AGPCNP-TEST 2 RENAL QUESTIONS WITH
CORRECT ANSWERS
Jessica, age 79, has been on dialysis for 6 years due to chronic kidney disease (CKD). She has beenxon an o
ral iron preparation and now asks you if she should think about switchingxtoxthe intravenous (IV) iron prep
aration. How do you respond? - correct answer-
"Let's try it. It corrects iron deficiency faster, more safely, and better than oral iron."
The inability toxempty thexbladder that results in distention and frequent loss of small amounts of urine des
cribes which type of urinary incontinence? - correct answer-Overflow incontinence.
Rita, age 16, has a 3-
day history of red urine. You want her to goxhomexfor a few days and then returnxfor some lab work, includ
ing a urinalysis, when she is fasting. In teaching her what to avoid, you know she has misunderstood the di
rections when shextells you she shouldxnot ingest any: - correct answer-Watermelon.
You explain to Yolanda thatxpelvic floor (Kegel) exercises help to restore and maintain continence by impr
oving pelvic muscle strength, increasing urethral pressure, and decreasing abnormal detrusor musclexcontr
actions. These exercises arexused for her diagnosis of: - correct answer-Stress incontinence.
Janet has stress urinary incontinence and has been doing Kegel exercises with somexsuccess. What other si
mple action might help relieve some of the problem? - correct answer-Stopping smoking.
What is the gold standard test for detecting a urinary tract infection (UTI)? - correct answer-
A urine culture.
Whichxcategory of diuretics has the following sidexeffects: hyperkalemia, headache, hyponatremia, nausea,
diarrhea, urticaria, and menstrual disturbances? - correct answer-Potassium-sparing diuretics.
Decreased bladder capacity; bladder irritation from axurinary tract infection, tumor, stones, or irritants such
as caffeinexand alcohol; central nervous system disorders; and spinal cord lesions are all contributing facto
rs to: - correct answer-Urge urinary incontinence.
Which type of bloody urine is characteristic of bleeding from the upper urinary tract? - correct answer-
Brown, smoky, or tea-coloredxurine.
, Goodpasture syndrome is: - correctxanswer-
Characterized by glomerulonephritis and pulmonary hemorrhagexresulting from immune complex damage
to the glomerularxand alveolar basement membranes.
Whichxstatement regarding acutextubular necrosis (ATN) is true? - correctxanswer-
The removal of the offending agent may allow renal function to return gradually to normal.
Marvin, age 59, is going to have axtotal cystectomy to remove his bladder tumor. He states that when the su
rgeon was talking to him, he was not really listening, and he asks you about thexincidence of impotence aft
er such a surgery. How do youxrespond? - correct answer-
"This surgery requires the removal of the prostate and seminal vesicles, whichxdoes result in impotence. Le
t'sxtalk about it."
After a renal biopsy, a client should be instructed: - correct answer-
To avoid strenuous activities for at least 2 weeks.
The most frequent complication duringxhemodialysis is: - correct answer-Hypotension.
Jim, age 35, has hadxseveral episodes of kidney stones. The last stone he passed was examined and found t
o be anxoxalate stone. You tell him to avoid foods high in oxalate, suchxas: - correct answer-
Asparagus, beer, beets, cabbage, celery, chocolate and cocoa, fruits, green beans, nuts, tea, cola, and tomat
oes.
Which of the followingxrenal hormones regulates intrarenal blood flow by vasodilation and vasoconstrictio
n? - correct answer-Prostaglandins.
Doug, age 6, appears with abdominal distention and pain, an abdominal mass on the right side, fever, andxs
light hematuria. There is no precipitating event. What do you suspect? - correct answer-Wilms tumor.
Whichxhistory is commonly found in a client withxglomerulonephritis? - correct answer-Beta-
hemolytic streptococcal infection.
A 24-hour urinextest for vanillylmandelic acid (VMA) and catecholamines is done to diagnose: -
correct answer-Hypertension secondary to pheochromocytoma.
