NSG 6440 PREDICTOR TEST
COMPREHENSIVE QUESTIONS WITH
MULTIPLE CHOICES |VERIFIED &
REVISED ANSWERS (NEW) 2025
The patient is seen complaining of "leaking urine when I sneeze." Which of the following actions
should the clinician take first?
a. Order a cystometrogram
b. Obtain a computed tomography (CT) scan
c. Instruct the patient on Kegel exercises
d. Prescribe Imipramine - ANSWER -c. Instruct the patient on Kegel exercises
A patient is seen in the clinic with hematuria confirmed on microscopic examination. The
clinician should inquire about the ingestion of which of these substances that might be the
cause of hematuria?
a. NSAIDs
b. Beets
c. Vitamin A
d. Red meat - ANSWER -a. NSAIDs
A 27-year-old female presents with a chief complaint of burning and pain on urination. She has
no previous history of urinary tract infection (UTI). What are some additional symptoms
consistent with a diagnosis of lower UTI?
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,a. Back and abdominal pain
b. Fever, chills, costovertebral angle (CVA) tenderness
c. Blood in urine and frequency
d. Foul-smelling discharge, perineal itch - ANSWER -c. Blood in urine and frequency
A 30-year-old patient presents with pain on urination. The urine microscopy of unspun urine
showed greater than 10 leukocytes/mL, and a dipstick was positive for nitrites. What is probable
diagnosis?
a. Lower urinary tract infection
b. Chlamydia infection
c. Candidiasis
d. Pyelonephritis - ANSWER -a. Lower urinary tract infection
The patient presents with costovertebral angle (CVA) tenderness and a several day history of
high fever and chills and dysuria. Which of the following diagnoses is most likely given the above
information?
a. Pyelonephritis
b. Cystitis
c. Renal calculi
d. Bladder tumor - ANSWER -a. Pyelonephritis
Which of the following information is essential before prescribing Bactrim DS to a 24-year-old
woman with a urinary tract infection (UTI)?
a. Last menstrual period
b. Method of birth control
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,c. Last unprotected sexual contact
d. All of the above - ANSWER -d. All of the above
A patient is seen in the office complaining of severe flank pain. The clinician should assess this
patient for which risk factors for kidney stones?
a. Hypertension
b. Constipation
c. Tubal ligation
d. Diabetes - ANSWER -a. Hypertension
The patient is diagnosed with urge incontinence. Before prescribing Detrol XL, the provider
should question the patient about which of these contraindications to this medication?
a. Diarrhea
b. Parkinson's disease
c. Closed-angle glaucoma
d. Breast cancer - ANSWER -c. Closed-angle glaucoma
The patient is diagnosed with overactive bladder (OAB). Which of the following instructions
should be given to this woman?
a. "Limit the amount of water that you drink."
b. "Eliminate caffeine from your diet."
c. "Wear panty liners."
d. All of the above - ANSWER -b. "Eliminate caffeine from your diet."
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, A 34-year-old patient was treated for a urinary tract infection (UTI) and has not responded to
antibiotic therapy. Which of the following actions should be taken next?
a. Send a urine specimen for microscopy looking for
fungal colonies.
b. Increase the dose of antibiotic.
c. Order a cytoscopy.
d. Order a different antibiotic. - ANSWER -a. Send a urine specimen for microscopy looking for
fungal colonies.
Which of the following are predisposing factors for pyelonephritis?
a. Pregnancy
b. Dehydration
c. Smoking
d. Alkaline urine - ANSWER -a. Pregnancy
A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe dysuria. She is
diagnosed with acute pyelonephritis. How should this patient be managed?
a. 3-day course of oral antibiotics
b. Hospitalization
c. Encourage cranberry juice intake
d. 6-week course of antibiotics - ANSWER -b. Hospitalization
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COMPREHENSIVE QUESTIONS WITH
MULTIPLE CHOICES |VERIFIED &
REVISED ANSWERS (NEW) 2025
The patient is seen complaining of "leaking urine when I sneeze." Which of the following actions
should the clinician take first?
a. Order a cystometrogram
b. Obtain a computed tomography (CT) scan
c. Instruct the patient on Kegel exercises
d. Prescribe Imipramine - ANSWER -c. Instruct the patient on Kegel exercises
A patient is seen in the clinic with hematuria confirmed on microscopic examination. The
clinician should inquire about the ingestion of which of these substances that might be the
cause of hematuria?
a. NSAIDs
b. Beets
c. Vitamin A
d. Red meat - ANSWER -a. NSAIDs
A 27-year-old female presents with a chief complaint of burning and pain on urination. She has
no previous history of urinary tract infection (UTI). What are some additional symptoms
consistent with a diagnosis of lower UTI?
1|Page
,a. Back and abdominal pain
b. Fever, chills, costovertebral angle (CVA) tenderness
c. Blood in urine and frequency
d. Foul-smelling discharge, perineal itch - ANSWER -c. Blood in urine and frequency
A 30-year-old patient presents with pain on urination. The urine microscopy of unspun urine
showed greater than 10 leukocytes/mL, and a dipstick was positive for nitrites. What is probable
diagnosis?
a. Lower urinary tract infection
b. Chlamydia infection
c. Candidiasis
d. Pyelonephritis - ANSWER -a. Lower urinary tract infection
The patient presents with costovertebral angle (CVA) tenderness and a several day history of
high fever and chills and dysuria. Which of the following diagnoses is most likely given the above
information?
a. Pyelonephritis
b. Cystitis
c. Renal calculi
d. Bladder tumor - ANSWER -a. Pyelonephritis
Which of the following information is essential before prescribing Bactrim DS to a 24-year-old
woman with a urinary tract infection (UTI)?
a. Last menstrual period
b. Method of birth control
2|Page
,c. Last unprotected sexual contact
d. All of the above - ANSWER -d. All of the above
A patient is seen in the office complaining of severe flank pain. The clinician should assess this
patient for which risk factors for kidney stones?
a. Hypertension
b. Constipation
c. Tubal ligation
d. Diabetes - ANSWER -a. Hypertension
The patient is diagnosed with urge incontinence. Before prescribing Detrol XL, the provider
should question the patient about which of these contraindications to this medication?
a. Diarrhea
b. Parkinson's disease
c. Closed-angle glaucoma
d. Breast cancer - ANSWER -c. Closed-angle glaucoma
The patient is diagnosed with overactive bladder (OAB). Which of the following instructions
should be given to this woman?
a. "Limit the amount of water that you drink."
b. "Eliminate caffeine from your diet."
c. "Wear panty liners."
d. All of the above - ANSWER -b. "Eliminate caffeine from your diet."
3|Page
, A 34-year-old patient was treated for a urinary tract infection (UTI) and has not responded to
antibiotic therapy. Which of the following actions should be taken next?
a. Send a urine specimen for microscopy looking for
fungal colonies.
b. Increase the dose of antibiotic.
c. Order a cytoscopy.
d. Order a different antibiotic. - ANSWER -a. Send a urine specimen for microscopy looking for
fungal colonies.
Which of the following are predisposing factors for pyelonephritis?
a. Pregnancy
b. Dehydration
c. Smoking
d. Alkaline urine - ANSWER -a. Pregnancy
A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe dysuria. She is
diagnosed with acute pyelonephritis. How should this patient be managed?
a. 3-day course of oral antibiotics
b. Hospitalization
c. Encourage cranberry juice intake
d. 6-week course of antibiotics - ANSWER -b. Hospitalization
4|Page
