NURS 620 MARYVILLE EXAM 2
2025-2026 QUESTIONS AND
VERIFIED ANSWERS
You See A 63-Year-Old Man With Suspected Upper Gastrointestinal Bleed.
Expected Laboratory Findings Would Include:
A. Elevated Bun; Elevated Serum Creatinine
B. Normal Bun; Elevated Serum Creatinine
C. Elevated Bun; Normal Serum Creatinine
D. Lower Bun; Elevated Serum Creatinine - ✔✔✔ Correct
Answer > C. Elevated Bun; Normal Serum Creatinine
You Are Treating A Patient In Your Office Whom You Suspect Has Chronic
Lung Disease, But You Are Unsure If You Should Start Treatment Today.
What Do You Consider Ordering First?
A. A Pulmonary Consult
B. A Chest X-Ray
C. An Office Spirometry
D. A Pulmonary Function Test - ✔✔✔ Correct Answer > C. An Office
Spirometry
Angiotensin-Converting Enzyme Inhibitors Can Limit The Progression Of
Some Forms Of Renal Disease By:
,A. Increasing Intraglomerular Pressure
B. Reducing Efferent Arteriolar Resistance
C. Enhancing Afferent Arteriolar Tone
D. Increasing Urinary Protein Excretion - ✔✔✔ Correct
Answer > B. Reducing Efferent Arteriolar Resistance
A 36-Year-Old Afebrile Woman With No Health Problems Presents With
Dysuria And Frequency Of Urination. Her Urinalysis Findings Include Results
Positive For Nitrites And Leukocyte Esterase. You Evaluate These Results And
Consider That She Likely Has:
A. Purulent Vulvovaginitis
B. A Gram-Negative Uti
C. Cystitis Caused By Staphylococcus Saprophyticus
D. Urethral Syndrome - ✔✔✔ Correct Answer > B. A Gram-
Negative Uti
The Most Likely Causative Organism In Community-Acquired Uti In Women
During The Reproductive Years Is:
A. Klebsiella Species
B. Proteus Mirabilis
C. Escherichia Coli
D. Staphylococcus Saprophyticus - ✔✔✔ Correct Answer > C.
Escherichia Coli
,Objective Findings In Patients With Glomerulonephritis Include All Of The
Following Except:
A. Edema
B. Urinary Red Blood Cell (Rbc) Casts
C. Proteinuria
D. Hypotension - ✔✔✔ Correct Answer > D. Hypotension
An Increase In Creatinine From 1 To 2 Mg/Dl Is Typically Seen With A
Loss In Renal Function
A. 25%
B. 50%
C. 75%
D. 100% - ✔✔✔ Correct Answer > B. 50%
Creatinine Clearance Usually:
A. Approximates Glomerular Filtration Rate (Gfr)
B. Does Not Change As Part Of Normative Aging
C. Is Greater In Women Compared With Men
D. Increases With Hypotension - ✔✔✔ Correct Answer > A.
Approximates Glomerular Filtration Rate (Gfr)
, Creatinine Is Best Described As:
A. A Substance Produced By The Kidney.
B. A Product Related To Skeletal Muscle Metabolism
C. Produced By The Liver And Filtered By The Kidney
D. A By-Product Of Protein Metabolism - ✔✔✔ Correct Answer > B.
A Product Related To Skeletal Muscle Metabolism
Guidelines Recommend Considering Initiating Treatment With An
Erythropoiesis-Stimulating Agent (Esa) For Patients With Chronic Renal Failure
And Hemoglobin (Hg) Level:
A. Less Than 8.5 Mg/Dl
B. Less Than 9.0 Mg/Dl
C. Less Than 10 Mg/Dl
D. Less Than 11.5 Mg/Dl - ✔✔✔ Correct Answer > C. Less Than 10
Mg/Dl
Which Of The Following Is The Most Likely Candidate To Initiate Dialysis
Due To Chronic Kidney Disease (Ckd)?
A. A 46-Year-Old Man With Hypertension And Gfr = 42 Ml/Min
B. A 64-Year-Old Woman With Type 2 Diabetes And Gfr = 28 Ml/Min
C. A 76-Year-Old Man With Anemia And Gfr = 53 Ml/Min
D. A 58-Year-Old Woman With Heart Disease And Gfr = 46 Ml/Min -
✔✔✔ Correct Answer > B. A 64-Year-Old Woman With Type 2
2025-2026 QUESTIONS AND
VERIFIED ANSWERS
You See A 63-Year-Old Man With Suspected Upper Gastrointestinal Bleed.
