The Renal System & Catheterization
(NSG-3230) Exam Study Set 100% Pass
A nurse is reviewing the results of renal function testing in a patient with renal calculi.
Which finding indicates to the nurse that the patient's blood urea nitrogen (BUN) level is
within the normal range?
a) 2 mg/dl
b) 25 mg/dl
c) 35 mg/dl
d) 18 mg/dl - ANSWER d (5-20 mg/dl or 3.6-7.1 mmol/L)
A nurse has administered a dose of furosemide (lasix) to a patient with diminished urine
output. The nurse expects the urine output to increase once the medication has had
time to exert an effect on the:
a) Distal tubule
b) Collecting duct
c) Loop on Henle
d) Proximal tubule - ANSWER c
_______ refers to a medication that works by inducing excretion of sodium, potassium,
and chloride in the ascending limb of the loop of Henle (doesn't exert on the areas
identified in the other options). - ANSWER Furosemide
A nurse notes documentation in a patient's medical record indicating that the patient is
experiencing oliguria. On the basis of this notation, the nurse determines that the
patient:
a) Has diminished capacity to form urine
b) Is voiding large amounts of urine
c) Has difficulty with leakage of urine
d) Is unable to produce urine - ANSWER a (oliguria is most often the result of a decrease
in renal perfusion)
A nurse notes documentation in a patient's medical record indicating that the patient is
experiencing anuria. On the basis of this notation, the nurse determines that the patient:
, a) Has diminished capacity to form urine
b) Is voiding large amounts of urine
c) Has difficulty with leakage of urine
d) Is unable to produce urine - ANSWER d
A nurse notes documentation in a patient's medical record indicating that the patient is
experiencing polyuria. On the basis of this notation, the nurse determines that the
patient:
a) Has diminished capacity to form urine
b) Is voiding large amounts of urine
c) Has difficulty with leakage of urine
d) Is unable to produce urine - ANSWER b
A nurse notes documentation in a patient's medical record indicating that the patient is
experiencing urinary incontinence. On the basis of this notation, the nurse determines
that the patient:
a) Has diminished capacity to form urine
b) Is voiding large amounts of urine
c) Has difficulty with leakage of urine
d) Is unable to produce urine - ANSWER c
A nurse is admitting a patient with a diagnosis of chronic renal failure (CRF) to the
hospital. Which early sign of CRF does the nurse expect to note during assessment?
a) Pulse of 110 bpm
b) Restlessness
c) Blood pressure of 168/94 mmHg
d) Temperature of 37.7'C (99.8'F) - ANSWER c (important to assess BP as hypertension
in CRF puts can lead to heart failure as a result of increased cardiac workload in
conjunction with fluid overload)
What are the 2 most common first signs of CRF? - ANSWER Hypertension & changes in
urine characteristics (fatigue, lethargy, & pruritus are also other early signs, just not the
first 2 presented)
A nurse performing an assessment of a patient with kidney failure notes that the patient
has the appearance of generalized deem over the entire body. The nurse documents
(NSG-3230) Exam Study Set 100% Pass
A nurse is reviewing the results of renal function testing in a patient with renal calculi.
Which finding indicates to the nurse that the patient's blood urea nitrogen (BUN) level is
within the normal range?
a) 2 mg/dl
b) 25 mg/dl
c) 35 mg/dl
d) 18 mg/dl - ANSWER d (5-20 mg/dl or 3.6-7.1 mmol/L)
A nurse has administered a dose of furosemide (lasix) to a patient with diminished urine
output. The nurse expects the urine output to increase once the medication has had
time to exert an effect on the:
a) Distal tubule
b) Collecting duct
c) Loop on Henle
d) Proximal tubule - ANSWER c
_______ refers to a medication that works by inducing excretion of sodium, potassium,
and chloride in the ascending limb of the loop of Henle (doesn't exert on the areas
identified in the other options). - ANSWER Furosemide
A nurse notes documentation in a patient's medical record indicating that the patient is
experiencing oliguria. On the basis of this notation, the nurse determines that the
patient:
a) Has diminished capacity to form urine
b) Is voiding large amounts of urine
c) Has difficulty with leakage of urine
d) Is unable to produce urine - ANSWER a (oliguria is most often the result of a decrease
in renal perfusion)
A nurse notes documentation in a patient's medical record indicating that the patient is
experiencing anuria. On the basis of this notation, the nurse determines that the patient:
, a) Has diminished capacity to form urine
b) Is voiding large amounts of urine
c) Has difficulty with leakage of urine
d) Is unable to produce urine - ANSWER d
A nurse notes documentation in a patient's medical record indicating that the patient is
experiencing polyuria. On the basis of this notation, the nurse determines that the
patient:
a) Has diminished capacity to form urine
b) Is voiding large amounts of urine
c) Has difficulty with leakage of urine
d) Is unable to produce urine - ANSWER b
A nurse notes documentation in a patient's medical record indicating that the patient is
experiencing urinary incontinence. On the basis of this notation, the nurse determines
that the patient:
a) Has diminished capacity to form urine
b) Is voiding large amounts of urine
c) Has difficulty with leakage of urine
d) Is unable to produce urine - ANSWER c
A nurse is admitting a patient with a diagnosis of chronic renal failure (CRF) to the
hospital. Which early sign of CRF does the nurse expect to note during assessment?
a) Pulse of 110 bpm
b) Restlessness
c) Blood pressure of 168/94 mmHg
d) Temperature of 37.7'C (99.8'F) - ANSWER c (important to assess BP as hypertension
in CRF puts can lead to heart failure as a result of increased cardiac workload in
conjunction with fluid overload)
What are the 2 most common first signs of CRF? - ANSWER Hypertension & changes in
urine characteristics (fatigue, lethargy, & pruritus are also other early signs, just not the
first 2 presented)
A nurse performing an assessment of a patient with kidney failure notes that the patient
has the appearance of generalized deem over the entire body. The nurse documents
