Pharmacology OA & ACTUAL
EXAM 2026/2027 | Verified
Questions and Correct Detailed
Answers | Pass Guaranteed - A+
Graded
A 68-year-old female with heart failure presents with
tachycardia, S3 heart sound, and basilar crackles bilaterally
blood pressure is 90/68, BUN is 58 mg/dL, creatinine is 2 4
mg/dL This clinical presentation is most consistent with:
A) prerenal azotemia
B) acute glomerulonephritis
C) tubular necrosis
D) postrenal azotemia - ANSWER-A) prerenal azotemia
Prerenal azotemia refers to elevations in BUN and creatinine
levels resulting from problems in the systemic circulation that
decrease flow to the kidneys
,azotemia or uremia - ANSWER-A condition where there is
abnormally high levels of waste products in the blood due to
kidney failure This causes cramping of legs, headache,
extreme tiredness, and vomiting
,Diagnostic confirmation of glomerulonephritis typically
requires:
A) UA plus a CBC with differential
B) Abdominal CT
C) Renal US
D) Renal biopsy - ANSWER-D) Renal biopsy
Diagnosis of glomerular disease is confirmed by abnormal
UA and renal biopsy to confirm specific renal injury and type
of pathologic condition
glomerulonephritis - ANSWER-A disease that causes
damage to the kidneys and interferes with their ability to
remove waste Symptoms include hematuria, rash, joint pain,
and difficulty breathing
The exact cause of glomerulonephritis is not always known,
but an inciting event triggers an immune response in the body
that sets off a chain of responses, causing inflammation of the
glomeruli Some of the known inciting events include
infections such as strep throat, impetigo, or bacterial
, endocarditis Other infections that may cause
glomerulonephritis include HIV, hepatitis B, and hepatitis C
Autoimmune diseases such as lupus, Goodpasture's syndrome,
and IgA nephropathy may also cause inflammation of the
glomeruli
The FNP understands that which of the following patients
would be at the highest risk for developing disseminated
intravascular coagulation (DIC)?
A) A 35-year-old pregnant patient with placenta previa
B) A 42-year-old client with a pulmonary embolus
C) A 60-year-old client receiving hemodialysis 3 days a week
D) A 78-year-old patient diagnosed with septicemia -
ANSWER-D) A 78-year-old patient diagnosed with
septicemia
DIC is a clinical syndrome that develops as a complication of
a wide variety of other disorders, with sepsis being the most
common cause