NR 507 Week 4: Urinary System
Pathologies: Common Diseases And
Disorders EDAPT EXAM QUESTIONS
WITH COMPLETE SOLUTION
/. Which of the following is true regarding a complicated urinary tract infection? -
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)? - Answer-✅Pregnancy
/.A symptom of a lower urinary tract infection includes: - Answer-✅urgency
/.Women are at a higher risk for the development of a UTI because of having a shorter
urethra. - Answer-✅true
/.Which of the following can help to prevent a UTI? - Answer-✅Increase water
consumption
/.Uncomplicated UTI - 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 - 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: - 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 - Answer-✅pyelonephritis
/.Identify the major risk factor J.S. has that is associated with pyelonephritis: - Answer-
✅indwelling foley catheter
/.The urinalysis of a patient with a complicated UTI will show WBCs and casts - Answer-
✅true
/.Upon examination of a urinalysis, the NP can highly suspect that the causative
bacteria are gram negative because of the presence of: - 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. -
Answer-✅true
/.The NP would know that the patient most likely has an uncomplicated UTI because: -
Answer-✅The UTI responds well to a short course of antibiotic therapy.
/.A common organism that causes a urinary tract infection include: - Answer-
✅Staphylococcus saprophyticus.
E coli
/.The purpose of straining in BPH is to overcome the obstruction encountered during
urination. - Answer-✅true
/.The peripheral zone of the prostate is the largest zone. - 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? - Answer-✅hard nodule
/.There is a significant risk for men with benign prostatic hyperplasia (BPH) to develop
cellular mutations that lead to prostate cancer. - Answer-✅false
/.The patient most often develops symptoms of BPH when: - Answer-✅The prostatic
urethra becomes obstructed.
Pathologies: Common Diseases And
Disorders EDAPT EXAM QUESTIONS
WITH COMPLETE SOLUTION
/. Which of the following is true regarding a complicated urinary tract infection? -
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)? - Answer-✅Pregnancy
/.A symptom of a lower urinary tract infection includes: - Answer-✅urgency
/.Women are at a higher risk for the development of a UTI because of having a shorter
urethra. - Answer-✅true
/.Which of the following can help to prevent a UTI? - Answer-✅Increase water
consumption
/.Uncomplicated UTI - 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 - 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: - 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 - Answer-✅pyelonephritis
/.Identify the major risk factor J.S. has that is associated with pyelonephritis: - Answer-
✅indwelling foley catheter
/.The urinalysis of a patient with a complicated UTI will show WBCs and casts - Answer-
✅true
/.Upon examination of a urinalysis, the NP can highly suspect that the causative
bacteria are gram negative because of the presence of: - 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. -
Answer-✅true
/.The NP would know that the patient most likely has an uncomplicated UTI because: -
Answer-✅The UTI responds well to a short course of antibiotic therapy.
/.A common organism that causes a urinary tract infection include: - Answer-
✅Staphylococcus saprophyticus.
E coli
/.The purpose of straining in BPH is to overcome the obstruction encountered during
urination. - Answer-✅true
/.The peripheral zone of the prostate is the largest zone. - 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? - Answer-✅hard nodule
/.There is a significant risk for men with benign prostatic hyperplasia (BPH) to develop
cellular mutations that lead to prostate cancer. - Answer-✅false
/.The patient most often develops symptoms of BPH when: - Answer-✅The prostatic
urethra becomes obstructed.
