AGPCNP-TEST 2 RENAL QUESTIONS WITH
CORRECT ANSWERS
Jessica,xagex79,xhasxbeenxonxdialysisxforx6xyearsxduextoxchronicxkidneyxdiseasex(CKD).xShexhasxbeenxonxanxo
ralxironxpreparationxandxnowxasksxyouxifxshexshouldxthinkxaboutxswitchingxtoxthexintravenousx(IV)xironxprep
aration.xHowxdoxyouxrespond?x-xcorrectxanswer-
"Let'sxtryxit.xItxcorrectsxironxdeficiencyxfaster,xmorexsafely,xandxbetterxthanxoralxiron."
Thexinabilityxtoxemptyxthexbladderxthatxresultsxinxdistentionxandxfrequentxlossxofxsmallxamountsxofxurinexdes
cribesxwhichxtypexofxurinaryxincontinence?x-xcorrectxanswer-Overflowxincontinence.
Rita,xagex16,xhasxax3-
dayxhistoryxofxredxurine.xYouxwantxherxtoxgoxhomexforxaxfewxdaysxandxthenxreturnxforxsomexlabxwork,xinclud
ingxaxurinalysis,xwhenxshexisxfasting.xInxteachingxherxwhatxtoxavoid,xyouxknowxshexhasxmisunderstoodxthexdi
rectionsxwhenxshextellsxyouxshexshouldxnotxingestxany:x-xcorrectxanswer-Watermelon.
YouxexplainxtoxYolandaxthatxpelvicxfloorx(Kegel)xexercisesxhelpxtoxrestorexandxmaintainxcontinencexbyximpr
ovingxpelvicxmusclexstrength,xincreasingxurethralxpressure,xandxdecreasingxabnormalxdetrusorxmusclexcontr
actions.xThesexexercisesxarexusedxforxherxdiagnosisxof:x-xcorrectxanswer-Stressxincontinence.
JanetxhasxstressxurinaryxincontinencexandxhasxbeenxdoingxKegelxexercisesxwithxsomexsuccess.xWhatxotherxsi
mplexactionxmightxhelpxrelievexsomexofxthexproblem?x-xcorrectxanswer-Stoppingxsmoking.
Whatxisxthexgoldxstandardxtestxforxdetectingxaxurinaryxtractxinfectionx(UTI)?x-xcorrectxanswer-
Axurinexculture.
Whichxcategoryxofxdiureticsxhasxthexfollowingxsidexeffects:xhyperkalemia,xheadache,xhyponatremia,xnausea,
xdiarrhea,xurticaria,xandxmenstrualxdisturbances?x-xcorrectxanswer-Potassium-sparingxdiuretics.
Decreasedxbladderxcapacity;xbladderxirritationxfromxaxurinaryxtractxinfection,xtumor,xstones,xorxirritantsxsuch
xasxcaffeinexandxalcohol;xcentralxnervousxsystemxdisorders;xandxspinalxcordxlesionsxarexallxcontributingxfacto
rsxto:x-xcorrectxanswer-Urgexurinaryxincontinence.
Whichxtypexofxbloodyxurinexisxcharacteristicxofxbleedingxfromxthexupperxurinaryxtract?x-xcorrectxanswer-
Brown,xsmoky,xorxtea-coloredxurine.
, Goodpasturexsyndromexis:x-xcorrectxanswer-
Characterizedxbyxglomerulonephritisxandxpulmonaryxhemorrhagexresultingxfromximmunexcomplexxdamagex
toxthexglomerularxandxalveolarxbasementxmembranes.
Whichxstatementxregardingxacutextubularxnecrosisx(ATN)xisxtrue?x-xcorrectxanswer-
Thexremovalxofxthexoffendingxagentxmayxallowxrenalxfunctionxtoxreturnxgraduallyxtoxnormal.
Marvin,xagex59,xisxgoingxtoxhavexaxtotalxcystectomyxtoxremovexhisxbladderxtumor.xHexstatesxthatxwhenxthexsu
rgeonxwasxtalkingxtoxhim,xhexwasxnotxreallyxlistening,xandxhexasksxyouxaboutxthexincidencexofximpotencexaft
erxsuchxaxsurgery.xHowxdoxyouxrespond?x-xcorrectxanswer-
"Thisxsurgeryxrequiresxthexremovalxofxthexprostatexandxseminalxvesicles,xwhichxdoesxresultxinximpotence.xLe
t'sxtalkxaboutxit."
