EXAMINATION 2026 QUESTIONS
WITH ANSWERS GRADED A+
◍ Acute renal failure.
Answer: ReversibleDetermining prognosis- kidneys respond to diuretic with
good output; this indicates that kidneys are functioning well
◍ Healthy People 2020.
Answer: -Attain high-quality, longer lives free of preventable disease,
disability, injury, and premature death.-Achieve health equity, eliminate
disparities, and improve the health of all groups.-Create social and physical
environments that promote good health for all.-Promote quality of life,
healthy development, and healthy behaviors across all life stages.
◍ health beliefs.
Answer: a person's ideas, convictions, and attitudes about health and
illness(individuals perception about susceptibility, serious of illness, and if
they will take preventative action)
◍ positive health behaviors.
Answer: activities to maintain good health and prevent illness
◍ Acute Pyelonephritis.
Answer: Diagnosing by clinical symptoms alone can be difficult; can be
similar to cystitisDiagnosis 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
◍ negative health behaviors.
Answer: practices potentially harmful to health
,◍ Maslow's Hierarchy of Needs.
Answer: (level 1) Physiological Needs(level 2) Safety and Security(level 3)
Relationships, Love and Affection(level 4) Self Esteem(level 5) Self
Actualization
◍ Renal Calculi (Renal Stones).
Answer: Goals of Treatment:Manage acute painPromote passage of
stoneReduce size of stonePrevent 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 diseaseCKD stage is determined by estimates of GFR and
albuminuria
◍ holistic health model.
Answer: promote health by considering emotional, spiritual, and physical
wellbeing.
◍ 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 GFR90-120
◍ Stage II CKD.
Answer: There is kidney damage with mild decrease in GFR60-89
◍ internal variables that influence health beliefs and practices.
Answer: developmental intellectual backgroundperception off functioning
emotional factorsspiritual factors
◍ external variables that influence health beliefs and practices.
Answer: family practicessocioeconomiccultural
◍ Stage III CKD.
Answer: There is a moderate decrease in GFR30-59
◍ what is an example illness prevention?.
Answer: immunization program
◍ Stage IV CKD.
Answer: There is a severe decrease in GFR15-29
◍ 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: AnemiaHypertensionDecreased calcium
absorptionHyperlipidemiaHeart failureLeft ventricular hypertrophyFluid
volume
overloadHyperkalemiaHyperparathyroidismHyperphosphatemiaMetabolic
acidosisMalnutrition (late complication)
◍ what are some examples of health promotion?.
Answer: routine exercise, good nutrition, adequate sleep
◍ GERD.
Answer: Warning signs include: Symptoms over age of 50:-Dysphagia
(difficulty swallowing)-Odynophagia (pain on swallowing)-Nausea and