NR 507 MIDTERM EXAM ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES |ALREADY GRADED A+
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NR 507 MIDTE
NR 507 MIDTERM EXAM ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES |ALREADY GRADED A+
NR 507 MIDTERM EXAM ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES |ALREADY GRADED A+
NR 507 MIDTERM EXAM 2023-2024 ACTUAL EXAM 300
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES |ALREADY GRADED A+
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.
Renal stones are formed when calcium and oxalate in the urine combine. - ANSWER-true
Renal calculi are typically confined to the bladder. - ANSWER-false
The most common type of stone is: - ANSWER-calcium stone
The gold standard for diagnosing a renal stone is a urinalysis. - ANSWER-false (ct scan)
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
Lithotripsy is an invasive procedure used to break up the stone - ANSWER-false
The most common stone found in the patient with gout is: - ANSWER-uric acid stone
Hematuria can be seen with kidney stones because: - ANSWER-The stone injures the urinary structures
as it passes through them.
Renal colic is caused by the passing of the stone through the ureter. - ANSWER-true
At least half of individuals with renal stones will have a reoccurrence within 10 years of the prior stone. -
ANSWER-true
Which of the following actions will relax the detrusor muscle of the bladder? - ANSWER-Activation of
Beta-2 receptors by the sympathetic nervous system.
The relay station in the brain that plays a major role in regulating micturition is: - ANSWER-Pontine
micturition center.
The location of the internal sphincter is under the urogenital diaphragm. - ANSWER-false (located in the
bladder)
When the bladder is empty, the detrusor muscle relaxes, and the internal and external sphincters
constrict. - ANSWER-true
The levator ani muscle plays a major role in constriction of the external sphincter. - ANSWER-true
stress incontinence - ANSWER-leakage of urine with activity
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