NR 507 FINAL REVIEWED QUESTIONS
AND ANSWERS
Which of the following is true regarding a complicated urinary tract infection? -
CORRECT ANSWER-Can be caused by a structural urinary tract disorder
Which of the following is a risk factor for the development of a urinary tract infection
(UTI)? - CORRECT ANSWER-Pregnancy
A symptom of a lower urinary tract infection includes: - CORRECT ANSWER-urgency
Women are at a higher risk for the development of a UTI because of having a shorter
urethra. - CORRECT ANSWER-true
Which of the following can help to prevent a UTI? - CORRECT ANSWER-Increase
water consumption
Uncomplicated UTI - CORRECT ANSWER-Occurs in the normal urinary tract
Responds well to short course of antibiotic therapy
Simple cystitis in non-pregnant women without any urologic abnormalities
Complicated UTI - CORRECT ANSWER-UTI extends beyond the bladder
Caused by structural or functional urinary tract abnormalities or untreated UTI
Infants and older adults affected
Associated with: indwelling catheters, renal calculi, diabetes, pregnancy
A 25 year- old female presents to the primary care office with urinary burning and
frequency for the last 3 days. She denies any fever, chills, back pain. Her gynecological
history is negative and reports no vaginal discharge. The only new information reported
is that she recently had sexual intercourse with a new male partner.
The NP obtains a urinalysis and determines that the urine contains leukocytes, RBCs,
nitrites, and WBCs. No casts are identified. Based on symptom presentation and UA
results, the patient can be diagnosed with: - CORRECT ANSWER-cystitis
J.S. is an 80 -year-old patient who resides in a local nursing home. He recently became
confused and then fell while ambulating to the bathroom three days ago. Because of his
, confusion and fall, he was transferred to the acute care facility for evaluation and
treatment. Lab work revealed that the patient was very dehydrated with hypernatremia
identified and appropriate intravenous fluids started. Cystitis was also identified from the
urinalysis. He was also noted to have red and excoriated skin between the buttocks and
inner thighs due to urinary frequency and dribbling. To help with skin healing and to
prevent further urine leakage, an indwelling catheter was inserted. Two days after the
catheter was placed, the patient spiked a fever of 102 degrees Fahrenheit associated
with shaking chills. An intense, foul odor was noted in the urine. On examination of the
flank area, the patient yelled out when touched. A urine c - CORRECT ANSWER-
pyelonephritis
Identify the major risk factor J.S. has that is associated with pyelonephritis: - CORRECT
ANSWER-indwelling foley catheter
The urinalysis of a patient with a complicated UTI will show WBCs and casts -
CORRECT ANSWER-true
Upon examination of a urinalysis, the NP can highly suspect that the causative bacteria
are gram negative because of the presence of: - CORRECT ANSWER-nitrites
A 21-year-old patient reports to the primary care clinic complaining of urinary urgency,
frequency and burning. She also reports a small amount of vaginal discharge that
contains an odor. It is likely that the NP will perform a vaginal exam at this visit. -
CORRECT ANSWER-true
The NP would know that the patient most likely has an uncomplicated UTI because: -
CORRECT ANSWER-The UTI responds well to a short course of antibiotic therapy.
A common organism that causes a urinary tract infection include: - CORRECT
ANSWER-Staphylococcus saprophyticus.
E coli
The purpose of straining in BPH is to overcome the obstruction encountered during
urination. - CORRECT ANSWER-true
The peripheral zone of the prostate is the largest zone. - CORRECT ANSWER-true
On a digital rectal exam to assess the quality of the prostate, the NP would be
concerned with which of the following findings? - CORRECT ANSWER-hard nodule
There is a significant risk for men with benign prostatic hyperplasia (BPH) to develop
cellular mutations that lead to prostate cancer. - CORRECT ANSWER-false
The patient most often develops symptoms of BPH when: - CORRECT ANSWER-The
prostatic urethra becomes obstructed.
