NURS 321 Renal & GU Quiz – Questions With Precise
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Terms in this set (123)
A patient experiences severe blood loss c. Prerenal acute kidney injury
and hypovolemia following a motor vehicle
crash. The nurse should assess for signs and
symptoms of which condition most likely to
affect the patient?
a. Chronic kidney disease
b. Intrarenal acute kidney injury
c. Prerenal acute kidney injury
d. Postrenal kidney acute injury
Which assessment findings should the nurse b. Dyspnea
report to the healthcare provider as being c. Fixed specific gravity of 1.010
indicative of possible kidney injury? Select e. Urine output less than 400 mL/day
all that apply.
a. Decreased potassium level
b. Dyspnea
c. Fixed specific gravity of 1.010
d. Increasing glomerular filtration rate
e. Urine output less than 400 mL/day
The nurse is caring for a patient diagnosed d. Potassium chloride
with acute kidney injury. Which medication
order should the nurse question?
a. Bumetanide (Bumex)
b. Furosemide (Lasix)
c. Mannitol
d. Potassium chloride
,The nurse is caring for a patient diagnosed c. Erythropoietin subcutaneously
with chronic kidney disease whose d. Folic acid supplements
hemoglobin level is 10 g/dL yet remains e. Oral iron supplements
asymptomatic. The nurse should anticipate
the administration of which treatments?
Select all that apply.
a. Aminoglycoside therapy
b. Daily blood transfusion
c. Erythropoietin subcutaneously
d. Folic acid supplements
e. Oral iron supplements
You are a nurse in the emergency a. Abdominal distention
department (ED) who is caring for a 30- c. Flank pain
year-old female patient who presents with d. Nausea and vomiting
symptoms associated with urolithiasis. Which
observation from the initial assessment
supports a diagnosis of urolithiasis? Select
all that apply.
a. Abdominal distention
b. Diarrhea
c. Flank pain
d. Nausea and vomiting
e. Polyuria
Which of the following is the diagnostic c. Non-contrast CT scan
modality of choice to determine if the
patient is experiencing urolithiasis?
a. Kidney ureter bladder (KUB) X-ray
b. Magnetic resonance imagery (MRI)
c. Non-contrast CT scan
d. Ultrasound
The patient is diagnosed with a urolithiasis c. Trial passage
smaller than 5 mm in diameter. She is in
minimal pain and urinalysis does not indicate Fifty percent of stones that are less than 5 mm in size will pass
infection. What is the first line of treatment? spontaneously. For patients with minimal pain and no
hydronephrosis or infection, the first line of treatment is an
a. Extracorporeal shock wave lithotripsy opportunity to pass the stone without intervention.
b. Percutaneous nephrolithotomy Surgery is the treatment of choice for a patient who presents
c. Trial passage with a stone larger than 10 mm. Surgical choices are varied
d. Ureteroscopy and dependent on stone size, location, and urgency of
treatment. Ureteroscopy, percutaneous nephrolithotomy, and
extracorporeal shock wave lithotripsy are common surgical
procedures for the management of stones.
Which action should you teach the patient d. Straining the urine
to perform in order to determine if the
kidney stone has passed?
a. Documenting daily urine pH
b. Measuring urine output
c. Monitoring the urine for ketones
d. Straining the urine
, Which topics should you include during the b. Decreasing oxylate intake
patient teaching session to decrease the risk d. Increasing fluid intake
for developing urolithiasis in the future?
Select all that apply.
a. Decreasing citrate intake
b. Decreasing oxylate intake
c. Increasing fatty acid intake
d. Increasing fluid intake
e. Increasing sodium intake
Which of the following is a common cause c. Kidney stones
of Post Renal AKI?
a. Acute tubular necrosis (ATN)
b. Dehydration
c. Kidney stones
d. Medications
What is the first sign a nurse would see in a a. oliguria
patient with AKI?
a. oliguria
b. dysuria
c. polyuria
d. hematuria
Which of the following are considered a. Diabetes
causes of CKD? Select all that apply b. Glomerulonephritis
c. Hypertension
a. Diabetes
b. Glomerulonephritis
c. Hypertension
d. Urinary Tract Infections (UTIs)
Since erythropoietin levels are decreased in b. Decreased red blood cells
CKD, what changes would the nurse expect
to see in a patient's CBC?
a. Decreased platelets
b. Decreased red blood cells
c. Increased platelets
d. Increased red blood cells
Your patient returns to the unit after a renal d. Test the urine for presence of blood using the dipstick
biopsy. Which of the following is your method.
priority?
a. Assess the patient's level of
consciousness.
b. Monitor the patient for signs and
symptoms of a UTI.
c. Offer the patient warm compresses to
relieve any discomfort.
d. Test the urine for presence of blood using
the dipstick method.
