, NURS 5461 MODULE 2 QUIZ - PRACTICE Q&A;
Adult Gerontology Management Across the Continuum of Care
University of Texas at Arlington (UTA)
100 Original Practice Questions | 2026/2027 Edition
1. A patient scenario demonstrates an older adult has lower GFR, reduced concentrating ability, and
greatersensitivity to volume changes. Which Module 2 concept best fits?
A) Age-related renal change
B) Estimating renal function
C) Chronic kidney disease
D) Albuminuria
Correct Answer: A) Age-related renal change
Rationale: Age-related renal change best matches the clinical pattern. Normal aging commonly reduces renal reserve and
concentrating capacity.
2. Which statement is most accurate regarding Age-related renal change?
A) Renal reserve increases with age
B) Concentrating ability improves
C) Normal aging commonly reduces renal reserve and concentrating capacity
D) Sodium handling becomes more efficient
Correct Answer: C) Normal aging commonly reduces renal reserve and concentrating capacity
Rationale: Normal aging commonly reduces renal reserve and concentrating capacity
3. Which management principle is most appropriate for Age-related renal change?
A) Use renal function and volume status when dosing medications and managing fluids
B) Dose by age alone
C) Ignore fluid balance
D) Assume serum creatinine fully reflects renal function
Correct Answer: A) Use renal function and volume status when dosing medications and managing fluids
Rationale: Use renal function and volume status when dosing medications and managing fluids
4. Which complication or safety issue is especially important to recognize in Age-related renal change?
A) Dehydration, electrolyte imbalance, and drug accumulation become more likely
B) Drug accumulation becomes less likely
C) Volume depletion is rare
D) Electrolyte disorders are unrelated
Correct Answer: A) Dehydration, electrolyte imbalance, and drug accumulation become more likely
Rationale: Dehydration, electrolyte imbalance, and drug accumulation become more likely
5. A patient scenario demonstrates a frail older adult has a 'normal' serum creatinine despite suspected
renalimpairment. Which Module 2 concept best fits?
A) Chronic kidney disease
B) Albuminuria
NURS 5461 Module 2 Practice Quiz | 2026/2027 Edition | Page 1
, C) Estimating renal function
D) Renal artery stenosis
Correct Answer: C) Estimating renal function
Rationale: Estimating renal function best matches the clinical pattern. Low muscle mass can make serum creatinine
underestimate kidney dysfunction.
6. Which statement is most accurate regarding Estimating renal function?
A) Serum creatinine always rises with age
B) Muscle mass has no effect on creatinine
C) BUN alone is the best measure
D) Low muscle mass can make serum creatinine underestimate kidney dysfunction
Correct Answer: D) Low muscle mass can make serum creatinine underestimate kidney dysfunction
Rationale: Low muscle mass can make serum creatinine underestimate kidney dysfunction
7. Which management principle is most appropriate for Estimating renal function?
A) Ignore eGFR
B) Double renally cleared drugs
C) Use serum sodium instead
D) Use estimated filtration or creatinine clearance rather than serum creatinine alone
Correct Answer: D) Use estimated filtration or creatinine clearance rather than serum creatinine alone
Rationale: Use estimated filtration or creatinine clearance rather than serum creatinine alone
8. Which complication or safety issue is especially important to recognize in Estimating renal function?
A) Toxicity is impossible
B) Renally cleared drugs may accumulate unexpectedly
C) Only liver injury occurs
D) Drug levels always fall
Correct Answer: B) Renally cleared drugs may accumulate unexpectedly
Rationale: Renally cleared drugs may accumulate unexpectedly
9. A patient scenario demonstrates persistent reduction in eGFR or markers of kidney damage are present
formonths. Which Module 2 concept best fits?
A) Albuminuria
B) Chronic kidney disease
C) Renal artery stenosis
D) Acute kidney injury
Correct Answer: B) Chronic kidney disease
Rationale: Chronic kidney disease best matches the clinical pattern. CKD is defined by chronic abnormalities of kidney
structure or function.
