NR 511 / NR511 FINAL EXAM 1 WITH CORRECT ANSWERS 2025

NR 511 NR511 FINAL EXAM 1.
N N N N N




NR 511 / NR511 FINAL EXAM 1 WITH
CORRECT ANSWERS 2025
TheNeffectivenessNofNbenzodiazepinesNinNtreatingNanxietyNdisordersNsuggestsNthatNwhichNofNtheNfollowingNne
urotransmittersNplaysNaNroleNinNanxiety?

Gamma-aminobutyricNacidN(GABA)

TheNcriteriaNforNdiagnosingNgeneralizedNanxietyNdisorderNinNtheNAmericanNPsychiatricNAssociationsNDiagn
osticNandNStatisticalNManualNofNMentalNDisorders,N5thNeditionN(textNrevision)NstateNthatNexcessiveNworryNo
rNapprehensionNmustNbeNpresentNmoreNdaysNthanNnotNforNatNleast?

6Nmonths

AN20-year-
oldNwomanNisNseenNinNtheNclinicNbecauseNherNboyfriendNwasNfoundNtoNhaveNgonorrhea.NWhichNofNtheNfollo
wingNisNtheNtreatmentNofNchoiceNforNgonorrhea?
a. Ceftriaxone
b. Doxycycline
c. Acyclovir
d. Metronidazole

Ceftriaxone
N



ANpatientNisNseenNinNtheNclinicNwithNaNchiefNcomplaintNofNhematuria.NToNmakeNaNdifferentialNdiagnosis,Nwhi
chNofNtheNfollowingNquestionsNshouldNbeNasked?
a. "DoNyouNhaveNaNhistoryNofNliverNdisease?"
b. "WhatNmedicationsNareNyouNcurrentlyNtaking?"
c. "HaveNyouNnoticedNswellingNinNyourNankles?"
d. AllNofNtheNabove

"WhatNmedicationsNareNyouNcurrentlyNtaking"

ANpatientNisNseenNinNtheNclinicNwithNhematuriaNconfirmedNonNmicroscopicNexamination.NTheNclinicianNshoul
dNinquireNaboutNtheNingestionNofNwhichNofNtheseNsubstancesNthatNmightNbeNtheNcauseNofNhematuria?
a. NSAIDs
b. Beets
c. VitaminNA
d. RedNmea

tNNSAIDS

AN27-year-
oldNfemaleNpresentsNwithNaNchiefNcomplaintNofNburningNandNpainNonNurination.NSheNhasNnoNpreviousNhis
toryNofNurinaryNtractNinfectionN(UTI).NWhatNareNsomeNadditionalNsymptomsNconsistentNwithNaNdiagnosisNo
fNlowerNUTI?
a. BackNandNabdominalNpain
b. Fever,Nchills,NcostovertebralNangleN(CVA)Ntenderness

,NR 511 NR511 FINAL EXAM 1.
N N N N N




c. BloodNinNurineNandNfrequency
d. Foul-

smellingNdischarge,NperinealNitchNBloodN

inNurineNadNfrequency

AN30-year-
oldNpatientNpresentsNwithNpainNonNurination.NTheNurineNmicroscopyNofNunspunNurineNshowsNgreaterNt
hanN10Nleukocytes/mL,NandNaNdipstickNisNpositiveNforNnitrites.NWhatNisNtheNprobableNdiagnosis?Na.NLow
erNurinaryNtractNinfection
b. ChlamydiaNinfection
c. Candidiasis
d. Pyelonephritis

LowerNurinaryNtractNinfection

ANpatientNpresentsNwithNCVANtendernessNandNaNseveral-
dayNhistoryNofNhighNfever,Nchills,NandNdysuria.NWhichNofNtheNfollowingNdiagnosesNisNmostNlikelyNgivenNtheNa
boveNinformation?
a. Pyelonephritis
b. Cystitis
c. RenalNcalculi
d. BladderNtumo

rNPyelonephritis

ANpatientNisNdiagnosedNwithNurgeNincontinence.NBeforeNprescribingNDetrolNXL,NtheNproviderNshouldNquestio
nNtheNpatientNaboutNwhichNofNtheseNcontraindicationsNtoNthisNmedication?
a. Diarrhea
b. Parkinson'sNdisease
c. Closed-angleNglaucoma
d. BreastNcancerNClose

d-angleNglaucoma

ANpatientNisNseenNinNtheNofficeNcomplainingNofNsevereNflankNpain.NTheNclinicianNshouldNassessNthisNpatientNf
orNwhichNriskNfactorNforNkidneyNstones?
a. Hypertension
b. Constipation
c. TubalNligation
d. DiabetesN

