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WorksheetsNSG2340 Week 6 Content Questions
Total questions: 49
Worksheet time: 25mins
Which organ is considered the functional unit of the kidney, responsible for filtering blood and excreting waste as urine?
Ureter
Bladder
Nephron
Urethra
Which function of the kidney involves controlling blood pressure via the release of renin?
Excreting metabolic waste
Activating vitamin D
Maintaining acid-base balance
Controlling blood pressure via renin
The kidney stimulates red blood cell production by releasing which substance?
Renin
Vitamin D
Erythropoietin
Angiotensin
A patient's urine specific gravity is 1.005. The nurse recognizes this finding as:
Normal
Highly concentrated
Diluted (normal range is 1.010–1.025)
Indicative of high protein
What is the minimum hourly urine output the nurse should report if a patient is not catheterized?
15 mL/hr
30 mL/hr
60 mL/hr
100 mL/hr
The presence of proteinuria on a urinalysis is an abnormal finding that may suggest which condition?
Diabetes mellitus
Infection or trauma
Fistula
Renal disease
A nurse notes a urine pH of 9.0. This finding is considered:
Normal (normal range is 4.5–8)
Acidic
Alkaline
Indicative of renal stones
Which term describes the abnormal presence of glucose in the urine?
Proteinuria
Hematuria
Pneumaturia
Glucosuria
A patient reports involuntary urine leakage when they cough or sneeze. The nurse documents this type of incontinence as:
Urge
Overflow
Functional
Which intervention is the primary management technique for a patient with stress incontinence?
Timed voiding
Kegel exercises
Oxybutynin medication
Inserting a catheter
The patient who experiences a sudden, intense desire to urinate followed by involuntary loss of urine is demonstrating which type of incontinence?
Functional
Stress
Urge
Reflex
A patient with severe immobility is unable to reach the bathroom in time to void. This is categorized as what type of incontinence?
Overflow
Urge
Functional
Neurogenic
Which medication is commonly used to treat urinary retention?
Oxybutynin
Furosemide
Tolterodine
Bethanechol (Urecholine)
The nurse teaching a patient about urinary retention should include which non-pharmacological management technique?
Restricting fluids
Double voiding technique
Avoiding privacy while voiding
Avoiding anticholinergic medications
A key sign or symptom of urinary retention is:
Polyuria
Distended bladder
Painless hematuria
Strong urge to void without relief
What is the most common causative organism of Cystitis (UTI)?
Staphylococcus aureus
Streptococcus pyogenes
E. coli
Candida albicans
A patient diagnosed with Cystitis will likely report which cluster of symptoms?
Flank pain, fever, nausea
Edema, hypertension, dark urine
Dysuria, urgency, frequency
Burning, itching, purulent discharge
The treatment plan for a patient with Cystitis (UTI) often includes increased fluids, antibiotics, and:
Sodium restriction
Sitz baths
Corticosteroids
Low-salt diet
Urethritis is often caused by a chemical irritation or:
An autoimmune reaction
A sexually transmitted infection (STI)
Kidney stones
Bladder overfilling
A patient presents with flank pain, fever, and chills. The nurse suspects that the infection has ascended to the kidney, causing:
Cystitis
Urethritis
Pyelonephritis
Glomerulonephritis
Which finding is characteristic of Glomerulonephritis resulting from a strep infection immune reaction?
Hypotension
Dark urine and edema
Polyuria and weight loss
Clear urine and low protein
The primary characteristic finding in Nephrotic Syndrome is severe:
Hematuria
Protein loss
Flank pain
Hypotension
Hydronephrosis is caused by urine backup leading to:
Kidney failure
Kidney dilation
Bladder inflammation
Ureter spasm
A nurse caring for a patient with renal stones (calculi) should prioritize which intervention?
Restrict fluid intake
Give low-dose opioids
Strain all urine
Encourage a high-oxalate diet
Which type of renal stone is related to diet high in oxalate?
Struvite
Uric acid
Cystine
Calcium oxalate
A patient with acute Glomerulonephritis will likely have a treatment plan that includes restriction of which dietary components?