Afterxaxrenalxbiopsy,xaxclientxshouldxbexinstructed:x-xcorrectxanswer-
Toxavoidxstrenuousxactivitiesxforxatxleastx2xweeks.
Thexmostxfrequentxcomplicationxduringxhemodialysisxis:x-xcorrectxanswer-Hypotension.
Jim,xagex35,xhasxhadxseveralxepisodesxofxkidneyxstones.xThexlastxstonexhexpassedxwasxexaminedxandxfoundxt
oxbexanxoxalatexstone.xYouxtellxhimxtoxavoidxfoodsxhighxinxoxalate,xsuchxas:x-xcorrectxanswer-
Asparagus,xbeer,xbeets,xcabbage,xcelery,xchocolatexandxcocoa,xfruits,xgreenxbeans,xnuts,xtea,xcola,xandxtomat
oes.
Whichxofxthexfollowingxrenalxhormonesxregulatesxintrarenalxbloodxflowxbyxvasodilationxandxvasoconstrictio
n?x-xcorrectxanswer-Prostaglandins.
Doug,xagex6,xappearsxwithxabdominalxdistentionxandxpain,xanxabdominalxmassxonxthexrightxside,xfever,xandxs
lightxhematuria.xTherexisxnoxprecipitatingxevent.xWhatxdoxyouxsuspect?x-xcorrectxanswer-Wilmsxtumor.
Whichxhistoryxisxcommonlyxfoundxinxaxclientxwithxglomerulonephritis?x-xcorrectxanswer-Beta-
hemolyticxstreptococcalxinfection.
Ax24-hourxurinextestxforxvanillylmandelicxacidx(VMA)xandxcatecholaminesxisxdonextoxdiagnose:x-
xcorrectxanswer-Hypertensionxsecondaryxtoxpheochromocytoma.
CORRECT ANSWERS
Jessica,xagex79,xhasxbeenxonxdialysisxforx6xyearsxduextoxchronicxkidneyxdiseasex(CKD).xShexhasxbeenxonxanxo
ralxironxpreparationxandxnowxasksxyouxifxshexshouldxthinkxaboutxswitchingxtoxthexintravenousx(IV)xironxprep
aration.xHowxdoxyouxrespond?x-xcorrectxanswer-
"Let'sxtryxit.xItxcorrectsxironxdeficiencyxfaster,xmorexsafely,xandxbetterxthanxoralxiron."
Thexinabilityxtoxemptyxthexbladderxthatxresultsxinxdistentionxandxfrequentxlossxofxsmallxamountsxofxurinexdes
cribesxwhichxtypexofxurinaryxincontinence?x-xcorrectxanswer-Overflowxincontinence.
Rita,xagex16,xhasxax3-
dayxhistoryxofxredxurine.xYouxwantxherxtoxgoxhomexforxaxfewxdaysxandxthenxreturnxforxsomexlabxwork,xinclud
ingxaxurinalysis,xwhenxshexisxfasting.xInxteachingxherxwhatxtoxavoid,xyouxknowxshexhasxmisunderstoodxthexdi
rectionsxwhenxshextellsxyouxshexshouldxnotxingestxany:x-xcorrectxanswer-Watermelon.
YouxexplainxtoxYolandaxthatxpelvicxfloorx(Kegel)xexercisesxhelpxtoxrestorexandxmaintainxcontinencexbyximpr
ovingxpelvicxmusclexstrength,xincreasingxurethralxpressure,xandxdecreasingxabnormalxdetrusorxmusclexcontr
actions.xThesexexercisesxarexusedxforxherxdiagnosisxof:x-xcorrectxanswer-Stressxincontinence.
JanetxhasxstressxurinaryxincontinencexandxhasxbeenxdoingxKegelxexercisesxwithxsomexsuccess.xWhatxotherxsi
mplexactionxmightxhelpxrelievexsomexofxthexproblem?x-xcorrectxanswer-Stoppingxsmoking.
