FINAL EXAM 5 MSN570 COMPREHENSIVE
REVIEW 2026 PRACTICE QUESTIONS WITH
VERIFIED SOLUTIONS GRADED A+
◉ Acute Pyelonephritis. Answer: Diagnosing by clinical symptoms
alone can be difficult; can be similar to cystitis
Diagnosis established by:
-Urine culture
-Urinalysis (WBC casts indicates pyelonephritis, but may not always
be present)
-Signs/Symptoms
-Complicated pyelonephritis requires blood cultures and urinary
tract imaging
◉ Renal Calculi (Renal Stones). Answer: Goals of Treatment:
Manage acute pain
Promote passage of stone
Reduce size of stone
Prevent new stone formation
,◉ Chronic Renal Failure. Answer: Chronic Kidney Disease (CKD) is a
progressive loss of renal function associated with systemic disease
such as hypertension, diabetes mellitus (most significant risk
factor), systemic lupus erythematosus or intrinsic kidney disease
CKD stage is determined by estimates of GFR and albuminuria
◉ Who is a candidate for dialysis?. Answer: End-stage renal disease
(ESRD) is the final stage of CKD with the number one cause being
diabetes mellitus combined with hypertension. At this point, the
patient is completely dependent on dialysis to survive.
CKD is classified into five stages and is based on the patient's GFR
rather than symptoms.
Patients will need dialysis when the following symptoms are
present:
--Metabolic acidosis.
--Hyperkalemia: Hyperkalemia in the presence of EKG changes
(peaked T-waves) is an indication for dialysis. --Hyperkalemia by
itself is not an indication for dialysis.
--Drug toxicity: Drug toxicity due to the following drugs is an
indication for dialysis and include salicylates, Lithium, Isopropanol,
Methanol and Ethylene glycol).
--Fluid volume overload that is not responsive to diuretics.
--Uremic symptoms due to nitrogenous wastes in the blood stream.
, ◉ Stage I CKD. Answer: There is kidney damage with normal or
elevated GFR
90-120
◉ Stage II CKD. Answer: There is kidney damage with mild decrease
in GFR
60-89
◉ Stage III CKD. Answer: There is a moderate decrease in GFR
30-59
◉ Stage IV CKD. Answer: There is a severe decrease in GFR
15-29
◉ Stage V CKD. Answer: Kidney failure- End-stage renal disease
<15 (dialysis) Once Stage IV is reached, progression to Stage V is
inevitable as well as dialysis or kidney transplant
◉ Complications of Decreased GFR. Answer: Anemia
Hypertension
Decreased calcium absorption
Hyperlipidemia
REVIEW 2026 PRACTICE QUESTIONS WITH
VERIFIED SOLUTIONS GRADED A+
◉ Acute Pyelonephritis. Answer: Diagnosing by clinical symptoms
alone can be difficult; can be similar to cystitis
Diagnosis established by:
-Urine culture
-Urinalysis (WBC casts indicates pyelonephritis, but may not always
be present)
-Signs/Symptoms
-Complicated pyelonephritis requires blood cultures and urinary
tract imaging
◉ Renal Calculi (Renal Stones). Answer: Goals of Treatment:
Manage acute pain
Promote passage of stone
Reduce size of stone
Prevent new stone formation
,◉ Chronic Renal Failure. Answer: Chronic Kidney Disease (CKD) is a
progressive loss of renal function associated with systemic disease
such as hypertension, diabetes mellitus (most significant risk
factor), systemic lupus erythematosus or intrinsic kidney disease
CKD stage is determined by estimates of GFR and albuminuria
◉ Who is a candidate for dialysis?. Answer: End-stage renal disease
(ESRD) is the final stage of CKD with the number one cause being
diabetes mellitus combined with hypertension. At this point, the
patient is completely dependent on dialysis to survive.
CKD is classified into five stages and is based on the patient's GFR
rather than symptoms.
Patients will need dialysis when the following symptoms are
present:
--Metabolic acidosis.
--Hyperkalemia: Hyperkalemia in the presence of EKG changes
(peaked T-waves) is an indication for dialysis. --Hyperkalemia by
itself is not an indication for dialysis.
--Drug toxicity: Drug toxicity due to the following drugs is an
indication for dialysis and include salicylates, Lithium, Isopropanol,
Methanol and Ethylene glycol).
--Fluid volume overload that is not responsive to diuretics.
--Uremic symptoms due to nitrogenous wastes in the blood stream.
, ◉ Stage I CKD. Answer: There is kidney damage with normal or
elevated GFR
90-120
◉ Stage II CKD. Answer: There is kidney damage with mild decrease
in GFR
60-89
◉ Stage III CKD. Answer: There is a moderate decrease in GFR
30-59
◉ Stage IV CKD. Answer: There is a severe decrease in GFR
15-29
◉ Stage V CKD. Answer: Kidney failure- End-stage renal disease
<15 (dialysis) Once Stage IV is reached, progression to Stage V is
inevitable as well as dialysis or kidney transplant
◉ Complications of Decreased GFR. Answer: Anemia
Hypertension
Decreased calcium absorption
Hyperlipidemia
