NURS 321 Renal & GU Quiz With
Complete Solutions
A patient experiences severe blood loss and hypovolemia following a motor
vehicle crash. The nurse should assess for signs and symptoms of which
condition most likely to affect the patient?
a. Chronic kidney disease
b. Intrarenal acute kidney injury
c. Prerenal acute kidney injury
d. Postrenal kidney acute injury - ANSWER c. Prerenal acute kidney injury
Which assessment findings should the nurse report to the healthcare provider
as being indicative of possible kidney injury? Select all that apply.
a. Decreased potassium level
b. Dyspnea
c. Fixed specific gravity of 1.010
d. Increasing glomerular filtration rate
e. Urine output less than 400 mL/day - ANSWER b. Dyspnea
c. Fixed specific gravity of 1.010
e. Urine output less than 400 mL/day
The nurse is caring for a patient diagnosed with acute kidney injury. Which
medication order should the nurse question?
a. Bumetanide (Bumex)
b. Furosemide (Lasix)
c. Mannitol
d. Potassium chloride - ANSWER d. Potassium chloride
The nurse is caring for a patient diagnosed with chronic kidney disease whose
hemoglobin level is 10 g/dL yet remains asymptomatic. The nurse should
anticipate the administration of which treatments? Select all that apply.
a. Aminoglycoside therapy
b. Daily blood transfusion
c. Erythropoietin subcutaneously
d. Folic acid supplements
e. Oral iron supplements - ANSWER c. Erythropoietin subcutaneously
d. Folic acid supplements
,e. Oral iron supplements
You are a nurse in the emergency department (ED) who is caring for a 30-year-
old female patient who presents with symptoms associated with urolithiasis.
Which observation from the initial assessment supports a diagnosis of
urolithiasis? Select all that apply.
a. Abdominal distention
b. Diarrhea
c. Flank pain
d. Nausea and vomiting
e. Polyuria - ANSWER a. Abdominal distention
c. Flank pain
d. Nausea and vomiting
Which of the following is the diagnostic modality of choice to determine if the
patient is experiencing urolithiasis?
a. Kidney ureter bladder (KUB) X-ray
b. Magnetic resonance imagery (MRI)
c. Non-contrast CT scan
d. Ultrasound - ANSWER c. Non-contrast CT scan
The patient is diagnosed with a urolithiasis smaller than 5 mm in diameter. She is
in minimal pain and urinalysis does not indicate infection. What is the first line of
treatment?
a. Extracorporeal shock wave lithotripsy
b. Percutaneous nephrolithotomy
c. Trial passage
d. Ureteroscopy - ANSWER c. Trial passage
Fifty percent of stones that are less than 5 mm in size will pass spontaneously.
For patients with minimal pain and no hydronephrosis or infection, the first line
of treatment is an opportunity to pass the stone without intervention.
Surgery is the treatment of choice for a patient who presents with a stone larger
than 10 mm. Surgical choices are varied and dependent on stone size, location,
and urgency of treatment. Ureteroscopy, percutaneous nephrolithotomy, and
extracorporeal shock wave lithotripsy are common surgical procedures for the
management of stones.
Which action should you teach the patient to perform in order to determine if the
kidney stone has passed?
a. Documenting daily urine pH
b. Measuring urine output
, c. Monitoring the urine for ketones
d. Straining the urine - ANSWER d. Straining the urine
Which topics should you include during the patient teaching session to decrease
the risk for developing urolithiasis in the future? Select all that apply.
a. Decreasing citrate intake
b. Decreasing oxylate intake
c. Increasing fatty acid intake
d. Increasing fluid intake
e. Increasing sodium intake - ANSWER b. Decreasing oxylate intake
d. Increasing fluid intake
Which of the following is a common cause of Post Renal AKI?
a. Acute tubular necrosis (ATN)
b. Dehydration
c. Kidney stones
d. Medications - ANSWER c. Kidney stones
What is the first sign a nurse would see in a patient with AKI?
a. oliguria
b. dysuria
c. polyuria
d. hematuria - ANSWER a. oliguria
Which of the following are considered causes of CKD? Select all that apply
a. Diabetes
b. Glomerulonephritis
c. Hypertension
d. Urinary Tract Infections (UTIs) - ANSWER a. Diabetes
b. Glomerulonephritis
c. Hypertension
Since erythropoietin levels are decreased in CKD, what changes would the
nurse expect to see in a patient's CBC?
a. Decreased platelets
b. Decreased red blood cells
c. Increased platelets
d. Increased red blood cells - ANSWER b. Decreased red blood cells
Your patient returns to the unit after a renal biopsy. Which of the following is
your priority?
