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NR 507 Final Exam Question Bank Study Guide 2025|100%
Guaranteed Pass 300 Frequently Tested Questions
Chamberlain University
Which of the following can help to prevent a UTI?
A. Use spermicides during sexual intercourse
B. Taking more Vitamin D
C. Douching to prevent the growth of bacteria
D. Increase water consumption - CORRECT✓✓ D. Increase water consumption
Water consumption prevents UTI as it keeps bacteria flushed out of the urinary tract.
A symptom of a lower urinary tract infection includes:
A. Fever
B. Urgency
C. Flank pain
D. Decreased Urination - CORRECT✓✓ B. Urgency is a symptom of lower tract UTI.
Which of the following is a risk factor for the development of a urinary tract infection (UTI)?
A. Pregnancy
B. Perimenopause
C. Marathon running
D. Frequent showering - CORRECT✓✓ A. Pregnancy is a risk factor the development of a
UTI.
Women are at a higher risk for the development of a UTI because of having a shorter urethra.
, Page |2
True
False - CORRECT✓✓ True, women have a shorter urethra that puts them at higher risk for
developing a UTI.
Which of the following is true regarding a complicated urinary tract infection?
A. It is usually asymptomatic
B. Bacteria is located mostly in the lower urinary tract
C. Is associated with young adults
D. Can be caused by a structural urinary tract disorder - CORRECT✓✓ D. A complicated
UTI can be caused by a structural issue in the urinary tract.
UTI Risk Factors - CORRECT✓✓ Pregnancy
Women short ureter
Decreased estrogen in post-menopausal women
Sexual intercourse
Use of spermicide
Indwelling urinary catheterization
UTI Lower vs. Upper Tract Disorders - CORRECT✓✓ Upper Urinary Tract Disorder
When bacteria ascend from the bladder (lower urinary organs) to the kidney. Classic triad:
vomiting, flank pain and fever.
Upper Urinary Tract Symptoms:
All the symptoms associated with cystitis including
Fever
Flank pain
Costovertebral angle (CVA) tenderness
Nausea
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Vomiting
Malaise
Condtion of Upper UTI
Pyelonephritis.
Lower Urinary Tract Symptoms:
Urgency
Burning on urination
Frequency
Dysuria
Suprapubic Pain
Cloudy urine
Odorous.
Condition of Lower UTI
Cystitis
Urethritis
Urethritis - CORRECT✓✓ The infection occurs at the opening of the urethra
Cystitis - CORRECT✓✓ Denotes a bladder infection
Pyelonephritis - CORRECT✓✓ Inflammation of kidneys
Diagnostic UTI - CORRECT✓✓ Urine dipstick
Urinalysis - used to diagnose a UTI
Urine Culture & Sensitivity
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Urine Dipstick - CORRECT✓✓ -Urine Dipstick can be observed for the presence of
leukocyte esterase and nitrites.
-A urine dipstick can be performed to identify hematuria, proteinuria, and the presence of
nitrites. The presence of nitrites i.s highly specific for bacterial infection
-Note that an individual can have a negative urine dipstick but still present with signs and
symptoms of a UTI. If this is the case, then the NP can send the urine for a culture and
sensitivity (C&S) test and microscopy.
Blood Culture - CORRECT✓✓ If sepsis is suspected, a blood culture may be drawn to
identify the causative organism or rule it out.
Urine Culture & Sensitivity - CORRECT✓✓ Patient with cystitis will have a white blood cell
(WBC) count of greater than 5000 high power field (hpf) and hematuria.
Patient with pyelonephritis, the urine will present with WBC casts. The presence of casts in
the urine indicates that the protein in the lumen of the kidney tubules has solidified,
especially in the nephron. This indicates kidney disease rather than a lower UTI.
Urine can also be examined microscopically to determine the presence of a lower or upper
UTI. The following may be seen in urine examined under microscopy:
- RBCs (red blood cells): greater than 3 RBCs/hpf is considered abnormal. Abnormal
morphology of the RBC strongly suggests glomerular disease. RBCs are often present with a
UTI (hematuria).
-WBCs: greater than 5 WBCs/hpf is considered abnormal. These will be present in a UTI.
