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Module 9 - Renal

Total questions: 15

Worksheet time: 13mins

Name
Class
Date
1.

What type of acute renal impairment is caused by inadequate blood flow/perfusion of the kidneys? Hint: this is the most common type cause of acute renal failure...

a)

Prerenal

b)

Intrarenal

c)

Postrenal

2.

What is the cause of glomerulonephritis (which commonly after bacterial or viral infections, like strep throat)?

a)

Antigen-antibody complexes are deposited in the glomerulus, which initiate the inflammatory process and result in glomerular injury

b)

Deposition of crystals, proteins, and other waste substances that form within, and obstruct, the urinary tract.

c)

Significant protein loss (greater than 3.5g of protein/day)

3.

Pyeloephritis is a urinary tract infection that affects _______ ?

a)

Upper urinary tract (renal pelvis, kidneys...)

b)

Bladder

c)

Urethra

d)

Adrenal cortex

4.

Red blood cell (RBC) production is stimulated by which process?

a)

Secretion of erythropoietin (EPO) from the kidney in response to reduced O2 levels.

b)

The conversion of angiotensinogen to angiotensin 1 by the liver

c)

Increased reabsorption of H20 in the distal tubule

d)

Release of catecholamines from the sympathetic nervous system

5.

Your patient's lab work indicates elevated kidney labs due to a blockage of the ureters. Which type of acute renal failure is your patient experiencing?

a)

Prerenal

b)

Intrarenal

c)

Postrenal

6.

What bacteria is the most common cause of urinary tract infections (UTI)?

a)

E. coli

b)

Salmonella

c)

Streptococcus

d)

Clostridium

7.

The kidneys play a role in blood pressure regulation by which of the following (select all that apply)?

a)

Regulates water and sodium levels in the body through the process of excretion and reabsorption.

b)

Secretes renin in an effort to increase blood pressure by means of the renin-angiotensin-aldosterone system (RAAS).

c)

In collaboration with natriuretic peptides (ANP/BNP) to stimulate diuresis by vasodilating the renal arterioles, leading to increased glomerular filtration and a reduction of blood pressure

d)

Renal arterioles vasoconstricting in response to catecholamine (epi and norepi) release from the sympathetic nervous system, increasing BP during a "fight or flight" response.

8.

A patient presents with symptoms of kidney dysfunction. Which of the following laboratory values would be most indicative of decreased renal function?

a)

Elevated serum creatinine and blood urea nitrogen (BUN)

b)

Low sodium levels

c)

Increased serum calcium

d)

Decreased potassium level

9.

A patient you are caring for is diagnosed with glomerulonephritis (inflammation of the glomeruli, which occurs INSIDE the kidney). What type of acute renal failure are they most likely dealing with?

a)

Prerenal

b)

Intrarenal

c)

Postrenal

10.

A nurse should monitor ________ labs when considering acute kidney injuries (select all that apply).

a)

BUN

b)

Creatinine

c)

GFR

d)

Glucose

11.

A nurse should monitor ________ labs when considering chronic kidney injuries (select all that apply).

a)

BUN

b)

Creatinine

c)

GFR

d)

Glucose

12.

Chronic Kidney Disease can lead to which of the following (select all that apply)?

a)

Neurologic Changes

b)

Hypertension

c)

Potassium Imbalances

d)

Alkalosis

13.

Which phase of acute kidney injury is marked by an increase in urine output production, an increase in GFR, but you may see potassium wasting and electrolyte imbalances?

a)

Onset

b)

Oliguric

c)

Diuretic

d)

Recovery

14.

Painless hematuria, or blood in the urine, is a cardinal sign of which condition?

a)

Bladder CA

b)

Azotemia

c)

Cirrhosis

d)

Pancreatitis

15.

Which of the following are signs & symptoms of UTIs (select all that apply)?

a)

Urinary frequency

b)

Burning with urination

c)

Changes in LOC in older adults

d)

Cloudy/foul smelling urine