Hypertension

ANpatientNisNdiagnosedNwithNoveractiveNbladder.NWhichNofNtheNfollowingNinstructionsNshouldNbeNgivenN
toNthisNwoman?
a.N"LimitNtheNamountNofNwaterNthatNyouNdrink
."Nb.N"EliminateNcaffeineNfromNyourNdiet."
c.N"WearNpantyNliners."
d.NAllNofNtheNabove

EliminateNcaffeineNfromNyourNdiet

,NR 511 NR511 FINAL EXAM 1.
N N N N N




AN34-year-
oldNpatientNwasNtreatedNforNaNUTINandNhasNnotNrespondedNtoNantibioticNtherapy.NWhichNofNtheNfollowingNac
tionsNshouldNbeNtakenNnext?
a. SendNaNurineNspecimenNforNmicroscopyNandNevaluateNforNfungalNcolonies.
b. IncreaseNtheNdoseNofNantibiotic.
c. OrderNaNcytoscopy.
d. OrderNaNdifferentNantibiotic.

SendNaNurineNspecimenNforNmicroscopyNandNevaluateNforNfungalNcoloniesN

WhichNofNtheNfollowingNareNpredisposingNfactorsNforNpyelonephritis?
a. Pregnancy
b. Dehydration
c. Smoking
d. AlkalineNurin

eNPregnancy

AN42-year-
oldNwomanNisNseenNinNtheNclinicNwithNfever,Nchills,Nvomiting,NandNsevereNdysuria.NSheNisNdiagnosedNwit
hNacuteNpyelonephritis.NHowNshouldNthisNpatientNbeNmanaged?
a.N3-
dayNcourseNofNoralNantibioticsNb.N
Hospitalization
c.NEncourageNcranberryNjuiceNintake.
d.N6-

weekNcourseNofNantibioticsNHos

pitalization


OralNantibioticsNmayNbeNprescribedNinNmildNcasesNofNacuteNpyelonephritis,NcharacterizedNbyNtheNabsenceNof
NnauseaNandNvomitingNorNsignsNofNsepsis.NFirst-

lineNtherapyNincludesNciprofloxacinN(Cipro)N500NmgNtwoNtimesNdailyNforN7Ndays,NorNciprofloxacinNextended-
releaseN(CiproNXR)N1,000NmgNdailyNforN7Ndays,NorNlevofloxacinN(Levaquin)N750NmgNdailyNforN5Ndays.

HospitalizationNmayNbeNindicated,NdependingNonNtheNpatient'sNabilityNtoNmaintainNadequateNfluidNinta
ke
andNtoNtolerateNoralNantibiotics,NalongNwithNtheNseverityNofNtheNsymptomsNandNevidenceNofNbacteremi
a.
HospitalizationNofNpatientsNwhoNareNpregnant,Nvomiting,NorNdehydratedNshouldNbeNstronglyNconsidered.
Likewise,NtheNpatient'sNdegreeNofNsystemicNillnessN(bacteremiaNorNurosepsis),Nage,NhistoryNofNchron
ic
disease,NorNnonadherenceNtoNtherapyNmayNleadNtoNtheNassessmentNthatNhospitalizationNisNnecessar
y.
Ninety-
NfiveNpercentNofNpatientsNdemonstrateNaNgoodNresponseNwithinN48NhoursNtoNIVNantibioticNtreatment

andNmayNbeNdischargedNonNappropriateNoralNmedication,NonceNurineNcultureNandNantibioticNsensitivi
ty
resultsNareNavailableNandNsubsequentNantimicrobialNtherapyNmayNbeNnarrowedNinNspectru
m.

, NR 511 NR511 FINAL EXAM 1.
N N N N N




ANpatientNisNseenNwithNaNsuddenNonsetNofNflankNpainNaccompaniedNbyNnausea,Nvomiting,NandNdiaphoresi
s.NInNadditionNtoNnephrolithiasis,NwhichNofNtheNfollowingNshouldNbeNaddedNtoNtheNlistNofNdifferentialNdiag
noses?
a. Pancreatitis
b. PepticNulcerNdisease