-Bacteria: will be present
NR 507 Final Exam Question Bank Study Guide 2025|100%
Guaranteed Pass 300 Frequently Tested Questions
Chamberlain University
Which of the following can help to prevent a UTI?
A. Use spermicides during sexual intercourse
B. Taking more Vitamin D
C. Douching to prevent the growth of bacteria
D. Increase water consumption - CORRECT✓✓ D. Increase water consumption
Water consumption prevents UTI as it keeps bacteria flushed out of the urinary tract.
A symptom of a lower urinary tract infection includes:
A. Fever
B. Urgency
C. Flank pain
D. Decreased Urination - CORRECT✓✓ B. Urgency is a symptom of lower tract UTI.
Which of the following is a risk factor for the development of a urinary tract infection (UTI)?
A. Pregnancy
B. Perimenopause
C. Marathon running
D. Frequent showering - CORRECT✓✓ A. Pregnancy is a risk factor the development of a
UTI.
Women are at a higher risk for the development of a UTI because of having a shorter urethra.
, Page |2
True
False - CORRECT✓✓ True, women have a shorter urethra that puts them at higher risk for
developing a UTI.
Which of the following is true regarding a complicated urinary tract infection?
A. It is usually asymptomatic
B. Bacteria is located mostly in the lower urinary tract
C. Is associated with young adults
D. Can be caused by a structural urinary tract disorder - CORRECT✓✓ D. A complicated
UTI can be caused by a structural issue in the urinary tract.
UTI Risk Factors - CORRECT✓✓ Pregnancy
Women short ureter
Decreased estrogen in post-menopausal women
Sexual intercourse
Use of spermicide
Indwelling urinary catheterization
UTI Lower vs. Upper Tract Disorders - CORRECT✓✓ Upper Urinary Tract Disorder
When bacteria ascend from the bladder (lower urinary organs) to the kidney. Classic triad:
vomiting, flank pain and fever.
Upper Urinary Tract Symptoms:
All the symptoms associated with cystitis including
Fever
Flank pain
Costovertebral angle (CVA) tenderness
Nausea
, Page |3
Vomiting
Malaise
Condtion of Upper UTI
Pyelonephritis.
Lower Urinary Tract Symptoms:
Urgency
Burning on urination
Frequency
Dysuria
Suprapubic Pain
Cloudy urine
Odorous.
Condition of Lower UTI
Cystitis
Urethritis
Urethritis - CORRECT✓✓ The infection occurs at the opening of the urethra
Cystitis - CORRECT✓✓ Denotes a bladder infection
Pyelonephritis - CORRECT✓✓ Inflammation of kidneys
Diagnostic UTI - CORRECT✓✓ Urine dipstick
Urinalysis - used to diagnose a UTI
Urine Culture & Sensitivity
, Page |4
Urine Dipstick - CORRECT✓✓ -Urine Dipstick can be observed for the presence of
leukocyte esterase and nitrites.
-A urine dipstick can be performed to identify hematuria, proteinuria, and the presence of
nitrites. The presence of nitrites i.s highly specific for bacterial infection
-Note that an individual can have a negative urine dipstick but still present with signs and
symptoms of a UTI. If this is the case, then the NP can send the urine for a culture and
sensitivity (C&S) test and microscopy.
Blood Culture - CORRECT✓✓ If sepsis is suspected, a blood culture may be drawn to
identify the causative organism or rule it out.
Urine Culture & Sensitivity - CORRECT✓✓ Patient with cystitis will have a white blood cell
(WBC) count of greater than 5000 high power field (hpf) and hematuria.
Patient with pyelonephritis, the urine will present with WBC casts. The presence of casts in
the urine indicates that the protein in the lumen of the kidney tubules has solidified,
especially in the nephron. This indicates kidney disease rather than a lower UTI.
Urine can also be examined microscopically to determine the presence of a lower or upper
UTI. The following may be seen in urine examined under microscopy:
- RBCs (red blood cells): greater than 3 RBCs/hpf is considered abnormal. Abnormal
morphology of the RBC strongly suggests glomerular disease. RBCs are often present with a
UTI (hematuria).
-WBCs: greater than 5 WBCs/hpf is considered abnormal. These will be present in a UTI.
-Bacteria: will be present