Solutions
Save
Students also studied
Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Terms in this set (123)
A patient experiences severe blood loss c. Prerenal acute kidney injury
and hypovolemia following a motor vehicle
crash. The nurse should assess for signs and
symptoms of which condition most likely to
affect the patient?
a. Chronic kidney disease
b. Intrarenal acute kidney injury
c. Prerenal acute kidney injury
d. Postrenal kidney acute injury
Which assessment findings should the nurse b. Dyspnea
report to the healthcare provider as being c. Fixed specific gravity of 1.010
indicative of possible kidney injury? Select e. Urine output less than 400 mL/day
all that apply.
a. Decreased potassium level
b. Dyspnea
c. Fixed specific gravity of 1.010
d. Increasing glomerular filtration rate
e. Urine output less than 400 mL/day
The nurse is caring for a patient diagnosed d. Potassium chloride
with acute kidney injury. Which medication
order should the nurse question?
a. Bumetanide (Bumex)
b. Furosemide (Lasix)
c. Mannitol
d. Potassium chloride
,The nurse is caring for a patient diagnosed c. Erythropoietin subcutaneously
with chronic kidney disease whose d. Folic acid supplements
hemoglobin level is 10 g/dL yet remains e. Oral iron supplements
asymptomatic. The nurse should anticipate
the administration of which treatments?
Select all that apply.
a. Aminoglycoside therapy
b. Daily blood transfusion
c. Erythropoietin subcutaneously
d. Folic acid supplements
e. Oral iron supplements
You are a nurse in the emergency a. Abdominal distention
department (ED) who is caring for a 30- c. Flank pain
year-old female patient who presents with d. Nausea and vomiting
symptoms associated with urolithiasis. Which
observation from the initial assessment
supports a diagnosis of urolithiasis? Select
all that apply.
a. Abdominal distention
b. Diarrhea
c. Flank pain
d. Nausea and vomiting
e. Polyuria
Which of the following is the diagnostic c. Non-contrast CT scan
modality of choice to determine if the
patient is experiencing urolithiasis?
a. Kidney ureter bladder (KUB) X-ray
b. Magnetic resonance imagery (MRI)
c. Non-contrast CT scan
d. Ultrasound
The patient is diagnosed with a urolithiasis c. Trial passage
smaller than 5 mm in diameter. She is in
minimal pain and urinalysis does not indicate Fifty percent of stones that are less than 5 mm in size will pass
infection. What is the first line of treatment? spontaneously. For patients with minimal pain and no
hydronephrosis or infection, the first line of treatment is an
a. Extracorporeal shock wave lithotripsy opportunity to pass the stone without intervention.
b. Percutaneous nephrolithotomy Surgery is the treatment of choice for a patient who presents
c. Trial passage with a stone larger than 10 mm. Surgical choices are varied
d. Ureteroscopy and dependent on stone size, location, and urgency of
treatment. Ureteroscopy, percutaneous nephrolithotomy, and
extracorporeal shock wave lithotripsy are common surgical
procedures for the management of stones.
Which action should you teach the patient d. Straining the urine
to perform in order to determine if the
kidney stone has passed?
a. Documenting daily urine pH
b. Measuring urine output
c. Monitoring the urine for ketones
d. Straining the urine
, Which topics should you include during the b. Decreasing oxylate intake
patient teaching session to decrease the risk d. Increasing fluid intake
for developing urolithiasis in the future?
Select all that apply.
a. Decreasing citrate intake
b. Decreasing oxylate intake
c. Increasing fatty acid intake
d. Increasing fluid intake
e. Increasing sodium intake
Which of the following is a common cause c. Kidney stones
of Post Renal AKI?
a. Acute tubular necrosis (ATN)
b. Dehydration
c. Kidney stones
d. Medications
What is the first sign a nurse would see in a a. oliguria
patient with AKI?
a. oliguria
b. dysuria
c. polyuria
d. hematuria
Which of the following are considered a. Diabetes
causes of CKD? Select all that apply b. Glomerulonephritis
c. Hypertension
a. Diabetes
b. Glomerulonephritis
c. Hypertension
d. Urinary Tract Infections (UTIs)
Since erythropoietin levels are decreased in b. Decreased red blood cells
CKD, what changes would the nurse expect
to see in a patient's CBC?
a. Decreased platelets
b. Decreased red blood cells
c. Increased platelets
d. Increased red blood cells
Your patient returns to the unit after a renal d. Test the urine for presence of blood using the dipstick
biopsy. Which of the following is your method.
priority?
a. Assess the patient's level of
consciousness.
b. Monitor the patient for signs and
symptoms of a UTI.
c. Offer the patient warm compresses to
relieve any discomfort.
d. Test the urine for presence of blood using
the dipstick method.
