NR 507 questions with verified answers
.S. is an 80 -year-old patient who resides in a local nursing home. He recently
became confused and then fell while ambulating to the bathroom three days ago.
Because of his confusion and fall, he was transferred to the acute care facility for
evaluation and treatment. Lab work revealed that the patient was very
dehydrated with hypernatremia identified and appropriate intravenous fluids
started. Cystitis was also identified from the urinalysis. He was also noted to have
red and excoriated skin between the buttocks and inner thighs due to urinary
frequency and dribbling. To help with skin healing and to prevent further urine
leakage, an indwelling catheter was inserted. Two days after the catheter was
placed, the patient spiked a fever of 102 degrees Fahrenheit associated with
shaking chills. An intense, foul odor was noted in the urine. On examination of the
flank area, the patient yelled out when touched. A urine cu Ans✓✓✓ A. This
patient would be diagnosed with pyelonephritis.
D. The major risk factor for the development of pyelonephritis in this patient is
the indwelling Foley catheter. Flank pain, dehydration and fever are symptoms
rather than risk factors.
A 21-year-old patient reports to the primary care clinic complaining of urinary
urgency, frequency and burning. She also reports a small amount of vaginal
discharge that contains an odor. It is likely that the NP will perform a vaginal exam
at this visit.
True
False Ans✓✓✓ True. Because of the vaginal discharge that contains an odor, the
NP will most likely perform a vaginal exam to rule out an STD.
A 25 year- old female presents to the primary care office with urinary burning and
frequency for the last 3 days. She denies any fever, chills, back pain. Her
gynecological history is negative and reports no vaginal discharge. The only new
, information reported is that she recently had sexual intercourse with a new male
partner.
The NP obtains a urinalysis and determines that the urine contains leukocytes,
RBCs, nitrites, and WBCs. No casts are identified. Based on symptom presentation
and UA results, the patient can be diagnosed with:
A. Upper UTI
B. Cystitis
C. Complicated UTI
D. Pyelonephritis Ans✓✓✓ B. The patient presents with a simple cystitis and
treated appropriately. In addition, although the patient has a new sexual partner
with risk for a STI, the patient reports no itching and/or vaginal discharge with
odor. The NP would determine if a pelvic exam is indicated at that visit to rule out
an STI.
A common organism that causes a urinary tract infection include:
A. Staphylococcus saprophyticus.
B. Streptococcus pneumonia.
C. Syncytial virus.
D. Methicillin Resistant Staphylococcus Aureus (MRSA). Ans✓✓✓ A.
Staphylococcus saprophyticus is the only choice listed that commonly causes a
UTI.
A symptom of a lower urinary tract infection includes:
A. Fever
B. Urgency
C. Flank pain
.S. is an 80 -year-old patient who resides in a local nursing home. He recently
became confused and then fell while ambulating to the bathroom three days ago.
Because of his confusion and fall, he was transferred to the acute care facility for
evaluation and treatment. Lab work revealed that the patient was very
dehydrated with hypernatremia identified and appropriate intravenous fluids
started. Cystitis was also identified from the urinalysis. He was also noted to have
red and excoriated skin between the buttocks and inner thighs due to urinary
frequency and dribbling. To help with skin healing and to prevent further urine
leakage, an indwelling catheter was inserted. Two days after the catheter was
placed, the patient spiked a fever of 102 degrees Fahrenheit associated with
shaking chills. An intense, foul odor was noted in the urine. On examination of the
flank area, the patient yelled out when touched. A urine cu Ans✓✓✓ A. This
patient would be diagnosed with pyelonephritis.
D. The major risk factor for the development of pyelonephritis in this patient is
the indwelling Foley catheter. Flank pain, dehydration and fever are symptoms
rather than risk factors.
A 21-year-old patient reports to the primary care clinic complaining of urinary
urgency, frequency and burning. She also reports a small amount of vaginal
discharge that contains an odor. It is likely that the NP will perform a vaginal exam
at this visit.
True
False Ans✓✓✓ True. Because of the vaginal discharge that contains an odor, the
NP will most likely perform a vaginal exam to rule out an STD.
A 25 year- old female presents to the primary care office with urinary burning and
frequency for the last 3 days. She denies any fever, chills, back pain. Her
gynecological history is negative and reports no vaginal discharge. The only new
, information reported is that she recently had sexual intercourse with a new male
partner.
The NP obtains a urinalysis and determines that the urine contains leukocytes,
RBCs, nitrites, and WBCs. No casts are identified. Based on symptom presentation
and UA results, the patient can be diagnosed with:
A. Upper UTI
B. Cystitis
C. Complicated UTI
D. Pyelonephritis Ans✓✓✓ B. The patient presents with a simple cystitis and
treated appropriately. In addition, although the patient has a new sexual partner
with risk for a STI, the patient reports no itching and/or vaginal discharge with
odor. The NP would determine if a pelvic exam is indicated at that visit to rule out
an STI.
A common organism that causes a urinary tract infection include:
A. Staphylococcus saprophyticus.
B. Streptococcus pneumonia.
C. Syncytial virus.
D. Methicillin Resistant Staphylococcus Aureus (MRSA). Ans✓✓✓ A.
Staphylococcus saprophyticus is the only choice listed that commonly causes a
UTI.
A symptom of a lower urinary tract infection includes:
A. Fever
B. Urgency
C. Flank pain
