NURS 5461 Final Quiz Success Pack 2026 |
University of Texas Arlington | Latest Update | Exam
Prep
1. Bence Jones proteins are found in the urine of patients suffering from which
disease
CLL
Multiple myeloma
AML
Hogkins lymphoma
2. Your patient has microcytic anemia but labs show normal iron levels. You
suspect thalassemia what test should be ordered to confirm this diagnosis?
Methylmalonic acid
Hemoglobin electrophoresis
Homocysteine
Glycated hemoglobin
3. In a patient diagnosed with nephrotic syndrome, if the renal biopsy reveals
minimal change disease, what would be the most appropriate initial treatment
approach?
Corticosteroids
Antibiotics
Dialysis
Surgery
4. A patient with Chronic Kidney Disease is experiencing pain and is
, considering taking over-the-counter pain relief. What should the healthcare
provider recommend?
Only use opioids for pain relief.
Take NSAIDs as they are safe for all patients.
Avoid NSAIDs and consider alternative pain management options.
Use any over-the-counter medication without concern.
5. If an older adult with chronic kidney disease experiences worsening renal
function, what management strategy should be prioritized?
Prescribing high-protein diets
Reassessing and adjusting medication dosages
Increasing fluid intake
Delaying treatment until symptoms worsen
6. Describe the significance of monitoring calcium and phosphate levels in
patients with chronic kidney disease starting from stage 3.
Monitoring calcium and phosphate levels is crucial to prevent renal
osteodystrophy and maintain bone health.
Monitoring glucose levels is essential for managing renal function.
Monitoring blood pressure is the primary concern for patients with
CKD.
Monitoring protein intake is the only dietary consideration for CKD
patients.
7. If an older adult is prescribed a new medication that is known to affect renal
function, what steps should a healthcare provider take to monitor the
patient's renal health?
Increase the medication dosage after one week.
, Advise the patient to stop all medications immediately.
Only monitor blood pressure without checking renal function.
Regularly assess renal function through blood tests and monitor for
signs of electrolyte imbalances.
8. What condition is commonly ruled out when there is an increase in calcium
and PTH levels?
Chronic kidney disease
Primary hyperparathyroidism
Nephrotic syndrome
Acute kidney injury
9. What is one common renal issue associated with aging in older adults?
Improved electrolyte balance
Enhanced kidney regeneration
Increased urine production
Decline in renal function
10. If an older adult experiences sudden cardiac death, what renal-related
factors should be investigated to understand potential causes?
Dietary habits alone
Electrolyte imbalances and renal function decline
Family history of heart disease
Only medication side effects
11. If an older adult presents with symptoms of hypocalcemia, what initial steps
should a healthcare provider take to manage their condition?
, Assess calcium levels and initiate calcium supplementation.
Immediately prescribe diuretics to manage fluid balance.
Increase dietary sodium intake to improve renal function.
Schedule a follow-up appointment without immediate intervention.
12. Describe how aging affects renal function in older adults.
Aging only affects electrolyte balance, not renal function.
Aging improves renal function, allowing for better filtration and waste
removal.
Aging has no significant impact on renal function.
Aging leads to a decline in renal function, which can result in
decreased glomerular filtration rate and impaired ability to
concentrate urine.
13. Describe the significance of GFR levels in determining the need for dialysis
in patients with renal issues.
GFR levels above 60 mL/min require immediate dialysis.
GFR levels are irrelevant to dialysis initiation.
GFR levels indicate the kidney's filtering capacity, and a GFR below
15 mL/min typically signifies the need for dialysis.
GFR levels only affect medication dosages, not dialysis.
14. Describe how high levels of parathyroid hormone affect calcium and
phosphate metabolism in patients with chronic kidney disease.
High levels of parathyroid hormone have no significant effect on
calcium and phosphate metabolism.
High levels of parathyroid hormone lead to increased calcium
release from bones and increased phosphate retention,
University of Texas Arlington | Latest Update | Exam
Prep
1. Bence Jones proteins are found in the urine of patients suffering from which
disease
CLL
Multiple myeloma
AML
Hogkins lymphoma
2. Your patient has microcytic anemia but labs show normal iron levels. You
suspect thalassemia what test should be ordered to confirm this diagnosis?
Methylmalonic acid
Hemoglobin electrophoresis
Homocysteine
Glycated hemoglobin
3. In a patient diagnosed with nephrotic syndrome, if the renal biopsy reveals
minimal change disease, what would be the most appropriate initial treatment
approach?
Corticosteroids
Antibiotics
Dialysis
Surgery
4. A patient with Chronic Kidney Disease is experiencing pain and is
, considering taking over-the-counter pain relief. What should the healthcare
provider recommend?
Only use opioids for pain relief.
Take NSAIDs as they are safe for all patients.
Avoid NSAIDs and consider alternative pain management options.
Use any over-the-counter medication without concern.
5. If an older adult with chronic kidney disease experiences worsening renal
function, what management strategy should be prioritized?
Prescribing high-protein diets
Reassessing and adjusting medication dosages
Increasing fluid intake
Delaying treatment until symptoms worsen
6. Describe the significance of monitoring calcium and phosphate levels in
patients with chronic kidney disease starting from stage 3.
Monitoring calcium and phosphate levels is crucial to prevent renal
osteodystrophy and maintain bone health.
Monitoring glucose levels is essential for managing renal function.
Monitoring blood pressure is the primary concern for patients with
CKD.
Monitoring protein intake is the only dietary consideration for CKD
patients.
7. If an older adult is prescribed a new medication that is known to affect renal
function, what steps should a healthcare provider take to monitor the
patient's renal health?
Increase the medication dosage after one week.
, Advise the patient to stop all medications immediately.
Only monitor blood pressure without checking renal function.
Regularly assess renal function through blood tests and monitor for
signs of electrolyte imbalances.
8. What condition is commonly ruled out when there is an increase in calcium
and PTH levels?
Chronic kidney disease
Primary hyperparathyroidism
Nephrotic syndrome
Acute kidney injury
9. What is one common renal issue associated with aging in older adults?
Improved electrolyte balance
Enhanced kidney regeneration
Increased urine production
Decline in renal function
10. If an older adult experiences sudden cardiac death, what renal-related
factors should be investigated to understand potential causes?
Dietary habits alone
Electrolyte imbalances and renal function decline
Family history of heart disease
Only medication side effects
11. If an older adult presents with symptoms of hypocalcemia, what initial steps
should a healthcare provider take to manage their condition?
, Assess calcium levels and initiate calcium supplementation.
Immediately prescribe diuretics to manage fluid balance.
Increase dietary sodium intake to improve renal function.
Schedule a follow-up appointment without immediate intervention.
12. Describe how aging affects renal function in older adults.
Aging only affects electrolyte balance, not renal function.
Aging improves renal function, allowing for better filtration and waste
removal.
Aging has no significant impact on renal function.
Aging leads to a decline in renal function, which can result in
decreased glomerular filtration rate and impaired ability to
concentrate urine.
13. Describe the significance of GFR levels in determining the need for dialysis
in patients with renal issues.
GFR levels above 60 mL/min require immediate dialysis.
GFR levels are irrelevant to dialysis initiation.
GFR levels indicate the kidney's filtering capacity, and a GFR below
15 mL/min typically signifies the need for dialysis.
GFR levels only affect medication dosages, not dialysis.
14. Describe how high levels of parathyroid hormone affect calcium and
phosphate metabolism in patients with chronic kidney disease.
High levels of parathyroid hormone have no significant effect on
calcium and phosphate metabolism.
High levels of parathyroid hormone lead to increased calcium
release from bones and increased phosphate retention,
