Which instructions to prevent recurrent urinary tract infections would the nurse provide female patients?

This is a quiz that contains NCLEX review questions for urinary tract infection (UTI). As a nurse providing care to a patient with a urinary tract infection, it is important to know the signs and symptoms, pathophysiology, nursing management, patient education, and treatment.

In the previous NCLEX review series, I explained about other renal disorders you may be asked about on the NCLEX exam, so be sure to check out those reviews and quizzes as well.

Urinary Tract Infection NCLEX Questions

This quiz will test you on urinary tract infections in preparation for the NCLEX exam.

• 1. You're assessing your patients during morning rounding. Which patient below is at MOST risk for developing a urinary tract infection?*
  • A. A 25 year old patient who finished a regime of antibiotics for strep throat 10 weeks ago.
  • B. A 55 year old female who is post-opt day 7 from hip surgery.
  • C. A 68 year old male who is experiencing nausea and vomiting.
  • D. A 87 year old female with Alzheimer’s disease who is experiencing bowel incontinence.

• 2. A 36 year old female, who is 29 weeks pregnant, reports she is experiencing burning when voiding. The physician orders a urinalysis. Which statement by the patient demonstrates she understands how to collect the specimen?*
  • A. "I’ll hold the cup firmly against the urethra while collecting the sample."
  • B. "I will cleanse back to front with the antiseptic wipe before peeing in the cup."
  • C. "First, I will pee a small amount of urine in the toilet and then collect the rest in the cup."
  • D. "I will be sure to drink a lot of fluids to keep the urine diluted before peeing into the cup."

• 3. During a head-to-toe assessment on a patient with a possible urinary tract infection, you perform costovertebral angle percussion. The costovertebral angle is found?*
  • A. between the bottom of the 12th rib and spine
  • B. between the right upper quadrant and umbilicus
  • C. between the sternal notch and angle of Louis
  • D. between the ischial spine and umbilicus

• 4. A 76 year old female is admitted due to a recent fall. The patient is confused and agitated. The family members report that this is not normal behavior for the patient. They explain that the patient is very active in the community and cares for herself. Based on the information you have gathered about the patient, which physician's order takes priority?*
  • A. "Collect a urinalysis"
  • B. "Collect a T3 and T4 level"
  • C. "Insert a Foley Catheter"
  • D. "Keep patient NPO"

• 5. The physician orders a urine culture on your patient in room 5505 with a urinary tract infection. In addition, the patient is ordered to start IV Bactrim (Sulfamethoxazole/Trimethoprim). How will you proceed with following this order?*
  • A. First, hang the antibiotic, and then collect the urine culture.
  • B. First, hang the antibiotic and when the antibiotic is finished infusing collect the urine culture.
  • C. First, collect the urine culture, and then hang the antibiotic.
  • D. First, collect the urine culture and then hold the dose of the antibiotic until the urine culture is back from the lab.

• 6. A patient with a urinary tract infection is taking Bactrim (Sulfamethoxazole/Trimethoprim). As the nurse you know it is important that the patient consumes 2.5 to 3 L of fluid per day to prevent which of the following complications?*
  • A. Brown urine
  • B. Crystalluria
  • C. Renal Stenosis
  • D. Renal Calculi

• 7. You’re providing discharge teaching to a female patient on how to prevent urinary tract infections. Which statement is INCORRECT?*
  • A. "Void immediately after sexual intercourse."
  • B. "Avoid wearing tight fitting underwear."
  • C. "Try to void every 2-3 hours."
  • D. "Use scented sanitary napkins or tampons during menstruation."

• 8. A patient, who is having spasms and burning while urinating due to a UTI, is prescribed "Pyridium" (Phenazopyridine). Which option below is a normal side effect of this drug?*
  • A. Hematuria
  • B. Crystalluria
  • C. Urethra mucous
  • D. Orange colored urine

• 9. You're caring for a patient with an indwelling catheter. The patient complains of spasm like pain at the catheter insertion site. Which of the following options below are other signs and symptoms the patient could experience or the nurse could observe if a urinary tract infection was present? SELECT-ALL-THAT-APPLY:*
  • A. Increased WBC
  • B. Crystalluria
  • C. Positive McBurney's Sign
  • D. Feeling the need to void even though a catheter is present
  • E. Dark and cloudy urine
  • F. Cramping

• 10. On your nursing care plan for a patient with a urinary tract infection, which of the following would be appropriate nursing interventions? SELECT-ALL-THAT-APPLY:*
  • A. Encourage voiding every 2-3 hours while awake.
  • B. Restrict fluid intake to 1-2 liters per day.
  • C. Monitor intake and output daily.
  • D. The patient verbalizes the importance of using vaginal sprays to decrease reoccurrence of urinary tract infections prior to discharge home.

