Question 1

The nurse is collecting data from a hospital patient who has been admitted with pyelonephritis.He is acutely ill with a high fever,chills,nausea,and vomiting.He also has severe pain in the flank area.The primary goal of his treatment is to:

Accepted Answer

A)  Provide adequate nutrition with a stable body weight. 
B)  Provide adequate hydration with pulse and blood pressure within patient norms. 
C)  Give pain relief with analgesics and antispasmodics. 
D)  Prevent further damage to his kidneys that could lead to renal failure.

Question 2

The nurse explains to a 10-year-old boy who wants to give his kidney to his grandfather that kidney donors must be at least how many years old?

Accepted Answer

A)  14 
B)  16 
C)  18 
D)  21

Question 3

The nurse caring for a patient after urinary diversion surgery will add the postoperative assessments of:

Accepted Answer

A)  Level of fluid intake 
B)  Position on the left side 
C)  Keep the bed flat 
D)  Bowel sounds

Question 4

Because the urine test for ___________ is not influenced by diet,hydration,or liver function,it is a good measurement of renal function:

Accepted Answer

A)  BUN 
B)  Phosphates 
C)  Specific gravity 
D)  Creatinine

Question 5

The nurse caring for a patient who had a ureteral catheter in place after the removal of a kidney stone would focus care on:

Accepted Answer

A)  Irrigating the catheter regularly. 
B)  Assessing for patency. 
C)  Including ureteral output with the bladder output. 
D)  Early ambulation.

Question 6

The nurse explains that the autoimmune disease of acute glomerulonephritis is most usually caused by:

Accepted Answer

A)  Frequent cystitis 
B)  Streptococcal infection 
C)  Childhood disease of mumps 
D)  Recent wound infection

Question 7

When the 16-year-old patient with acute glomerulonephritis complains of boredom with bedrest and asks when he can become more active,the nurse states that bedrest will continue until:

Accepted Answer

A)  Dialysis starts 
B)  Antibiotic protocol is completed 
C)  Potassium levels are normal 
D)  Blood pressure drops to normal levels

Question 8

When the patient comes to the medical clinic with complaints of urgency,frequency,pain in the area of the symphysis pubis,and dark cloudy urine,the nurse suspects that this patient has:

Accepted Answer

A)  Urinary calculi, probably located in the ureter 
B)  Kidney infection, most likely pyelonephritis 
C)  Cystitis, probably from bacterial contamination 
D)  Interstitial cystitis (although rare in a male patient)

Question 9

Patients with chronic renal failure who are receiving dialysis are prone to injury because of:

Accepted Answer

A)  Bone demineralization and peripheral neuropathy 
B)  Fatigue and drug side effects 
C)  Impaired immune response and malnutrition 
D)  Multiple life changes and hormone deficiencies

Question 10

As the nurse assesses the patient with renal impairment,a facial characteristic that is a sign of fluid retention is:

Accepted Answer

A)  Broken blood vessels around the nose 
B)  Periorbital edema 
C)  Rash on cheeks and neck 
D)  Facial twitching

Question 11

Erythropoietin is a hormone produced by the kidney.When the patient in chronic renal failure has a deficiency of erythropoietin,it will result in:

Accepted Answer

A)  Diminished immunologic function with fewer white blood cells 
B)  Elevated lipid levels in the bloodstream, contributing to accelerated atherosclerosis 
C)  Anemia as a result of the diminished number of red blood cells being produced 
D)  Hypertension as a result of the increased, concentrated blood volume

Question 12

The patient has a nephrostomy tube that has been inserted because of an obstruction in the ureter.Special precautions in the care of the nephrostomy tube include:

Accepted Answer

A)  Clamping every 2 hours to allow expansion of the kidney pelvis. 
B)  Instilling no more than 50 ml of sterile water if sterile irrigations are ordered. 
C)  Being certain the tube is connected, not kinked, or not clamped to ensure that it continually drains. 
D)  Leaving the nephrostomy site open to air.

Exam 40: Urologic Disorders