
warm water.
A patient's recurrent cystitis appears to be related to sexual intercourse. The patient
seems uncomfortable talking about the situation. What communication technique does
the nurse use to assist the patient? - Correct Ans-Have a frank and sensitive discussion
with the patient.
The cystoscopy results for a patient include a small capacity bladder, the presence of
Hunner's ulcers, and small hemorrhages after bladder distention. How does the nurse
interpret this report? - Correct Ans-Interstitial cystitis.
A male college student comes to the clinic reporting burning or difficulty with urination
and a discharge from the urethral meatus. Based on the patient's chief complaint, what
is the most logical question for the nurse to ask about the patient's past medical history?
- Correct Ans-Could you have been exposed to a sexually transmitted disease?
The healthcare provider verbally informs the nurse that the patient needs a
fluorolquinolone antibiotic to treat a UTI. The pharmacy delivers gabapentin, Neurontin.
what should the nurse do first? - Correct Ans-Look at the written order to clarify the
name of the medication.
Which patient should not be advised to take cranberry juice? - Correct Ans-A 33-year-
old woman with dysuria associated with interstitial cystitis.
Which urine characteristics suggest that the patient is drinking a sufficient amount of
fluid? - Correct Ans-Urine is a pale yellow color.
A young woman tells the nurse that she gets frequent UTIs that seem to follow sexual
intercourse. Which questions with the nurse ask? - Correct Ans-Do you use a
diaphragm or spermicides for contraception?
Do you or your partner wash the perineal area before intercourse?
Some positions cause more irritation during sex. Have you noticed this?
3|Page
, AH2 Exam 4
A patient is diagnosed with urethral stricture. What findings does the nurse expect to
see documented in the patient's chart for this condition? - Correct Ans-Overflow
incontinence.
A patient is diagnosed with a urethral stricture. The nurse prepares the patient for which
temporary treatment? - Correct Ans-Dilation of the urethra.
A patient reports the loss of small amounts of urine during coughing, sneezing, jogging,
or lifting. Which type of incontinence do these symptoms describe? - Correct Ans-
Stress.
The nurse is caring for an obese older adult patient with dementia. The patient is alert
and ambulatory, but has functional incontinence. Which nursing intervention is best for
this patient? - Correct Ans-Offer assistance with toileting every two hours.
Which patient is most likely to have mixed incontinence? - Correct Ans-54-year-old
woman who had four full-term pregnancies.
The nurse is caring for an older adult patient with urinary incontinence. The patient is
alert and oriented, but refuses to use the call Bell and has fallen several times while
trying to get to the bathroom. What is the nurse's priority concern for this patient? -
Correct Ans-Providing fall prevention measures.
The nurse is performing an assessment on a patient with probable stress incontinence.
Which assessment technique does the nurse use to validate stress incontinence? -
Correct Ans-Ask the patient to cough while wearing a perineal pad.
the advanced practice nurse is performing a digital rectal exam and notes that the rectal
sphincter contracts on digital insertion. How does the nurse interpret this finding? -
Correct Ans-Nerve supply to the bladder is most likely intact.
A middle-aged woman has urinary stress incontinence related to weak pelvic muscles.
The patient is highly motivated to participate in self-care. Which interventions does the
nurse include in the treatment plan? - Correct Ans-Suggest keeping a detailed diary of
urine leakage, activities, and foods eaten.
Suggest wearing absorbent undergarments during the assessment process.
Teach pelvic floor, Kegel, exercise therapy.
Teach about vaginal cone therapy.
Referr to a nutritionist for diet therapy for weight reduction.
A patient has been performing Kegel exercises for two months. How does the nurse
know whether the exercises are working? - Correct Ans-The patient is able to stop the
urinary stream.
The home health nurse is assessing an older adult patient who refuses to leave the
house to see friends or participate in usual activities. She reports taking a bath several
4|Page
AH2 Exam 4 Study Guide Questions and
Answers 2025-2026
The home health nurse reads in the patient's chart that the patient has asymptomatic
bacterial urinary tract infection. Which intervention will the nurse performed? - Correct
Ans-Closely monitor for conditions that cause progression to acute infection.
Which group has the highest prevalence of urinary tract infections? - Correct Ans-Older
women.
