NR 507 Final Exam Prep 2026/2027 –
Complete Study Guide for Guaranteed
Success
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
A 45-year-old male presents to the primary care
office with right flank pain that he describes as
,unremitting; he also reports nausea and vomiting.
The NP performs an exam and observes him writhing
in pain on the exam table with the inability to find a
comfortable position. He is afebrile, BP 156/88
mmHg and HR 106/min. Right flank is mildly tender
on palpation. Abdominal exam is negative for any
abnormality. A urinalysis was performed and
revealed 1+ blood. Urine microscopy also revealed
10-20 RBCs per high-power field (hpf). A kidney
stone is suspected. The patient reports no prior
history of a kidney stone. After providing the patient
an analgesic, where the patient reported mild relief,
the NP had the patient transferred to the emergency
room for intravenous fluids, pain management and
further work-up for the kidney stone. Upon follow-
up in the office a week later, the patient reported
that he was diagnosed with - ✔✔ANSWER ✔✔-
adequate hydration
balanced diet
,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
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
Complete Study Guide for Guaranteed
Success
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
A 45-year-old male presents to the primary care
office with right flank pain that he describes as
,unremitting; he also reports nausea and vomiting.
The NP performs an exam and observes him writhing
in pain on the exam table with the inability to find a
comfortable position. He is afebrile, BP 156/88
mmHg and HR 106/min. Right flank is mildly tender
on palpation. Abdominal exam is negative for any
abnormality. A urinalysis was performed and
revealed 1+ blood. Urine microscopy also revealed
10-20 RBCs per high-power field (hpf). A kidney
stone is suspected. The patient reports no prior
history of a kidney stone. After providing the patient
an analgesic, where the patient reported mild relief,
the NP had the patient transferred to the emergency
room for intravenous fluids, pain management and
further work-up for the kidney stone. Upon follow-
up in the office a week later, the patient reported
that he was diagnosed with - ✔✔ANSWER ✔✔-
adequate hydration
balanced diet
,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
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
