Practice Quiz ACN-I Post RN BSN Semester I (Genitourinary)

Which Functional Health Pattern best identifies changes in urinary output and frequency in patients with renal disorders?

• Nutritional–Metabolic Pattern

• Elimination Pattern

• Cognitive–Perceptual Pattern

• Activity–Exercise Pattern

• Self–Perception Pattern

A patient with chronic renal failure reports poor appetite and metallic taste. Which pattern is primarily affected?

• Nutritional–Metabolic Pattern

• Role–Relationship Pattern

• Coping–Stress Tolerance Pattern

• Activity–Exercise Pattern

• Cognitive–Perceptual Pattern

In acute renal failure, the oliguric phase is primarily caused by which physiological mechanism?

• Decreased glomerular filtration rate

• Increased tubular secretion

• Hyperfiltration of solutes

• Enhanced urea reabsorption

• Renal artery dilation

Which pharmacological agent is commonly used to manage hyperkalemia in renal failure?

• Sodium polystyrene sulfonate

• Hydrochlorothiazide

Which nursing diagnosis is most appropriate for a patient with nephrotic syndrome?

• Excess fluid volume related to altered kidney function

• Impaired gas exchange related to pulmonary congestion

• Activity intolerance related to cardiac insufficiency

• Risk for infection related to impaired skin integrity

• Anxiety related to hospitalization

In nephrotic syndrome, massive proteinuria results from:

• Increased glomerular permeability

• Tubular obstruction

• Decreased renal blood flow

• Reduced tubular reabsorption

• Altered hormonal secretion

Which laboratory finding confirms nephrotic syndrome?

• Proteinuria exceeding 3.5 g/day

• Elevated blood urea nitrogen

• Increased serum creatinine

• Decreased potassium levels

• Increased calcium concentration

A patient with renal calculi reports severe flank pain radiating to the groin. Which nursing action is priority?

• Administer prescribed analgesic

• Encourage ambulation

• Restrict oral fluids

• Provide low-calcium diet

• Perform perineal care

Which diagnostic test best confirms renal calculi?

• KUB X-ray

• Chest X-ray

• ECG

• Liver scan

• CBC

The primary nursing goal for a patient with acute renal failure is to:

• Maintain fluid and electrolyte balance

• Promote rapid diuresis

• Increase protein intake

• Prevent weight loss

• Restrict fluid below 1 liter