Renal Review

Angela Elenbaas
Quiz by Angela Elenbaas, updated about 1 month ago
Angela Elenbaas
Created by Angela Elenbaas about 2 years ago
291
7

Description

Nursing Quiz on Renal Review, created by Angela Elenbaas on 03/28/2019.

Resource summary

Question 1

Question
Which of the following is not a characteristic of polycystic kidney disease?
Answer
  • ongoing development and growth of fluid-filled cysts in nephrons
  • cysts form in renal arteries blocking kidney perfusion
  • cysts clock blood flow in kidneys, reducing function and causing hypertension and kidney failure
  • abdominal and/or flank pain

Question 2

Question
The nurse expects to find [blank_start]elevated BUN[blank_end] and normal/high normal serum creatinine in a patient who is dehydrated.
Answer
  • elevated BUN
  • low BUN
  • normal BUN
  • hyperkalemia

Question 3

Question
Which kidney disorder results in huge loss of protein molecules in the urine AND reduced serum protein (albumin)?
Answer
  • polycystic kidney disease
  • nephrosclerosis
  • hydroureter
  • nephrotic syndrome

Question 4

Question
The patient was admitted yesterday with sudden onset of periorbital edema, hypoalbuminemia, and foamy/frothy urine. His fasting labs this morning indicate hyperlipidemia. What is this patient's medical diagnosis?
Answer
  • nephrosclerosis
  • chronic kidney disease
  • nephrotic syndrome
  • polycystic kidney disease

Question 5

Question
A patient who weighs 220 lbs is in the ED after being treated for trauma from a motor vehicle accident. The patient's urine output is being closely monitored. At which of the following output levels would the patient be diagnosed with AKI?
Answer
  • 220 mL/hr
  • 50 mL/hr for 6 hours
  • 50 mL/hr
  • 75 mL/hr for 10 hours
  • 30 mL/hr

Question 6

Question
Blood urea nitrogen (BUN) level is used most often to measure the liver's production of urea.
Answer
  • True
  • False

Question 7

Question
Which of the following are substances that should prompt the nurse to closely monitor the BUN and creatinine of a patient who takes them or is scheduled to receive them?
Answer
  • NSAIDS like ibuprofen, naproxen, celecoxib
  • aminoglycosides like gentamycin and tobramycin
  • cephalexin
  • vancomycin
  • beta blockers like atenolol and propanolol
  • metformin

Question 8

Question
Drag and drop the correct description to each dot on the diagram.
Answer
  • blockage causing hydroureter
  • nephrolithiasis
  • obstruction causing hydronephrosis
  • urethral stricture causing retention

Question 9

Question
Prerenal failure can be caused by [blank_start]what[blank_end]. Intrarenal or intrinsic renal failure can be caused by [blank_start]what[blank_end] Postrenal failure can be caused by [blank_start]what[blank_end]
Answer
  • nephrolithiasis
  • hypovolemia
  • blood clots in the urinary tract
  • bleeding in the kidney
  • glomerulonephritis
  • myocardial infarction
  • colon cancer
  • neurogenic bladder
  • severe burns
  • atherosclerosis
  • liver failure
  • prostate enlargement

Question 10

Question
A patient is having urine collected for a 24 hour urea nitrogen measurement. A new provider orders a urinalysis with culture & sensitivity to be done as soon as possible. What action should the nurse take?
Answer
  • call the new provider and explain that the specimen will be collected after the 24 hour collection is completed
  • collect urine for the UA with C & S as long as the volume is less than 10 mL
  • collect urine for the UA with C & S and record that volume of urine was obtained (<30 mL)
  • call the lab and have them run the UA with C & S off the 24 hour collection when they receive it

Question 11

Question
The client has acute glomerulonephritis. Which of the following is the nurse likely to assess?
Answer
  • hematuria and proteinuria
  • high blood pressure
  • periorbital, facial, and peripheral edema
  • fluid and sodium retention
  • a recent history of strep pharyngitis

Question 12

Question
Lab testing reveals that a patient's kidney stone is comprised of calcium oxalate. The patient should avoid all of the following foods except:
Answer
  • chocolate & nuts
  • lettuce and cheese
  • spinach and beets
  • tea and wheat bran

Question 13

Question
The well-informed nurse knows that smoking is NOT a risk factor for the development of [blank_start]chronic renal failure[blank_end].
Answer
  • chronic renal failure
  • lung cancer
  • cardiovascular disease
  • renal cell/urothelial carcinoma

Question 14

Question
The nurse is developing a patient's plan for bladder training. The patient suffers from
Answer
  • urinary tract infection
  • urge incontinence
  • stress incontinence
  • urinary retention

Question 15

Question
A patient has been taught to do Kegel's exercises due to a diagnosis of
Answer
  • ataxia
  • urge incontinence
  • chronic kidney disease requiring peritoneal dialysis
  • stress incontinence

Question 16

Question
Choose all of the drugs that are known to be nephrotoxic.
Answer
  • furosemide (Lasix)
  • naproxen (Naproxen)
  • metformin (Glucophage)
  • vancomycin
  • ketorolac (Toradol)
  • gentamycin (Garamycin)

Question 17

Question
Which of the following indicates Stage 4 CKD (severe CKD)?
Answer
  • GFR of 27 mL/min
  • BUN 30; serum creatinine 4 mg/dL
  • urine output of 55 mL/hr
  • serum pH of 7.29

