NURS 620 Exam II UPDATED ACTUAL
Exam Questions and CORRECT Answers
The most common cause of sepsis in older adults is: - CORRECT ANSWER UTI
What is the usual clinical presentation of an adult patient with cystitis? - CORRECT
ANSWER Complaints of dysuria, urgency, frequency, nocturia, and suprapubic heaviness.
Which statement characterizes functional incontinence? - CORRECT ANSWER Mainly
caused by factors outside the urinary tract, especially immobility, that prohibit proper toileting
habits.
What are the three most common pathogens in community-acquired UTIs? - CORRECT
ANSWER Escherichia coli in upper and lower, Staphylococcus saprophyticus in lower, and
Proteus mirabilis in upper UTI
When prescribing oxybutinin (Ditropan) for the patient with overactive bladder symptoms, the
nurse practitioner must consider which
disorder in the medical history before prescribing? - CORRECT ANSWER Narrow-angle
glaucoma
The clinical presentation of a client with urolithiasis would include: - CORRECT
ANSWER Pain starting in the flank and localizing in the costovertebral angle
What is the most common cause of chronic renal failure (CRF)? - CORRECT
ANSWER Hypertension & Diabetes
The most frequent sign of bladder cancer is: - CORRECT ANSWER Hematuria
,The inability to empty the bladder, resulting in overdistention and frequent loss of small amounts
of urine, describes which type of urinary incontinence? - CORRECT ANSWER Overflow
incontinence
A factor contributing to stress incontinence is: - CORRECT ANSWER Bladder irritation from
a urinary tract infection
How quickly can acute tubular necrosis resolve (leading cause of ARF)? - CORRECT
ANSWER 7-21 days with appropriate treatment such as rehydration or discontinuing the
offending drug.
Diagnostic of Prerenal Azotemia - CORRECT ANSWER increased BUN and Serum
Creatinine
Normal BUN and Creatinine - CORRECT ANSWER Normal levels of BUN are between 10
to 20 mg/dL for an adult and 5 to 18 mg/dL for a child. Normal creatinine levels are between .5
to 1.1 mg/dL for an adult female and .6 to 1.2 mg/dL for an adult male.
Virchow's Triad - CORRECT ANSWER Hypercoagulability, Stasis & Vessel Injury equals
Highest DVT Risk
Stages of PVD - CORRECT ANSWER 1. Reduced pulses
2. Intermittent claudication
3. Pain when resting
4. Ulcers
Arterial and venous pulse grading - CORRECT ANSWER 0. No pulse
1. Thready
2. Normal
3. Bounding
4. Aneurysm
, Arterial PVD symptoms - CORRECT ANSWER Intermittent, better at rest, pale to bright red
color, pulse is diminished, no edema, cool temp, skin is shiny with hair loss. May develop
gangrene or tissue loss.
New drugs for DVTs - CORRECT ANSWER Savyse, Xarelto, Pradaxa, Eliquis
PVD pain scale - CORRECT ANSWER 1. Discomfort minimal
2. Moderate, but can be diverted
3. Intense
4. Excruciating
Venous PVD symptoms - CORRECT ANSWER Chronic dull ache, normal color, normal
temp, pulse hard to find due to edema, shallow ulcers.
What is the gold standard for diagnosis of DVT? - CORRECT ANSWER Venography-
reference gold standard for dx
What is the gold standard for diagnosis of PVD? - CORRECT ANSWER Ankle brachial
index.
1 to 1.29 normal
0.91 to 0.99 borderline
0.41 to 0.9 mild to moderate PAD
00.00 to 0.40 severe PAD
Gold Standard Diagnoses of CAP - CORRECT ANSWER Infiltrates on Chest x-Ray
CURB-65 Criteria - CORRECT ANSWER Confusion, BUN <19, Respirations >30, BP
Systolic <90 or Diastolic <60, Age >65
Exam Questions and CORRECT Answers
The most common cause of sepsis in older adults is: - CORRECT ANSWER UTI
What is the usual clinical presentation of an adult patient with cystitis? - CORRECT
ANSWER Complaints of dysuria, urgency, frequency, nocturia, and suprapubic heaviness.
Which statement characterizes functional incontinence? - CORRECT ANSWER Mainly
caused by factors outside the urinary tract, especially immobility, that prohibit proper toileting
habits.
What are the three most common pathogens in community-acquired UTIs? - CORRECT
ANSWER Escherichia coli in upper and lower, Staphylococcus saprophyticus in lower, and
Proteus mirabilis in upper UTI
When prescribing oxybutinin (Ditropan) for the patient with overactive bladder symptoms, the
nurse practitioner must consider which
disorder in the medical history before prescribing? - CORRECT ANSWER Narrow-angle
glaucoma
The clinical presentation of a client with urolithiasis would include: - CORRECT
ANSWER Pain starting in the flank and localizing in the costovertebral angle
What is the most common cause of chronic renal failure (CRF)? - CORRECT
ANSWER Hypertension & Diabetes
The most frequent sign of bladder cancer is: - CORRECT ANSWER Hematuria
,The inability to empty the bladder, resulting in overdistention and frequent loss of small amounts
of urine, describes which type of urinary incontinence? - CORRECT ANSWER Overflow
incontinence
A factor contributing to stress incontinence is: - CORRECT ANSWER Bladder irritation from
a urinary tract infection
How quickly can acute tubular necrosis resolve (leading cause of ARF)? - CORRECT
ANSWER 7-21 days with appropriate treatment such as rehydration or discontinuing the
offending drug.
Diagnostic of Prerenal Azotemia - CORRECT ANSWER increased BUN and Serum
Creatinine
Normal BUN and Creatinine - CORRECT ANSWER Normal levels of BUN are between 10
to 20 mg/dL for an adult and 5 to 18 mg/dL for a child. Normal creatinine levels are between .5
to 1.1 mg/dL for an adult female and .6 to 1.2 mg/dL for an adult male.
Virchow's Triad - CORRECT ANSWER Hypercoagulability, Stasis & Vessel Injury equals
Highest DVT Risk
Stages of PVD - CORRECT ANSWER 1. Reduced pulses
2. Intermittent claudication
3. Pain when resting
4. Ulcers
Arterial and venous pulse grading - CORRECT ANSWER 0. No pulse
1. Thready
2. Normal
3. Bounding
4. Aneurysm
, Arterial PVD symptoms - CORRECT ANSWER Intermittent, better at rest, pale to bright red
color, pulse is diminished, no edema, cool temp, skin is shiny with hair loss. May develop
gangrene or tissue loss.
New drugs for DVTs - CORRECT ANSWER Savyse, Xarelto, Pradaxa, Eliquis
PVD pain scale - CORRECT ANSWER 1. Discomfort minimal
2. Moderate, but can be diverted
3. Intense
4. Excruciating
Venous PVD symptoms - CORRECT ANSWER Chronic dull ache, normal color, normal
temp, pulse hard to find due to edema, shallow ulcers.
What is the gold standard for diagnosis of DVT? - CORRECT ANSWER Venography-
reference gold standard for dx
What is the gold standard for diagnosis of PVD? - CORRECT ANSWER Ankle brachial
index.
1 to 1.29 normal
0.91 to 0.99 borderline
0.41 to 0.9 mild to moderate PAD
00.00 to 0.40 severe PAD
Gold Standard Diagnoses of CAP - CORRECT ANSWER Infiltrates on Chest x-Ray
CURB-65 Criteria - CORRECT ANSWER Confusion, BUN <19, Respirations >30, BP
Systolic <90 or Diastolic <60, Age >65
