NURS 6001 EXAM 3
NURS 6001 EXAM 3 INCLUDES ACCURATE AND VERIFIED QUESTIONS
COVERING FOUNDATIONAL GRADUATE NURSING CONCEPTS SUCH AS
PROFESSIONAL IDENTITY, INTERPROFESSIONAL COLLABORATION, EVIDENCE-
BASED PRACTICE, ACADEMIC INTEGRITY, AND SCHOLARLY WRITING
A 52-year-old female complains of discharge from one of her breasts. There is no pain, no mass,
and no skin changes. The physical examination is normal. When putting pressure on the affected
breast, the nipple expresses a small amount of thick, white discharge. These findings are
consistent with:
A. Duct ectasia
B. Mastitis
C. Fibroadenoma
D. Fibrocystic breasts - ANSWER-A. Duct ectasia
When performing a dipstick test on a patient's urine sample, a positive leukocyte esterase and
nitrite is indicative of:
A. Microscopic hematuria
B. Urinary tract infection
C. Calculi in the urine
D. Possible bladder tumor - ANSWER-B. Urinary Tract Infection
An intravenous pyelogram should not be performed if serum creatinine is:
A. Less than 1.5
B. Greater than 1.0
C. Greater than 1.6
D. Less than 1.0 - ANSWER-C.Greater than 1.6
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, NURS 6001 EXAM 3
Your 55-year-old male patient presents to the emergency department with complaints of
sudden development of severe right-sided, colicky lower abdominal pain. He cannot sit still on
the examining table. The patient has previously been in good health. On physical examination,
there are no signs of peritoneal inflammation. A urine sample reveals hematuria and
crystalluria. Which is the next diagnostic test that should be done immediately?
A. Ultrasound of the abdomen
B. Abdominal x-ray
C. Digital rectal examination
D. Spiral CT scan - ANSWER-D. Spiral CT scan
The most common complication of an untreated urinary obstruction due to a ureteral calculus
is:
A. Hydronephrosis
B. Renal artery stenosis
C. Ureteral rupture
D. Kidney mass - ANSWER-A. Hydronephrosis
A 43-year-old male patient complains of right-sided abdominal and pain in the back in the right
costovertebral angle region, fever, chills, dysuria, and nausea. On physical examination, there is
102 degree fever, tachycardia, and right costovertebral angle tenderness to percussion. The
most likely condition is:
A. Lower urinary tract infection
B. Pyelonephritis
C. Nephrolithiasis
D. Hydronephrosis - ANSWER-B. Pyelonephritis
On a physical examination for employment, a 45-year-old male shows no significant findings and
takes no medications. Past medical history and surgery are unremarkable. On urinalysis,
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, NURS 6001 EXAM 3
hematuria is present. The urinalysis is repeated on another day and still reveals microscopic
hematuria. It is important to recognize that painless hematuria can be diagnostic of:
A. Urinary tract infection
B. Bladder cancer
C. Nephrolithiasis
D. Pyelonephritis - ANSWER-B. Bladder cancer
On DRE, you note that a 45-year-old patient has a firm, smooth, non-tender but asymmetrically
shaped prostate. The patient has no symptoms and has a normal urinalysis. The patient's PSA is
within normal limits for the patient's age. The clinician should:
A. Refer the patient for transrectal ultrasound guided prostate biopsy
B. Obtain an abdominal x-ray of kidneys, ureter, and bladder
C. Recognize this as a normal finding that requires periodic follow-up
D. Obtain urine culture and sensitivity for prostatitis - ANSWER-C. Recognize this as a normal
finding that requires periodic follow-up
Your 77-year-old patient complains of frequent urination, hesitation in getting the stream
started, and nocturnal frequency of urination that is bothersome. On DRE, there is an enlarged,
firm, non- tender, smooth prostate. The clinician should recognize these as symptoms of:
A. Prostatitis
B. Prostate cancer
C. Urethritis
D. Benign prostatic hyperplasia - ANSWER-d. Benign prostatic hyperplasia
Your 66-year-old patient complains of frequency of urination and hesitancy of the urine stream.
On DRE, there is a hard, nodular, enlarged, non-tender prostate. The clinician should recognize
these as symptoms of:
A. Prostatitis
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, NURS 6001 EXAM 3
B. Prostate cancer
C. Urethritis
D. Benign prostatic hyperplasia - ANSWER-B. Prostate cancer
27-year-old male comes in to the clinic for symptoms of dysuria, urinary frequency, as well as
urgency and perineal pain. Transrectal palpation of the prostate reveals a very tender, boggy,
swollen prostate. The clinician should recognize these as signs of:
A. Prostatitis
B. Prostate cancer
C. Urethritis
D. Benign prostatic hyperplasia - ANSWER-A. prostatitis
Your 24-year-old female patient complains of dysuria as well as frequency and urgency of
urination that develops the day after she uses her diaphragm. Urine culture reveals a bacterial
count of 100 CFU/mL. These signs and symptoms indicate:
A. Upper urinary tract infection
B. Lower urinary tract infection
C. Normal bacteriuria
D. Urethritis - ANSWER-B. Lower urinary tract infection
An 18-year-old female patient presents with repeated urinary tract infections. She has no risk
factors in her history, and her physical examination is unremarkable. She also has a normal
pelvic exam. Which of the following should be obtained if anatomic abnormalities are
suspected?
