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PNVN 1631 Module 8 Exam - Genitourinary System With 100 Questions and
Answers Latest 2025 (PNVN 1631 Module 8 Exam), Updated Guide
1. The patient, age 30, has a history of renal calculi and is admitted to the hospital with gross
hematuria and severe colicky left flank pain that radiates to his left testicle. An intravenous
pyelogram confirms the presence of a 4-mm renal calculus in the proximal left ureter. Physician
orders include morphine 1mg q4h prn, strain all urine, and encourage fluids to 4,000 mL/day. In
planning care for this patient, the nurse gives the highest priority to which nursing diagnosis?
Pain related to irritation of a stone
2. A nurse is caring for a client who has been diagnosed as having a kidney mass. The client asks
the nurse the reason for a renal biopsy, when other tests such as computerized tomography (CT)
and ultrasound are available. In formulating a response, the nurse incorporates the knowledge
that a renal biopsy
Gives specific cytological information, malignancy determination about the lesion
3. A nurse is assisting a client with cystitis to select foods that are appropriate for an acid ash
diet. The nurse encourages the client to eat which of the following foods?
Cheese
4. Mr. Jelly is undergoing peritoneal dialysis (CAPD). The dialysate dwell time is completed,
and the clamp is opened to allow the dialysate to drain. The nurse notes that drainage has stopped
and only 500ml has drained; the amount of dialysate instilled was 1500 ml. Which of the
following interventions would be done first?
Check the catheter for kinks or obstruction
5. A client who has chronic glomerunephritis has deteriorated to the early stages of renal failure.
When receiving shift report from the nurse, what information correlates with renal failure?
Anemia
6. Renin is produced in a specialized region/structure of the kidney which greatly affects blood
pressure is called the:
Juxtaglomerular apparatus
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7. If this client is typical of others with glomerulonephritis, what finding would the nurse expect
to observe when conducting a head-to-toe physical assessment?
Peripheral edema
8. A patient has nephrotic syndrome. Which of these statements made by the patient indicates
that she understands the dietary modifications:
"I will need to increase protein and decrease sodium intake."
9. The amount of water that is eliminated with the urine is regulated by a complex mechanism
within the nephron and influenced by a hormone from the posterior pituitary gland called:
Antidiuretic hormone (ADH)
10. pH: 7.46 [HCO3:]: 30 mEq/L PaCO2: 45 mmHg:
Metabolic alkalosis, partial uncompensated
11. A series of examinations and diagnostic tests are ordered to determine whether a client has
cancer of the prostate gland. What diagnostic test should the nurse schedule per orders before
any rectal examination?
Prostate specific antigen tes (PSA)
12. An older client has been treated for dehydration and pneumonia. The nurse evaluates that the
client's dehydration has been successfully treated if the blood urea nitrogen (BUN) level drops
to:
19 mg/dL
13. A nurse is assisting in planning a diet for the client with acute renal failure (ARF). The nurse
plans to restrict which of the following dietary components from this client's diet?
Potassium
PNVN 1631 Module 8 Exam - Genitourinary System With 100 Questions and
Answers Latest 2025 (PNVN 1631 Module 8 Exam), Updated Guide
1. The patient, age 30, has a history of renal calculi and is admitted to the hospital with gross
hematuria and severe colicky left flank pain that radiates to his left testicle. An intravenous
pyelogram confirms the presence of a 4-mm renal calculus in the proximal left ureter. Physician
orders include morphine 1mg q4h prn, strain all urine, and encourage fluids to 4,000 mL/day. In
planning care for this patient, the nurse gives the highest priority to which nursing diagnosis?
Pain related to irritation of a stone
2. A nurse is caring for a client who has been diagnosed as having a kidney mass. The client asks
the nurse the reason for a renal biopsy, when other tests such as computerized tomography (CT)
and ultrasound are available. In formulating a response, the nurse incorporates the knowledge
that a renal biopsy
Gives specific cytological information, malignancy determination about the lesion
3. A nurse is assisting a client with cystitis to select foods that are appropriate for an acid ash
diet. The nurse encourages the client to eat which of the following foods?
Cheese
4. Mr. Jelly is undergoing peritoneal dialysis (CAPD). The dialysate dwell time is completed,
and the clamp is opened to allow the dialysate to drain. The nurse notes that drainage has stopped
and only 500ml has drained; the amount of dialysate instilled was 1500 ml. Which of the
following interventions would be done first?
Check the catheter for kinks or obstruction
5. A client who has chronic glomerunephritis has deteriorated to the early stages of renal failure.
When receiving shift report from the nurse, what information correlates with renal failure?
Anemia
6. Renin is produced in a specialized region/structure of the kidney which greatly affects blood
pressure is called the:
Juxtaglomerular apparatus
, Page 2 of 15
7. If this client is typical of others with glomerulonephritis, what finding would the nurse expect
to observe when conducting a head-to-toe physical assessment?
Peripheral edema
8. A patient has nephrotic syndrome. Which of these statements made by the patient indicates
that she understands the dietary modifications:
"I will need to increase protein and decrease sodium intake."
9. The amount of water that is eliminated with the urine is regulated by a complex mechanism
within the nephron and influenced by a hormone from the posterior pituitary gland called:
Antidiuretic hormone (ADH)
10. pH: 7.46 [HCO3:]: 30 mEq/L PaCO2: 45 mmHg:
Metabolic alkalosis, partial uncompensated
11. A series of examinations and diagnostic tests are ordered to determine whether a client has
cancer of the prostate gland. What diagnostic test should the nurse schedule per orders before
any rectal examination?
Prostate specific antigen tes (PSA)
12. An older client has been treated for dehydration and pneumonia. The nurse evaluates that the
client's dehydration has been successfully treated if the blood urea nitrogen (BUN) level drops
to:
19 mg/dL
13. A nurse is assisting in planning a diet for the client with acute renal failure (ARF). The nurse
plans to restrict which of the following dietary components from this client's diet?
Potassium
