NR507NP FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS 2026 UPDATE
The damage from Crohn's disease occurs in which part of the gastrointestinal tract?
Terminal ileum.
Descending colon.
Duodenum of the small intestine.
Rectum. - CORRECT ANSWER -Terminal ileum.
Which of the following is a risk factor for the development of a urinary tract infection (UTI)?
Perimenopause
Pregnancy
Marathon running
Frequent showering - CORRECT ANSWER -Pregnancy
A symptom of a lower urinary tract infection includes:
Decreased Urination
Fever
Urgency
Flank pain - CORRECT ANSWER -Urgency
Which of the following can help to prevent a UTI?
Taking more Vitamin D
Use spermicides during sexual intercourse
Douching to prevent the growth of bacteria
Increase water consumption - CORRECT ANSWER -Increase water consumption
,Women are at a higher risk for the development of a UTI because of having a shorter urethra.
True
False - CORRECT ANSWER -True
Which of the following is true regarding a complicated urinary tract infection?
Can be caused by a structural urinary tract disorder
Bacteria is located mostly in the lower urinary tract
Is associated with young adults
It is usually asymptomatic - CORRECT ANSWER -Can be caused by a structural urinary tract
disorder
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:
Pyelonephritis
Complicated UTI
Upper UTI
Cystitis - CORRECT ANSWER -Cystitis
J.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 c - CORRECT
ANSWER -Pyelonephritis
Identify the major risk factor J.S. has that is associated with pyelonephritis:
Indwelling Foley catheter
Fever
Flank pain
Dehydration - CORRECT ANSWER -Indwelling Foley catheter
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 - CORRECT ANSWER -True
A common organism that causes a urinary tract infection include:
Streptococcus pneumonia.
Methicillin Resistant Staphylococcus Aureus (MRSA).
Staphylococcus saprophyticus.
Syncytial virus. - CORRECT ANSWER -Staphylococcus saprophyticus.
Upon examination of a urinalysis, the NP can highly suspect that the causative bacteria are gram
negative because of the presence of:
RBCs.
, Nitrites.
WBCs.
Casts. - CORRECT ANSWER -Nitrites.
The NP would know that the patient most likely has an uncomplicated UTI because:
The UTI responds well to a short course of antibiotic therapy.
There is low-grade fever.
Flank pain is present but minimal.
The bacteria are contained within the bladder. - CORRECT ANSWER -The UTI responds well to a
short course of antibiotic therapy.
The urinalysis of a patient with a complicated UTI will show WBCs and casts
True
False - CORRECT ANSWER -True
The purpose of straining in BPH is to overcome the obstruction encountered during urination.
True
False - CORRECT ANSWER -True
There is a significant risk for men with benign prostatic hyperplasia (BPH) to develop cellular
mutations that lead to prostate cancer.
True
False - CORRECT ANSWER -False
The peripheral zone of the prostate is the largest zone.
True
False - CORRECT ANSWER -True
CORRECT ANSWERS 2026 UPDATE
The damage from Crohn's disease occurs in which part of the gastrointestinal tract?
Terminal ileum.
Descending colon.
Duodenum of the small intestine.
Rectum. - CORRECT ANSWER -Terminal ileum.
Which of the following is a risk factor for the development of a urinary tract infection (UTI)?
Perimenopause
Pregnancy
Marathon running
Frequent showering - CORRECT ANSWER -Pregnancy
A symptom of a lower urinary tract infection includes:
Decreased Urination
Fever
Urgency
Flank pain - CORRECT ANSWER -Urgency
Which of the following can help to prevent a UTI?
Taking more Vitamin D
Use spermicides during sexual intercourse
Douching to prevent the growth of bacteria
Increase water consumption - CORRECT ANSWER -Increase water consumption
,Women are at a higher risk for the development of a UTI because of having a shorter urethra.
True
False - CORRECT ANSWER -True
Which of the following is true regarding a complicated urinary tract infection?
Can be caused by a structural urinary tract disorder
Bacteria is located mostly in the lower urinary tract
Is associated with young adults
It is usually asymptomatic - CORRECT ANSWER -Can be caused by a structural urinary tract
disorder
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:
Pyelonephritis
Complicated UTI
Upper UTI
Cystitis - CORRECT ANSWER -Cystitis
J.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 c - CORRECT
ANSWER -Pyelonephritis
Identify the major risk factor J.S. has that is associated with pyelonephritis:
Indwelling Foley catheter
Fever
Flank pain
Dehydration - CORRECT ANSWER -Indwelling Foley catheter
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 - CORRECT ANSWER -True
A common organism that causes a urinary tract infection include:
Streptococcus pneumonia.
Methicillin Resistant Staphylococcus Aureus (MRSA).
Staphylococcus saprophyticus.
Syncytial virus. - CORRECT ANSWER -Staphylococcus saprophyticus.
Upon examination of a urinalysis, the NP can highly suspect that the causative bacteria are gram
negative because of the presence of:
RBCs.
, Nitrites.
WBCs.
Casts. - CORRECT ANSWER -Nitrites.
The NP would know that the patient most likely has an uncomplicated UTI because:
The UTI responds well to a short course of antibiotic therapy.
There is low-grade fever.
Flank pain is present but minimal.
The bacteria are contained within the bladder. - CORRECT ANSWER -The UTI responds well to a
short course of antibiotic therapy.
The urinalysis of a patient with a complicated UTI will show WBCs and casts
True
False - CORRECT ANSWER -True
The purpose of straining in BPH is to overcome the obstruction encountered during urination.
True
False - CORRECT ANSWER -True
There is a significant risk for men with benign prostatic hyperplasia (BPH) to develop cellular
mutations that lead to prostate cancer.
True
False - CORRECT ANSWER -False
The peripheral zone of the prostate is the largest zone.
True
False - CORRECT ANSWER -True
