NR 507 week 4-8 Exam
NR 507 WEEK 4-8 EXAM NEWEST 2025/2026 COMPLETE ALL
200 QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY
GRADED A+||ALREADY GRADED A+
UTI Clinical Application
Review the clinical application cases below and determine the proper diagnosis.
Question
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:
A. Pyelonephritis
B. Complicated UTI
C. Upper UTI
D. Cystitis
Cystitis: The patient presents with a simple cystitis and treated appropriately. In
addition, although the patient has a new sexual partner with risk for a STI, the
patient reports no itching and/or vaginal discharge with odor. The NP would
determine if a pelvic exam is indicated at that visit to rule out an STI.
UTI Clinical Application
Review the clinical application cases below and determine the proper diagnosis.
Question
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
1|Page
, NR 507 week 4-8 Exam
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 int
This patient would be diagnosed with pyelonephritis.
UTI Clinical Application
Review the clinical application cases below and determine the proper diagnosis.
Question
Identify the major risk factor J.S. has that is associated with pyelonephritis:
A. Fever
B. Flank pain
C. Indwelling Foley catheter
D. Dehydration
Indwelling foley catheter: The major risk factor for the development of
pyelonephritis in this patient is the indwelling Foley catheter. Flank pain,
dehydration and fever are symptoms rather than risk factors.
Urinary Tract Infection
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.
True
False
True: Because of the vaginal discharge that contains an odor, the NP will most
likely perform a vaginal exam to rule out an STD.
Urinalysis Examination
Upon examination of a urinalysis, the NP can highly suspect that the causative
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, NR 507 week 4-8 Exam
bacteria are gram negative because of the presence of:
A. Nitrites.
B. Casts.
C. WBCs.
D. RBCs.
Nitrites: The presence of nitrites indicates that the causative bacteria is gram-
negative.
Uncomplicated UTI
The NP would know that the patient most likely has an uncomplicated UTI
because:
A. The bacteria are contained within the bladder.
B. There is low-grade fever.
C. Flank pain is present but minimal.
D. The UTI responds well to a short course of antibiotic therapy.
The UTI responds well to a short course of antibiotic therapy. An uncomplicated
UTI responds to a short course of antibiotic therapy. The other choices are not
typical of an uncomplicated UTI.
Organisms Causing Urinary Tract Infections
A common organism that causes a urinary tract infection include:
A. Syncytial virus.
B. Staphylococcus saprophyticus.
C. Streptococcus pneumonia.
D. Methicillin Resistant Staphylococcus Aureus (MRSA).
Staphylococcus saprophyticus is the only choice listed that commonly causes a
UTI.
Complicated UTI
The urinalysis of a patient with a complicated UTI will show WBCs and casts
True
False
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, NR 507 week 4-8 Exam
True: Casts are present in a complicated UTI.
BPH (benign prostatic hyperplasia)
Assessing the Prostate
On a digital rectal exam to assess the quality of the prostate, the NP would be
concerned with which of the following findings?
A. A hard nodule.
B. A soft-smooth prostate.
C. A rubber-like quality of the prostate.
D. A lack of pain on palpation.
A hard nodule can indicate prostate cancer.
Benign Prostatic Hyperplasia
The purpose of straining in BPH is to overcome the obstruction encountered
during urination.
True
False
True: The individual strains to overcome the obstruction in order to release the
urine.
Lower Urinary Tract Infections
A symptom of a lower urinary tract infection includes:
A. Fever
B. Urgency
C. Flank pain
D. Decreased Urination
Urgency is a symptom of lower tract UTI..
Urinary Tract Infection
Which of the following is a risk factor for the development of a urinary tract
infection (UTI)?
A. Perimenopause
4|Page
NR 507 WEEK 4-8 EXAM NEWEST 2025/2026 COMPLETE ALL
200 QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY
GRADED A+||ALREADY GRADED A+
UTI Clinical Application
Review the clinical application cases below and determine the proper diagnosis.
Question
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:
A. Pyelonephritis
B. Complicated UTI
C. Upper UTI
D. Cystitis
Cystitis: The patient presents with a simple cystitis and treated appropriately. In
addition, although the patient has a new sexual partner with risk for a STI, the
patient reports no itching and/or vaginal discharge with odor. The NP would
determine if a pelvic exam is indicated at that visit to rule out an STI.
UTI Clinical Application
Review the clinical application cases below and determine the proper diagnosis.
Question
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
1|Page
, NR 507 week 4-8 Exam
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 int
This patient would be diagnosed with pyelonephritis.
UTI Clinical Application
Review the clinical application cases below and determine the proper diagnosis.
Question
Identify the major risk factor J.S. has that is associated with pyelonephritis:
A. Fever
B. Flank pain
C. Indwelling Foley catheter
D. Dehydration
Indwelling foley catheter: The major risk factor for the development of
pyelonephritis in this patient is the indwelling Foley catheter. Flank pain,
dehydration and fever are symptoms rather than risk factors.
Urinary Tract Infection
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.
True
False
True: Because of the vaginal discharge that contains an odor, the NP will most
likely perform a vaginal exam to rule out an STD.
Urinalysis Examination
Upon examination of a urinalysis, the NP can highly suspect that the causative
2|Page
, NR 507 week 4-8 Exam
bacteria are gram negative because of the presence of:
A. Nitrites.
B. Casts.
C. WBCs.
D. RBCs.
Nitrites: The presence of nitrites indicates that the causative bacteria is gram-
negative.
Uncomplicated UTI
The NP would know that the patient most likely has an uncomplicated UTI
because:
A. The bacteria are contained within the bladder.
B. There is low-grade fever.
C. Flank pain is present but minimal.
D. The UTI responds well to a short course of antibiotic therapy.
The UTI responds well to a short course of antibiotic therapy. An uncomplicated
UTI responds to a short course of antibiotic therapy. The other choices are not
typical of an uncomplicated UTI.
Organisms Causing Urinary Tract Infections
A common organism that causes a urinary tract infection include:
A. Syncytial virus.
B. Staphylococcus saprophyticus.
C. Streptococcus pneumonia.
D. Methicillin Resistant Staphylococcus Aureus (MRSA).
Staphylococcus saprophyticus is the only choice listed that commonly causes a
UTI.
Complicated UTI
The urinalysis of a patient with a complicated UTI will show WBCs and casts
True
False
3|Page
, NR 507 week 4-8 Exam
True: Casts are present in a complicated UTI.
BPH (benign prostatic hyperplasia)
Assessing the Prostate
On a digital rectal exam to assess the quality of the prostate, the NP would be
concerned with which of the following findings?
A. A hard nodule.
B. A soft-smooth prostate.
C. A rubber-like quality of the prostate.
D. A lack of pain on palpation.
A hard nodule can indicate prostate cancer.
Benign Prostatic Hyperplasia
The purpose of straining in BPH is to overcome the obstruction encountered
during urination.
True
False
True: The individual strains to overcome the obstruction in order to release the
urine.
Lower Urinary Tract Infections
A symptom of a lower urinary tract infection includes:
A. Fever
B. Urgency
C. Flank pain
D. Decreased Urination
Urgency is a symptom of lower tract UTI..
Urinary Tract Infection
Which of the following is a risk factor for the development of a urinary tract
infection (UTI)?
A. Perimenopause
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