Question 1

Which type of renal calculi is caused by a genetic disorder associated with the faulty metabolism of an amino acid?

Accepted Answer

A)  Calcium stones 
B)  Uric acid stones 
C)  Cystine stones 
D)  Struvite stones 
A)  Calcium stones 
B)  Uric acid stones 
C)  Cystine stones 
D)  Struvite stones

Question 2

A nurse is caring for an older adult with a urinary tract infection (UTI). A spinal injury has necessitated the long-term use of an indwelling urinary catheter in this client. Which is the most likely complication that the nurse would anticipate in this client?

Accepted Answer

A)  Benign prostate hyperplasia 
B)  Urosepsis 
C)  Vesicoureteral reflux 
D)  Bladder cancer 
E)  Both B and D 
A)  Benign prostate hyperplasia 
B)  Urosepsis 
C)  Vesicoureteral reflux 
D)  Bladder cancer 
E)  Both B and D

Question 3

A nurse is teaching student nurses about the epidemiology of urolithiasis. Which statement made by a student nurse indicates the need for further learning?

Accepted Answer

A)  "Urolithiasis occurs in 1 to 3 per 1,000 in men." 
B)  "The incidence of recurrence of calculi is 52% at 10 years after the initial incident." 
C)  "The incidence of urolithiasis increases among men in their twenties." 
D)  "The incidence of urolithiasis in women peaks in the late fifties." 
A)  "Urolithiasis occurs in 1 to 3 per 1,000 in men." 
B)  "The incidence of recurrence of calculi is 52% at 10 years after the initial incident." 
C)  "The incidence of urolithiasis increases among men in their twenties." 
D)  "The incidence of urolithiasis in women peaks in the late fifties."

Question 4

Arrange in order the events associated with the obstruction of the urinary tract that eventually leads to renal failure (A-G). (Enter the letter of each step in the proper sequence; do not use commas or spaces.)
A) Glomerular filtration rate (GFR) decreases.
B) Ischemia and incremental nephron loss take place.
C) Ureteral peristalsis is overcome by the pressure.
D) The intraluminal ureteral pressure becomes elevated.
E) Depressed GFR is maintained if complete obstruction is not relieved after 12 to 24 hours.
F) Renal blood flow progressively falls.
G) Increased hydrostatic pressures are transmitted directly to the nephron tubules.

Accepted Answer

The answer of Arrange in order the events associated with...

Question 5

Which statement is true regarding the bacteria that frequently cause lower urinary tract infections (UTIs)?

Accepted Answer

A)  Proteus mirabilis causes 70% to 95% of upper and lower urinary tract infections (UTIs). 
B)  Uropathogenic bacteria thrive by resisting the alkaline nature of urine. 
C)  Escherichia coli changes the pH of urine by secreting urease. 
D)  Urease-producing bacteria enhance formation of struvite staghorn calculi in the kidney. 
E)  Both A and D
Other 
A)  Proteus mirabilis causes 70% to 95% of upper and lower urinary tract infections (UTIs). 
B)  Uropathogenic bacteria thrive by resisting the alkaline nature of urine. 
C)  Escherichia coli changes the pH of urine by secreting urease. 
D)  Urease-producing bacteria enhance formation of struvite staghorn calculi in the kidney. 
E)  Both A and D
Other

Exam 23: Urological Disorders

Which type of renal calculi is caused by a genetic disorder associated with the faulty metabolism of an amino acid?

A nurse is caring for an older adult with a urinary tract infection (UTI). A spinal injury has necessitated the long-term use of an indwelling urinary catheter in this client. Which is the most likely complication that the nurse would anticipate in this client?

A nurse is teaching student nurses about the epidemiology of urolithiasis. Which statement made by a student nurse indicates the need for further learning?

Which statement is true regarding the bacteria that frequently cause lower urinary tract infections (UTIs)?

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