MSII CERTIFICATION EVALUATION EXAMS
2026 FULL SOLUTION STUDY GUIDE
● Kidney Stones S&S. Answer: pain, n/v, WBCs in urine, hematuria
● Kidney Stones Interventions. Answer: pain meds
hydration
I&Os
● Glycosuria. Answer: glucose in the urine - not a normal finding -
found in diabetes type 2
● UTI. Answer: Elderly are at high risk because of age related change,
prevention strategies include limiting Foley use
● Nephrotoxic med. Answer: Vancomycin
● Lasix (furosemide). Answer: Watch potassium levels
● Nephrotic syndrome. Answer: Triggers: 4 S's: Sun smoking sickness
stress
, low sodium diet to manage edema & BP
S&S high proteinuria, swelling, fluid retention, foamy urine
● Renal cancer prevention. Answer: no smoking, maintain a healthy
weight/diet
● Polycystic kidney disease is. Answer: Incurable
● S&S of fluid volume overload. Answer: peripheral edema,
tachycardia, bounding pulse, hypertension, weight gain, shortness of
breath ; urine specific gravity low < 1.005
● s/s of fluid volume deficit. Answer: tachycardia; thready pulse;
hypotension; fatigue; thirst; weight loss; oliguria (decreased production
of urine); urine specific gravity high >1.030
● AV fistulas. Answer: Surgical attachment of vein & artery together ;
NO BP on affected arm ; assess Bruit & thrill with auscultation &
palpation
● S/s of kidney transplant rejection. Answer: hypertension
edema
oliguria
2026 FULL SOLUTION STUDY GUIDE
● Kidney Stones S&S. Answer: pain, n/v, WBCs in urine, hematuria
● Kidney Stones Interventions. Answer: pain meds
hydration
I&Os
● Glycosuria. Answer: glucose in the urine - not a normal finding -
found in diabetes type 2
● UTI. Answer: Elderly are at high risk because of age related change,
prevention strategies include limiting Foley use
● Nephrotoxic med. Answer: Vancomycin
● Lasix (furosemide). Answer: Watch potassium levels
● Nephrotic syndrome. Answer: Triggers: 4 S's: Sun smoking sickness
stress
, low sodium diet to manage edema & BP
S&S high proteinuria, swelling, fluid retention, foamy urine
● Renal cancer prevention. Answer: no smoking, maintain a healthy
weight/diet
● Polycystic kidney disease is. Answer: Incurable
● S&S of fluid volume overload. Answer: peripheral edema,
tachycardia, bounding pulse, hypertension, weight gain, shortness of
breath ; urine specific gravity low < 1.005
● s/s of fluid volume deficit. Answer: tachycardia; thready pulse;
hypotension; fatigue; thirst; weight loss; oliguria (decreased production
of urine); urine specific gravity high >1.030
● AV fistulas. Answer: Surgical attachment of vein & artery together ;
NO BP on affected arm ; assess Bruit & thrill with auscultation &
palpation
● S/s of kidney transplant rejection. Answer: hypertension
edema
oliguria