Question 18

Question
A post-operative patient has had an episode of severe hypotension with blood pressure in the range of 80s/30s-40s. This patient is at risk for
Answer
  • hydronephrosis
  • intrarenal failure
  • polyuria
  • prerenal failure

Question 19

Question
Nephrotic syndrome
Answer
  • is caused by ureter blockage
  • decreases glomerular permeability
  • causes severe proteinuria
  • can lead to hypotension

Question 20

Question
Severe chronic kidney disease leads to [blank_start]azotemia[blank_end] which is build up of nitrogenous wastes in the blood. When these wastes cause symptoms the term is [blank_start]uremia[blank_end]. Symptoms of uremia include anorexia, nausea/vomiting, [blank_start]skin "frost"[blank_end], itching, [blank_start]edema[blank_end], and metallic taste in the mouth.
Answer
  • azotemia
  • uremia
  • skin "frost"
  • edema

Question 21

Question
A patient has missed two hemodialysis appointments. What would you expect to find?
Answer
  • crackles auscultated in bilateral lung bases
  • poor skin turgor and dry mucous membranes
  • hypokalemia & hypophosphatemia
  • pyelonephritis

Question 22

Question
The nurse palpates a thrill over a mature fistula in the patient's forearm. What is the appropriate action for the nurse to take?
Answer
  • Document the expected finding and continue to assess as ordered/per protocol.
  • Assess VS and circulation distal to the fistula and notify the provider as soon as possible.
  • Reassess the fistula every 30 minutes or as per protocol
  • Assess the fistula in the contralateral arm for comparison, call the provider, and document.

Question 23

Question
Which of the following is a patient with chronic kidney disease least at risk for?
Answer
  • pathologic fractures
  • cardiac dysrhythmias
  • anorexia
  • dehydration

Question 24

Question
Which of the following can contribute to urine stasis and put the patient at risk for pyelonephritis? Select all that apply.
Answer
  • bedrest
  • paralysis
  • proteinuria
  • diabetic neuropathy of the bladder
  • prostate enlargement
  • hypertension
  • lethargy

Question 25

Question
Adequate [blank_start]hydration[blank_end] can help prevent urolithiasis. Urolithiasis is a [blank_start]stone[blank_end] in the urinary system. A priority in the treatment of a kidney stone is alleviation of [blank_start]pain[blank_end].
Answer
  • hydration
  • stone
  • pain

Question 26

Question
A fairly common and significant [blank_start]complication[blank_end] of peritoneal [blank_start]dialysis[blank_end] is [blank_start]peritonitis[blank_end], thus, it is important for the nurse to keep connections [blank_start]sterile[blank_end] when doing a fluid exchange.
Answer
  • dialysis
  • hemodialysis
  • peritonitis
  • dehydration
  • sterile
  • off the floor
  • complication
  • requirement

Question 27

Question
Azotemia is the term for build up of [blank_start]nitrogenous[blank_end] wastes in the blood. Examples of these waste products include creatinine and [blank_start]urea[blank_end]. Uremia (think "urine in the blood") is the term for azotemia with symptoms and signs.
Answer
  • nitrogenous
  • carbohydrate
  • electrolyte
  • urea
  • sodium
  • glucose

Question 28

Question
Signs and symptoms of uremia include which of the following? Select all that apply.
Answer
  • anorexia, nausea, vomiting
  • uremic frost and pruritis
  • agitation and hyperactivity
  • dyspnea and edema
  • rash on the torso
  • muscle cramps and hiccups
  • low hematocrit and hemoglobin
  • proteinuria, hematuria, nocturia, oliguria

Question 29

Question
The health care provider (HCP) is assessing the patient for CVA tenderness. Which of the following conditions does the HCP suspect?
Answer
  • acute kidney injury
  • glomerulonephritis
  • pyelonephritis
  • polycystic kidney disease

Question 30

Question
Which of the following gives a female patient clean catch urine specimen collection steps in the correct order?
Answer
  • wash hands, separate labia, clean urethral meatus with three separate wipes, urinate into cup
  • wash hands, separate labia, urinate a small amount into toilet, urinate into cup
  • wash hands, separate labia, clean urethral meatus with three separate wipes, urinate a small amount into toilet, urinate into cup
  • wash hands, urinate small amount into toilet, urinate into cup

Question 31

Question
Which of the following are true regarding extracorporeal shock wave lithotripsy? Select all that apply.
Answer
  • the purpose is to break urinary tract calculi into fragments that can be eliminated by voiding
  • requires full anesthesia
  • requires continuous ECG monitoring
  • no radiation use is necessary
  • urine should be strained and measured following the procedure
  • flank ecchymosis/bruising on the affected side may occur following the procedure
  • requires dressing changes and incision care post-procedure

Question 32

Question
All of the following are risk factors for renal injury and failure EXCEPT FOR ONE. Which one of the following is NOT a known risk?
Answer
  • dehydration and/or hypotension
  • urinary obstruction
  • history of chronic obstructive pulmonary disease
  • NSAIDs, chemotherapy, antibiotics
  • radiographic contrast dye and heavy metals
  • older age
  • history of diabetes mellitus
  • history of hypertension
  • systemic infection or recent acute illness
  • autoimmune conditions

Question 33

Question
Renal failure can result in metabolic [blank_start]acidosis[blank_end]. To compensate, the respiratory system will attempt to [blank_start]raise[blank_end] pH by increasing the rate and depth of respirations to achieve [blank_start]homeostasis[blank_end].
Answer
  • acidosis
  • alkalosis
  • raise
  • lower
  • homeostasis
  • oxygenation
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