NR 507 Final Exam Questions with Verified Answers (Correct
Update)
Question 1: Which of the following is true regarding a complicated urinary tract infection?
Answer: Can be caused by a structural urinary tract disorder
Question 2: Which of the following is a risk factor for the development of a urinary tract
infection (UTI)?
Answer: Pregnancy
Question 3: A symptom of a lower urinary tract infection includes:
Answer: urgency
Question 4: Women are at a higher risk for the development of a UTI because of having a shorter
urethra.
Answer: true
Question 5: Which of the following can help to prevent a UTI?
Answer: Increase water consumption
Question 6: Uncomplicated UTI
Answer: Occurs in the normal urinary tract Responds well to short course of antibiotic therapy Simple
cystitis in non-pregnant women without any urologic abnormalities
Question 7: Complicated UTI
Answer: UTI extends beyond the bladder Caused by structural or functional urinary tract abnormalities
or untreated UTI Infants and older adults affected Associated with: indwelling catheters, renal calculi,
diabetes, pregnancy
Question 8: 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:
Answer: cystitis
Page 1
, Question 9: 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
Answer: pyelonephritis
Question 10: Identify the major risk factor J.S. has that is associated with pyelonephritis:
Answer: indwelling foley catheter
Question 11: The urinalysis of a patient with a complicated UTI will show WBCs and casts
Answer: true
Question 12: Upon examination of a urinalysis, the NP can highly suspect that the causative
bacteria are gram negative because of the presence of:
Answer: nitrites
Question 13: 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.
Answer: true
Question 14: The NP would know that the patient most likely has an uncomplicated UTI because:
Answer: The UTI responds well to a short course of antibiotic therapy.
Question 15: A common organism that causes a urinary tract infection include:
Answer: Staphylococcus saprophyticus. E coli
Question 16: The purpose of straining in BPH is to overcome the obstruction encountered during
urination.
Answer: true
Page 2
Update)
Question 1: Which of the following is true regarding a complicated urinary tract infection?
Answer: Can be caused by a structural urinary tract disorder
Question 2: Which of the following is a risk factor for the development of a urinary tract
infection (UTI)?
Answer: Pregnancy
Question 3: A symptom of a lower urinary tract infection includes:
Answer: urgency
Question 4: Women are at a higher risk for the development of a UTI because of having a shorter
urethra.
Answer: true
Question 5: Which of the following can help to prevent a UTI?
Answer: Increase water consumption
Question 6: Uncomplicated UTI
Answer: Occurs in the normal urinary tract Responds well to short course of antibiotic therapy Simple
cystitis in non-pregnant women without any urologic abnormalities
Question 7: Complicated UTI
Answer: UTI extends beyond the bladder Caused by structural or functional urinary tract abnormalities
or untreated UTI Infants and older adults affected Associated with: indwelling catheters, renal calculi,
diabetes, pregnancy
Question 8: 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:
Answer: cystitis
Page 1
, Question 9: 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
Answer: pyelonephritis
Question 10: Identify the major risk factor J.S. has that is associated with pyelonephritis:
Answer: indwelling foley catheter
Question 11: The urinalysis of a patient with a complicated UTI will show WBCs and casts
Answer: true
Question 12: Upon examination of a urinalysis, the NP can highly suspect that the causative
bacteria are gram negative because of the presence of:
Answer: nitrites
Question 13: 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.
Answer: true
Question 14: The NP would know that the patient most likely has an uncomplicated UTI because:
Answer: The UTI responds well to a short course of antibiotic therapy.
Question 15: A common organism that causes a urinary tract infection include:
Answer: Staphylococcus saprophyticus. E coli
Question 16: The purpose of straining in BPH is to overcome the obstruction encountered during
urination.
Answer: true
Page 2
