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NUR 1212C Module 5 – 95 Exam Questions & Expert Verified Answers | AKI, Glomerulonephritis, Nephrotic Syndrome & UTIs | 2025/2026 Comprehensive Renal Review

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This document contains 95 expert-verified exam questions and answers for NUR 1212C Module 5, focusing on renal and urinary system disorders, kidney diagnostics, acute kidney injury (AKI), glomerulonephritis, nephrotic syndrome, pyelonephritis, urinary tract infections (UTIs), and kidney stones. Core diagnostic content includes urinalysis interpretation, specific gravity changes, BUN and creatinine trends, creatinine clearance, GFR interpretation, urine output abnormalities (anuria, oliguria, polyuria), and early markers of kidney dysfunction. The material emphasizes lab-based clinical reasoning and recognition of critical thresholds such as serum creatinine increases ≥0.3 mg/dL within 48 hours for AKI. The module thoroughly reviews prerenal, intrarenal, and postrenal AKI causes; nephrotoxicity from NSAIDs, contrast dye, aminoglycosides, and lithium; and priority nursing interventions including fluid balance, I&O monitoring, electrolyte correction, and avoidance of nephrotoxic agents. Glomerulonephritis content covers acute versus chronic forms, post-streptococcal causes, kidney biopsy diagnostics, proteinuria, hematuria, uremia, and progression to end-stage kidney disease. Nephrotic syndrome is explained through its hallmark features of severe proteinuria, hypoalbuminemia, hyperlipidemia, edema, and altered glomerular permeability. Additional sections address UTI classifications, CAUTI prevention, pyelonephritis management, kidney stone pharmacologic therapy (opioids, NSAIDs, antispasmodics, alpha-blockers), and prevention strategies. This summary is based on the uploaded document and reflects a focused, exam-oriented renal module aligned with Lewis’s Medical-Surgical Nursing: Assessment and Management of Clinical Problems and standard NCLEX-style frameworks emphasizing lab interpretation, fluid and electrolyte balance, and early recognition of renal compromise. This document is particularly relevant for students enrolled in: Associate Degree in Nursing (ADN) programs Bachelor of Science in Nursing (BSN) programs Medical-Surgical Nursing courses Adult Health Nursing courses Renal and Genitourinary modules It is especially valuable for second- and third-semester nursing students preparing for renal-focused exams, module tests, or comprehensive medical-surgical assessments requiring prioritization, medication safety, and critical interpretation of laboratory values. Keywords: NUR 1212C module 5 exam questions, acute kidney injury nursing exam, prerenal intrarenal postrenal AKI, glomerulonephritis nursing review, nephrotic syndrome nursing exam, pyelonephritis nursing management, urinary tract infection nursing questions, CAUTI prevention nursing, kidney stone management nursing, BUN creatinine GFR interpretation, renal lab values nursing, nephrotoxic medications nursing, fluid and electrolyte imbalance nursing, renal pharmacology nursing exam 2026

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NUR1212C Mod 5

Diagnostic Tests for Kidney Function: Urinalysis - 🧠ANSWER ✔✔*Normal:*

Clear, yellow, pH 4.6-8 (average 6), SG: 1.002-1.030;

- No glucose, ketones, RBCs, WBCs, or significant proteins.

Diagnostic Tests for Kidney Function: Specific Gravity - 🧠ANSWER

✔✔*Abnormal:*


↑ SG: Concentrated urine (dehydration, SIADH, heart failure).

↓ SG: Diluted urine (excess fluids, diuretics, Diabetes Insipidus).

Diagnostic Tests for Kidney Function: Blood Urea Nitrogen (BUN) -

🧠ANSWER ✔✔*Normal:* 10-20 mg/dL.

,*Abnormal:*

↑ Levels: Kidney/liver issues, dehydration, high protein intake.

↓ Levels: Malnutrition, fluid overload, liver damage.

Diagnostic Tests for Kidney Function: Proteinuria - 🧠ANSWER

✔✔Persistent protein in urine indicates early kidney damage.




Urine Findings:

*RBCs:* Bleeding in the urinary system.

*WBCs:* Infection (pyuria).

*Glucose:* Hyperglycemia or kidney threshold issue.

*Ketones:* Diabetic ketoacidosis or fasting.

Diagnostic Tests for Kidney Function: Serum Clearance - 🧠ANSWER

✔✔*Significance*: Marker for kidney dysfunction like AKI or reduced GFR




AKI indicated if there's an increase in serum creatinine by ≥0.3 mg/dL

within 48 hours

, Diagnostic Tests for Kidney Function: Creatinine Clearance - 🧠ANSWER

✔✔Test: 24-hour urine collection.


*Abnormal:*

↑ Levels: Exercise, high-protein diets.

↓ Levels: Kidney disease, reduced function.

Diagnostic Tests for Kidney Function: Glomerular Filtration Rate (GFR) -

🧠ANSWER ✔✔*Normal:* 80-125 mL/min (decreases with age).


*Abnormal:*

↑ GFR: Increased blood volume/pressure.

↓ GFR: Chronic kidney disease, reduced kidney function.

Diagnostic Tests for Kidney Function: Urination Patterns - 🧠ANSWER

✔✔*Normal Output: 1500 mL to 2 L/day in adults.*




Common Issues:

Incontinence: Involuntary bladder emptying.

Urgency: Sudden, strong urge to void.



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