Page 1 of 36
FINAL EXAM: NR507 / NR 507 ADVANCED
PATHOPHYSIOLOGY (LATEST UPDATES
STUDY BUNDLE WITH COMPLETE SOLUTIONS) | 100%
CORRECT | GRADE A - CHAMBERLAIN
Which of the following is true regarding a complicated urinary
tract infection? .....ANSWER.....Can be caused by a structural
urinary tract disorder
Which of the following is a risk factor for the development of a
urinary tract infection (UTI)? .....ANSWER.....Pregnancy
A symptom of a lower urinary tract infection includes:
.....ANSWER.....urgency
Women are at a higher risk for the development of a UTI
because of having a shorter urethra. .....ANSWER.....true
Which of the following can help to prevent a UTI?
.....ANSWER.....Increase water consumption
,Page 2 of 36
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
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
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
,Page 3 of 36
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
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
, Page 4 of 36
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
Identify the major risk factor J.S. has that is associated with
pyelonephritis: .....ANSWER.....indwelling foley catheter
The urinalysis of a patient with a complicated UTI will show
WBCs and casts .....ANSWER.....true
Upon examination of a urinalysis, the NP can highly suspect that
the causative bacteria are gram negative because of the
presence of: .....ANSWER.....nitrites
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
FINAL EXAM: NR507 / NR 507 ADVANCED
PATHOPHYSIOLOGY (LATEST UPDATES
STUDY BUNDLE WITH COMPLETE SOLUTIONS) | 100%
CORRECT | GRADE A - CHAMBERLAIN
Which of the following is true regarding a complicated urinary
tract infection? .....ANSWER.....Can be caused by a structural
urinary tract disorder
Which of the following is a risk factor for the development of a
urinary tract infection (UTI)? .....ANSWER.....Pregnancy
A symptom of a lower urinary tract infection includes:
.....ANSWER.....urgency
Women are at a higher risk for the development of a UTI
because of having a shorter urethra. .....ANSWER.....true
Which of the following can help to prevent a UTI?
.....ANSWER.....Increase water consumption
,Page 2 of 36
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
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
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
,Page 3 of 36
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
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
, Page 4 of 36
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
Identify the major risk factor J.S. has that is associated with
pyelonephritis: .....ANSWER.....indwelling foley catheter
The urinalysis of a patient with a complicated UTI will show
WBCs and casts .....ANSWER.....true
Upon examination of a urinalysis, the NP can highly suspect that
the causative bacteria are gram negative because of the
presence of: .....ANSWER.....nitrites
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
