MARYVILLE NURS 620 ADULT 1
COMPREHENSIVE STUDY GUIDE 2026 FULL
QUESTIONS AND SOLUTIONS GRADED A+
• At what LDL level would you start a person on a statin with no risk factors
regardless of comorbidities?.
Answer: >190
• -HTN -DM -Anemia.
Answer: Important underlying conditions associated with CKD that should
be controlled t maintain managment of disease.
• Overflow.
Answer: Incontinence associated with urethral blockage causing bladder to
be unable to empty properly. Caused by overdistended bladder and inability
to feel voiding sensation.
• proteinuria.
Answer: What is often the first finding that leads practitioner to diagnosis of
chronic kidney disease?
• When checking hormone levels in a 42-year-old woman who reports hot
flashes and no menstrual cycle for 6 months. What would you expect to
find?.
Answer: increased LH
• Testicular cancer.
Answer: Presets as a painless enlargment of the testis generally.
• Acute obstruction, infection, & severe pain.
Answer: Associated problems caused by kidney stones.
• What is the preferred antibiotic for acute bacterial prostatitis?.
Answer: Oral Cipro x 4 wks
• -10 @ a time (gradually increase pressure and holding with kegal and slowly
, release the muscle relaxation.
Answer: How should you educate patients to perform kegal excercises?
• + Immunocompromised +proven or suspected abcess + Signs of urosepsis.
Answer: When should the patient with bacterial prostatitis be hospitalized?
• Pre-urological procedures After removal of a bladder catheter Any patient
with underlying structural abnormality.
Answer: When is antibiotic treatment considered in patients who may not
present with current lower UTI?
• 1. What is the most definitive test for sleep apnea? A. Trialed of period of
C-PAP B. Holter Monitor C. Overnight polysomnography.
Answer: Overnight polysomnography (sleep study)
• When is combo therapy of LABA + ICS indicated.
Answer: for moderate or severe persistent asthma
• UA.
Answer: What is the easiest, most noninvasive, and most economical way to
identify UTI and/or other renal problems?
• If proteinuria, GFR dysfunction, or elevated BUN/Creatinine present..
Answer: When is the 24 hour urine study indicated with suspected CKD?
• -Fluid restriction -Sodium restriction -Protein restriction ( 0.58 g/kg daily)
-Adequate caloric intake (40-50 cal/kg daily).
Answer: What is the recomended diet for CKD patient?
• Dry mouth, blurred vision, constipation.
Answer: What are the major side effects associated with OAB medications?
• 1. Which is not a risk factor for HTN? A. Age >65 yr old B. Family history
C. Female gender.
Answer: Female gender
• Symptoms of DVT.
Answer: unilateral LE swelling, pain in calf, leg cramps, erythema, pallor
, • GFR declines to 10-15% of normal.
Answer: When do patients usually become symptomatic with chronic kidney
disease?
• Risk factors for heart failure.
Answer: -HTN -Myocardial infarction -Aortic and mitral valvular diseases
-Myocarditis -Dilated and hypertrophic cardiomyopathies
• A patient comes to see you for the 3rd time with complaints of dysuria and
frequency. Again, her UA is normal with no signs of infection. She reports
the symptoms are worse after intercourse. Based on this information, what
should you suspect? a. Pyelonephritis b. Overactive bladder c. Interstitial
cystitis.
Answer: Interstitial cystitis
• Allopurinal Keep hydrated.
Answer: What is the treatment for uric acid stones?
• Intercouse and perimentrual status..
Answer: What worsens IC related CPP?
• Dysuria Urinary frequency or urgency nocturia low back or suprapubic pain
urinary incontinence.
Answer: Subjective findings with lower UTI?
• +Serial PSA testing +Transrectal ultrasound (urology) +Transrectal biopsy
of prostate (urology).
Answer: What diagnostic testing is indicated with prostate cancer?
• Stage 3.
Answer: CKD stage with GFR between 30-59
• Most important goal of treating HTN? A. Avoid disease related organ
damage B. Develop plan for minimal adverse effects C. Strive to reach
recommended blood pressure measurements.
Answer: Avoid disease related organ damage
• How is atrophic vaginitis treated?.
