Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

MARYVILLE NURS 620 EXAM 3 QUESTIONS AND ANSWERS, Exams of Gerontology

MARYVILLE NURS 620 EXAM 3 QUESTIONS AND ANSWERS 100% CORRECT 1. MARYVILLE NURS 620 Exam 3 study guide with answers 2. How to prepare for MARYVILLE NURS 620 Exam 3 3. MARYVILLE NURS 620 Exam 3 practice questions and solutions 4. MARYVILLE NURS 620 Exam 3 key topics to review 5. MARYVILLE NURS 620 Exam 3 sample questions with explanations 6. Tips for passing MARYVILLE NURS 620 Exam 3 7. MARYVILLE NURS 620 Exam 3 question bank with answers 8. MARYVILLE NURS 620 Exam 3 review materials and resources 9. Common mistakes to avoid on MARYVILLE NURS 620 Exam 3 10. MARYVILLE NURS 620 Exam 3 study strategies for success 11. MARYVILLE NURS 620 Exam 3 question formats and types 12. How to ace MARYVILLE NURS 620 Exam 3 with confidence 13. MARYVILLE NURS 620 Exam 3 study group resources 14. MARYVILLE NURS 620 Exam 3 past papers and solutions 15. MARYVILLE NURS 620 Exam 3 difficulty level and expectations 16. MARYVILLE NURS 620 Exam 3 time management techniques 17. MARYVILLE NURS 620 Exam 3

Typology: Exams

2024/2025

Available from 07/02/2025

Prof.Steve
Prof.Steve 🇺🇸

361 documents

1 / 14

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
1 / 7
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?
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe

Partial preview of the text

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