AH1 Exam 5 practice questions &
answers graded A+ updated
Which client does the nurse identify as most likely to experience renal compromise assessed by
decreased urine production?
•12-year history of diabetes mellitus
•White blood cell count of 13,000/mm3
•Recent history of myocardial infarction
•Blood pressure of 92/48 mm Hg for 12 hours - correct answer ✔✔D
•The ability of the kidneys to self-regulate renal blood pressure and renal blood flow keeps the
glomerular filtration rate (GFR) constant. A blood pressure of 92/48 mm Hg is a mean arterial
pressure of 62 mm Hg. The kidney has a difficult time regulating GFR with a mean arterial blood
pressure less than 65 mm Hg.
A client with kidney failure whose pulse oximeter reading is 96% reports dyspnea. The nurse
assesses that the client is visibly distressed, with a respiration rate of 32 breaths/minute. What
is the appropriate nursing intervention?
•Notify the respiratory therapist.
•Contact the health care provider.
•Administer oxygen by nasal cannula.
•Elevate the head of bed to 90 degrees. - correct answer ✔✔ANS: C
,•Clients with kidney failure are anemic because they cannot produce the hormone
erythropoietin. A high oxygen saturation in an anemic client who is showing signs of respiratory
distress may still be hypoxemic. Clients who have decreased hemoglobin could have a high
percentage of the hemoglobin saturated with oxygen, but because they have a decreased
hemoglobin level, not enough oxygen is provided. Administering oxygen is necessary.
A client with a history of kidney disease is admitted with acute shoulder pain. Which order will
the nurse discuss with the prescribing health care provider?
•Digoxin 0.125 mg by mouth daily
•Metoprolol 50 mg by mouth twice daily
•Pan cultures for a temperature >38.5º C
•Ibuprofen 800 mg by mouth every 4 hours - correct answer ✔✔ANS: D
•High-dose or long-term use of nonsteroidal antiinflammatory drugs (NSAIDs) can seriously
reduce kidney function, so the nurse will discuss this with the prescribing health care provider.
A 20-year-old male client reports to the college health center, reporting burning upon urination.
What priority question will the nurse ask?
•"Are you sexually active?"
•"Do you have low back pain?"
•"How long have you had these symptoms?"
•"Have you had a fever in the past 24 hours?" - correct answer ✔✔ANS: A
•The most common cause of urethritis in men is sexually transmitted infections (STIs). These
include gonorrhea or nonspecific urethritis caused by Ureaplasma (a gram-negative bacterium),
Chlamydia (a sexually transmitted gram-negative bacterium), or Trichomonas vaginalis (a
protozoan found in both the male and female genital tracts). Other questions can be asked after
assessing sexual activity and possible STI exposure.
, The nurse is caring for four clients. Which client does the nurse identify that is likely
experiencing stress incontinence?
•Client who laughs and cannot retain urine
•Client who feels an urge to urinate and immediately does so
•Client who has dementia and does not understand how to toilet
•Client who has not voided in 12 hours and experiences minor leakage - correct answer
✔✔ANS: A
•Stress incontinence is the most common type of urinary incontinence. It is characterized by the
inability to retain urine when laughing, coughing, sneezing, jogging, or lifting. Client B likely has
urge incontinence; Client C likely has overflow incontinence; Client D likely has functional
incontinence.
The nurse has placed an indwelling urinary catheter via sterile technique into a client. The nurse
recognizes that it is how long before bacterial colonization begins?
A.12 hours
B.24 hours
C.48 hours
D.72 hours - correct answer ✔✔ANS: C
•Within 48 hours of catheter insertion, bacterial colonization along the urethra and the catheter
itself begins. Risks for infection associated with a catheter increases 3%-10% per day the
catheter is in place (Ferguson, 2018).
The nurse is caring for four clients. Which client does the nurse identify at highest risk for acute
pyelonephritis?
answers graded A+ updated
Which client does the nurse identify as most likely to experience renal compromise assessed by
decreased urine production?
•12-year history of diabetes mellitus
•White blood cell count of 13,000/mm3
•Recent history of myocardial infarction
•Blood pressure of 92/48 mm Hg for 12 hours - correct answer ✔✔D
•The ability of the kidneys to self-regulate renal blood pressure and renal blood flow keeps the
glomerular filtration rate (GFR) constant. A blood pressure of 92/48 mm Hg is a mean arterial
pressure of 62 mm Hg. The kidney has a difficult time regulating GFR with a mean arterial blood
pressure less than 65 mm Hg.
A client with kidney failure whose pulse oximeter reading is 96% reports dyspnea. The nurse
assesses that the client is visibly distressed, with a respiration rate of 32 breaths/minute. What
is the appropriate nursing intervention?
•Notify the respiratory therapist.
•Contact the health care provider.
•Administer oxygen by nasal cannula.
•Elevate the head of bed to 90 degrees. - correct answer ✔✔ANS: C
,•Clients with kidney failure are anemic because they cannot produce the hormone
erythropoietin. A high oxygen saturation in an anemic client who is showing signs of respiratory
distress may still be hypoxemic. Clients who have decreased hemoglobin could have a high
percentage of the hemoglobin saturated with oxygen, but because they have a decreased
hemoglobin level, not enough oxygen is provided. Administering oxygen is necessary.
A client with a history of kidney disease is admitted with acute shoulder pain. Which order will
the nurse discuss with the prescribing health care provider?
•Digoxin 0.125 mg by mouth daily
•Metoprolol 50 mg by mouth twice daily
•Pan cultures for a temperature >38.5º C
•Ibuprofen 800 mg by mouth every 4 hours - correct answer ✔✔ANS: D
•High-dose or long-term use of nonsteroidal antiinflammatory drugs (NSAIDs) can seriously
reduce kidney function, so the nurse will discuss this with the prescribing health care provider.
A 20-year-old male client reports to the college health center, reporting burning upon urination.
What priority question will the nurse ask?
•"Are you sexually active?"
•"Do you have low back pain?"
•"How long have you had these symptoms?"
•"Have you had a fever in the past 24 hours?" - correct answer ✔✔ANS: A
•The most common cause of urethritis in men is sexually transmitted infections (STIs). These
include gonorrhea or nonspecific urethritis caused by Ureaplasma (a gram-negative bacterium),
Chlamydia (a sexually transmitted gram-negative bacterium), or Trichomonas vaginalis (a
protozoan found in both the male and female genital tracts). Other questions can be asked after
assessing sexual activity and possible STI exposure.
, The nurse is caring for four clients. Which client does the nurse identify that is likely
experiencing stress incontinence?
•Client who laughs and cannot retain urine
•Client who feels an urge to urinate and immediately does so
•Client who has dementia and does not understand how to toilet
•Client who has not voided in 12 hours and experiences minor leakage - correct answer
✔✔ANS: A
•Stress incontinence is the most common type of urinary incontinence. It is characterized by the
inability to retain urine when laughing, coughing, sneezing, jogging, or lifting. Client B likely has
urge incontinence; Client C likely has overflow incontinence; Client D likely has functional
incontinence.
The nurse has placed an indwelling urinary catheter via sterile technique into a client. The nurse
recognizes that it is how long before bacterial colonization begins?
A.12 hours
B.24 hours
C.48 hours
D.72 hours - correct answer ✔✔ANS: C
•Within 48 hours of catheter insertion, bacterial colonization along the urethra and the catheter
itself begins. Risks for infection associated with a catheter increases 3%-10% per day the
catheter is in place (Ferguson, 2018).
The nurse is caring for four clients. Which client does the nurse identify at highest risk for acute
pyelonephritis?
