cdn practice Exam #2 Questions and
Answers
The patient that is being evaluated for potential kidney disease should
be aware of all of the following trouble signs, except?
Puffy eyes
Increased thirst
Normal urination
Fatigue and weakness - -Correct Answer-Correct Answer:
Normal urination
Frothy or bloody urine could be a potential trouble sign. In addition
to the other 3 options above, other signs could include difficult or
painful urination and swollen feet, ankles, abdomen, hands, or face.
Which of the following is not a nephrology association?
ANNA
NANT
NLN
AAKP - -Correct Answer-Correct Answer:
NLN
The ANNA is the American Neprhology Nurses' Association.
The NANT is the National Association of Nephrology Technicians.
The AAKP is the American Association of Kidney Patients.
The NLN is the National League of Nurses.
The balance of phosphorous and magnesium in the body is regulated by which
of the following?
Gastrointestinal system
Brain
Kidneys
Both A and C - -Correct Answer-Correct Answer:
Both A and C
These are two very important components of many of the organic molecules.
They serve as intermediates of the metabolic pathways.
,The 3 systems that maintain the balance of phosphorous and magnesium are
the gastrointestinal system, kidneys, and the bone.
With glomerularnephritis (GN), the treatment regimen should be aimed at
which of the following?
Allowing the patient to experience better sleep.
Arresting the inflammatory process.
Decreasing edema.
None of the above - -Correct Answer-Correct Answer:
Arresting the inflammatory process.
The other 3 options above are incorrect.
Arresting the inflammatory process is the aim for this treatment regimen.
The pharmacologic agents that can be used are:
Azathioprine
Glucocorticoids
Mycophenolate mofetil
Cyclophosphamide
Cyclosporine
Omega-3 fatty acids
RAS stands for?
Renin-angiotensin syndrome
Renal Artery Stenosis
Reticular Activating system
Retinoic Acid Syndrome - -Correct Answer-Correct Answer:
Renal Artery Stenosis
The other 3 options above would be incorrect.
RAS stands for renal artery stenosis.
When the renal artery narrows more than 50%, it is considered to be renal
artery stenosis (RAS). In over 90% of these cases, atherosclerosis is
considered to be the cause.
At which point when evaluating a patient with kidney disease would the patient be
referred to a nephrologist be appropriate?
Unexplained anemia + eGFR <60 mL/min/1.73m2
eGFR <30 mL/min/1.73 m2
ACR >30 mg/mmol (300 mg/g)
All of the above - -Correct Answer-Correct Answer:
All of the above
, Referral to a nephrologist might be considered appropriate:
Unexplained anemia + eGFR<60 mL/min/1.73m2.
eGFR <30 mL/min/1.73 m2
ACR >30 mg/mmol (300 mg/g)
Hypertension hard to get to target despite
>3 anti-hypertensive agents
eGFR decline >3 mL/min/1.73 m2
What is ACR? - -Correct Answer-Urine albumin to creatinine ratio (ACR), also known as
urine microalbumin, helps identify kidney disease that can occur as a complication of
diabetes.
All of the following would be taken into consideration when offering a
patient dialysis except?
A life expectancy of more than 60 days.
A patient that is not dying from a nonrenal cause.
The patient that has a life expectancy of less than 30 days.
The patient that possesses the ability to interact with the environment. - -Correct
Answer-Correct Answer:
The patient that has a life expectancy of less than 30 days.
When talking with the patient and/or surrogates, the principles of
autonomy, beneficence, nonmaleficence, and justice should be utilized
and tempered with the informed consent, obligations, professional duties,
and shared decision making. The above 3 options should be taken into
consideration prior to offering the patient dialysis. If the patient does
not meet these options, they may still be offered short time dialysis.
What is the preferred type of medication for the hypertensive CKD
(chronic kidney disease) patient?
CCB's
ACEI's
β blockers
ARB's - -Correct Answer-Correct Answer:
ACEI's
CCB's are calcium channel blockers which work to reduce blood pressure.
β blockers are beta blockers and are considered the first-line agent for
the treatment of hypertension, myocardial infarctions, and CHF patients.
ARBs are angiotensin II receptor blockers and have a similar action to
ace inhibitors.
