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NURS 620 Exam 3 Prep (350+ Questions) NURS 620 – UTI, Pyelonephritis, CKD, BPH & Renal Disorders | Maryville University

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This document provides a comprehensive set of over 350 practice questions and verified answers focused on advanced health assessment and genitourinary disorders for NURS 620 Exam 3. It covers key topics such as urinary tract infections (UTIs), pyelonephritis, chronic kidney disease (CKD), benign prostatic hyperplasia (BPH), urinary incontinence, kidney stones, and male reproductive conditions, as introduced from page 1 . The material is highly relevant for courses such as NURS 620 (Advanced Health Assessment), family nurse practitioner (FNP) programs, adult-gerontology primary care, and advanced pathophysiology courses. It is particularly suitable for graduate nursing students, nurse practitioner students, FNP candidates, advanced practice nurses, and healthcare professionals preparing for certification exams or clinical practice. This study guide emphasizes both theoretical knowledge and clinical decision-making, including differential diagnosis of dysuria, interpretation of urinalysis (UA/C&S), antibiotic selection and resistance patterns, and management of recurrent UTIs. It also includes detailed coverage of renal pathologies such as pyelonephritis (acute vs chronic), CKD staging (GFR-based), and nephrolithiasis, along with associated diagnostic testing (ultrasound, CT, urine culture). Additionally, the document integrates male genitourinary conditions such as prostatitis, epididymitis, erectile dysfunction, testicular torsion, hydrocele, varicocele, and prostate cancer screening considerations. It aligns closely with widely used textbooks such as Bates’ Guide to Physical Examination and History Taking and Current Medical Diagnosis and Treatment, making it an essential resource for both academic coursework and advanced clinical exam preparation. The structured Q&A format supports clinical reasoning, patient assessment, and evidence-based management strategies. Keywords: advanced health assessment, urinary tract infection, pyelonephritis, chronic kidney disease, CKD stages, benign prostatic hyperplasia, BPH symptoms, urinary incontinence, kidney stones nephrolithiasis, urinalysis interpretation, prostatitis epididymitis, testicular torsion, prostate cancer screening, renal disorders, nurse practitioner exam prep

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NURS 620 Maryville Exam 3 |
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What are potential causes of chronic infection/UTI? - 🧠 ANSWER ✔✔-

obstructions

,-antibiotic-resistant bacteria ---- presence of multiple strains of bacteria

What additional HPI questions would you want to ask a patient with urinary

complaints (dyuria, urgency, etc.)? - 🧠 ANSWER ✔✔-fever


-N/V

-Pain (abdominal, pelvic, back)

-LMP

-Contraceptive use

-Sexual partners

-hygeine habits

-Vaginal discharge/irritation

-hx of UTIs


What are possible differential diagnosis of dysuria? - 🧠 ANSWER ✔✔-

Usually bladder problem

-UTI

-Pyleonephritis

-STI

,-inflammatory lesions of the prostate, bladder, & urethra

-Bladder tumors

Chronic renal failure

-nephrolitiasis

-vaginitis/prostatitis

-Prolapsed uterus

-pelvic peritonitis

-cancer of cervix or prostate

What is the easiest, most noninvasive, and most economical way to identify

UTI and/or other renal problems? - 🧠 ANSWER ✔✔UA


Infection that occurs when the normal sterile condition of the urinary tract is

invaded by pathogenic bacteria - 🧠 ANSWER ✔✔Lower urinary tract

infection


Name the types of lower urinary tract infections. - 🧠 ANSWER ✔✔Urethra:

urethritis

Bladder: cystitis

Bladder wall; Intersitital cystitis (IC)

COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED

, Prostate Gland: Prostatitis

Acute lower urinary tract infections are characterized by what? - 🧠

ANSWER ✔✔Onset of UTI in a previously symptom-free individual.


What tests would you order to diagnose lower UTI? - 🧠 ANSWER ✔✔UA

C&S


What results would make you suspect UTI? - 🧠 ANSWER ✔✔-cloudy urine

clarity

-positive leukocytes esterase

-positive nitrites (signals gram - organism, may have false -)

-Protein: 1+-4+ (kidney problems)

-Alkaline urine (PH 6.5-8)

-RBCs may be present


Who should receive prophylaxis for recurrent UTI? - 🧠 ANSWER ✔✔-2 or

more symptomatic UTIs w/in 6 months

-3 or > within 12 months

When should prophylaxis for recurrent UTI be intiated? - 🧠 ANSWER

✔✔After previous UTI resolution is confirmed

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