FNP 2 Renal – Exam questions Complete
Verified Answers
What are the 3 different albuminuria stages of CKD? - ANSWER 1. A:C <30
2. A:C 30-300
3. A:C > 300
How do you manage CKD in primary care? - ANSWER detect, protect, and slow
progression. by stage 3a they need to be referred to nephrology.
what is acute kidney injury? - ANSWER theres an abrupt loss of kidney function over
48 hours; although progressive damage may occur over as long as 7 days.
whats the 3 dx criteria for AKI? - ANSWER 1. Increase in serum creatinine > 0.3 within 48
hrs
or
2. increase in serum creatinine > 1.5 times their baseline creatinine (within last 7 days)
or
3. UO < 0.5ml/kg/hr for 6 hrs
What are the 3 stages of AKI? - ANSWER 1. cr increase > 0.3 or 1.5-2xbaseline w/ UO
< 0.5ml/kg/hr x 6hr
2. Cr increase 2-3xbaseline w/ UO < 0.5 ml/kg/hr x 12hr
3. Cr increase 3x baseline or > 4mg/dl with acute rise 0.5mg/dl w/ UO < 0.3 ml/kg/hr
x 24hr or anuria x 12 hr
, What are some risk factors fo AKI? - ANSWER sepsis, septic shock, volume deficit,
iodine based contract media, pre-existing kidney dysfunction
Whats the most common pathology of kidney stones? - ANSWER Calcium is the most
common type of stone
What is the gold standard exam for detecting kidney stones? What do you do for
pregnant patients? - ANSWER Spiral/helical CT scan. Can do ultrasound for pregnant
patients.
What diagnoses are needed for kidney stones? - ANSWER 1. 24 hour urine collection. 2
consecutive collections on their usual diet. You're looking for sediment and creatinine.
2. a helical CT scan
3. urinalysis may show hematuria and pyuria.
How do you manage kidney stones? - ANSWER 1. increase fluids to achieve
2L/day output.
2. Alkaline urine (w/ uric acid and cysteine stones)
Who is at risk for bladder cancer? - ANSWER age >50
Smoker
Occupational exposures
Cyclophosphamide use
prolonged use of phenacetin
What's the most common causative agent for a UTI? - ANSWER Bacteria (mostly
gram neg).
Verified Answers
What are the 3 different albuminuria stages of CKD? - ANSWER 1. A:C <30
2. A:C 30-300
3. A:C > 300
How do you manage CKD in primary care? - ANSWER detect, protect, and slow
progression. by stage 3a they need to be referred to nephrology.
what is acute kidney injury? - ANSWER theres an abrupt loss of kidney function over
48 hours; although progressive damage may occur over as long as 7 days.
whats the 3 dx criteria for AKI? - ANSWER 1. Increase in serum creatinine > 0.3 within 48
hrs
or
2. increase in serum creatinine > 1.5 times their baseline creatinine (within last 7 days)
or
3. UO < 0.5ml/kg/hr for 6 hrs
What are the 3 stages of AKI? - ANSWER 1. cr increase > 0.3 or 1.5-2xbaseline w/ UO
< 0.5ml/kg/hr x 6hr
2. Cr increase 2-3xbaseline w/ UO < 0.5 ml/kg/hr x 12hr
3. Cr increase 3x baseline or > 4mg/dl with acute rise 0.5mg/dl w/ UO < 0.3 ml/kg/hr
x 24hr or anuria x 12 hr
, What are some risk factors fo AKI? - ANSWER sepsis, septic shock, volume deficit,
iodine based contract media, pre-existing kidney dysfunction
Whats the most common pathology of kidney stones? - ANSWER Calcium is the most
common type of stone
What is the gold standard exam for detecting kidney stones? What do you do for
pregnant patients? - ANSWER Spiral/helical CT scan. Can do ultrasound for pregnant
patients.
What diagnoses are needed for kidney stones? - ANSWER 1. 24 hour urine collection. 2
consecutive collections on their usual diet. You're looking for sediment and creatinine.
2. a helical CT scan
3. urinalysis may show hematuria and pyuria.
How do you manage kidney stones? - ANSWER 1. increase fluids to achieve
2L/day output.
2. Alkaline urine (w/ uric acid and cysteine stones)
Who is at risk for bladder cancer? - ANSWER age >50
Smoker
Occupational exposures
Cyclophosphamide use
prolonged use of phenacetin
What's the most common causative agent for a UTI? - ANSWER Bacteria (mostly
gram neg).
