wayground logo

Free Printable Worksheets

NEW

Font size

S
M
L
XL
Worksheets

NSG2340 Week 6 Content Questions

Total questions: 49

Worksheet time: 25mins

Name
Class
Date
1.

Which organ is considered the functional unit of the kidney, responsible for filtering blood and excreting waste as urine?

a)

Ureter

b)

Bladder

c)

Nephron

d)

Urethra

2.

Which function of the kidney involves controlling blood pressure via the release of renin?

a)

Excreting metabolic waste

b)

Activating vitamin D

c)

Maintaining acid-base balance

d)

Controlling blood pressure via renin

3.

The kidney stimulates red blood cell production by releasing which substance?

a)

Renin

b)

Vitamin D

c)

Erythropoietin

d)

Angiotensin

4.

A patient's urine specific gravity is 1.005. The nurse recognizes this finding as:

a)

Normal

b)

Highly concentrated

c)

Diluted (normal range is 1.010–1.025)

d)

Indicative of high protein

5.

What is the minimum hourly urine output the nurse should report if a patient is not catheterized?

a)

15 mL/hr

b)

30 mL/hr

c)

60 mL/hr

d)

100 mL/hr

6.

The presence of proteinuria on a urinalysis is an abnormal finding that may suggest which condition?

a)

Diabetes mellitus

b)

Infection or trauma

c)

Fistula

d)

Renal disease

7.

A nurse notes a urine pH of 9.0. This finding is considered:

a)

Normal (normal range is 4.5–8)

b)

Acidic

c)

Alkaline

d)

Indicative of renal stones

8.

Which term describes the abnormal presence of glucose in the urine?

a)

Proteinuria

b)

Hematuria

c)

Pneumaturia

d)

Glucosuria

9.

A patient reports involuntary urine leakage when they cough or sneeze. The nurse documents this type of incontinence as:

a)

Urge

b)

Overflow

c)

Functional

10.

Which intervention is the primary management technique for a patient with stress incontinence?

a)

Timed voiding

b)

Kegel exercises

c)

Oxybutynin medication

d)

Inserting a catheter

11.

The patient who experiences a sudden, intense desire to urinate followed by involuntary loss of urine is demonstrating which type of incontinence?

a)

Functional

b)

Stress

c)

Urge

d)

Reflex

12.

A patient with severe immobility is unable to reach the bathroom in time to void. This is categorized as what type of incontinence?

a)

Overflow

b)

Urge

c)

Functional

d)

Neurogenic

13.

Which medication is commonly used to treat urinary retention?

a)

Oxybutynin

b)

Furosemide

c)

Tolterodine

d)

Bethanechol (Urecholine)

14.

The nurse teaching a patient about urinary retention should include which non-pharmacological management technique?

a)

Restricting fluids

b)

Double voiding technique

c)

Avoiding privacy while voiding

d)

Avoiding anticholinergic medications

15.

A key sign or symptom of urinary retention is:

a)

Polyuria

b)

Distended bladder

c)

Painless hematuria

d)

Strong urge to void without relief

16.

What is the most common causative organism of Cystitis (UTI)?

a)

Staphylococcus aureus

b)

Streptococcus pyogenes

c)

E. coli

d)

Candida albicans

17.

A patient diagnosed with Cystitis will likely report which cluster of symptoms?

a)

Flank pain, fever, nausea

b)

Edema, hypertension, dark urine

c)

Dysuria, urgency, frequency

d)

Burning, itching, purulent discharge

18.

The treatment plan for a patient with Cystitis (UTI) often includes increased fluids, antibiotics, and:

a)

Sodium restriction

b)

Sitz baths

c)

Corticosteroids

d)

Low-salt diet

19.

Urethritis is often caused by a chemical irritation or:

a)

An autoimmune reaction

b)

A sexually transmitted infection (STI)

c)

Kidney stones

d)

Bladder overfilling

20.

A patient presents with flank pain, fever, and chills. The nurse suspects that the infection has ascended to the kidney, causing:

a)

Cystitis

b)

Urethritis

c)

Pyelonephritis

d)

Glomerulonephritis

21.

Which finding is characteristic of Glomerulonephritis resulting from a strep infection immune reaction?

a)

Hypotension

b)

Dark urine and edema

c)

Polyuria and weight loss

d)

Clear urine and low protein

22.

The primary characteristic finding in Nephrotic Syndrome is severe:

a)

Hematuria

b)

Protein loss

c)

Flank pain

d)

Hypotension

23.

Hydronephrosis is caused by urine backup leading to:

a)

Kidney failure

b)

Kidney dilation

c)

Bladder inflammation

d)

Ureter spasm

24.

A nurse caring for a patient with renal stones (calculi) should prioritize which intervention?

a)

Restrict fluid intake

b)

Give low-dose opioids

c)

Strain all urine

d)

Encourage a high-oxalate diet

25.

Which type of renal stone is related to diet high in oxalate?

a)

Struvite

b)

Uric acid

c)

Cystine

d)

Calcium oxalate

26.

