NR 601 FINAL EXAM REVIEW EXAM
QUESTIONS & DETAILED COMPLETE
SOLUTIONS 100%
Men is urgency and women is stress - correct answer ✔✔Most common type of UI in men and
women?
Feeling of needing to go right away. Rush to the bathroom. - correct answer ✔✔What is urge
UI?
Sneezing, coughing, laughing, pressure. - correct answer ✔✔What is stress UI?
Both stress and urgency - correct answer ✔✔What is mixed incontinence?
Female, obesity, dm, depression, stroke, fecal incontinence, hysterectomy. - correct answer
✔✔Risk factors for UI?
Behavioral therapy - correct answer ✔✔What is the first line therapy for most older patients
with UI?
Weightloss, stop caffeinated beverages and alcohol, minimize fluid intake at night, stop
smoking,loop diuretics should be taken in afternoon. Bladder trainings, kegal exercises, and
prompted voiding. - correct answer ✔✔What does behavioral therapy include for UI?
Myrbetriq; can cause high BP. - correct answer ✔✔Which med can be used for OAB? S/e?
Detrol (tolterodine), ditropan (oxybutinin)
,These are anticholinergics/antimuscarinics - correct answer ✔✔What medications can be used
for urge incontinence and OAB? What are their class?
Patients with dementia or cognitive impairment - correct answer ✔✔Antimuscarinics and
anticholinergics should be avoided in which patients?according to BEERS criteria
Surgery - correct answer ✔✔What is the gold standard treatment for women with stress
incontinence?
Weight loss - correct answer ✔✔What is the only evidenced based lifetsyle intervention for for
moderately obese younger older women with UI?
Step wise process. Stating with addressing first comorbidities and medications, then lifestyle
interventions, behavioral treatment, pharmacological treatment, minimally invasive procedures
or surgeries. - correct answer ✔✔Treatment of UI in older persons should be be proceeded
how?
The most bothersome factors - correct answer ✔✔Management of UI should focus on what?
Functional status and depression.
Functional impairment can be assessed by timed up and go and minicog test - correct answer
✔✔All patients with UI should be screened for?ex?
High fluid intake, and or use of caffeinated drinks or alcohol. - correct answer ✔✔Urinary
frequency may reflect what ?
Red flag symptoms. For underlying neurologic or neoplastic disease. Requires immediate
referral to neuro, uro, gyno. - correct answer ✔✔Acute onset of UI or the presence of
Suprapubic, lower abdominal, or pelvic pain are what kind of symptoms? What should be done?
,UI may be precipitated or worsened by outside factors of urinary tract, including meds, mobility,
environment, mentation, manual dexterity. - correct answer ✔✔What is the key difference
between UI in younger and older persons?
Urogenital distress index 6, min dif in score is 5/11 - correct answer ✔✔What is an assessment
tool for UI bother and quality of life? And can be used to assess for the effect of treatment?
Both behavioral and drug therapy. Than either alone - correct answer ✔✔What kind of therapy
is most efficacious for UI?
Skin breakdown, falls. Fractures - correct answer ✔✔Morbidity with UI are?
Dysuria, frequency, urgency, hematuria - correct answer ✔✔Symptoms of UTI?
Older adults in nursing homes, or hospitals. - correct answer ✔✔UTI is the most common
infection seen in who?
Age and debility - correct answer ✔✔Asymptomatic bacteriuria increases with?
Common symptoms can mimic other diseases - correct answer ✔✔For older adults, treatment
should not be initiated only based on symptoms... why?
Low back pain, nocturia, incontinence, and constipation. - correct answer ✔✔Post menopausal
women may also complain of?
There are conditions or diseases that lead to alterations in normal flora, urinary stasis and
obstruction as we age.
Shifts in perineal flora and ph bc if estrogen deficiency occurs.
Urinary stasis and obstruction can occur due to normal aging, which can lead to increased UTI.
, Urethra orifice can also be contaminated. - correct answer ✔✔Why is bacteruria and UTI so
common in older adults?
Positive for nitrates and leukocytes + symptoms present - correct answer ✔✔What is the UA
results for UTI?
Change in mental Status and characteristics of urine - correct answer ✔✔What are common
signs and Symptoms of UTI in LTC?
Presence of pyuria >10 WBC - correct answer ✔✔What is not a useful indicator for UTI?
Nephrolithiasis, IBD, diverticulitis, intro abdominal abscess - correct answer ✔✔What other
diseases can show presence of pyuria ( >10)?
Not beneficial - correct answer ✔✔Treatment of dirty urine in the older adult population with
asymptomatic bacteria is?
A healthy person w/o a catheter and no Symptoms of polynephritis.it is directed to E. coli -
correct answer ✔✔What is uncomplicated UTI?
Bactrim ds BID x 3 days (avoid if prior UTI in last 3 months or resistance to sulfas)
Nitrofurantoin 100 mg BID x 5 days
Fosfomycin 3g one dose. Has a lower efficacy - correct answer ✔✔Treatment for uncomplicated
UTI?
UTIs in people with Urinary tract abnormalities, UTIs in men, catheters, symptoms of
polynephritis - correct answer ✔✔Complicated UTI is what?
