Advanced Practice Nursing I NUR 6111 – 2026 Academic Year
Exam 3 Practice Questions with Verified Answers
Introduction:
This document contains comprehensive study questions and verified
answers for Exam 3 in Advanced Practice Nursing I (NUR 6111). The
material covers renal disorders, urinary tract infections, kidney
stones, urinary incontinence, prostatitis, benign prostate
hyperplasia, prostate cancer, and male sexual dysfunction. It
includes diagnostic criteria, staging, pharmacologic treatments, and
clinical management guidelines relevant for advanced nursing
practice exams. The guide is structured as exam-style questions
with precise answers for efficient review and exam preparation.
Exam Questions and Answers
causes of post renal kidney disease --- correct precise answer ---
obstruction: prostate hypertrophy, stones
what are the 3 laboratory findings that would indicate renal failure
(hallmark clinical signs) --- correct precise answer ---creatinine
GFR
protein in urine (microscopy)
Acute kidney injury AKI --- correct precise answer ---abrupt
reduction in kidney function (within 48 hours) based on an
elevation in serum creatinine level, a reduction in urine output, the
,need for renal replacement therapy (dialysis) or a combination of
these factors
Stage 1 AKI --- correct precise answer ---serum creatinine level:
increases >.3mg per dL or >1.5 to twofold from baseline
urine output: <.5 mL per kg per hour for more than 6 hours
Stage 2 AKI --- correct precise answer ---serum creatinine level:
increase >2- three fold from baseline
urine output: <.5 ml per kg per hour for more than 12 hours
Stage 3 AKI --- correct precise answer ---serum creatine level:
increase >threefold from baseline or >4 mg per dL with an acute
rise of at least .5mg per dL
urine output: <.3ml per kg per hour for 24 hours or anuria for 12
hours
DX AKI --- correct precise answer ---creatinine, CMP
urinalysis, urine electrolytes
CBC
,renal ultrasound
AKI management --- correct precise answer ---generally should be
hospitalized unless the condition is mild and clearly resulting from
an easy reversible cause
discontinue or treat causative agents
monitor electrolytes
refer to nephrologist
sub acute kidney disease --- correct precise answer ---occurs
greater than 48 to less than 3 months
chronic kidney disease --- correct precise answer ---abnormal
kidney structure or function lasting more than three months with
associated health implications
indicators include
- albuminuria
- glomerular filtration (GFR) less than 60mL per minute per 1.73
- urine sediment abnormalities
, - abnormal renal imaging
- findings
-serum electrolyte or acid base derangements
no recommended screening guidelines without risk factors or
symptoms
evaluation chronic kidney disease --- correct precise answer ---
causes: HTN kidney disease, diabetic nephropathy, primary or
secondary glomerulonepthritis
a full medical history including exposure to potential nephrotoxins;
physical examination; and review of historical and current BP,
dietary hx, weight measurements
DX CKD --- correct precise answer ---serum electrolytes
A1C
urine albumin/ creatinine ratio: detects lower level of proteinuria,
preferable first void specimen
urinalysis with microscopic urine sediment is helpful if intrinsic
renal disease is suspected
Exam 3 Practice Questions with Verified Answers
Introduction:
This document contains comprehensive study questions and verified
answers for Exam 3 in Advanced Practice Nursing I (NUR 6111). The
material covers renal disorders, urinary tract infections, kidney
stones, urinary incontinence, prostatitis, benign prostate
hyperplasia, prostate cancer, and male sexual dysfunction. It
includes diagnostic criteria, staging, pharmacologic treatments, and
clinical management guidelines relevant for advanced nursing
practice exams. The guide is structured as exam-style questions
with precise answers for efficient review and exam preparation.
Exam Questions and Answers
causes of post renal kidney disease --- correct precise answer ---
obstruction: prostate hypertrophy, stones
what are the 3 laboratory findings that would indicate renal failure
(hallmark clinical signs) --- correct precise answer ---creatinine
GFR
protein in urine (microscopy)
Acute kidney injury AKI --- correct precise answer ---abrupt
reduction in kidney function (within 48 hours) based on an
elevation in serum creatinine level, a reduction in urine output, the
,need for renal replacement therapy (dialysis) or a combination of
these factors
Stage 1 AKI --- correct precise answer ---serum creatinine level:
increases >.3mg per dL or >1.5 to twofold from baseline
urine output: <.5 mL per kg per hour for more than 6 hours
Stage 2 AKI --- correct precise answer ---serum creatinine level:
increase >2- three fold from baseline
urine output: <.5 ml per kg per hour for more than 12 hours
Stage 3 AKI --- correct precise answer ---serum creatine level:
increase >threefold from baseline or >4 mg per dL with an acute
rise of at least .5mg per dL
urine output: <.3ml per kg per hour for 24 hours or anuria for 12
hours
DX AKI --- correct precise answer ---creatinine, CMP
urinalysis, urine electrolytes
CBC
,renal ultrasound
AKI management --- correct precise answer ---generally should be
hospitalized unless the condition is mild and clearly resulting from
an easy reversible cause
discontinue or treat causative agents
monitor electrolytes
refer to nephrologist
sub acute kidney disease --- correct precise answer ---occurs
greater than 48 to less than 3 months
chronic kidney disease --- correct precise answer ---abnormal
kidney structure or function lasting more than three months with
associated health implications
indicators include
- albuminuria
- glomerular filtration (GFR) less than 60mL per minute per 1.73
- urine sediment abnormalities
, - abnormal renal imaging
- findings
-serum electrolyte or acid base derangements
no recommended screening guidelines without risk factors or
symptoms
evaluation chronic kidney disease --- correct precise answer ---
causes: HTN kidney disease, diabetic nephropathy, primary or
secondary glomerulonepthritis
a full medical history including exposure to potential nephrotoxins;
physical examination; and review of historical and current BP,
dietary hx, weight measurements
DX CKD --- correct precise answer ---serum electrolytes
A1C
urine albumin/ creatinine ratio: detects lower level of proteinuria,
preferable first void specimen
urinalysis with microscopic urine sediment is helpful if intrinsic
renal disease is suspected
