WGU D115 OA Study Guide Unit 6 Exam
With Complete Questions And 100%
Correct Verified Answers| Well Graded
A+
What renal manifestation is associated with wide-set eyes, "parrot beak" nose, low-set
ears, and receding chin? - CORRECT ANSWERS-Potter syndrome
Which disease does a pt with hematuria, mild proteinuria, abd pain, and skin lesions
have? - CORRECT ANSWERS-Henoch-Schonlein purpura
What is the cause of minimal change nephropathy? - CORRECT ANSWERS-Fusions of
the glomerular foot processes which cause scarring and increased permeability for
larger molecules like protein to pass through
A child whose kidneys are enlarged presents with chills, fever, and abd pain. What is
the most likely diagnosis? - CORRECT ANSWERS-Acute pyelonephritis
What electrolyte imbalances are found in chronic renal failure? - CORRECT
ANSWERS-Hypernatremia
Hypocalcemia
Hyperkalemia and hyperphosphatemia and bicarbonate deficiency
The advanced practice nurse sees a 78-year-old patient who has complaints of fatigue
and difficulty emptying his bladder. Examination reveals a distended bladder but is
otherwise unremarkable. The BUN is 88mg/dL; the creatinine is 2.8mg/dL. This clinical
assessment is most consistent with? - CORRECT ANSWERS-Postrenal azotemia:
elevations in BUN and creatine levels from obstruction in the collecting system
*Obstruction to the outflow from the kidneys*
The APN sees a 68-year-old woman with heart failure. She has complaints of
tachycardia. Assessment reveals S3 heart sound, basilar crackles bilaterally, BP 90/68
mmHg, BUS is 58 mg/dL, creatinine is 2.4 mg/dL. This clinical presentation is most
consistent with - CORRECT ANSWERS-Prerenal azotemia
Which of the following patient is the most likely candidate to initiate dialysis due to
chronic kidney disease? - CORRECT ANSWERS-64 year old with type 2 diabetes and
GFR=28 mL/min
, What is the primary mechanisms of damage in diabetic nephropathy? - CORRECT
ANSWERS-Elevated levels of transforming growth factor-B causes inflammation
A patient involved in a motor vehicle accident is brought into the ED with an abdominal
wound with acute blood loss and hypotension. Which of the following mechanisms best
describes control of renal blood flow? * - CORRECT ANSWERS-increased sympathetic
vasoconstrictor activity
The APN is seeing a patient being treated for sepsis. In reviewing the labs, the APN
discovers that the patient has a large increase in serum creatinine. Which of the
following is most likely true? - CORRECT ANSWERS-Prerenal kidney damage has
occurred
The APRN is reviewing pt records. What type of patient is at greatest risk for
nephrolithiasis? - CORRECT ANSWERS-Males
DM
Obesity
The APN is seeing a patient who has suffered a bone fracture. The APN notes the
following abnormal lab values: serum phosphate level is high and estimated glomerular
filtration rate (eGFR) is 18 mL/min/1.73 m2 of body surface area. Which of the following
is most likely? - CORRECT ANSWERS-Chronic kidney disease mineral and bone
disorder (CKD-MBD)
How does hypertension cause nephropathy? - CORRECT ANSWERS-Hyperfiltration
causes slow deterioration of nephron functioning
A 35-year-old man presents with edema of the face, hands, and ankles, and a blood
pressure of 175/115 mmHg. He reports urine that is darkly colored and foamy. The APN
suspects acute glomerulonephritis and would expect UA results to include all of the
following findings except: - CORRECT ANSWERS-abnormally elevated glucose levels
Which s/s is most likely to be part of the clinical presentation of an otherwise healthy 27
year old woman with uncomplicated lower UTI? - CORRECT ANSWERS-Urinary
frequency
Compared to younger women, uncomplicated UTI in an elderly female is more likely to
be associated with what type of s/s? - CORRECT ANSWERS-New onset urinary
incontinence