Expected Laboratory Findings Would Include:
A. Elevated Bun; Elevated Serum Creatinine
B. Normal Bun; Elevated Serum Creatinine
C. Elevated Bun; Normal Serum Creatinine
D. Lower Bun; Elevated Serum Creatinine - ✔✔✔ Correct
Answer > C. Elevated Bun; Normal Serum Creatinine
You Are Treating A Patient In Your Office Whom You Suspect Has Chronic
Lung Disease, But You Are Unsure If You Should Start Treatment Today.
What Do You Consider Ordering First?
A. A Pulmonary Consult
B. A Chest X-Ray
C. An Office Spirometry
D. A Pulmonary Function Test - ✔✔✔ Correct Answer > C. An Office
Spirometry
Angiotensin-Converting Enzyme Inhibitors Can Limit The Progression Of
Some Forms Of Renal Disease By:
,A. Increasing Intraglomerular Pressure
B. Reducing Efferent Arteriolar Resistance
C. Enhancing Afferent Arteriolar Tone
D. Increasing Urinary Protein Excretion - ✔✔✔ Correct
Answer > B. Reducing Efferent Arteriolar Resistance
A 36-Year-Old Afebrile Woman With No Health Problems Presents With
Dysuria And Frequency Of Urination. Her Urinalysis Findings Include Results
Positive For Nitrites And Leukocyte Esterase. You Evaluate These Results And
Consider That She Likely Has:
A. Purulent Vulvovaginitis
B. A Gram-Negative Uti
C. Cystitis Caused By Staphylococcus Saprophyticus
D. Urethral Syndrome - ✔✔✔ Correct Answer > B. A Gram-
Negative Uti
The Most Likely Causative Organism In Community-Acquired Uti In Women
During The Reproductive Years Is:
A. Klebsiella Species
B. Proteus Mirabilis
C. Escherichia Coli
D. Staphylococcus Saprophyticus - ✔✔✔ Correct Answer > C.
Escherichia Coli
,Objective Findings In Patients With Glomerulonephritis Include All Of The
Following Except:
A. Edema
B. Urinary Red Blood Cell (Rbc) Casts
C. Proteinuria
D. Hypotension - ✔✔✔ Correct Answer > D. Hypotension
An Increase In Creatinine From 1 To 2 Mg/Dl Is Typically Seen With A
Loss In Renal Function
A. 25%
B. 50%
C. 75%
D. 100% - ✔✔✔ Correct Answer > B. 50%
Creatinine Clearance Usually:
A. Approximates Glomerular Filtration Rate (Gfr)
B. Does Not Change As Part Of Normative Aging
C. Is Greater In Women Compared With Men
D. Increases With Hypotension - ✔✔✔ Correct Answer > A.
Approximates Glomerular Filtration Rate (Gfr)
, Creatinine Is Best Described As:
A. A Substance Produced By The Kidney.
B. A Product Related To Skeletal Muscle Metabolism
C. Produced By The Liver And Filtered By The Kidney
D. A By-Product Of Protein Metabolism - ✔✔✔ Correct Answer > B.
A Product Related To Skeletal Muscle Metabolism
Guidelines Recommend Considering Initiating Treatment With An
Erythropoiesis-Stimulating Agent (Esa) For Patients With Chronic Renal Failure
And Hemoglobin (Hg) Level:
A. Less Than 8.5 Mg/Dl
B. Less Than 9.0 Mg/Dl
C. Less Than 10 Mg/Dl
D. Less Than 11.5 Mg/Dl - ✔✔✔ Correct Answer > C. Less Than 10
Mg/Dl
Which Of The Following Is The Most Likely Candidate To Initiate Dialysis
Due To Chronic Kidney Disease (Ckd)?
A. A 46-Year-Old Man With Hypertension And Gfr = 42 Ml/Min
B. A 64-Year-Old Woman With Type 2 Diabetes And Gfr = 28 Ml/Min
C. A 76-Year-Old Man With Anemia And Gfr = 53 Ml/Min
D. A 58-Year-Old Woman With Heart Disease And Gfr = 46 Ml/Min -
✔✔✔ Correct Answer > B. A 64-Year-Old Woman With Type 2
