APEA ASSESSMENT GENITOURINARY & RENAL EXAM
QUESTIONS AND ANSWERS GRADED A+
An NP is assessing a pediatric patient with haematuria. The caregiver
reports that the patient's urine is brown in appearance. Urinalysis
reveals proteinuria. Which of the following diagnoses is most likely? -
correct answer Glomerulonephritis
An NP is assessing an older adult who reports recent incontinence. The
DIAPPERS mnemonic identifies common etiologist of incontinence in
older adults. Which of the following conditions should the NP assess for,
as it is a frequent cause of transient incontinence? - correct answer Stool
Impaction
An NP is assessing an adult male patient with continuous urine dripping
and difficult bladder emptying. On exam, the NP notes that the bladder
is distended following urination. Which component of the physical exam
would further evaluate the cause of this condition? - correct answer Digital
rectal exam
, APEA ASSESSMENT GENITOURINARY & RENAL EXAM
An Np is assessing a paediatric patient who was born with one kidney.
How should the NP document this in the patient's physical
examination? - correct answer Renal agenesis
An NP is assessing a patient who presents to the clinic with polyuria.
Which of the following should be included on the list of differential
diagnoses based on this symptom? - correct answer Chronic lithium
(lithoid) use
An NP is caring for a paediatric patient who presents with abrupt onset
haematuria. Examination reveals the patient has hypertension,
proteinuria, and enema of the hands, feet, and face. Which of the
following historical findings should the NP expect? - correct answer A
history of group A streptococcal infection 2 weeks ago
An NP is assessing a patient with diabetes mellitus. Which of the
following findings may indicate nephrotic syndrome related to the
patient's diabetes? - correct answer Proteinuria
An NP is evaluating an older adult patient who reports a constant
leakage of small volumes of urine. Which of the following physical
findings is most likely to be present in an older adult patient with
overflow incontinence? - correct answer Enlarged bladder
An NP is assessing a paediatric patient at their 5-year-old well-child
check. The patient had surgical correction of hypospadias as an infant.