AND ANSWERS
Which of the following is true regarding a complicated urinary tract infection? -
CORRECT ANSWER-Can be caused by a structural urinary tract disorder
Which of the following is a risk factor for the development of a urinary tract infection
(UTI)? - CORRECT ANSWER-Pregnancy
A symptom of a lower urinary tract infection includes: - CORRECT ANSWER-urgency
Women are at a higher risk for the development of a UTI because of having a shorter
urethra. - CORRECT ANSWER-true
Which of the following can help to prevent a UTI? - CORRECT ANSWER-Increase
water consumption
Uncomplicated UTI - CORRECT ANSWER-Occurs in the normal urinary tract
Responds well to short course of antibiotic therapy
Simple cystitis in non-pregnant women without any urologic abnormalities
Complicated UTI - CORRECT ANSWER-UTI extends beyond the bladder
Caused by structural or functional urinary tract abnormalities or untreated UTI
Infants and older adults affected
Associated with: indwelling catheters, renal calculi, diabetes, pregnancy
A 25 year- old female presents to the primary care office with urinary burning and
frequency for the last 3 days. She denies any fever, chills, back pain. Her gynecological
history is negative and reports no vaginal discharge. The only new information reported
is that she recently had sexual intercourse with a new male partner.
The NP obtains a urinalysis and determines that the urine contains leukocytes, RBCs,
nitrites, and WBCs. No casts are identified. Based on symptom presentation and UA
results, the patient can be diagnosed with: - CORRECT ANSWER-cystitis
J.S. is an 80 -year-old patient who resides in a local nursing home. He recently became
confused and then fell while ambulating to the bathroom three days ago. Because of his
, confusion and fall, he was transferred to the acute care facility for evaluation and
treatment. Lab work revealed that the patient was very dehydrated with hypernatremia
identified and appropriate intravenous fluids started. Cystitis was also identified from the
urinalysis. He was also noted to have red and excoriated skin between the buttocks and
inner thighs due to urinary frequency and dribbling. To help with skin healing and to
prevent further urine leakage, an indwelling catheter was inserted. Two days after the
catheter was placed, the patient spiked a fever of 102 degrees Fahrenheit associated
with shaking chills. An intense, foul odor was noted in the urine. On examination of the
flank area, the patient yelled out when touched. A urine c - CORRECT ANSWER-
pyelonephritis
Identify the major risk factor J.S. has that is associated with pyelonephritis: - CORRECT
ANSWER-indwelling foley catheter
The urinalysis of a patient with a complicated UTI will show WBCs and casts -
CORRECT ANSWER-true
Upon examination of a urinalysis, the NP can highly suspect that the causative bacteria
are gram negative because of the presence of: - CORRECT ANSWER-nitrites
A 21-year-old patient reports to the primary care clinic complaining of urinary urgency,
frequency and burning. She also reports a small amount of vaginal discharge that
contains an odor. It is likely that the NP will perform a vaginal exam at this visit. -
CORRECT ANSWER-true
The NP would know that the patient most likely has an uncomplicated UTI because: -
CORRECT ANSWER-The UTI responds well to a short course of antibiotic therapy.
A common organism that causes a urinary tract infection include: - CORRECT
ANSWER-Staphylococcus saprophyticus.
E coli
The purpose of straining in BPH is to overcome the obstruction encountered during
urination. - CORRECT ANSWER-true
The peripheral zone of the prostate is the largest zone. - CORRECT ANSWER-true
On a digital rectal exam to assess the quality of the prostate, the NP would be
concerned with which of the following findings? - CORRECT ANSWER-hard nodule
There is a significant risk for men with benign prostatic hyperplasia (BPH) to develop
cellular mutations that lead to prostate cancer. - CORRECT ANSWER-false
The patient most often develops symptoms of BPH when: - CORRECT ANSWER-The
prostatic urethra becomes obstructed.
