©EVERLY 2024/2025 ALL RIGHTS RESERVED.
Timby & smith CHAPTER 57, Chapter 58,
Chapter 59: Introduction to the Urinary
System / Caring for Clients with Disorders of
the Kidneys and Ureters / Disorders of the
Bladder and Urethra. Exam Questions And
Answers (Guaranteed A+)
A nurse is reviewing the client's record and notes that the health care provider has documented
that the client has a renal disorder. On review of the laboratory results, the nurse would most
likely expect to note which of the following?
A- decreased hemoglobin level
B- decreased red blood cell RBC count
C- decreased white blood cell WBC count
D- Elevated blood urea nitrogen BUN - Answer✔D: BUN test is frequently used lab test to
determine renal function. The BUN starts to rise when the glomerular filtration rate falls below
40% to 60%.
A client is scheduled for intravenous pylography IVP. Before the test, the priority nursing action
would be to?
A- restrict fluids
B- Administer sedative
C- determine a history of allergies
D- Administer an oral preparation of radiopaque dye - Answer✔C: Iodine-based dye may be
used during the IVP and can cause allergic reaction such as itching, hives, rash, tight feeling in
the throat, SOB, and bronchospasm
1|Page
, ©EVERLY 2024/2025 ALL RIGHTS RESERVED.
A nurse is monitoring an older client suspected of having a UTI for signs of infection. The nurse
would be alert to the presence of?
A- fever
B- urgency
C- confusion
D- frequency - Answer✔C: Confusion In older clients the only symptom of a UTI could be
something as vague as increased mental confusion
A nurse is reviewing the medical record of a client with diagnosis of pyelonephritis. Which
disorder if noted on the client's record would the nurse identify as risk factor for disorder?
A- hypoglycemia
B- diabetes mellitus
C- coronary artery disease
D- orthostatic hypotension? - Answer✔B: diabetes mellitus, DM, HTN, chronic renal calculi,
chronic cystitis, structural abnormalities of the urinary tract, presence of urinary stone and
indwelling or frequent urinary catherterization.
Which of the following diagnostic tests would the nurse expect to be ordered to determine the
details of the arterial supply to the kidneys?
A- Radiography
B- Angiography
C- Computed tomography (CT scan)
D- Cystoscopy - Answer✔B: Angiography
A 24-hour urine collection is scheduled to begin at 8:00 am. When should the nurse initiate the
procedure?
a) 6 hours after the urine is discarded
b) At 8:00 am, with or without a specimen
c) With the first specimen voided after 8:00 am
d) After discarding the 8:00 am specimen - Answer✔d) After discarding the 8:00 am specimen
The nurse is providing care to a client who has had a renal biopsy. The nurse would need to be
alert for signs and symptoms of which of the following?
a) Dehydration
b) Allergic reaction
2|Page
Timby & smith CHAPTER 57, Chapter 58,
Chapter 59: Introduction to the Urinary
System / Caring for Clients with Disorders of
the Kidneys and Ureters / Disorders of the
Bladder and Urethra. Exam Questions And
Answers (Guaranteed A+)
A nurse is reviewing the client's record and notes that the health care provider has documented
that the client has a renal disorder. On review of the laboratory results, the nurse would most
likely expect to note which of the following?
A- decreased hemoglobin level
B- decreased red blood cell RBC count
C- decreased white blood cell WBC count
D- Elevated blood urea nitrogen BUN - Answer✔D: BUN test is frequently used lab test to
determine renal function. The BUN starts to rise when the glomerular filtration rate falls below
40% to 60%.
A client is scheduled for intravenous pylography IVP. Before the test, the priority nursing action
would be to?
A- restrict fluids
B- Administer sedative
C- determine a history of allergies
D- Administer an oral preparation of radiopaque dye - Answer✔C: Iodine-based dye may be
used during the IVP and can cause allergic reaction such as itching, hives, rash, tight feeling in
the throat, SOB, and bronchospasm
1|Page
, ©EVERLY 2024/2025 ALL RIGHTS RESERVED.
A nurse is monitoring an older client suspected of having a UTI for signs of infection. The nurse
would be alert to the presence of?
A- fever
B- urgency
C- confusion
D- frequency - Answer✔C: Confusion In older clients the only symptom of a UTI could be
something as vague as increased mental confusion
A nurse is reviewing the medical record of a client with diagnosis of pyelonephritis. Which
disorder if noted on the client's record would the nurse identify as risk factor for disorder?
A- hypoglycemia
B- diabetes mellitus
C- coronary artery disease
D- orthostatic hypotension? - Answer✔B: diabetes mellitus, DM, HTN, chronic renal calculi,
chronic cystitis, structural abnormalities of the urinary tract, presence of urinary stone and
indwelling or frequent urinary catherterization.
Which of the following diagnostic tests would the nurse expect to be ordered to determine the
details of the arterial supply to the kidneys?
A- Radiography
B- Angiography
C- Computed tomography (CT scan)
D- Cystoscopy - Answer✔B: Angiography
A 24-hour urine collection is scheduled to begin at 8:00 am. When should the nurse initiate the
procedure?
a) 6 hours after the urine is discarded
b) At 8:00 am, with or without a specimen
c) With the first specimen voided after 8:00 am
d) After discarding the 8:00 am specimen - Answer✔d) After discarding the 8:00 am specimen
The nurse is providing care to a client who has had a renal biopsy. The nurse would need to be
alert for signs and symptoms of which of the following?
a) Dehydration
b) Allergic reaction
2|Page
