NSG 550 Diagnostic Reasoning for NP Guide
Questions with Correct Verified Precise Answers
Grade A (Wilkes) (NEW 2026 Update)
84. When can delayed reactions to contrast occur?--- correct
precise answer ---2-6 hours after administration
85. magnetic resonance imaging (MRI)--- correct precise answer -
--a technique that uses magnetic fields and radio waves to produce
computer-generated images that distinguish among ditterent types
of soft tissue; allows us to see structures within the brain.
86. MRI benefits--- correct precise answer ---No radiation
Advantage over CT Better contrast image No obscuring bone
Natural blood vessel contrast Can image multiple angles Expensive
and labor intensive
Can use gandolinium or gasoxetate contrast
87. MRI--- correct precise answer ---Uses--- correct precise
answer ---Most body systems--- correct precise answer ---
Brain GI
Muscle Cardiac Breast Spine
88. MRI--- correct precise answer ---Considerations with
contrast--- correct precise answer ---Check renal function,
especially age 60 and over.
89. MRI--- correct precise answer ---Directions--- correct precise
answer ---Remove patches Remove Metal
Remain still
,90. MRI--- correct precise answer ---Contraindications--- correct
precise answer ---Extreme obesity Claustrophobia
Agitation Metal in body
91. KUB--- correct precise answer ---kidney, ureter, bladder xray
2nd line imaging if no CT scan
92. Pyelography--- correct precise answer ---x-ray imaging of the
renal pelvis and urinary tract Mostly replaced by CT
Uses contrast injected into renal system or IV
93. Pyelography--- correct precise answer ---Indications---
correct precise answer ---Stones Hematuria
Trauma
Outlet obstruction Tumor
Pelvic surgery
94. Renal Scan--- correct precise answer ---Category--- correct
precise answer ---Nuclear tests
95. Renal Scan--- correct precise answer ---Uses radioisotope and
scintillation camera Perfusion, structure, function, hypertension,
obstruction
Evaluate transplant rejection
96. Do you need contrast for renal scan? Why?--- correct precise
answer ---No iodine.
Safe to use in renal disease and allergies.
97. Renal Scan--- correct precise answer ---Contradindications---
correct precise answer ---Not to be done w/in 24 hours of IVP.
,98. Cystoscopy--- correct precise answer ---Camera in bladder
99. Cystoscopy--- correct precise answer ---Uses--- correct
precise answer ---Hematuria Recurrent UTI
Dysuria
Frequency Retention Inadequate stream Urgency Incontinence
100. Cystoscopy--- correct precise answer ---Diagnostic uses---
correct precise answer ---Ureter sample collection
Visualization Measurement Calculi
101. Cystoscopy--- correct precise answer ---Therapeutic Uses---
correct precise answer ---Resection of tumors Removal of FB
dilation
Stent placement Coagulation of bleeding Implant radium seeds
TURP
102. Cystoscopy--- correct precise answer ---Complications---
correct precise answer ---Can cause--- correct precise answer ---
Perforation
Sepsis
Hematuria
Retention
103. Cystoscopy--- correct precise answer ---Directions--- correct
precise answer ---Assess voiding for 24 hours, note urine color
(Pink is common)
avoid standing immediately after, burning during urination is
common pee while sitting
, Drink fluids Observe for sepsis
Antibiotics, if needed, before and after Avoid constipation
104. Cystoscopy--- correct precise answer ---Findings--- correct
precise answer ---Tumor
Stones
Prostate hypertrophy/cancer Inflammation
Stricture
105. Urinanalysis--- correct precise answer ---Appearance -
Normal--- correct precise answer ---Clear
106. Urinalysis--- correct precise answer ---Appearance -
Abnormal--- correct precise answer ---Cloudy
107. Urinalysis--- correct precise answer ---Appearance - Cloudy---
correct precise answer ---Pus
Foods (fat, urates, phosphates)
108. Urinalysis--- correct precise answer ---Color - Normal---
correct precise answer ---Amber yellow
109. Urinalysis--- correct precise answer ---Color - Dark Red---
correct precise answer ---Kidney bleed
110. Urinalysis--- correct precise answer ---Color - Bright Red---
correct precise answer ---Lower bleed
111. Urinalysis--- correct precise answer ---Color - Dark yellow---
correct precise answer ---Urobilinogen/ Bilirubin
112. Urinalysis--- correct precise answer ---Color - Green---
correct precise answer ---Pseudomonas
Questions with Correct Verified Precise Answers
Grade A (Wilkes) (NEW 2026 Update)
84. When can delayed reactions to contrast occur?--- correct
precise answer ---2-6 hours after administration
85. magnetic resonance imaging (MRI)--- correct precise answer -
--a technique that uses magnetic fields and radio waves to produce
computer-generated images that distinguish among ditterent types
of soft tissue; allows us to see structures within the brain.
