MARYVILLE NURS 620 EXAM 4 ASSESSMENT
2026 QUESTIONS AND ANSWERS
GUARANTEED TO PASS
◉ •Oral Pentosan polysulfate sodium: 100mg TID or 200mg BID
•Course duration: 2-4 months minimum
•Intravesical DMSO bladder instillation
•Bladder training (reduce eliminations)
• Hydrodistension of bladder, low acid diet, laser, NSAIDS,
antidepressants, muscle relaxants. Answer: Management of
Interstitial cystitis.
◉ sexually active adults
very young children
frail older adults. Answer: Which populations are lower UTIs most
common in?
◉ Suppressed immune system
pregnancy
urinary obstruction
catheter dependency
neurogenic bladder
,DM. Answer: What predisposing conditions put the patient at more
risk for lower UTI?
◉ fecal contamination secondary to poor perineal hygeine.. Answer:
Most common cause of lower UTI?
◉ unprotected sexual intercourse
anatomically shortened urethra in women
spermicide
catheters
renal stones. Answer: Additional causes of lower UTI?
◉ creates a medium in which bacteria can grow and proliferate.
Answer: How does elevated PH cause lower UTI?
◉ E. Coli. Answer: Most common bacterial agent responsible for
uncomplicated UTI in women.
◉ Candida. Answer: Causitive agent in complicated UTI that fails to
respond to antibiotic therapy.
◉ Dysuria
Urinary frequency or urgency
,nocturia
low back or suprapubic pain
urinary incontinence. Answer: Subjective findings with lower UTI?
◉ Hematuria
cloudy, foul smelling urine
alkaline PH
elevate levels of nitrites
leukocyte esterase
urine sedements of RBCs, WBCs, mucus, and bacterial overgrowth.
Answer: Objective findings with lower UTI?
◉ clean-catch midstream urine specimen. Answer: Preferred
collection method for UA?
◉ > 100,000 organisms/ml plus presence of characteristic clinical
symptoms.. Answer: What characteristics of UA/C&S indicates
infection?
◉ Urine culture. Answer: Gold standard of laboratory confirmation
of UTI
◉ UA/C&S
, IC: potassium sensitivity test (PST). Answer: Diagnostic testing for
lower UTI
◉ gram negative bacteria. Answer: What do nitrates signal on a UA?
◉ Proteinuria. Answer: Which diagnostic is often the first indicator
of renal problem?
◉ Hematuria may be only symptom
May present with altered MS
Dizziness-early symptom. Answer: What symptoms may be different
for the geriatric population with UTI?
◉ Pyleonephritis. Answer: Low back pain is an indication of what
form of complicated UTI?
◉ Pregnant
geriatric. Answer: What population is at increased risk of
pyleonephritis?
◉ Pyleonephritis (upper UTI)
STI
Tumor/bladder cancer
2026 QUESTIONS AND ANSWERS
GUARANTEED TO PASS
◉ •Oral Pentosan polysulfate sodium: 100mg TID or 200mg BID
•Course duration: 2-4 months minimum
•Intravesical DMSO bladder instillation
•Bladder training (reduce eliminations)
• Hydrodistension of bladder, low acid diet, laser, NSAIDS,
antidepressants, muscle relaxants. Answer: Management of
Interstitial cystitis.
◉ sexually active adults
very young children
frail older adults. Answer: Which populations are lower UTIs most
common in?
◉ Suppressed immune system
pregnancy
urinary obstruction
catheter dependency
neurogenic bladder
,DM. Answer: What predisposing conditions put the patient at more
risk for lower UTI?
◉ fecal contamination secondary to poor perineal hygeine.. Answer:
Most common cause of lower UTI?
◉ unprotected sexual intercourse
anatomically shortened urethra in women
spermicide
catheters
renal stones. Answer: Additional causes of lower UTI?
◉ creates a medium in which bacteria can grow and proliferate.
Answer: How does elevated PH cause lower UTI?
◉ E. Coli. Answer: Most common bacterial agent responsible for
uncomplicated UTI in women.
◉ Candida. Answer: Causitive agent in complicated UTI that fails to
respond to antibiotic therapy.
◉ Dysuria
Urinary frequency or urgency
,nocturia
low back or suprapubic pain
urinary incontinence. Answer: Subjective findings with lower UTI?
◉ Hematuria
cloudy, foul smelling urine
alkaline PH
elevate levels of nitrites
leukocyte esterase
urine sedements of RBCs, WBCs, mucus, and bacterial overgrowth.
Answer: Objective findings with lower UTI?
◉ clean-catch midstream urine specimen. Answer: Preferred
collection method for UA?
◉ > 100,000 organisms/ml plus presence of characteristic clinical
symptoms.. Answer: What characteristics of UA/C&S indicates
infection?
◉ Urine culture. Answer: Gold standard of laboratory confirmation
of UTI
◉ UA/C&S
, IC: potassium sensitivity test (PST). Answer: Diagnostic testing for
lower UTI
◉ gram negative bacteria. Answer: What do nitrates signal on a UA?
◉ Proteinuria. Answer: Which diagnostic is often the first indicator
of renal problem?
◉ Hematuria may be only symptom
May present with altered MS
Dizziness-early symptom. Answer: What symptoms may be different
for the geriatric population with UTI?
◉ Pyleonephritis. Answer: Low back pain is an indication of what
form of complicated UTI?
◉ Pregnant
geriatric. Answer: What population is at increased risk of
pyleonephritis?
◉ Pyleonephritis (upper UTI)
STI
Tumor/bladder cancer
