NR 283 quiz 3.
1. A 25-year-old female is diagnosed with urinary tract obstruction. While planning care, the nurse realizes that the patient is
expected to have hydronephrosis and a decreased glomerular filtration rate caused by:
a. Decreased renal blood flow.
b. Decreased peritubular capillary pressure.
c. dilation of the renal pelvis and calyces proximal to a blockage.
d. stimulation of antidiuretic hormone.
ANS: C
2. A 27-year-old male has a severe kidney obstruction leading to removal of the affected kidney. Which of the following would the
nurse expect to occur?
a. Atrophy of the remaining kidney
b. Compensatory hypertrophy of the remaining kidney
c. Dysplasia in the remaining kidney
d. Renal failure
ANS: B
3. A 55-year-old male presents reporting urinary retention. Tests reveal that he has a lower urinary tract obstruction. Which of the
following is of most concern to the nurse?
a. Vesicoureteral reflux and pyelonephritis
b. Formation of renal calculi
c. Glomerulonephritis
d. Increased bladder compliance
ANS: B
4. When a patient asks what the most common type of renal stones is composed of, how should the nurse respond? The most
common type of renal stone is composed of:
a. magnesium.
b. struvite.
c. calcium.
d. phosphate.
ANS: C
5. While planning care for a patient with renal calculi, the nurse remembers the most important factor in renal calculus formation
is:
a. urine pH.
b. body temperature.
c. gender.
d. serum mineral concentrations.
, ANS: A
6. A 24-year-old female is diagnosed with renal calculus that is causing obstruction. Which of the following symptoms would she
most likely experience?
a. Anuria
b. Hematuria
c. Pyuria
d. Flank pain
ANS: D
7. A 25-year-old female presents with burning urination. She was diagnosed with a urinary tract infection. When the nurse checks
the culture results, which of the following organisms is most likely infecting her urinary tract?
a. Streptococcus
b. Candida albicans
c. Chlamydia
d. Escherichia coli
ANS: D
8. A 35-year-old male received a traumatic brain injury in a motor vehicle accident. CT scan revealed a lesion above the pontine
micturition center. Which of the following would the nurse expect?
a. Dyssynergia
b. Detrusor hyperreflexia
c. Detrusor areflexia
d. Detrusor sphincter dyssynergia
ANS: B
9. A 75-year-old male reports to his primary care provider loss of urine with cough, sneezing, or laughing. Which of the following is
the most likely diagnosis the nurse will observe on the chart?
a. Urge incontinence
b. Stress incontinence
c. Overflow incontinence
d. Functional incontinence
ANS: B
10. A 19-year-old female was involved in a motor vehicle accident during which she sustained a closed head injury. She is now
experiencing detrusor sphincter dyssynergia. Which of the following is the most beneficial medication treatment?
a. Alpha blocker
b. Beta blocker
c. Vasodilator
d. Diuretic
ANS: A
1. A 25-year-old female is diagnosed with urinary tract obstruction. While planning care, the nurse realizes that the patient is
expected to have hydronephrosis and a decreased glomerular filtration rate caused by:
a. Decreased renal blood flow.
b. Decreased peritubular capillary pressure.
c. dilation of the renal pelvis and calyces proximal to a blockage.
d. stimulation of antidiuretic hormone.
ANS: C
2. A 27-year-old male has a severe kidney obstruction leading to removal of the affected kidney. Which of the following would the
nurse expect to occur?
a. Atrophy of the remaining kidney
b. Compensatory hypertrophy of the remaining kidney
c. Dysplasia in the remaining kidney
d. Renal failure
ANS: B
3. A 55-year-old male presents reporting urinary retention. Tests reveal that he has a lower urinary tract obstruction. Which of the
following is of most concern to the nurse?
a. Vesicoureteral reflux and pyelonephritis
b. Formation of renal calculi
c. Glomerulonephritis
d. Increased bladder compliance
ANS: B
4. When a patient asks what the most common type of renal stones is composed of, how should the nurse respond? The most
common type of renal stone is composed of:
a. magnesium.
b. struvite.
c. calcium.
d. phosphate.
ANS: C
5. While planning care for a patient with renal calculi, the nurse remembers the most important factor in renal calculus formation
is:
a. urine pH.
b. body temperature.
c. gender.
d. serum mineral concentrations.
, ANS: A
6. A 24-year-old female is diagnosed with renal calculus that is causing obstruction. Which of the following symptoms would she
most likely experience?
a. Anuria
b. Hematuria
c. Pyuria
d. Flank pain
ANS: D
7. A 25-year-old female presents with burning urination. She was diagnosed with a urinary tract infection. When the nurse checks
the culture results, which of the following organisms is most likely infecting her urinary tract?
a. Streptococcus
b. Candida albicans
c. Chlamydia
d. Escherichia coli
ANS: D
8. A 35-year-old male received a traumatic brain injury in a motor vehicle accident. CT scan revealed a lesion above the pontine
micturition center. Which of the following would the nurse expect?
a. Dyssynergia
b. Detrusor hyperreflexia
c. Detrusor areflexia
d. Detrusor sphincter dyssynergia
ANS: B
9. A 75-year-old male reports to his primary care provider loss of urine with cough, sneezing, or laughing. Which of the following is
the most likely diagnosis the nurse will observe on the chart?
a. Urge incontinence
b. Stress incontinence
c. Overflow incontinence
d. Functional incontinence
ANS: B
10. A 19-year-old female was involved in a motor vehicle accident during which she sustained a closed head injury. She is now
experiencing detrusor sphincter dyssynergia. Which of the following is the most beneficial medication treatment?
a. Alpha blocker
b. Beta blocker
c. Vasodilator
d. Diuretic
ANS: A