Complete Solutions
A patient experiences severe blood loss and hypovolemia following a motor
vehicle crash. The nurse should assess for signs and symptoms of which
condition most likely to affect the patient?
a. Chronic kidney disease
b. Intrarenal acute kidney injury
c. Prerenal acute kidney injury
d. Postrenal kidney acute injury - ANSWER c. Prerenal acute kidney injury
Which assessment findings should the nurse report to the healthcare provider
as being indicative of possible kidney injury? Select all that apply.
a. Decreased potassium level
b. Dyspnea
c. Fixed specific gravity of 1.010
d. Increasing glomerular filtration rate
e. Urine output less than 400 mL/day - ANSWER b. Dyspnea
c. Fixed specific gravity of 1.010
e. Urine output less than 400 mL/day
The nurse is caring for a patient diagnosed with acute kidney injury. Which
medication order should the nurse question?
a. Bumetanide (Bumex)
b. Furosemide (Lasix)
c. Mannitol
d. Potassium chloride - ANSWER d. Potassium chloride
The nurse is caring for a patient diagnosed with chronic kidney disease whose
hemoglobin level is 10 g/dL yet remains asymptomatic. The nurse should
anticipate the administration of which treatments? Select all that apply.
a. Aminoglycoside therapy
b. Daily blood transfusion
c. Erythropoietin subcutaneously
d. Folic acid supplements
e. Oral iron supplements - ANSWER c. Erythropoietin subcutaneously
d. Folic acid supplements
,e. Oral iron supplements
You are a nurse in the emergency department (ED) who is caring for a 30-year-
old female patient who presents with symptoms associated with urolithiasis.
Which observation from the initial assessment supports a diagnosis of
urolithiasis? Select all that apply.
a. Abdominal distention
b. Diarrhea
c. Flank pain
d. Nausea and vomiting
e. Polyuria - ANSWER a. Abdominal distention
c. Flank pain
d. Nausea and vomiting
Which of the following is the diagnostic modality of choice to determine if the
patient is experiencing urolithiasis?
a. Kidney ureter bladder (KUB) X-ray
b. Magnetic resonance imagery (MRI)
c. Non-contrast CT scan
d. Ultrasound - ANSWER c. Non-contrast CT scan
The patient is diagnosed with a urolithiasis smaller than 5 mm in diameter. She is
in minimal pain and urinalysis does not indicate infection. What is the first line of
treatment?
a. Extracorporeal shock wave lithotripsy
b. Percutaneous nephrolithotomy
c. Trial passage
d. Ureteroscopy - ANSWER c. Trial passage
Fifty percent of stones that are less than 5 mm in size will pass spontaneously.
For patients with minimal pain and no hydronephrosis or infection, the first line
of treatment is an opportunity to pass the stone without intervention.
Surgery is the treatment of choice for a patient who presents with a stone larger
than 10 mm. Surgical choices are varied and dependent on stone size, location,
and urgency of treatment. Ureteroscopy, percutaneous nephrolithotomy, and
extracorporeal shock wave lithotripsy are common surgical procedures for the
management of stones.
Which action should you teach the patient to perform in order to determine if the
kidney stone has passed?
a. Documenting daily urine pH
b. Measuring urine output
, c. Monitoring the urine for ketones
d. Straining the urine - ANSWER d. Straining the urine
Which topics should you include during the patient teaching session to decrease
the risk for developing urolithiasis in the future? Select all that apply.
a. Decreasing citrate intake
b. Decreasing oxylate intake
c. Increasing fatty acid intake
d. Increasing fluid intake
e. Increasing sodium intake - ANSWER b. Decreasing oxylate intake
d. Increasing fluid intake
Which of the following is a common cause of Post Renal AKI?
a. Acute tubular necrosis (ATN)
b. Dehydration
c. Kidney stones
d. Medications - ANSWER c. Kidney stones
What is the first sign a nurse would see in a patient with AKI?
a. oliguria
b. dysuria
c. polyuria
d. hematuria - ANSWER a. oliguria
Which of the following are considered causes of CKD? Select all that apply
a. Diabetes
b. Glomerulonephritis
c. Hypertension
d. Urinary Tract Infections (UTIs) - ANSWER a. Diabetes
b. Glomerulonephritis
c. Hypertension
Since erythropoietin levels are decreased in CKD, what changes would the
nurse expect to see in a patient's CBC?
a. Decreased platelets
b. Decreased red blood cells
c. Increased platelets
d. Increased red blood cells - ANSWER b. Decreased red blood cells
Your patient returns to the unit after a renal biopsy. Which of the following is
your priority?