Delirium
Weakness
With Complete Questions And 100%
Correct Verified Answers| Well Graded
A+
What renal manifestation is associated with wide-set eyes, "parrot beak" nose, low-set
ears, and receding chin? - CORRECT ANSWERS-Potter syndrome
Which disease does a pt with hematuria, mild proteinuria, abd pain, and skin lesions
have? - CORRECT ANSWERS-Henoch-Schonlein purpura
What is the cause of minimal change nephropathy? - CORRECT ANSWERS-Fusions of
the glomerular foot processes which cause scarring and increased permeability for
larger molecules like protein to pass through
A child whose kidneys are enlarged presents with chills, fever, and abd pain. What is
the most likely diagnosis? - CORRECT ANSWERS-Acute pyelonephritis
What electrolyte imbalances are found in chronic renal failure? - CORRECT
ANSWERS-Hypernatremia
Hypocalcemia
Hyperkalemia and hyperphosphatemia and bicarbonate deficiency
The advanced practice nurse sees a 78-year-old patient who has complaints of fatigue
and difficulty emptying his bladder. Examination reveals a distended bladder but is
otherwise unremarkable. The BUN is 88mg/dL; the creatinine is 2.8mg/dL. This clinical
assessment is most consistent with? - CORRECT ANSWERS-Postrenal azotemia:
elevations in BUN and creatine levels from obstruction in the collecting system
*Obstruction to the outflow from the kidneys*
The APN sees a 68-year-old woman with heart failure. She has complaints of
tachycardia. Assessment reveals S3 heart sound, basilar crackles bilaterally, BP 90/68
mmHg, BUS is 58 mg/dL, creatinine is 2.4 mg/dL. This clinical presentation is most
consistent with - CORRECT ANSWERS-Prerenal azotemia
Which of the following patient is the most likely candidate to initiate dialysis due to
chronic kidney disease? - CORRECT ANSWERS-64 year old with type 2 diabetes and
GFR=28 mL/min
, What is the primary mechanisms of damage in diabetic nephropathy? - CORRECT
ANSWERS-Elevated levels of transforming growth factor-B causes inflammation
A patient involved in a motor vehicle accident is brought into the ED with an abdominal
wound with acute blood loss and hypotension. Which of the following mechanisms best
describes control of renal blood flow? * - CORRECT ANSWERS-increased sympathetic
vasoconstrictor activity
The APN is seeing a patient being treated for sepsis. In reviewing the labs, the APN
discovers that the patient has a large increase in serum creatinine. Which of the
following is most likely true? - CORRECT ANSWERS-Prerenal kidney damage has
occurred
The APRN is reviewing pt records. What type of patient is at greatest risk for
nephrolithiasis? - CORRECT ANSWERS-Males
DM
Obesity
The APN is seeing a patient who has suffered a bone fracture. The APN notes the
following abnormal lab values: serum phosphate level is high and estimated glomerular
filtration rate (eGFR) is 18 mL/min/1.73 m2 of body surface area. Which of the following
is most likely? - CORRECT ANSWERS-Chronic kidney disease mineral and bone
disorder (CKD-MBD)
How does hypertension cause nephropathy? - CORRECT ANSWERS-Hyperfiltration
causes slow deterioration of nephron functioning
A 35-year-old man presents with edema of the face, hands, and ankles, and a blood
pressure of 175/115 mmHg. He reports urine that is darkly colored and foamy. The APN
suspects acute glomerulonephritis and would expect UA results to include all of the
following findings except: - CORRECT ANSWERS-abnormally elevated glucose levels
Which s/s is most likely to be part of the clinical presentation of an otherwise healthy 27
year old woman with uncomplicated lower UTI? - CORRECT ANSWERS-Urinary
frequency
Compared to younger women, uncomplicated UTI in an elderly female is more likely to
be associated with what type of s/s? - CORRECT ANSWERS-New onset urinary
incontinence
Delirium
Weakness
