NURS 620 EXAM 2 PRACTICE QUESTIONS WITH
100% CORRECT ANSWERS
The most common cause of sepsis in older adults is:
A. Common cold
B. Urinary tract infection
C. Urinary stasis
D. Kidney stone
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.
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.
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
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
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
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
D. Diabetic nephropathy
The most frequent sign of bladder cancer is:
A. Nocturia
B. Dysuria
C. Flank pain
D. Hematuria
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
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
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.
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.
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
B. Less than 100 mL
Which diuretic acts by inhibiting sodium chloride reabsorption in the thick ascending limb
of the loop of Henle?
A. Furosemide (Lasix)
B. Mannitol (Osmitrol)
C. Hydrochlorothiazide (HydroDiuril)
D. Acetazolamide (Diamox)
A. Furosemide (Lasix)
100% CORRECT ANSWERS
The most common cause of sepsis in older adults is:
A. Common cold
B. Urinary tract infection
C. Urinary stasis
D. Kidney stone
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.
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.
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
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
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
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
D. Diabetic nephropathy
The most frequent sign of bladder cancer is:
A. Nocturia
B. Dysuria
C. Flank pain
D. Hematuria
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
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
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.
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.
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
B. Less than 100 mL
Which diuretic acts by inhibiting sodium chloride reabsorption in the thick ascending limb
of the loop of Henle?
A. Furosemide (Lasix)
B. Mannitol (Osmitrol)
C. Hydrochlorothiazide (HydroDiuril)
D. Acetazolamide (Diamox)
A. Furosemide (Lasix)