Fluids and fat
Protein and calcium
Sodium and protein
Potassium and fiber
The progression of Chronic Glomerulonephritis eventually leads to:
Hydronephrosis
Stress incontinence
Progressive nephron loss and renal failure
Acute kidney injury
The nurse notes uremic frost on a patient with Chronic Kidney Disease (CKD). What lab values would be consistent with this finding?
Low BUN and creatinine
Elevated BUN and creatinine
Normal BUN and creatinine
Low BUN with elevated creatinine
Which phase of Acute Kidney Injury (AKI) is characterized by the lowest urine output?
Diuretic phase
Recovery phase
Oliguric phase
Maintenance phase
A patient with AKI is at risk for hyperkalemia. The nurse should monitor the patient's heart rhythm for which critical sign on the ECG?
ST-segment depression
Peaked T waves
Prolonged QRS complex
U waves
The leading causes of Chronic Kidney Disease (CKD) are Diabetes and:
Acute Glomerulonephritis
Kidney stones
Hypertension (HTN)
Bladder cancer
When caring for a patient undergoing Hemodialysis, which action must the nurse perform regarding the vascular access site?
Use the access arm for blood pressure monitoring
Check for a bruit and thrill
Administer antihypertensive medications before the procedure
Restrict fluid intake during the procedure
The nurse understands that a sign of peritonitis in a patient on Peritoneal Dialysis is:
Warm dialysate
Cloudy effluent
Clear effluent
Increased appetite
A key teaching point for a patient receiving Peritoneal Dialysis is the importance of:
Using a non-sterile technique
Chilling the dialysate before infusion
Aseptic technique
Changing the dressing weekly
The most common presenting symptom of bladder cancer is:
Severe flank pain
Uremia
Painless hematuria
Edema
A patient is scheduled for BCG therapy. The nurse must teach the patient to take which precaution for the first 24 hours after treatment?
Increase fluid intake
Avoid contact with urine and use bleach to clean the toilet
Restrict protein in their diet
Ambulate hourly
What is the normal color of urine output from an ileal conduit shortly after surgery?
Dark amber
Green
Light pink, progressing to yellow
Red/bloody
The nurse caring for a patient with a nephrostomy tube must ensure the tubing remains:
Clamped every 2 hours
Irrigated with 50 mL saline hourly
Patent and not kinked
Changed weekly
A post-nephrectomy patient exhibits flank bruising and hypotension. The nurse should immediately suspect:
Infection
Hypoglycemia
Fluid overload
Internal bleeding
Which instruction is correct for a patient with an ileal conduit pouch?
Change the appliance every 8 hours
Empty the pouch when it is 1/3 full
Apply powder directly to the stoma
Restrict fluid intake
A patient with chronic renal failure complains of severe itching (pruritus). The priority nursing intervention is to:
Increase protein intake
Apply emollient and keep skin moisturized
Give NSAIDs
Encourage hot baths
Which instruction is key for a patient trying to prevent cystitis (UTI)?
Wipe back-to-front
Wear tight nylon underwear
Increase water intake to 8–10 glasses daily
Hold urine as long as possible
A female patient with recurrent UTIs should be advised to avoid:
Voiding after intercourse
Cotton underwear
Bubble baths
Cranberry juice
A patient with renal stones reports severe flank pain radiating to the groin. Which action is the nurse's priority?
Encourage bedrest
Apply a cold compress
Strain urine for stones
Give orange juice
To prevent calcium oxalate stones, a patient should be taught to avoid foods high in oxalate, such as spinach, nuts, and:
Dairy
Red meat
Tea
Which urine output requires the nurse to notify the healthcare provider immediately?
45 mL/hr
35 mL/hr
20 mL/hr (Normal minimum is 30 mL/hr)
60 mL/hr
In Acute Glomerulonephritis, the priority nursing care includes monitoring BP and restricting:
Fluids
Sodium
Exercise
Protein intake
A patient post-prostate surgery with continuous bladder irrigation reports severe bladder pain and urgency. The nurse's initial action should be to:
Increase the irrigation rate
Stop the irrigation flow
Check for clots and catheter patency
Notify the provider immediately
In Chronic Glomerulonephritis, nursing teaching emphasizes monitoring BP and avoiding:
Low-sodium foods
High-sodium foods
Low-protein foods
Rest