A. Intravenous pyelogram
B. Ultrasound of the kidneys
C. Cystoscopy
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NURS 6001 EXAM 3 INCLUDES ACCURATE AND VERIFIED QUESTIONS
COVERING FOUNDATIONAL GRADUATE NURSING CONCEPTS SUCH AS
PROFESSIONAL IDENTITY, INTERPROFESSIONAL COLLABORATION, EVIDENCE-
BASED PRACTICE, ACADEMIC INTEGRITY, AND SCHOLARLY WRITING
A 52-year-old female complains of discharge from one of her breasts. There is no pain, no mass,
and no skin changes. The physical examination is normal. When putting pressure on the affected
breast, the nipple expresses a small amount of thick, white discharge. These findings are
consistent with:
A. Duct ectasia
B. Mastitis
C. Fibroadenoma
D. Fibrocystic breasts - ANSWER-A. Duct ectasia
When performing a dipstick test on a patient's urine sample, a positive leukocyte esterase and
nitrite is indicative of:
A. Microscopic hematuria
B. Urinary tract infection
C. Calculi in the urine
D. Possible bladder tumor - ANSWER-B. Urinary Tract Infection
An intravenous pyelogram should not be performed if serum creatinine is:
A. Less than 1.5
B. Greater than 1.0
C. Greater than 1.6
D. Less than 1.0 - ANSWER-C.Greater than 1.6
1|Page
, NURS 6001 EXAM 3
Your 55-year-old male patient presents to the emergency department with complaints of
sudden development of severe right-sided, colicky lower abdominal pain. He cannot sit still on
the examining table. The patient has previously been in good health. On physical examination,
there are no signs of peritoneal inflammation. A urine sample reveals hematuria and
crystalluria. Which is the next diagnostic test that should be done immediately?
A. Ultrasound of the abdomen
B. Abdominal x-ray
C. Digital rectal examination
D. Spiral CT scan - ANSWER-D. Spiral CT scan
The most common complication of an untreated urinary obstruction due to a ureteral calculus
is:
A. Hydronephrosis
B. Renal artery stenosis
C. Ureteral rupture
D. Kidney mass - ANSWER-A. Hydronephrosis
A 43-year-old male patient complains of right-sided abdominal and pain in the back in the right
costovertebral angle region, fever, chills, dysuria, and nausea. On physical examination, there is
102 degree fever, tachycardia, and right costovertebral angle tenderness to percussion. The
most likely condition is:
A. Lower urinary tract infection
B. Pyelonephritis
C. Nephrolithiasis
D. Hydronephrosis - ANSWER-B. Pyelonephritis
On a physical examination for employment, a 45-year-old male shows no significant findings and
takes no medications. Past medical history and surgery are unremarkable. On urinalysis,
2|Page
, NURS 6001 EXAM 3
hematuria is present. The urinalysis is repeated on another day and still reveals microscopic
hematuria. It is important to recognize that painless hematuria can be diagnostic of:
A. Urinary tract infection
B. Bladder cancer
C. Nephrolithiasis
D. Pyelonephritis - ANSWER-B. Bladder cancer
On DRE, you note that a 45-year-old patient has a firm, smooth, non-tender but asymmetrically
shaped prostate. The patient has no symptoms and has a normal urinalysis. The patient's PSA is
within normal limits for the patient's age. The clinician should:
A. Refer the patient for transrectal ultrasound guided prostate biopsy
B. Obtain an abdominal x-ray of kidneys, ureter, and bladder
C. Recognize this as a normal finding that requires periodic follow-up
D. Obtain urine culture and sensitivity for prostatitis - ANSWER-C. Recognize this as a normal
finding that requires periodic follow-up
Your 77-year-old patient complains of frequent urination, hesitation in getting the stream
started, and nocturnal frequency of urination that is bothersome. On DRE, there is an enlarged,
firm, non- tender, smooth prostate. The clinician should recognize these as symptoms of:
A. Prostatitis
B. Prostate cancer
C. Urethritis
D. Benign prostatic hyperplasia - ANSWER-d. Benign prostatic hyperplasia
Your 66-year-old patient complains of frequency of urination and hesitancy of the urine stream.
On DRE, there is a hard, nodular, enlarged, non-tender prostate. The clinician should recognize
these as symptoms of:
A. Prostatitis
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, NURS 6001 EXAM 3
B. Prostate cancer
C. Urethritis
D. Benign prostatic hyperplasia - ANSWER-B. Prostate cancer
27-year-old male comes in to the clinic for symptoms of dysuria, urinary frequency, as well as
urgency and perineal pain. Transrectal palpation of the prostate reveals a very tender, boggy,
swollen prostate. The clinician should recognize these as signs of:
A. Prostatitis
B. Prostate cancer
C. Urethritis
D. Benign prostatic hyperplasia - ANSWER-A. prostatitis
Your 24-year-old female patient complains of dysuria as well as frequency and urgency of
urination that develops the day after she uses her diaphragm. Urine culture reveals a bacterial
count of 100 CFU/mL. These signs and symptoms indicate:
A. Upper urinary tract infection
B. Lower urinary tract infection
C. Normal bacteriuria
D. Urethritis - ANSWER-B. Lower urinary tract infection
An 18-year-old female patient presents with repeated urinary tract infections. She has no risk
factors in her history, and her physical examination is unremarkable. She also has a normal
pelvic exam. Which of the following should be obtained if anatomic abnormalities are
suspected?
A. Intravenous pyelogram
B. Ultrasound of the kidneys
C. Cystoscopy
4|Page