Based on urine culture results
QUESTIONS & DETAILED COMPLETE
SOLUTIONS 100%
Men is urgency and women is stress - correct answer ✔✔Most common type of UI in men and
women?
Feeling of needing to go right away. Rush to the bathroom. - correct answer ✔✔What is urge
UI?
Sneezing, coughing, laughing, pressure. - correct answer ✔✔What is stress UI?
Both stress and urgency - correct answer ✔✔What is mixed incontinence?
Female, obesity, dm, depression, stroke, fecal incontinence, hysterectomy. - correct answer
✔✔Risk factors for UI?
Behavioral therapy - correct answer ✔✔What is the first line therapy for most older patients
with UI?
Weightloss, stop caffeinated beverages and alcohol, minimize fluid intake at night, stop
smoking,loop diuretics should be taken in afternoon. Bladder trainings, kegal exercises, and
prompted voiding. - correct answer ✔✔What does behavioral therapy include for UI?
Myrbetriq; can cause high BP. - correct answer ✔✔Which med can be used for OAB? S/e?
Detrol (tolterodine), ditropan (oxybutinin)
,These are anticholinergics/antimuscarinics - correct answer ✔✔What medications can be used
for urge incontinence and OAB? What are their class?
Patients with dementia or cognitive impairment - correct answer ✔✔Antimuscarinics and
anticholinergics should be avoided in which patients?according to BEERS criteria
Surgery - correct answer ✔✔What is the gold standard treatment for women with stress
incontinence?
Weight loss - correct answer ✔✔What is the only evidenced based lifetsyle intervention for for
moderately obese younger older women with UI?
Step wise process. Stating with addressing first comorbidities and medications, then lifestyle
interventions, behavioral treatment, pharmacological treatment, minimally invasive procedures
or surgeries. - correct answer ✔✔Treatment of UI in older persons should be be proceeded
how?
The most bothersome factors - correct answer ✔✔Management of UI should focus on what?
Functional status and depression.
Functional impairment can be assessed by timed up and go and minicog test - correct answer
✔✔All patients with UI should be screened for?ex?
High fluid intake, and or use of caffeinated drinks or alcohol. - correct answer ✔✔Urinary
frequency may reflect what ?
Red flag symptoms. For underlying neurologic or neoplastic disease. Requires immediate
referral to neuro, uro, gyno. - correct answer ✔✔Acute onset of UI or the presence of
Suprapubic, lower abdominal, or pelvic pain are what kind of symptoms? What should be done?
,UI may be precipitated or worsened by outside factors of urinary tract, including meds, mobility,
environment, mentation, manual dexterity. - correct answer ✔✔What is the key difference
between UI in younger and older persons?
Urogenital distress index 6, min dif in score is 5/11 - correct answer ✔✔What is an assessment
tool for UI bother and quality of life? And can be used to assess for the effect of treatment?
Both behavioral and drug therapy. Than either alone - correct answer ✔✔What kind of therapy
is most efficacious for UI?
Skin breakdown, falls. Fractures - correct answer ✔✔Morbidity with UI are?
Dysuria, frequency, urgency, hematuria - correct answer ✔✔Symptoms of UTI?
Older adults in nursing homes, or hospitals. - correct answer ✔✔UTI is the most common
infection seen in who?
Age and debility - correct answer ✔✔Asymptomatic bacteriuria increases with?
Common symptoms can mimic other diseases - correct answer ✔✔For older adults, treatment
should not be initiated only based on symptoms... why?
Low back pain, nocturia, incontinence, and constipation. - correct answer ✔✔Post menopausal
women may also complain of?
There are conditions or diseases that lead to alterations in normal flora, urinary stasis and
obstruction as we age.
Shifts in perineal flora and ph bc if estrogen deficiency occurs.
Urinary stasis and obstruction can occur due to normal aging, which can lead to increased UTI.
, Urethra orifice can also be contaminated. - correct answer ✔✔Why is bacteruria and UTI so
common in older adults?
Positive for nitrates and leukocytes + symptoms present - correct answer ✔✔What is the UA
results for UTI?
Change in mental Status and characteristics of urine - correct answer ✔✔What are common
signs and Symptoms of UTI in LTC?
Presence of pyuria >10 WBC - correct answer ✔✔What is not a useful indicator for UTI?
Nephrolithiasis, IBD, diverticulitis, intro abdominal abscess - correct answer ✔✔What other
diseases can show presence of pyuria ( >10)?
Not beneficial - correct answer ✔✔Treatment of dirty urine in the older adult population with
asymptomatic bacteria is?
A healthy person w/o a catheter and no Symptoms of polynephritis.it is directed to E. coli -
correct answer ✔✔What is uncomplicated UTI?
Bactrim ds BID x 3 days (avoid if prior UTI in last 3 months or resistance to sulfas)
Nitrofurantoin 100 mg BID x 5 days
Fosfomycin 3g one dose. Has a lower efficacy - correct answer ✔✔Treatment for uncomplicated
UTI?
UTIs in people with Urinary tract abnormalities, UTIs in men, catheters, symptoms of
polynephritis - correct answer ✔✔Complicated UTI is what?
Based on urine culture results
