MARYVILLE NURS 620 EXAM 4
COMPREHENSIVE TEST 2026 QUESTIONS
WITH FULL SOLUTION VERIFIED
◉ -fever
-N/V
-Pain (abdominal, pelvic, back)
-LMP
-Contraceptive use
-Sexual partners
-hygeine habits
-Vaginal discharge/irritation
-hx of UTIs. Answer: What additional HPI questions would you want
to ask a patient with urinary complaints (dyuria, urgency, etc.)?
◉ -Usually bladder problem
-UTI
-Pyleonephritis
-STI
-inflammatory lesions of the prostate, bladder, & urethra
-Bladder tumors
,Chronic renal failure
-nephrolitiasis
-vaginitis/prostatitis
-Prolapsed uterus
-pelvic peritonitis
-cancer of cervix or prostate. Answer: What are possible differential
diagnosis of dysuria?
◉ UA. Answer: What is the easiest, most noninvasive, and most
economical way to identify UTI and/or other renal problems?
◉ Lower urinary tract infection. Answer: Infection that occurs when
the normal sterile condition of the urinary tract is invaded by
pathogenic bacteria
◉ Urethra: urethritis
Bladder: cystitis
Bladder wall; Intersitital cystitis (IC)
Prostate Gland: Prostatitis. Answer: Name the types of lower urinary
tract infections.
◉ Onset of UTI in a previously symptom-free individual.. Answer:
Acute lower urinary tract infections are characterized by what?
,◉ UA C&S. Answer: What tests would you order to diagnose lower
UTI?
◉ -cloudy urine clarity
-positive leukocytes esterase
-positive nitrites (signals gram - organism, may have false -)
-Protein: 1+-4+ (kidney problems)
-Alkaline urine (PH 6.5-8)
-RBCs may be present. Answer: What results would make you
suspect UTI?
◉ -2 or more symptomatic UTIs w/in 6 months
-3 or > within 12 months. Answer: Who should receive prophylaxis
for recurrent UTI?
◉ After previous UTI resolution is confirmed. Answer: When should
prophylaxis for recurrent UTI be intiated?
◉ -Daily dosing for 6 months
-Post-coital prophylaxis
-self medication (3-4 days of therapy when symptoms being.
Answer: Antibiotic regimin for recurrent UTI prophylaxis.
, ◉ -Dysuria
-urinary frequency & urgency
-hematuria
-low back or suprapubic pain/tenderness
-elderly=AMS. Answer: What is the clinical presentation of
uncomplicated UTI?
◉ -Bactrim 1 DS BID x 3
-Cefdinir 500 mg BID x 5
-Nitrofurantoin 100 mg BID x 5. Answer: WHat is the oral treatment
for acute uncomplicated UTI?
◉ •Complete the antibiotic regimen
•Proper hygiene
•Drink plenty of water (8 - 8oz glasses)
•Cotton undergarments
•Empty bladder after sexual intercourse
•Empty bladder frequently
•No tub baths or bubble baths. Answer: Patient education for
uncomplicated UTI
COMPREHENSIVE TEST 2026 QUESTIONS
WITH FULL SOLUTION VERIFIED
◉ -fever
-N/V
-Pain (abdominal, pelvic, back)
-LMP
-Contraceptive use
-Sexual partners
-hygeine habits
-Vaginal discharge/irritation
-hx of UTIs. Answer: What additional HPI questions would you want
to ask a patient with urinary complaints (dyuria, urgency, etc.)?
◉ -Usually bladder problem
-UTI
-Pyleonephritis
-STI
-inflammatory lesions of the prostate, bladder, & urethra
-Bladder tumors
,Chronic renal failure
-nephrolitiasis
-vaginitis/prostatitis
-Prolapsed uterus
-pelvic peritonitis
-cancer of cervix or prostate. Answer: What are possible differential
diagnosis of dysuria?
◉ UA. Answer: What is the easiest, most noninvasive, and most
economical way to identify UTI and/or other renal problems?
◉ Lower urinary tract infection. Answer: Infection that occurs when
the normal sterile condition of the urinary tract is invaded by
pathogenic bacteria
◉ Urethra: urethritis
Bladder: cystitis
Bladder wall; Intersitital cystitis (IC)
Prostate Gland: Prostatitis. Answer: Name the types of lower urinary
tract infections.
◉ Onset of UTI in a previously symptom-free individual.. Answer:
Acute lower urinary tract infections are characterized by what?
,◉ UA C&S. Answer: What tests would you order to diagnose lower
UTI?
◉ -cloudy urine clarity
-positive leukocytes esterase
-positive nitrites (signals gram - organism, may have false -)
-Protein: 1+-4+ (kidney problems)
-Alkaline urine (PH 6.5-8)
-RBCs may be present. Answer: What results would make you
suspect UTI?
◉ -2 or more symptomatic UTIs w/in 6 months
-3 or > within 12 months. Answer: Who should receive prophylaxis
for recurrent UTI?
◉ After previous UTI resolution is confirmed. Answer: When should
prophylaxis for recurrent UTI be intiated?
◉ -Daily dosing for 6 months
-Post-coital prophylaxis
-self medication (3-4 days of therapy when symptoms being.
Answer: Antibiotic regimin for recurrent UTI prophylaxis.
, ◉ -Dysuria
-urinary frequency & urgency
-hematuria
-low back or suprapubic pain/tenderness
-elderly=AMS. Answer: What is the clinical presentation of
uncomplicated UTI?
◉ -Bactrim 1 DS BID x 3
-Cefdinir 500 mg BID x 5
-Nitrofurantoin 100 mg BID x 5. Answer: WHat is the oral treatment
for acute uncomplicated UTI?
◉ •Complete the antibiotic regimen
•Proper hygiene
•Drink plenty of water (8 - 8oz glasses)
•Cotton undergarments
•Empty bladder after sexual intercourse
•Empty bladder frequently
•No tub baths or bubble baths. Answer: Patient education for
uncomplicated UTI