10. Which statement is most accurate regarding Chronic kidney disease?
A) CKD is defined by chronic abnormalities of kidney structure or function
B) CKD is defined by one abnormal creatinine only
C) CKD always causes symptoms early
NURS 5461 Module 2 Practice Quiz | 2026/2027 Edition | Page 2
Adult Gerontology Management Across the Continuum of Care
University of Texas at Arlington (UTA)
100 Original Practice Questions | 2026/2027 Edition
1. A patient scenario demonstrates an older adult has lower GFR, reduced concentrating ability, and
greatersensitivity to volume changes. Which Module 2 concept best fits?
A) Age-related renal change
B) Estimating renal function
C) Chronic kidney disease
D) Albuminuria
Correct Answer: A) Age-related renal change
Rationale: Age-related renal change best matches the clinical pattern. Normal aging commonly reduces renal reserve and
concentrating capacity.
2. Which statement is most accurate regarding Age-related renal change?
A) Renal reserve increases with age
B) Concentrating ability improves
C) Normal aging commonly reduces renal reserve and concentrating capacity
D) Sodium handling becomes more efficient
Correct Answer: C) Normal aging commonly reduces renal reserve and concentrating capacity
Rationale: Normal aging commonly reduces renal reserve and concentrating capacity
3. Which management principle is most appropriate for Age-related renal change?
A) Use renal function and volume status when dosing medications and managing fluids
B) Dose by age alone
C) Ignore fluid balance
D) Assume serum creatinine fully reflects renal function
Correct Answer: A) Use renal function and volume status when dosing medications and managing fluids
Rationale: Use renal function and volume status when dosing medications and managing fluids
4. Which complication or safety issue is especially important to recognize in Age-related renal change?
A) Dehydration, electrolyte imbalance, and drug accumulation become more likely
B) Drug accumulation becomes less likely
C) Volume depletion is rare
D) Electrolyte disorders are unrelated
Correct Answer: A) Dehydration, electrolyte imbalance, and drug accumulation become more likely
Rationale: Dehydration, electrolyte imbalance, and drug accumulation become more likely
5. A patient scenario demonstrates a frail older adult has a 'normal' serum creatinine despite suspected
renalimpairment. Which Module 2 concept best fits?
A) Chronic kidney disease
B) Albuminuria
NURS 5461 Module 2 Practice Quiz | 2026/2027 Edition | Page 1
, C) Estimating renal function
D) Renal artery stenosis
Correct Answer: C) Estimating renal function
Rationale: Estimating renal function best matches the clinical pattern. Low muscle mass can make serum creatinine
underestimate kidney dysfunction.
6. Which statement is most accurate regarding Estimating renal function?
A) Serum creatinine always rises with age
B) Muscle mass has no effect on creatinine
C) BUN alone is the best measure
D) Low muscle mass can make serum creatinine underestimate kidney dysfunction
Correct Answer: D) Low muscle mass can make serum creatinine underestimate kidney dysfunction
Rationale: Low muscle mass can make serum creatinine underestimate kidney dysfunction
7. Which management principle is most appropriate for Estimating renal function?
A) Ignore eGFR
B) Double renally cleared drugs
C) Use serum sodium instead
D) Use estimated filtration or creatinine clearance rather than serum creatinine alone
Correct Answer: D) Use estimated filtration or creatinine clearance rather than serum creatinine alone
Rationale: Use estimated filtration or creatinine clearance rather than serum creatinine alone
8. Which complication or safety issue is especially important to recognize in Estimating renal function?
A) Toxicity is impossible
B) Renally cleared drugs may accumulate unexpectedly
C) Only liver injury occurs
D) Drug levels always fall
Correct Answer: B) Renally cleared drugs may accumulate unexpectedly
Rationale: Renally cleared drugs may accumulate unexpectedly
9. A patient scenario demonstrates persistent reduction in eGFR or markers of kidney damage are present
formonths. Which Module 2 concept best fits?
A) Albuminuria
B) Chronic kidney disease
C) Renal artery stenosis
D) Acute kidney injury
Correct Answer: B) Chronic kidney disease
Rationale: Chronic kidney disease best matches the clinical pattern. CKD is defined by chronic abnormalities of kidney
structure or function.
10. Which statement is most accurate regarding Chronic kidney disease?
A) CKD is defined by chronic abnormalities of kidney structure or function
B) CKD is defined by one abnormal creatinine only
C) CKD always causes symptoms early
NURS 5461 Module 2 Practice Quiz | 2026/2027 Edition | Page 2
