NUR514 EXAM 5 QUESTIONS AND
ANSWER; LATEST UPDATED
VERSION 2026; ALREADY GRADED
A 21-yr-old female patient received instructions on how to
prevent recurrence of urinary tract infections. Which statement
indicates that teaching was effective?
"I will urinate before and after having intercourse."
"I will use vinegar as a vaginal douche every week."
"I should drink at least 3 8-oz glasses of water daily."
"I can stop the antibiotics when symptoms disappear." - correct
answer- "I will urinate before and after having intercourse."
A 22-yr-old patient's blood pressure during a pre-employment
physical examination was 110/68 mm Hg. During a health fair 2
months later, the blood pressure is 154/96 mm Hg. What renal
problem could contribute to this rise in blood pressure?
Renal trauma
Renal artery stenosis
Renal vein thrombosis
Benign nephrosclerosis - correct answer- Renal artery
stenosis
,A client who is scheduled for kidney transplant surgery is
assessed by the nurse for risk factors. Which of the following
increase risk of surgery?
Age older than 70
BMI 41
Administering NPH insulin every morning
past history of lymphoma
blood pressure averating 120/70 - correct answer- Age older
than 70
BMI 41
Administering NPH insulin every morning
past history of lymphoma
A frail 86-yr-old woman with stage 3 chronic kidney disease is
cared for at home by her family. The patient has a history of
taking many over-the-counter medications. Which over-the-
counter medications should the nurse teach the patient to
avoid?
Aspirin
Acetaminophen
Diphenhydramine
,Aluminum hydroxide - correct answer- Aluminum hydroxide
A nurse administered captopril to a client during a renal scan.
Which of the following actions should the nurse take?
Assess for hypertension
Limit fluid intake
Encourage early ambulation
Monitor for orthostatic hypotension - correct answer-
Monitor for orthostatic hypotension
A nurse is admitting a patient with advanced renal cancer. Which
clinical manifestations represent the "classic triad" observed in
patients with renal cancer?
Fever, chills, and flank pain
Hematuria, flank pain, and palpable mass
Hematuria, proteinuria, and palpable mass
Flank pain, palpable abdominal mass, and proteinuria - correct
answer- Hematuria, flank pain, and palpable mass
A nurse is assessing a client who has prerenal AKI. Which of the
following findings should the nurse expect?
Reduced BUN
, Elevated cardiac enzymes
Reduced urine output
Elevated blood creatinine
Elevated blood calcium - correct answer- Reduced urine
output
Elevated blood creatinine
A nurse is assessing a client with end- stage kidney disease.
Which of the following should the nurse expect? (select all that
apply)
Anuria
Marked Azotemia
Crackles in the Lungs
Increased calcium level
Proteinuria - correct answer- Anuria
Marked Azotemia
Crackles in the Lungs
Proteinuria
A nurse is caring for a client that has a urinary tract infection.
Which is the priority intervention for the nurse?
ANSWER; LATEST UPDATED
VERSION 2026; ALREADY GRADED
A 21-yr-old female patient received instructions on how to
prevent recurrence of urinary tract infections. Which statement
indicates that teaching was effective?
"I will urinate before and after having intercourse."
"I will use vinegar as a vaginal douche every week."
"I should drink at least 3 8-oz glasses of water daily."
"I can stop the antibiotics when symptoms disappear." - correct
answer- "I will urinate before and after having intercourse."
A 22-yr-old patient's blood pressure during a pre-employment
physical examination was 110/68 mm Hg. During a health fair 2
months later, the blood pressure is 154/96 mm Hg. What renal
problem could contribute to this rise in blood pressure?
Renal trauma
Renal artery stenosis
Renal vein thrombosis
Benign nephrosclerosis - correct answer- Renal artery
stenosis
,A client who is scheduled for kidney transplant surgery is
assessed by the nurse for risk factors. Which of the following
increase risk of surgery?
Age older than 70
BMI 41
Administering NPH insulin every morning
past history of lymphoma
blood pressure averating 120/70 - correct answer- Age older
than 70
BMI 41
Administering NPH insulin every morning
past history of lymphoma
A frail 86-yr-old woman with stage 3 chronic kidney disease is
cared for at home by her family. The patient has a history of
taking many over-the-counter medications. Which over-the-
counter medications should the nurse teach the patient to
avoid?
Aspirin
Acetaminophen
Diphenhydramine
,Aluminum hydroxide - correct answer- Aluminum hydroxide
A nurse administered captopril to a client during a renal scan.
Which of the following actions should the nurse take?
Assess for hypertension
Limit fluid intake
Encourage early ambulation
Monitor for orthostatic hypotension - correct answer-
Monitor for orthostatic hypotension
A nurse is admitting a patient with advanced renal cancer. Which
clinical manifestations represent the "classic triad" observed in
patients with renal cancer?
Fever, chills, and flank pain
Hematuria, flank pain, and palpable mass
Hematuria, proteinuria, and palpable mass
Flank pain, palpable abdominal mass, and proteinuria - correct
answer- Hematuria, flank pain, and palpable mass
A nurse is assessing a client who has prerenal AKI. Which of the
following findings should the nurse expect?
Reduced BUN
, Elevated cardiac enzymes
Reduced urine output
Elevated blood creatinine
Elevated blood calcium - correct answer- Reduced urine
output
Elevated blood creatinine
A nurse is assessing a client with end- stage kidney disease.
Which of the following should the nurse expect? (select all that
apply)
Anuria
Marked Azotemia
Crackles in the Lungs
Increased calcium level
Proteinuria - correct answer- Anuria
Marked Azotemia
Crackles in the Lungs
Proteinuria
A nurse is caring for a client that has a urinary tract infection.
Which is the priority intervention for the nurse?
