NR 507 Final Exam 2024 | NR 507 Actual
Exam Latest 2024 Questions and Correct
Answers Rated A+
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
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.
Irritative symptoms -ANSWER-urinary frequency
nocturia
urgency that results from bladder hypertrophy and dysfunction
The action of a 5-Alpha-reductase inhibitor causes: -ANSWER-
Shrinkage of the prostate gland.
Men who have BPH are prone to developing a UTI because: -
ANSWER-Stagnated urine in the bladder promotes bacterial growth.
The prostate specific antigen (PSA) helps to liquefy semen post-
ejaculation. -ANSWER-true
The underlying cause of BPH is that normal prostate cells respond to
increases in dihydrotestosterone that causes them to live longer and
multiply. -ANSWER-true
The location of the characteristic hyperplastic nodules of BPH is: -
ANSWER-In the periurethral zone.
The type of stone that forms due to a urinary tract infection is: -
ANSWER-Struvite stone.
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