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Urinary Tract Infection NCLEX Question Quiz

1. You’re assessing your patients during morning rounding. Which patient below is at MOST risk for developing a urinary tract infection?

A. A 25 year old patient who finished a regime of antibiotics for strep throat 10 weeks ago.

B. A 55 year old female who is post-opt day 7 from hip surgery.

C. A 68 year old male who is experiencing nausea and vomiting.

D. A 87 year old female with Alzheimer’s disease who is experiencing bowel incontinence.

2. A 36 year old female, who is 29 weeks pregnant, reports she is experiencing burning when voiding. The physician orders a urinalysis. Which statement by the patient demonstrates she understands how to collect the specimen?

A. “I’ll hold the cup firmly against the urethra while collecting the sample.”

B. “I will cleanse back to front with the antiseptic wipe before peeing in the cup.”

C. “First, I will pee a small amount of urine in the toilet and then collect the rest in the cup.”

D. “I will be sure to drink a lot of fluids to keep the urine diluted before peeing into the cup.”

3. During a head-to-toe assessment on a patient with a possible urinary tract infection, you perform costovertebral angle percussion. The costovertebral angle is found?

A. between the bottom of the 12th rib and spine

B. between the right upper quadrant and umbilicus

C. between the sternal notch and angle of Louis

D. between the ischial spine and umbilicus

4. A 76 year old female is admitted due to a recent fall. The patient is confused and agitated. The family members report that this is not normal behavior for the patient. They explain that the patient is very active in the community and cares for herself. Based on the information you have gathered about the patient, which physician’s order takes priority?

A. “Collect a urinalysis”

B. “Collect a T3 and T4 level”

C. “Insert a Foley Catheter”

D. “Keep patient NPO”

5. The physician orders a urine culture on your patient in room 5505 with a urinary tract infection. In addition, the patient is ordered to start IV Bactrim (Sulfamethoxazole/Trimethoprim). How will you proceed with following this order?

A. First, hang the antibiotic, and then collect the urine culture.

B. First, hang the antibiotic and when the antibiotic is finished infusing collect the urine culture.

C. First, collect the urine culture, and then hang the antibiotic.

D. First, collect the urine culture and then hold the dose of the antibiotic until the urine culture is back from the lab.

6. A patient with a urinary tract infection is taking Bactrim (Sulfamethoxazole/Trimethoprim). As the nurse you know it is important that the patient consumes 2.5 to 3 L of fluid per day to prevent which of the following complications?

A. Brown urine

B. Crystalluria

C. Renal Stenosis

D. Renal Calculi

7. You’re providing discharge teaching to a female patient on how to prevent urinary tract infections. Which statement is INCORRECT?

A. “Void immediately after sexual intercourse.”

B. “Avoid wearing tight fitting underwear.”

C. “Try to void every 2-3 hours”

D. “Use scented sanitary napkins or tampons during menstruation.”

8. A patient, who is having spasms and burning while urinating due to a UTI, is prescribed “Pyridium” (Phenazopyridine). Which option below is a normal side effect of this drug?

A. Hematuria

B. Crystalluria

C. Urethra mucous

D. Orange colored urine

9. You’re caring for a patient with an indwelling catheter. The patient complains of spasm like pain at the catheter insertion site. Which of the following options below are other signs and symptoms the patient could experience or the nurse could observe if a urinary tract infection was present? SELECT-ALL-THAT-APPLY:

A. Increased WBC

B. Crystalluria

C. Positive McBurney’s Sign

D. Feeling the need to void even though a catheter is present

E. Dark and cloudy urine

F. Cramping

10. On your nursing care plan for a patient with a urinary tract infection, which of the following would be appropriate nursing interventions? SELECT-ALL-THAT-APPLY:

A. Encourage voiding every 2-3 hours while awake.

B. Restrict fluid intake to 1-2 liters per day.

C. Monitor intake and output daily.

D. The patient verbalizes the importance of using vaginal sprays to decrease reoccurrence of urinary tract infections prior to discharge home.

Answer Key:

1. D
2. C
3. A
4. A
5. C
6. B
7. D
8. D
9. A, D, E, F
10 A, C

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