NSG 6001 / NSG6001 ADVANCED NURSING PRACTICE UNIT02 SECTION 8.
RENAL PROBLEMS
MULTIPLE CHOICE
1. A patient is seen in the clinic with a chief complaint of hematuria. To make a differential
diagnosis, which of the following questions should be asked?
A. “Do you have a history of liver disease?”
B. “What medications are you currently taking?”
C. “Have you noticed swelling in your ankles?”
D. “Do you have an autoimmune condition?”
ANS: B PTS: 1
2. The result of the patient’s 24-hour urine for protein was 4.2 g/day. The clinician should
take which of the following actions?
A. Repeat the test.
B. Refer to a nephrologist.
C. Measure the serum protein.
D. Obtain a blood urea nitrogen (BUN) and creatinine.
ANS: B PTS: 1
3. The clinician is speaking with Bernadette, who has recently been diagnosed with urinary
incontinence. She has had this condition for a number of years, she is 5 feet 5 inches, and
she weighs 140 pounds. Which of the following should the health-care provider be aware
of?
A. It is uncommon that Bernadette has this condition because she is female.
B. Most patients should wait 3 months for follow-up after diagnosis.
C. Since Bernadette has a regular body mass index, she probably has a positive body
image.
D. Bernadette may be suffering from depression and may need a psychiatric consult.
ANS: D PTS: 1
4. A patient is seen in the clinic with hematuria confirmed on microscopic examination. The
clinician should inquire about the ingestion of which of these substances that might be the
cause of hematuria?
A. NSAIDs
B. Rhubarb
C. Vitamin A
D. Red meat
ANS: A PTS: 1
5. A 27-year-old female presents with a chief complaint of burning and pain on urination.
She has no previous history of urinary tract infection (UTI). What are some additional
symptoms consistent with a diagnosis of lower UTI?
A. Thick, green discharge
B. Fever, chills, costovertebral angle (CVA) tenderness
, C. Blood in urine and frequency
D. Foul-smelling discharge, perineal itch
ANS: C PTS: 1
6. Which of the following patients is most likely to have urge incontinence?
A. Mary, a 35-year-old female with a history of four vaginal deliveries
B. Devon, a 40-year-old male with a history of multiple sclerosis
C. Dan, a 67-year-old male with a history of diabetes mellitus
D. Cheryl, a 95-year-old female who takes Norpace daily
ANS: B PTS: 1
7. A 30-year-old patient presents with pain on urination. The urine microscopy of clean-catch
urine shows greater than 10 leukocytes/mL, and a dipstick is positive for nitrites. What is
the probable diagnosis?
A. Lower urinary-tract infection
B. Chlamydia infection
C. Candidiasis
D. Pyelonephritis
ANS: A PTS: 1
8. A patient presents with CVA tenderness and a several-day history of high fever, chills, and
dysuria. Which of the following diagnoses is most likely given the above information?
A. Pyelonephritis
B. Cystitis
C. Renal calculi
D. Bladder tumor
ANS: A PTS: 1
9. Which of the following information patients with a UTI can receive Bactrim DS?
A. Mary, a 25-year-old who is 25 weeks pregnant
B. Donna, a 55-year-old with an allergy to sulfa
C. Lisa, a 33-year-old who is breastfeeding her 3-week-old daughter
D. Tiffany, a 16-year-old with a hypersensitivity to penicillin
ANS: D PTS: 1
10. Which of the following Macrobid doses is appropriate to treat a lower UTI?
A. 200 mg bid 14 days
B. 100 mg bid 5 days
C. 500 mg daily 8 days
D. 800 mg daily 2 days
ANS: B PTS: 1
11. A patient is seen in the office complaining of severe flank pain and hematuria. The
clinician should assess this patient for which risk factor for poststreptococcal
glomerulonephritis?
A. Hypertension
RENAL PROBLEMS
MULTIPLE CHOICE
1. A patient is seen in the clinic with a chief complaint of hematuria. To make a differential
diagnosis, which of the following questions should be asked?
A. “Do you have a history of liver disease?”
B. “What medications are you currently taking?”
C. “Have you noticed swelling in your ankles?”
D. “Do you have an autoimmune condition?”
ANS: B PTS: 1
2. The result of the patient’s 24-hour urine for protein was 4.2 g/day. The clinician should
take which of the following actions?
A. Repeat the test.
B. Refer to a nephrologist.
C. Measure the serum protein.
D. Obtain a blood urea nitrogen (BUN) and creatinine.
ANS: B PTS: 1
3. The clinician is speaking with Bernadette, who has recently been diagnosed with urinary
incontinence. She has had this condition for a number of years, she is 5 feet 5 inches, and
she weighs 140 pounds. Which of the following should the health-care provider be aware
of?
A. It is uncommon that Bernadette has this condition because she is female.
B. Most patients should wait 3 months for follow-up after diagnosis.
C. Since Bernadette has a regular body mass index, she probably has a positive body
image.
D. Bernadette may be suffering from depression and may need a psychiatric consult.
ANS: D PTS: 1
4. A patient is seen in the clinic with hematuria confirmed on microscopic examination. The
clinician should inquire about the ingestion of which of these substances that might be the
cause of hematuria?
A. NSAIDs
B. Rhubarb
C. Vitamin A
D. Red meat
ANS: A PTS: 1
5. A 27-year-old female presents with a chief complaint of burning and pain on urination.
She has no previous history of urinary tract infection (UTI). What are some additional
symptoms consistent with a diagnosis of lower UTI?
A. Thick, green discharge
B. Fever, chills, costovertebral angle (CVA) tenderness
, C. Blood in urine and frequency
D. Foul-smelling discharge, perineal itch
ANS: C PTS: 1
6. Which of the following patients is most likely to have urge incontinence?
A. Mary, a 35-year-old female with a history of four vaginal deliveries
B. Devon, a 40-year-old male with a history of multiple sclerosis
C. Dan, a 67-year-old male with a history of diabetes mellitus
D. Cheryl, a 95-year-old female who takes Norpace daily
ANS: B PTS: 1
7. A 30-year-old patient presents with pain on urination. The urine microscopy of clean-catch
urine shows greater than 10 leukocytes/mL, and a dipstick is positive for nitrites. What is
the probable diagnosis?
A. Lower urinary-tract infection
B. Chlamydia infection
C. Candidiasis
D. Pyelonephritis
ANS: A PTS: 1
8. A patient presents with CVA tenderness and a several-day history of high fever, chills, and
dysuria. Which of the following diagnoses is most likely given the above information?
A. Pyelonephritis
B. Cystitis
C. Renal calculi
D. Bladder tumor
ANS: A PTS: 1
9. Which of the following information patients with a UTI can receive Bactrim DS?
A. Mary, a 25-year-old who is 25 weeks pregnant
B. Donna, a 55-year-old with an allergy to sulfa
C. Lisa, a 33-year-old who is breastfeeding her 3-week-old daughter
D. Tiffany, a 16-year-old with a hypersensitivity to penicillin
ANS: D PTS: 1
10. Which of the following Macrobid doses is appropriate to treat a lower UTI?
A. 200 mg bid 14 days
B. 100 mg bid 5 days
C. 500 mg daily 8 days
D. 800 mg daily 2 days
ANS: B PTS: 1
11. A patient is seen in the office complaining of severe flank pain and hematuria. The
clinician should assess this patient for which risk factor for poststreptococcal
glomerulonephritis?
A. Hypertension