86. MRI benefits--- correct precise answer ---No radiation
Advantage over CT Better contrast image No obscuring bone
Natural blood vessel contrast Can image multiple angles Expensive
and labor intensive
Can use gandolinium or gasoxetate contrast
87. MRI--- correct precise answer ---Uses--- correct precise
answer ---Most body systems--- correct precise answer ---
Brain GI
Muscle Cardiac Breast Spine
88. MRI--- correct precise answer ---Considerations with
contrast--- correct precise answer ---Check renal function,
especially age 60 and over.
89. MRI--- correct precise answer ---Directions--- correct precise
answer ---Remove patches Remove Metal
Remain still
,90. MRI--- correct precise answer ---Contraindications--- correct
precise answer ---Extreme obesity Claustrophobia
Agitation Metal in body
91. KUB--- correct precise answer ---kidney, ureter, bladder xray
2nd line imaging if no CT scan
92. Pyelography--- correct precise answer ---x-ray imaging of the
renal pelvis and urinary tract Mostly replaced by CT
Uses contrast injected into renal system or IV
93. Pyelography--- correct precise answer ---Indications---
correct precise answer ---Stones Hematuria
Trauma
Outlet obstruction Tumor
Pelvic surgery
94. Renal Scan--- correct precise answer ---Category--- correct
precise answer ---Nuclear tests
95. Renal Scan--- correct precise answer ---Uses radioisotope and
scintillation camera Perfusion, structure, function, hypertension,
obstruction
Evaluate transplant rejection
96. Do you need contrast for renal scan? Why?--- correct precise
answer ---No iodine.
Safe to use in renal disease and allergies.
97. Renal Scan--- correct precise answer ---Contradindications---
correct precise answer ---Not to be done w/in 24 hours of IVP.
,98. Cystoscopy--- correct precise answer ---Camera in bladder
99. Cystoscopy--- correct precise answer ---Uses--- correct
precise answer ---Hematuria Recurrent UTI
Dysuria
Frequency Retention Inadequate stream Urgency Incontinence
100. Cystoscopy--- correct precise answer ---Diagnostic uses---
correct precise answer ---Ureter sample collection
Visualization Measurement Calculi
101. Cystoscopy--- correct precise answer ---Therapeutic Uses---
correct precise answer ---Resection of tumors Removal of FB
dilation
Stent placement Coagulation of bleeding Implant radium seeds
TURP
102. Cystoscopy--- correct precise answer ---Complications---
correct precise answer ---Can cause--- correct precise answer ---
Perforation
Sepsis
Hematuria
Retention
103. Cystoscopy--- correct precise answer ---Directions--- correct
precise answer ---Assess voiding for 24 hours, note urine color
(Pink is common)
avoid standing immediately after, burning during urination is
common pee while sitting
, Drink fluids Observe for sepsis
Antibiotics, if needed, before and after Avoid constipation
104. Cystoscopy--- correct precise answer ---Findings--- correct
precise answer ---Tumor
Stones
Prostate hypertrophy/cancer Inflammation
Stricture
105. Urinanalysis--- correct precise answer ---Appearance -
Normal--- correct precise answer ---Clear
106. Urinalysis--- correct precise answer ---Appearance -
Abnormal--- correct precise answer ---Cloudy
107. Urinalysis--- correct precise answer ---Appearance - Cloudy---
correct precise answer ---Pus
Foods (fat, urates, phosphates)
108. Urinalysis--- correct precise answer ---Color - Normal---
correct precise answer ---Amber yellow
109. Urinalysis--- correct precise answer ---Color - Dark Red---
correct precise answer ---Kidney bleed
110. Urinalysis--- correct precise answer ---Color - Bright Red---
correct precise answer ---Lower bleed
111. Urinalysis--- correct precise answer ---Color - Dark yellow---
correct precise answer ---Urobilinogen/ Bilirubin
112. Urinalysis--- correct precise answer ---Color - Green---
correct precise answer ---Pseudomonas