Whatxisxthexgoldxstandardxtestxforxdetectingxaxurinaryxtractxinfectionx(UTI)?x-xcorrectxanswer-
Axurinexculture.
Whichxcategoryxofxdiureticsxhasxthexfollowingxsidexeffects:xhyperkalemia,xheadache,xhyponatremia,xnausea,
xdiarrhea,xurticaria,xandxmenstrualxdisturbances?x-xcorrectxanswer-Potassium-sparingxdiuretics.
Decreasedxbladderxcapacity;xbladderxirritationxfromxaxurinaryxtractxinfection,xtumor,xstones,xorxirritantsxsuch
xasxcaffeinexandxalcohol;xcentralxnervousxsystemxdisorders;xandxspinalxcordxlesionsxarexallxcontributingxfacto
rsxto:x-xcorrectxanswer-Urgexurinaryxincontinence.
Whichxtypexofxbloodyxurinexisxcharacteristicxofxbleedingxfromxthexupperxurinaryxtract?x-xcorrectxanswer-
Brown,xsmoky,xorxtea-coloredxurine.
, Goodpasturexsyndromexis:x-xcorrectxanswer-
Characterizedxbyxglomerulonephritisxandxpulmonaryxhemorrhagexresultingxfromximmunexcomplexxdamagex
toxthexglomerularxandxalveolarxbasementxmembranes.
Whichxstatementxregardingxacutextubularxnecrosisx(ATN)xisxtrue?x-xcorrectxanswer-
Thexremovalxofxthexoffendingxagentxmayxallowxrenalxfunctionxtoxreturnxgraduallyxtoxnormal.
Marvin,xagex59,xisxgoingxtoxhavexaxtotalxcystectomyxtoxremovexhisxbladderxtumor.xHexstatesxthatxwhenxthexsu
rgeonxwasxtalkingxtoxhim,xhexwasxnotxreallyxlistening,xandxhexasksxyouxaboutxthexincidencexofximpotencexaft
erxsuchxaxsurgery.xHowxdoxyouxrespond?x-xcorrectxanswer-
"Thisxsurgeryxrequiresxthexremovalxofxthexprostatexandxseminalxvesicles,xwhichxdoesxresultxinximpotence.xLe
t'sxtalkxaboutxit."
Afterxaxrenalxbiopsy,xaxclientxshouldxbexinstructed:x-xcorrectxanswer-
Toxavoidxstrenuousxactivitiesxforxatxleastx2xweeks.
Thexmostxfrequentxcomplicationxduringxhemodialysisxis:x-xcorrectxanswer-Hypotension.
Jim,xagex35,xhasxhadxseveralxepisodesxofxkidneyxstones.xThexlastxstonexhexpassedxwasxexaminedxandxfoundxt
oxbexanxoxalatexstone.xYouxtellxhimxtoxavoidxfoodsxhighxinxoxalate,xsuchxas:x-xcorrectxanswer-
Asparagus,xbeer,xbeets,xcabbage,xcelery,xchocolatexandxcocoa,xfruits,xgreenxbeans,xnuts,xtea,xcola,xandxtomat
oes.
Whichxofxthexfollowingxrenalxhormonesxregulatesxintrarenalxbloodxflowxbyxvasodilationxandxvasoconstrictio
n?x-xcorrectxanswer-Prostaglandins.
Doug,xagex6,xappearsxwithxabdominalxdistentionxandxpain,xanxabdominalxmassxonxthexrightxside,xfever,xandxs
lightxhematuria.xTherexisxnoxprecipitatingxevent.xWhatxdoxyouxsuspect?x-xcorrectxanswer-Wilmsxtumor.
Whichxhistoryxisxcommonlyxfoundxinxaxclientxwithxglomerulonephritis?x-xcorrectxanswer-Beta-
hemolyticxstreptococcalxinfection.
Ax24-hourxurinextestxforxvanillylmandelicxacidx(VMA)xandxcatecholaminesxisxdonextoxdiagnose:x-
xcorrectxanswer-Hypertensionxsecondaryxtoxpheochromocytoma.
