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  3. Chamberlain College Nursing
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  5. NR 507 Advanced Pathophysiology

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NR 507 Final Exam Questions And Answers
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Which of the following is true regarding a complicated urinary tract infection? - ANS 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)? - ANS Pregnancy A symptom of a lower urina...

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NR 507 Final Exam Questions And
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Which of the following is true regarding a complicated urinary tract infection? - ANS 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)? -
ANS Pregnancy

A symptom of a lower urinary tract infection includes: - ANS urgency

Women are at a higher risk for the development of a UTI because of having a shorter urethra. -
ANS true

Which of the following can help to prevent a UTI? - ANS Increase water consumption

Uncomplicated UTI - ANS 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 - ANS 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: - ANS 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 -
ANS pyelonephritis

Identify the major risk factor J.S. has that is associated with pyelonephritis: - ANS
indwelling foley catheter

The urinalysis of a patient with a complicated UTI will show WBCs and casts - ANS true

Upon examination of a urinalysis, the NP can highly suspect that the causative bacteria are
gram negative because of the presence of: - ANS 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. - ANS true

The NP would know that the patient most likely has an uncomplicated UTI because: - ANS
The UTI responds well to a short course of antibiotic therapy.

A common organism that causes a urinary tract infection include: - ANS Staphylococcus
saprophyticus.
E coli

The purpose of straining in BPH is to overcome the obstruction encountered during urination. -
ANS true

The peripheral zone of the prostate is the largest zone. - ANS true

On a digital rectal exam to assess the quality of the prostate, the NP would be concerned with
which of the following findings? - ANS hard nodule

There is a significant risk for men with benign prostatic hyperplasia (BPH) to develop cellular
mutations that lead to prostate cancer. - ANS false

The patient most often develops symptoms of BPH when: - ANS The prostatic urethra
becomes obstructed.

Irritative symptoms - ANS urinary frequency
nocturia
urgency that results from bladder hypertrophy and dysfunction

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