ACEI's are angiotensin-converting emzyme inhibitors and are the preferred
Answers
The patient that is being evaluated for potential kidney disease should
be aware of all of the following trouble signs, except?
Puffy eyes
Increased thirst
Normal urination
Fatigue and weakness - -Correct Answer-Correct Answer:
Normal urination
Frothy or bloody urine could be a potential trouble sign. In addition
to the other 3 options above, other signs could include difficult or
painful urination and swollen feet, ankles, abdomen, hands, or face.
Which of the following is not a nephrology association?
ANNA
NANT
NLN
AAKP - -Correct Answer-Correct Answer:
NLN
The ANNA is the American Neprhology Nurses' Association.
The NANT is the National Association of Nephrology Technicians.
The AAKP is the American Association of Kidney Patients.
The NLN is the National League of Nurses.
The balance of phosphorous and magnesium in the body is regulated by which
of the following?
Gastrointestinal system
Brain
Kidneys
Both A and C - -Correct Answer-Correct Answer:
Both A and C
These are two very important components of many of the organic molecules.
They serve as intermediates of the metabolic pathways.
,The 3 systems that maintain the balance of phosphorous and magnesium are
the gastrointestinal system, kidneys, and the bone.
With glomerularnephritis (GN), the treatment regimen should be aimed at
which of the following?
Allowing the patient to experience better sleep.
Arresting the inflammatory process.
Decreasing edema.
None of the above - -Correct Answer-Correct Answer:
Arresting the inflammatory process.
The other 3 options above are incorrect.
Arresting the inflammatory process is the aim for this treatment regimen.
The pharmacologic agents that can be used are:
Azathioprine
Glucocorticoids
Mycophenolate mofetil
Cyclophosphamide
Cyclosporine
Omega-3 fatty acids
RAS stands for?
Renin-angiotensin syndrome
Renal Artery Stenosis
Reticular Activating system
Retinoic Acid Syndrome - -Correct Answer-Correct Answer:
Renal Artery Stenosis
The other 3 options above would be incorrect.
RAS stands for renal artery stenosis.
When the renal artery narrows more than 50%, it is considered to be renal
artery stenosis (RAS). In over 90% of these cases, atherosclerosis is
considered to be the cause.
At which point when evaluating a patient with kidney disease would the patient be
referred to a nephrologist be appropriate?
Unexplained anemia + eGFR <60 mL/min/1.73m2
eGFR <30 mL/min/1.73 m2
ACR >30 mg/mmol (300 mg/g)
All of the above - -Correct Answer-Correct Answer:
All of the above
, Referral to a nephrologist might be considered appropriate:
Unexplained anemia + eGFR<60 mL/min/1.73m2.
eGFR <30 mL/min/1.73 m2
ACR >30 mg/mmol (300 mg/g)
Hypertension hard to get to target despite
>3 anti-hypertensive agents
eGFR decline >3 mL/min/1.73 m2
What is ACR? - -Correct Answer-Urine albumin to creatinine ratio (ACR), also known as
urine microalbumin, helps identify kidney disease that can occur as a complication of
diabetes.
All of the following would be taken into consideration when offering a
patient dialysis except?
A life expectancy of more than 60 days.
A patient that is not dying from a nonrenal cause.
The patient that has a life expectancy of less than 30 days.
The patient that possesses the ability to interact with the environment. - -Correct
Answer-Correct Answer:
The patient that has a life expectancy of less than 30 days.
When talking with the patient and/or surrogates, the principles of
autonomy, beneficence, nonmaleficence, and justice should be utilized
and tempered with the informed consent, obligations, professional duties,
and shared decision making. The above 3 options should be taken into
consideration prior to offering the patient dialysis. If the patient does
not meet these options, they may still be offered short time dialysis.
What is the preferred type of medication for the hypertensive CKD
(chronic kidney disease) patient?
CCB's
ACEI's
β blockers
ARB's - -Correct Answer-Correct Answer:
ACEI's
CCB's are calcium channel blockers which work to reduce blood pressure.
β blockers are beta blockers and are considered the first-line agent for
the treatment of hypertension, myocardial infarctions, and CHF patients.
ARBs are angiotensin II receptor blockers and have a similar action to
ace inhibitors.
ACEI's are angiotensin-converting emzyme inhibitors and are the preferred
