Download MARYVILLE NURS 620 EXAM 3 QUESTIONS AND ANSWERS and more Exams Gerontology in PDF only on Docsity!
MARYVILLE NURS 620 EXAM 3
QUESTIONS AND ANSWERS
1. Which of the following is not a common cause of chronic renal failure?
a. Polycystic kidney disease
b. Type 1 diabetes
c. Hypothyroidism
ANS Hypothyroidism
2. In clinical practice the NP notes an elevation in the creatinine clearance
and understands that this lab test
a. Does not change with the aging process
b. Is greater in women than in men
c. Approximates the GFR
ANS Approximates the GFR
3. The NP is seeing an 80 YO patient and understands that which of the
following is an early finding of chronic renal disease?
a. Hyperkalemia
b. Persistent proteinuria
c. Elevated creatinine level
ANS Persistent proteinuria
4. Which of the following would allow you to rule out a diagnosis of testicular
cancer?
a. Caucasian race
b. Scandinavian background
c. Trans-illumination of suspected mass
ANS Trans-illumination of suspected mass
5. Which of the following would not be considered in a patient presenting
with erectile dysfunction?
a. Hypertension
b. Diabetes
c. Normal testosterone
ANS Normal testosterone
6. What is the primary treatment for a patient diagnosed with testicular
cancer
a. Watch and wait
b. Check every 3 months
c. Lumpectomy
d. Radical orchiectomy
ANS Radical orchiectomy
7. Which of the following would be an appropriate treatment for a patient with
benign BPH and an AUASI score of 6?
a. Prescribe a trial of Flomax
b. Reevaluate symptoms in 1-4 months
c. Refer to urology for surgery
ANS Reevaluate symptoms in 1-3 months
8. What is the most common diagnosis for a 63 YOM with chief complaint of
nocturia?
laboratory tests would help to establish a diagnosis?
a. PSA
b. Prolactin level
c. Testosterone level
ANS Testosterone level
13. What are the most common gram negative bacteria that cause acute and
chronic bacterial prostatitis?
a. Staph aureus
b. Staph pneumonia
c. E. coli
ANS E. coli
14. How long should a 56 YOM with chronic bacterial prostatitis be treated
with Bactrim?
a. 3-6 weeks
b. 7-14 days
c. 6-12 weeks
ANS 6-12 weeks
15. A 23 YO sexually active male is seen in the clinic with unilateral painful
testicular swelling. He is diagnosed with epididymitis. In order to prescribe the correct drug, the clinician must understand that which of the following
is the most common causative organism of epididymitis?
a. E. coli
b. Staph aureus
c. Chlamydia
ANS Chlamydia
16. Which of the following is the most commonly found organism in UTIs in
women?
a. E. Coli
b. Chlamydia
c. Klebsiella
ANS E. Coli
17. A patient comes to see you for the 3rd time with complaints of dysuria
and frequency. Again, her UA is normal with no signs of infection. She reports the symptoms are worse after intercourse. Based on this information, what should you suspect?
a. Pyelonephritis
b. Overactive bladder
c. Interstitial cystitis
ANS Interstitial cystitis
18. A patient is diagnosed with lower UTI. Which antibiotic should the NP
prescribe?
a. Doxycycline
b. Azithromycin
a. 2
b. 6
c. at least 3
ANS at least 3
23. The inability to empty the bladder resulting in over distention and fre-
quent loss of small amounts of urine describes which type of urinary incon- tinence?
a. Urge
b. Stress
c. Overflow
ANS Overflow
24. A 42 YOF is seen in clinic with fever, chills, vomiting, and severe dysuria.
She is diagnosed with acute pyelonephritis and dehydration. How should this patient be treated?
a. Encourage cranberry juice
b. Hospitalization
c. Antibiotics for 3 days
ANS Hospitalization
25. A 34 YO patient was treated for a UTI and has not responded to antibiotic
therapy. What action would you take next?
a. Increase dose of antibiotic
b. Order cystoscopy
c. Order urine culture
ANS Order urine culture
26. A female patient is diagnosed with overactive bladder. Which of these
instructions would you give her?
