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NURS 620 Exam 2 2025 LATEST UPDATED | COMPREHENSIVE QUESTIONS WITH 100% RATED ANSWERS | GUARANTEED TO PASS!!

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NURS 620 Exam 2 2025 LATEST UPDATED | COMPREHENSIVE QUESTIONS WITH 100% RATED ANSWERS | GUARANTEED TO PASS!!

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NURS 620 Exam 2 2025 LATEST UPDATED | COMPREHENSIVE

QUESTIONS WITH 100% RATED ANSWERS | GUARANTEED TO PASS!!

The most common cause of sepsis in older adults is:



A. Common cold

B. Urinary tract infection

C. Urinary stasis

D. Kidney stone - (answers)B. Urinary tract infection


What is the usual clinical presentation of an adult patient with cystitis?



A. Acute onset of chills, fever, flank pain, headache, malaise, and costovertebral angle
tenderness.

B. Signs and symptoms of fever, irritability, decreased appetite, vomiting, diarrhea, constipation,
dehydration, and jaundice.

C. No symptoms noted.

D. Complaints of dysuria, urgency, frequency, nocturia, and suprapubic heaviness. - (answers)D.
Complaints of dysuria, urgency, frequency, nocturia, and suprapubic heaviness.



Which statement characterizes functional incontinence?



A. Leakage of urine during activities that increase abdominal pressure, such as coughing,
sneezing, and laughing.

B. Occurrence of incontinence with overdistention of the bladder.

C. Mainly caused by factors outside the urinary tract, especially immobility, that prohibit proper
toileting habits.

,D. Characterized by the inability to delay urination, with an abrupt and strong desire to void. -
(answers)C. Mainly caused by factors outside the urinary tract, especially immobility, that
prohibit proper toileting habits.



What are the two most common pathogens in community-acquired UTIs?



A. Escherichia coli and Proteus mirabills

B. Staphylococcus saprophyticus and Eschericia coli

C. Klebsiella and Proteus mirabills

D. Proteus mirabills and Staphylococcus saprophyticus - (answers)B. Staphylococcus
saprophyticus and Eschericia coli



When prescribing oxybutinin (Ditropan) for the patient with overactive bladder symptoms, the
nurse practitioner must consider which

disorder in the medical history before prescribing?



A. Narrow-angle glaucoma

B. Cough

C. Gallstones

D. Diabetes - (answers)A. Narrow-angle glaucoma



The clinical presentation of a client with urolithiasis would include:



A. A fever of 101° F or above

B. A gradual onset of nagging pain

C. Pain starting in the flank and localizing in the costovertebral angle

D. Marked leukocytes - (answers)C. Pain starting in the flank and localizing in the costovertebral
angle

,What is the most common cause of chronic renal failure (CRF)?



A. A combination of urological diseases

B. Glomerulonephritis

C. Hypertension

D. Diabetic nephropathy - (answers)D. Diabetic nephropathy



The most frequent sign of bladder cancer is:



A. Nocturia

B. Dysuria

C. Flank pain

D. Hematuria - (answers)D. Hematuria



The inability to empty the bladder, resulting in overdistension and frequent loss of small amounts
of urine, describes which type of urinary incontinence?



A. Reflex incontinence

B. Stress incontinence

C. Overflow incontinence
D. Urge incontinence - (answers)C. Overflow incontinence



A factor contributing to stress incontinence is:



A. Bladder irritation from a urinary tract infection

B. Prostatic hypertrophy

C. A spinal cord lesion or trauma above S2

, D. A decreased estrogen level - (answers)D. A decreased estrogen level



Joyce is being treated conservatively for her low back pain with NSAIDs, muscle relaxants, and
physical therapy. She recently has been diagnosed with chronic kidney disease. Which of the
following statements is true?



A. She should switch to a different NSAID because some are safer than others.

B. She should not be taking anything for pain other than narcotics.

C. We should increase her physical therapy and hope for the best.

D. She could try acetaminophen, 650 mg three times daily. - (answers)D. She could try
acetaminophen, 650 mg three times daily.



A urinary tract infection is best detected by performing:



A. A nitrite dipstick test.

B. A urinalysis.

C. A urine culture.

D. Urine sensitivity. - (answers)C. A urine culture.


In an assessment of renal function, what is the maximum amount of urine in a 24-hour period
that a client would produce for a diagnosis of anuria to be considered?



A. No urine output at all

B. Less than 100 mL

C. 100 to 150 mL

D. 151 to 200 mL - (answers)B. Less than 100 mL



Which diuretic acts by inhibiting sodium chloride reabsorption in the thick ascending limb of the
loop of Henle?
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