A patient with acute Glomerulonephritis will likely have a treatment plan that includes restriction of which dietary components?

a)

Fluids and fat

b)

Protein and calcium

c)

Sodium and protein

d)

Potassium and fiber

27.

The progression of Chronic Glomerulonephritis eventually leads to:

a)

Hydronephrosis

b)

Stress incontinence

c)

Progressive nephron loss and renal failure

d)

Acute kidney injury

28.

The nurse notes uremic frost on a patient with Chronic Kidney Disease (CKD). What lab values would be consistent with this finding?

a)

Low BUN and creatinine

b)

Elevated BUN and creatinine

c)

Normal BUN and creatinine

d)

Low BUN with elevated creatinine

29.

Which phase of Acute Kidney Injury (AKI) is characterized by the lowest urine output?

a)

Diuretic phase

b)

Recovery phase

c)

Oliguric phase

d)

Maintenance phase

30.

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?

a)

ST-segment depression

b)

Peaked T waves

c)

Prolonged QRS complex

d)

U waves

31.

The leading causes of Chronic Kidney Disease (CKD) are Diabetes and:

a)

Acute Glomerulonephritis

b)

Kidney stones

c)

Hypertension (HTN)

d)

Bladder cancer

32.

When caring for a patient undergoing Hemodialysis, which action must the nurse perform regarding the vascular access site?

a)

Use the access arm for blood pressure monitoring

b)

Check for a bruit and thrill

c)

Administer antihypertensive medications before the procedure

d)

Restrict fluid intake during the procedure

33.

The nurse understands that a sign of peritonitis in a patient on Peritoneal Dialysis is:

a)

Warm dialysate

b)

Cloudy effluent

c)

Clear effluent

d)

Increased appetite

34.

A key teaching point for a patient receiving Peritoneal Dialysis is the importance of:

a)

Using a non-sterile technique

b)

Chilling the dialysate before infusion

c)

Aseptic technique

d)

Changing the dressing weekly

35.

The most common presenting symptom of bladder cancer is:

a)

Severe flank pain

b)

Uremia

c)

Painless hematuria

d)

Edema

36.

A patient is scheduled for BCG therapy. The nurse must teach the patient to take which precaution for the first 24 hours after treatment?

a)

Increase fluid intake

b)

Avoid contact with urine and use bleach to clean the toilet

c)

Restrict protein in their diet

d)

Ambulate hourly

37.

What is the normal color of urine output from an ileal conduit shortly after surgery?

a)

Dark amber

b)

Green

c)

Light pink, progressing to yellow

d)

Red/bloody

38.

The nurse caring for a patient with a nephrostomy tube must ensure the tubing remains:

a)

Clamped every 2 hours

b)

Irrigated with 50 mL saline hourly

c)

Patent and not kinked

d)

Changed weekly

39.

A post-nephrectomy patient exhibits flank bruising and hypotension. The nurse should immediately suspect:

a)

Infection

b)

Hypoglycemia

c)

Fluid overload

d)

Internal bleeding

40.

Which instruction is correct for a patient with an ileal conduit pouch?

a)

Change the appliance every 8 hours

b)

Empty the pouch when it is 1/3 full

c)

Apply powder directly to the stoma

d)

Restrict fluid intake

41.

A patient with chronic renal failure complains of severe itching (pruritus). The priority nursing intervention is to:

a)

Increase protein intake

b)

Apply emollient and keep skin moisturized

c)

Give NSAIDs

d)

Encourage hot baths

42.

Which instruction is key for a patient trying to prevent cystitis (UTI)?

a)

Wipe back-to-front

b)

Wear tight nylon underwear

c)

Increase water intake to 8–10 glasses daily

d)

Hold urine as long as possible

43.

A female patient with recurrent UTIs should be advised to avoid:

a)

Voiding after intercourse

b)

Cotton underwear

c)

Bubble baths

d)

Cranberry juice

44.

A patient with renal stones reports severe flank pain radiating to the groin. Which action is the nurse's priority?

a)

Encourage bedrest

b)

Apply a cold compress

c)

Strain urine for stones

d)

Give orange juice

45.

To prevent calcium oxalate stones, a patient should be taught to avoid foods high in oxalate, such as spinach, nuts, and:

a)

Dairy

b)

Red meat

c)

Tea

46.

Which urine output requires the nurse to notify the healthcare provider immediately?

a)

45 mL/hr

b)

35 mL/hr

c)

20 mL/hr (Normal minimum is 30 mL/hr)

d)

60 mL/hr

47.

In Acute Glomerulonephritis, the priority nursing care includes monitoring BP and restricting:

a)

Fluids

b)

Sodium

c)

Exercise

d)

Protein intake

48.

A patient post-prostate surgery with continuous bladder irrigation reports severe bladder pain and urgency. The nurse's initial action should be to:

a)

Increase the irrigation rate

b)

Stop the irrigation flow

c)

Check for clots and catheter patency

d)

Notify the provider immediately

49.

In Chronic Glomerulonephritis, nursing teaching emphasizes monitoring BP and avoiding:

a)

Low-sodium foods

b)

High-sodium foods

c)

Low-protein foods

d)

Rest