COMPREHENSIVE STUDY GUIDE 2026 FULL
QUESTIONS AND SOLUTIONS GRADED A+
• At what LDL level would you start a person on a statin with no risk factors
regardless of comorbidities?.
Answer: >190
• -HTN -DM -Anemia.
Answer: Important underlying conditions associated with CKD that should
be controlled t maintain managment of disease.
• Overflow.
Answer: Incontinence associated with urethral blockage causing bladder to
be unable to empty properly. Caused by overdistended bladder and inability
to feel voiding sensation.
• proteinuria.
Answer: What is often the first finding that leads practitioner to diagnosis of
chronic kidney disease?
• When checking hormone levels in a 42-year-old woman who reports hot
flashes and no menstrual cycle for 6 months. What would you expect to
find?.
Answer: increased LH
• Testicular cancer.
Answer: Presets as a painless enlargment of the testis generally.
• Acute obstruction, infection, & severe pain.
Answer: Associated problems caused by kidney stones.
• What is the preferred antibiotic for acute bacterial prostatitis?.
Answer: Oral Cipro x 4 wks
• -10 @ a time (gradually increase pressure and holding with kegal and slowly
, release the muscle relaxation.
Answer: How should you educate patients to perform kegal excercises?
• + Immunocompromised +proven or suspected abcess + Signs of urosepsis.
Answer: When should the patient with bacterial prostatitis be hospitalized?
• Pre-urological procedures After removal of a bladder catheter Any patient
with underlying structural abnormality.
Answer: When is antibiotic treatment considered in patients who may not
present with current lower UTI?
• 1. What is the most definitive test for sleep apnea? A. Trialed of period of
C-PAP B. Holter Monitor C. Overnight polysomnography.
Answer: Overnight polysomnography (sleep study)
• When is combo therapy of LABA + ICS indicated.
Answer: for moderate or severe persistent asthma
• UA.
Answer: What is the easiest, most noninvasive, and most economical way to
identify UTI and/or other renal problems?
• If proteinuria, GFR dysfunction, or elevated BUN/Creatinine present..
Answer: When is the 24 hour urine study indicated with suspected CKD?
• -Fluid restriction -Sodium restriction -Protein restriction ( 0.58 g/kg daily)
-Adequate caloric intake (40-50 cal/kg daily).
Answer: What is the recomended diet for CKD patient?
• Dry mouth, blurred vision, constipation.
Answer: What are the major side effects associated with OAB medications?
• 1. Which is not a risk factor for HTN? A. Age >65 yr old B. Family history
C. Female gender.
Answer: Female gender
• Symptoms of DVT.
Answer: unilateral LE swelling, pain in calf, leg cramps, erythema, pallor
, • GFR declines to 10-15% of normal.
Answer: When do patients usually become symptomatic with chronic kidney
disease?
• Risk factors for heart failure.
Answer: -HTN -Myocardial infarction -Aortic and mitral valvular diseases
-Myocarditis -Dilated and hypertrophic cardiomyopathies
• A patient comes to see you for the 3rd time with complaints of dysuria and
frequency. Again, her UA is normal with no signs of infection. She reports
the symptoms are worse after intercourse. Based on this information, what
should you suspect? a. Pyelonephritis b. Overactive bladder c. Interstitial
cystitis.
Answer: Interstitial cystitis
• Allopurinal Keep hydrated.
Answer: What is the treatment for uric acid stones?
• Intercouse and perimentrual status..
Answer: What worsens IC related CPP?
• Dysuria Urinary frequency or urgency nocturia low back or suprapubic pain
urinary incontinence.
Answer: Subjective findings with lower UTI?
• +Serial PSA testing +Transrectal ultrasound (urology) +Transrectal biopsy
of prostate (urology).
Answer: What diagnostic testing is indicated with prostate cancer?
• Stage 3.
Answer: CKD stage with GFR between 30-59
• Most important goal of treating HTN? A. Avoid disease related organ
damage B. Develop plan for minimal adverse effects C. Strive to reach
recommended blood pressure measurements.
Answer: Avoid disease related organ damage
• How is atrophic vaginitis treated?.