Which patient has the highest risk for developing a complicated UTI? - Correct Ans-A
22-year-old man who has a neurogenic bladder due to spinal cord injury.
The nurse is working in a long-term care facility. Which circumstance is cause for
greatest concern, because the facility has a large number of residents who are
developing UTIs? - Correct Ans-A large percentage of residents have indwelling urinary
catheters.
The nurse is caring for a patient with an indwelling catheter. What intervention does the
nurse used to minimize catheter related infections? - Correct Ans-Assess the patient
daily to determine need for the catheter.
Which task related to care of patients who have indwelling catheters can be delegated
to unlicensed assistive personnel? - Correct Ans-Perform daily catheter care by
washing the perineum and proximal portion of the catheter with soap and water.
in which patient circumstance would the nurse question the order for the insertion of an
indwelling catheter? - Correct Ans-patient has functional incontinence related to
Alzheimer's disease.
For a patient who needs an indwelling catheter for at least two weeks, which
intervention would help reduce the bacterial colonization along the catheter? - Correct
Ans-Consider the use of a coated catheter.
The nurse hears a report that the patient is being treated for a fungal UTI. In addition to
performing routine care and assessments, the nurse is extra vigilant for signs and
symptoms of which systemic disorder that may underlie the fungal UTI? - Correct Ans-
Immune system compromise.
The nurse is caring for a patient who has an indwelling catheter and subsequently
developed a UTI. The patient has been receiving antibiotics for several days, but
develops hypotension, a rapid pulse, and confusion. The nurse suspects urosepsis and
alerts the healthcare provider. Which diagnostic test is the provider most likely to order
to confirm urosepsis? - Correct Ans-Blood culture.
1|Page
,AH2 Exam 4
The nurse is teaching a woman how to prevent UTIs. What information does the nurse
include? - Correct Ans-Clean the perineal area from front to back.
The nurse is teaching a man about how to prevent UTIs. What information does the
nurse include? - Correct Ans-Gently wash the genital area before intercourse.
Patients who have central nervous system lesions from stroke, multiple sclerosis, or
parasacral spinal cord lesions may have which type of urinary incontinence? - Correct
Ans-Detrusor hyperreflexia.
A patient reports intense urgency, frequency, and bladder pain. Urinalysis results show
white blood cells and red blood cells and urine culture results are negative for infection.
How does the nurse interpret these findings? - Correct Ans-Interstitial cystitis.
A patient has been started on oxybutynin, Ditropan, for urinary incontinence. What is the
major action of this medication? - Correct Ans-Relaxes bladder muscles.
A young female patient reports experiencing burning with urination what question does
the nurse ask to differentiate between a vaginal infection and a urinary infection? -
Correct Ans-Have you noticed any vaginal discharge?
A patient reports symptoms indicating a UTI. Results from which diagnostic test will
verify a UTI? - Correct Ans-Urinalysis to test for leukocyte esterase and nitrate.
A patient is diagnosed with a fungal UTI. Which drug does the nurse anticipate the
patient will be treated with? - Correct Ans-Fluconazole-Diflucan.
the nurse is teaching a patient about self-care measures to prevent UTIs. Which daily
fluid intake does the nurse recommend to the patient to prevent a bladder infection? -
Correct Ans-2 to 3 L of water.
The nursing student sees an order for a urinalysis for a patient with frequency, urgency,
and dysuria. In order to collect the specimen, what does the student do? - Correct Ans-
Instruct the patient on how to collect a clean catch specimen.
The nurse is reviewing the laboratory results for an older adult patient with an indwelling
catheter. The urine culture is pending, but the urinalysis shows greater than 10 to the
fifth colony forming units, and the differential WBC count shows a "left shift." How does
the nurse interpret these findings? - Correct Ans-urosepsis.
A patient has UTI symptoms but there are no bacteria in the urine. The healthcare
provider suspects interstitial cystitis. The nurse prepares patient teaching materials for
which diagnostic test? - Correct Ans-Cystoscopy.
2|Page
,AH2 Exam 4
Several patients at the clinic have just been diagnosed with UTIs. Which patients may
need longer antibiotic treatment, 7 to 21 days, or different agents than the typical first-
line medications? - Correct Ans-Diabetic patient.
Immunosuppressed patient.
Pregnant patient.
