NSG 3850 Exam 3 Questions &
Rationalized Answers for 2026/2027
Updated Edition
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS ANSWERS
56 Questions 7 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 56 verified questions with correct answers and detailed rationales covering renal physiology and
urinary disorders. Each item pairs a board-style question with the correct answer and an explanation of the underlying principle,
making it suitable for course review, certification preparation, and rapid remediation.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
This topic tests knowledge related to nephrotic syndrome and
Nephrotic Syndrome and glomerulonephritis, including their causes and clinical
Glomerulonephritis manifestations. 8 Qs 14.3%
This topic covers the causes, symptoms, and risk factors associated
Acute Pyelonephritis with acute pyelonephritis. 8 Qs 14.3%
This topic assesses understanding of renal stones, their types,
Renal Calculi formation, and associated clinical presentations. 8 Qs 14.3%
This topic focuses on different types of urinary incontinence, their
Urinary Incontinence causes, and management strategies. 8 Qs 14.3%
Cystitis and Urinary Tract This topic evaluates knowledge about cystitis, its symptoms, and
Infections associated urinary tract infections. 8 Qs 14.3%
This topic examines the underlying pathophysiological mechanisms
Renal Pathophysiology of various renal disorders. 8 Qs 14.3%
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This topic looks at the significance of different urinalysis findings in
Urine Analysis and Findings diagnosing urinary disorders. 8 Qs 14.3%
Total Exam Coverage 7 Integrated Topic Modules 56 Qs 100.0%
TOPIC 1: NEPHROTIC SYNDROME AND GLOMERULONEPHRITIS
8 Questions • 14.3% of Exam • This topic tests knowledge related to nephrotic syndrome and glomerulonephritis, including their causes and
clinical manifestations.
QUESTION 1
Nephrotic syndrome does not usually cause
a. hyperlipidemia
b. proteinuria
c. hematuria
d. generalized edema
Answer: C.
Rationale: Nephrotic syndrome is characterized by excessive loss of protein in the urine, which typically leads to low levels of albumin
and a compensatory increase in lipids produced by the liver, resulting in hyperlipidemia. Option "a" is the correct answer because it is a
common manifestation of nephrotic syndrome, whereas the other options (proteinuria, hematuria, and generalized edema) are more
characteristic or directly related to the condition itself, making them incorrect choices.
QUESTION 2
Signs consistent with a diagnosis of glomerulonephritis include
a. anuria
b. proteinuria
c. red blood cell casts in urine
d. foul-smelling urine
Answer: B.
Rationale: Glomerulonephritis is a kidney disease characterized by inflammation of the glomeruli, which are tiny blood vessels
responsible for filtering waste and excess fluids from the blood. Red blood cell casts in urine are a key indicator of this condition
because they suggest that the glomeruli are leaking red blood cells, which is a consequence of the inflammation and damage to these
vital vessels.
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QUESTION 3
Nephrotic syndrome involves loss of large amounts of ___ in the urine.
a. blood
b. sodium
c. glucose
d. protein
Answer: D.
Rationale: Nephrotic syndrome is characterized by damage to the glomeruli, the blood vessels within the kidneys that filter waste and
excess fluids from the blood. As a result, large amounts of protein, specifically albumin, leak through the damaged glomeruli into the
urine due to its small size, leading to excessive protein loss.
QUESTION 4
Hyperlipidemia occurs in nephrotic syndrome because
a. hepatocytes synthesize excessive lipids
b. lipids are not excreted in the urine
c. body fats are catabolized
d. muscles stop burning triglyceride for energy
Answer: A.
Rationale: Hyperlipidemia in nephrotic syndrome occurs because the kidneys' inability to filter waste efficiently leads to the loss of
essential proteins, including albumin, which normally helps regulate lipid levels in the blood. As a result, triglycerides and other lipids
accumulate in the bloodstream, causing hyperlipidemia, making option a a plausible but incorrect answer.
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