CORRECT ANSWERS
Jessica, age 79, has been on dialysis for 6 years due to chronic kidney disease (CKD). She has beenxon an o
ral iron preparation and now asks you if she should think about switchingxtoxthe intravenous (IV) iron prep
aration. How do you respond? - correct answer-
"Let's try it. It corrects iron deficiency faster, more safely, and better than oral iron."
The inability toxempty thexbladder that results in distention and frequent loss of small amounts of urine des
cribes which type of urinary incontinence? - correct answer-Overflow incontinence.
Rita, age 16, has a 3-
day history of red urine. You want her to goxhomexfor a few days and then returnxfor some lab work, includ
ing a urinalysis, when she is fasting. In teaching her what to avoid, you know she has misunderstood the di
rections when shextells you she shouldxnot ingest any: - correct answer-Watermelon.
You explain to Yolanda thatxpelvic floor (Kegel) exercises help to restore and maintain continence by impr
oving pelvic muscle strength, increasing urethral pressure, and decreasing abnormal detrusor musclexcontr
actions. These exercises arexused for her diagnosis of: - correct answer-Stress incontinence.
Janet has stress urinary incontinence and has been doing Kegel exercises with somexsuccess. What other si
mple action might help relieve some of the problem? - correct answer-Stopping smoking.
What is the gold standard test for detecting a urinary tract infection (UTI)? - correct answer-
A urine culture.
Whichxcategory of diuretics has the following sidexeffects: hyperkalemia, headache, hyponatremia, nausea,
diarrhea, urticaria, and menstrual disturbances? - correct answer-Potassium-sparing diuretics.
Decreased bladder capacity; bladder irritation from axurinary tract infection, tumor, stones, or irritants such
as caffeinexand alcohol; central nervous system disorders; and spinal cord lesions are all contributing facto
rs to: - correct answer-Urge urinary incontinence.
Which type of bloody urine is characteristic of bleeding from the upper urinary tract? - correct answer-
Brown, smoky, or tea-coloredxurine.
, Goodpasture syndrome is: - correctxanswer-
Characterized by glomerulonephritis and pulmonary hemorrhagexresulting from immune complex damage
to the glomerularxand alveolar basement membranes.
Whichxstatement regarding acutextubular necrosis (ATN) is true? - correctxanswer-
The removal of the offending agent may allow renal function to return gradually to normal.
Marvin, age 59, is going to have axtotal cystectomy to remove his bladder tumor. He states that when the su
rgeon was talking to him, he was not really listening, and he asks you about thexincidence of impotence aft
er such a surgery. How do youxrespond? - correct answer-
"This surgery requires the removal of the prostate and seminal vesicles, whichxdoes result in impotence. Le
t'sxtalk about it."
After a renal biopsy, a client should be instructed: - correct answer-
To avoid strenuous activities for at least 2 weeks.
The most frequent complication duringxhemodialysis is: - correct answer-Hypotension.
Jim, age 35, has hadxseveral episodes of kidney stones. The last stone he passed was examined and found t
o be anxoxalate stone. You tell him to avoid foods high in oxalate, suchxas: - correct answer-
Asparagus, beer, beets, cabbage, celery, chocolate and cocoa, fruits, green beans, nuts, tea, cola, and tomat
oes.
Which of the followingxrenal hormones regulates intrarenal blood flow by vasodilation and vasoconstrictio
n? - correct answer-Prostaglandins.
Doug, age 6, appears with abdominal distention and pain, an abdominal mass on the right side, fever, andxs
light hematuria. There is no precipitating event. What do you suspect? - correct answer-Wilms tumor.
Whichxhistory is commonly found in a client withxglomerulonephritis? - correct answer-Beta-
hemolytic streptococcal infection.
A 24-hour urinextest for vanillylmandelic acid (VMA) and catecholamines is done to diagnose: -
correct answer-Hypertension secondary to pheochromocytoma.