The nurse is counseling a patient with recurrent symptomatic UTIs about dietary
therapy. What information does the nurse give to the patient? - Correct Ans-Drink 50 mL
of concentrated cranberry juice every day.
The patient received an antibiotic prescription several hours ago and has started the
medication, but requests "some relief from the burning." What comfort measures that
the nurse suggested the patient? - Correct Ans-Sit in a sitz bath and urinate into the
warm water.
A patient's recurrent cystitis appears to be related to sexual intercourse. The patient
seems uncomfortable talking about the situation. What communication technique does
the nurse use to assist the patient? - Correct Ans-Have a frank and sensitive discussion
with the patient.
The cystoscopy results for a patient include a small capacity bladder, the presence of
Hunner's ulcers, and small hemorrhages after bladder distention. How does the nurse
interpret this report? - Correct Ans-Interstitial cystitis.
A male college student comes to the clinic reporting burning or difficulty with urination
and a discharge from the urethral meatus. Based on the patient's chief complaint, what
is the most logical question for the nurse to ask about the patient's past medical history?
- Correct Ans-Could you have been exposed to a sexually transmitted disease?
The healthcare provider verbally informs the nurse that the patient needs a
fluorolquinolone antibiotic to treat a UTI. The pharmacy delivers gabapentin, Neurontin.
what should the nurse do first? - Correct Ans-Look at the written order to clarify the
name of the medication.
Which patient should not be advised to take cranberry juice? - Correct Ans-A 33-year-
old woman with dysuria associated with interstitial cystitis.
Which urine characteristics suggest that the patient is drinking a sufficient amount of
fluid? - Correct Ans-Urine is a pale yellow color.
A young woman tells the nurse that she gets frequent UTIs that seem to follow sexual
intercourse. Which questions with the nurse ask? - Correct Ans-Do you use a
diaphragm or spermicides for contraception?
Do you or your partner wash the perineal area before intercourse?
Some positions cause more irritation during sex. Have you noticed this?
3|Page
, AH2 Exam 4
A patient is diagnosed with urethral stricture. What findings does the nurse expect to
see documented in the patient's chart for this condition? - Correct Ans-Overflow
incontinence.
A patient is diagnosed with a urethral stricture. The nurse prepares the patient for which
temporary treatment? - Correct Ans-Dilation of the urethra.
A patient reports the loss of small amounts of urine during coughing, sneezing, jogging,
or lifting. Which type of incontinence do these symptoms describe? - Correct Ans-
Stress.
The nurse is caring for an obese older adult patient with dementia. The patient is alert
and ambulatory, but has functional incontinence. Which nursing intervention is best for
this patient? - Correct Ans-Offer assistance with toileting every two hours.
Which patient is most likely to have mixed incontinence? - Correct Ans-54-year-old
woman who had four full-term pregnancies.
The nurse is caring for an older adult patient with urinary incontinence. The patient is
alert and oriented, but refuses to use the call Bell and has fallen several times while
trying to get to the bathroom. What is the nurse's priority concern for this patient? -
Correct Ans-Providing fall prevention measures.
The nurse is performing an assessment on a patient with probable stress incontinence.
Which assessment technique does the nurse use to validate stress incontinence? -
Correct Ans-Ask the patient to cough while wearing a perineal pad.
the advanced practice nurse is performing a digital rectal exam and notes that the rectal
sphincter contracts on digital insertion. How does the nurse interpret this finding? -
Correct Ans-Nerve supply to the bladder is most likely intact.
A middle-aged woman has urinary stress incontinence related to weak pelvic muscles.
The patient is highly motivated to participate in self-care. Which interventions does the
nurse include in the treatment plan? - Correct Ans-Suggest keeping a detailed diary of
urine leakage, activities, and foods eaten.
Suggest wearing absorbent undergarments during the assessment process.
Teach pelvic floor, Kegel, exercise therapy.
Teach about vaginal cone therapy.
Referr to a nutritionist for diet therapy for weight reduction.
A patient has been performing Kegel exercises for two months. How does the nurse
know whether the exercises are working? - Correct Ans-The patient is able to stop the
urinary stream.
The home health nurse is assessing an older adult patient who refuses to leave the
house to see friends or participate in usual activities. She reports taking a bath several
4|Page