a. Wear panty liners
b. Avoid going out for long periods of time
c. Eliminate caffeine from your diet
ANS Eliminate caffeine from your diet
27. Which of the following information is essential to have before prescribing
Bactrim DS to a 24 YOF with a UTI?
a. Blood pressure
b. Date of last menstrual period
c. History of chest pain
ANS Date of last menstrual period
28. A patient presents with CVA tenderness and a several day history of high
fever, chills, and dysuria. Given this information which diagnosis is most likely?
a. Cystitis
b. Renal calculi
c. Pyelonephritis
ANS Pyelonephritis
33. At what % of GFR decline would s/s of kidney disease present?
ANS 10-15% of normal
34. Stages of CKD
ANS 1 GFR >90 2 GFR 60-
3 GFR 30-
4 GFR 15-
5 GFR <
35. Why are kegel exercises helpful in those with urinary incontinence?
ANS they strengthen the muscles of the pelvic floor
36. Twisting or rotation of the testes, resulting in acute ischemia & urological
emergency ANS Testicular torsion
37. S/S of testicular torsion
ANS sudden testicular pain and absent cremasteric reflex, testes may be high in scrotum with "bell-clapper" look, possible "blue dot sign"
38. Stages of BPH according AUASI
-Mild ANS 0- -Moderate ANS 8- -Severe ANS 20 or greater
39. Inflammatory conditions of the scrotal contents (epididymitis, torsion,
appendiceal torsion) can produce an acute , which often resolves with treatment of the underlying condition ANS reactive hydrocele
40. Chronic inflammatory condition of the bladder clinically characterized by
irritable voiding symptoms or urgency and frequency, worsened by in- tercourse and perimenstrual status in the absence of objective evidence of another disease ANS interstitial cystitis
41. common bladder irritants
ANS Sudafed, Caffeine, smoking, ETOH
42. What medications may cause hematuria?
ANS NSAIDs & Blood thinners
43. What are some Differential Dx for hematuria
ANS UTI, Pylo, Cancers, BPH, stones
44. Male patient CC erectile dysfunction what comorbidities should be con-
sidered & what labs to check ANS HTN, DM & testosterone, PSA
45. What is a Collection of peritoneal fluid within the scrotum around the
testes ANS Hydrocele
46. Unless there is an underlying cause of a hydrocele how would you treat
it?
54. When and what meds should be given for prophylaxes of recurrent UTIs
ANS start treatment of macrobid 50-100mg QD for up to 12 months after current UTI is resolved
55. How to treat epididymitis with or without STI?
ANS With = Rocephin & Doxy/azithromycin Without = Levaquin/Bactrim
56. what is the most common cause, of end-stage renal disease?
ANS Diabetic Neuropathy
57. How would you manage OAB?
ANS Bladder training, Avoid bladder irritants (Caffeine, smoking, sudafed, ETOH, carbonation), can try anticholinergic/Antimus- carinic meds
58. A 22 YO female Presents with low grade fever, CVA tenderness and dy-
suria, you dx her with acute pyelonephritis, she is otherwise healthy patient how would you manage her? a. Hospitalize B. encourage cranberry juice C. oral antibiotics for 7-14 days ANS C. oral antibiotics for 7-14 days
59. What is the clinical presentation of a Varicocele
ANS Usually left sided, venous dilation of panpiniform plexus, uncomfortable engorged testis, looks like "bag of worms", may require referral to surgeon
60. What is the most likely to be part of the clinical manifestation of an
uncomplicated UTI?
ANS urinary frequency
61. 82 YO male complaining of dribbling of urine and difficulty starting
stream?
a. renal cancer
b. Alzheimer's
c. Prostate cancer
ANS c. Prostate cancer
62. what is a risk factor for prostate cancer?
ANS age > 65 yrs
63. When to consider hospitalization for Pyelonephritis?
ANS N/V, signs of sepsis, pregnant, or Geri with confusion, dehydration
64. To confirm the infection with pyelonephritis is clear what post treatment
test is ordered? ANS Urine culture
