FNP 661 MIDTERM QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
What is the main bacteria causing UTI (complicated or uncomplicated)? - ANSWER E.coli
What are the two main bacteriae causing complicated UTI? - ANSWER E.coli and Klebsiella
Which of the following would the nurse expect when assessing a child with cystitis?
a) High fever
b) Flank pain
c) Costovertebral tenderness
d) Dysuria - ANSWER d) Dysuria
Which of the following instructions would be included in a sexually active adolescents preventative
teaching plan about UTI?
a) Wiping back to front
b) Wearing nylon underwear
c) Avoiding urinating before intercourse
d) Drinking acidic juices - ANSWER d) Drinking acidic juices
What makes a UTI a complicated UTI? (4 things with adults, 3 with children) - ANSWER 1. Male Gender
2. Pregnancy
3. co-existing pathology (strictures, stones) or
4. co-morbidities (DM, MS, SCI)
Children:
1. UTI w/fever, toxicity, dehydration
2. <6 months old
3. >3 UTI's/year
,What does nitrates in a UA indicate? - ANSWER gram negative bacteria present
What are the main 2 treatments for UTI? - ANSWER 1. TMP/SMX DS (Bactrim)
2. Nitrofurantoin monohydrate crystals (Macrobid)
What ABX should be used if early pyelonephritis symptoms in adolescents/adults? - ANSWER Quinolones
(floxacin's - cipro/levo)
2nd line - ceftriaxone IM
then amox. clav. oral
What is the first line treatment for pediatric pts with pyelonephritis? - ANSWER Amox clav.
How long should a female patient with an uncomplicated UTI be treated with an oral antibiotic?
a. 1 day
b. 3 days
c. 5 days
d. 7 days - ANSWER b. 3 days
An example of a drug that targets the renin-angiotensin-aldosterone system is a(n):
a. ACE inhibitor
b. beta blocker
c. calcium channel blocker
d. diruetic - ANSWER a. ACE inhibitor
Testicular torsion can produce:
a. penile erythema
b. scrotal edema
c. scrotal erythema
d. penile edema - ANSWER b. scrotal edema
, Which medication should be avoided in a patient with a sulfa allergy?
a. sulfonylurea
b. sulfamethoxazole
c. naproxen
d. cefazolin - ANSWER b. sulfamethoxazole
A male patient with lower urinary tract symptoms has the following urinalysis. (+) leukocytes (+) nitrates
(+) bacteria 15-20 WBCs. What medication should be given and for how many days?
a. doxycycline for 7 days
b. trimethoprim-sulfamethoxazole (TMPS) for 7-10 days
c. ciprofloxacin for 3 days
d. nitrofurantoin for 14 days - ANSWER a. doxycycline for 7 days
The most common pathogen found in patients with pyelonephritis is:
a. pseudomonas
b. streptococcus
c. e-coli
d. klebsiella - ANSWER c. e-coli
Drugs that target the renin-angiotensin-aldosterone system are particularly beneficial in patients who
have:
a. hypertension
b. chronic heart failure
c. kidney stones
d. diabetic neuropathy - ANSWER d. diabetic neuropathy
A "herald patch" is a hallmark finding in which condition?
A. Erythema infectiosum
ANSWERS WITH SOLUTIONS 2024
What is the main bacteria causing UTI (complicated or uncomplicated)? - ANSWER E.coli
What are the two main bacteriae causing complicated UTI? - ANSWER E.coli and Klebsiella
Which of the following would the nurse expect when assessing a child with cystitis?
a) High fever
b) Flank pain
c) Costovertebral tenderness
d) Dysuria - ANSWER d) Dysuria
Which of the following instructions would be included in a sexually active adolescents preventative
teaching plan about UTI?
a) Wiping back to front
b) Wearing nylon underwear
c) Avoiding urinating before intercourse
d) Drinking acidic juices - ANSWER d) Drinking acidic juices
What makes a UTI a complicated UTI? (4 things with adults, 3 with children) - ANSWER 1. Male Gender
2. Pregnancy
3. co-existing pathology (strictures, stones) or
4. co-morbidities (DM, MS, SCI)
Children:
1. UTI w/fever, toxicity, dehydration
2. <6 months old
3. >3 UTI's/year
,What does nitrates in a UA indicate? - ANSWER gram negative bacteria present
What are the main 2 treatments for UTI? - ANSWER 1. TMP/SMX DS (Bactrim)
2. Nitrofurantoin monohydrate crystals (Macrobid)
What ABX should be used if early pyelonephritis symptoms in adolescents/adults? - ANSWER Quinolones
(floxacin's - cipro/levo)
2nd line - ceftriaxone IM
then amox. clav. oral
What is the first line treatment for pediatric pts with pyelonephritis? - ANSWER Amox clav.
How long should a female patient with an uncomplicated UTI be treated with an oral antibiotic?
a. 1 day
b. 3 days
c. 5 days
d. 7 days - ANSWER b. 3 days
An example of a drug that targets the renin-angiotensin-aldosterone system is a(n):
a. ACE inhibitor
b. beta blocker
c. calcium channel blocker
d. diruetic - ANSWER a. ACE inhibitor
Testicular torsion can produce:
a. penile erythema
b. scrotal edema
c. scrotal erythema
d. penile edema - ANSWER b. scrotal edema
, Which medication should be avoided in a patient with a sulfa allergy?
a. sulfonylurea
b. sulfamethoxazole
c. naproxen
d. cefazolin - ANSWER b. sulfamethoxazole
A male patient with lower urinary tract symptoms has the following urinalysis. (+) leukocytes (+) nitrates
(+) bacteria 15-20 WBCs. What medication should be given and for how many days?
a. doxycycline for 7 days
b. trimethoprim-sulfamethoxazole (TMPS) for 7-10 days
c. ciprofloxacin for 3 days
d. nitrofurantoin for 14 days - ANSWER a. doxycycline for 7 days
The most common pathogen found in patients with pyelonephritis is:
a. pseudomonas
b. streptococcus
c. e-coli
d. klebsiella - ANSWER c. e-coli
Drugs that target the renin-angiotensin-aldosterone system are particularly beneficial in patients who
have:
a. hypertension
b. chronic heart failure
c. kidney stones
d. diabetic neuropathy - ANSWER d. diabetic neuropathy
A "herald patch" is a hallmark finding in which condition?
A. Erythema infectiosum
