Course Name: Pathophysiology for Nurses II
Exam Name: Exam 3 a
Page
, NSG 3850 Exam 3 a Version a
Exam Questions
1. The nurse is caring for a client who has postinfectious acute glomerulonephritis. Which of the
following clinical manifestations should the nurse expect in this client?
a. Urinary hesitancy.
b. High glomerular filtration rate (GFR).
c. Hypertension and serum sodium of 129 mEq/L.
d. Smokey or coffee-colored urine.
2. Losing
The nurse is assessing edema in a client diagnosed with nephrotic syndrome. The nurse
album
understands that the edema is caused by
increased sodium loss leads to increased third spacing of fluids. O
ooh red
a.
b. serum albumin is lost, oncotic pressure decreases allowing fluids to escape.
c. large glucose molecules increase and crowd out all other molecules.
d. oncotic pressure increases forcing fluids out into the interstitial spaces.
3. The nurse preceptor has discussed with a newly hired nurse the types of urinary incontinence. Which
of the following statements by the newly hired nurse indicates a correct understanding of the
discussion?
Powerpoint
a. “Stress incontinence develops in response to bladder lining irritants.”
b. “Pregnancy puts a client at increased risk for having urge incontinence.”
c. “Neuron demyelination causes a loss of messages to the bladder.” -
d. “Functional incontinence occurs due to a fecal impaction.”
4. The nurse is providing care to a client diagnosed with nephrotic syndrome. The urinalysis reveals
~
proteinuria. Which of the following is the most likely cause for this finding?
a. The glomerular membrane has increased permeability which causes leakage of the protein.
b. Glomeruli are damaged by the immune system as part of the disease process causing protein
to be spilled.
c. The renal tubules become clogged with cellular debris causing the protein to be spilled.
d. Due to the nephrotoxic environment, the liver becomes overactive and synthesizes more
protein.
5. The nurse has taught a group of newly hired nurses about chronic pyelonephritis. Which of the
following statements by the group indicates a need for follow up?
a. “Obstruction from renal calculi causes urinary stasis and growth of bacteria.”
b. “Renal imaging confirms diagnosis by revealing kidney atrophy and scarring.”
c. “Sepsis and abscesses often develop in older adult clients.”
d. “Infected urine will backflow into the kidneys due to an anatomic abnormality of the urinary
tract.”
Page
Exam Name: Exam 3 a
Page
, NSG 3850 Exam 3 a Version a
Exam Questions
1. The nurse is caring for a client who has postinfectious acute glomerulonephritis. Which of the
following clinical manifestations should the nurse expect in this client?
a. Urinary hesitancy.
b. High glomerular filtration rate (GFR).
c. Hypertension and serum sodium of 129 mEq/L.
d. Smokey or coffee-colored urine.
2. Losing
The nurse is assessing edema in a client diagnosed with nephrotic syndrome. The nurse
album
understands that the edema is caused by
increased sodium loss leads to increased third spacing of fluids. O
ooh red
a.
b. serum albumin is lost, oncotic pressure decreases allowing fluids to escape.
c. large glucose molecules increase and crowd out all other molecules.
d. oncotic pressure increases forcing fluids out into the interstitial spaces.
3. The nurse preceptor has discussed with a newly hired nurse the types of urinary incontinence. Which
of the following statements by the newly hired nurse indicates a correct understanding of the
discussion?
Powerpoint
a. “Stress incontinence develops in response to bladder lining irritants.”
b. “Pregnancy puts a client at increased risk for having urge incontinence.”
c. “Neuron demyelination causes a loss of messages to the bladder.” -
d. “Functional incontinence occurs due to a fecal impaction.”
4. The nurse is providing care to a client diagnosed with nephrotic syndrome. The urinalysis reveals
~
proteinuria. Which of the following is the most likely cause for this finding?
a. The glomerular membrane has increased permeability which causes leakage of the protein.
b. Glomeruli are damaged by the immune system as part of the disease process causing protein
to be spilled.
c. The renal tubules become clogged with cellular debris causing the protein to be spilled.
d. Due to the nephrotoxic environment, the liver becomes overactive and synthesizes more
protein.
5. The nurse has taught a group of newly hired nurses about chronic pyelonephritis. Which of the
following statements by the group indicates a need for follow up?
a. “Obstruction from renal calculi causes urinary stasis and growth of bacteria.”
b. “Renal imaging confirms diagnosis by revealing kidney atrophy and scarring.”
c. “Sepsis and abscesses often develop in older adult clients.”
d. “Infected urine will backflow into the kidneys due to an anatomic abnormality of the urinary
tract.”
Page
