MN551 – Quiz 5 --Advanced Physiology and Pathophysiology
Across the Life Span – Midterm Exam
Structure and function of the kidney
1 A 77 year old female hospital patient has contracted Clostridium difficile during her stay and is
experiencing severe diarrhea. Which of the following statements best conveys a risk that this
woman faces? Which diuretic acts by inhibiting sodium chloride reabsorption in the thick
ascending limb of the loop of Henle? (Points : 0.4)
2. At which of the following locations in the nephron would a nurse practitioner first expect
blood to be largely free of plasma proteins? (Points : 0.4)
3. A 14-year-old boy who appears to be intoxicated is brought to the emergency department by
ambulance. The EMTs report that the boy has denied consuming anything out of the ordinary, but
an open antifreeze container was found in the boy's room. Which of the following is likely to be
used to treat the patient's symptoms? (Points : 0.4)
4. A 4-year-old boy who has been deaf since birth and has bilateral cataracts has been brought to
the emergency department by his mother because she noticed blood in the toilet after he last
voided. Urinalysis confirms heavy microscopic hematuria as well as proteinuria. What will the
care team's initial differential diagnosis most likely be? (Points : 0.4)
5. A patient is brought to the emergency department with complaints of shortness of breath.
Assessment reveals a full, bounding pulse, severe edema, and audible crackles in the lower lung
fields bilaterally. What is the patient's most likely diagnosis? (Points : 0.4)
Question 6.6. Which of the following data would a clinician consider to be most indicative of
acute renal failure?(Points : 0.4)
7. Which of the following substances is most likely to be reabsorbed in the tubular segments of
the nephron using passive transport mechanisms? (Points : 0.4)
8. A 60-year-old man has been diagnosed with renal calculi after repeated episodes of
excruciating flank pain in recent weeks. The man states, “I don't know how this could happen to
me, since I'm so careful about eating a healthy diet.” What is the most appropriate response to
the man's statement? (Points : 0.4)
9. An 82-year-old resident of a long-term care facility with a recent history of repeated urinary
tract infections and restlessness is suspected of having urinary retention. Which of the following
actions by the care team is most appropriate? (Points : 0.4)
10. A 34-year-old male patient has diagnoses of liver failure, ascites, and hepatic encephalopathy
secondary to alcohol abuse. The patient's family is questioning the care team about why his
abdomen is so large even though he is undernourished and emaciated. Which of the following
statements most accurately underlies the explanation that a member of the care team would
provide to the family? (Points : 0.4)
11. A pediatric unit will be receiving from a rural medical outpost a patient transfer of an 8-day-
old infant with a suspected congenital renal disorder. Which of the following possibilities is the
care team most likely to be able to rule out early? (Points : 0.4)
12. A 22-year-old female with a history of intermittent flank pain, repeated UTIs, and hematuria
has been diagnosed with autosomal dominant polycystic kidney disease (ADPKD). Which of the
This study source was downloaded by 100000868537585 from CourseHero.com on 07-10-2023 22:17:49 GMT -05:00
https://www.coursehero.com/file/168371063/MN-551-Midterm-Exam-1-Question-and-Answersdoc/
Across the Life Span – Midterm Exam
Structure and function of the kidney
1 A 77 year old female hospital patient has contracted Clostridium difficile during her stay and is
experiencing severe diarrhea. Which of the following statements best conveys a risk that this
woman faces? Which diuretic acts by inhibiting sodium chloride reabsorption in the thick
ascending limb of the loop of Henle? (Points : 0.4)
2. At which of the following locations in the nephron would a nurse practitioner first expect
blood to be largely free of plasma proteins? (Points : 0.4)
3. A 14-year-old boy who appears to be intoxicated is brought to the emergency department by
ambulance. The EMTs report that the boy has denied consuming anything out of the ordinary, but
an open antifreeze container was found in the boy's room. Which of the following is likely to be
used to treat the patient's symptoms? (Points : 0.4)
4. A 4-year-old boy who has been deaf since birth and has bilateral cataracts has been brought to
the emergency department by his mother because she noticed blood in the toilet after he last
voided. Urinalysis confirms heavy microscopic hematuria as well as proteinuria. What will the
care team's initial differential diagnosis most likely be? (Points : 0.4)
5. A patient is brought to the emergency department with complaints of shortness of breath.
Assessment reveals a full, bounding pulse, severe edema, and audible crackles in the lower lung
fields bilaterally. What is the patient's most likely diagnosis? (Points : 0.4)
Question 6.6. Which of the following data would a clinician consider to be most indicative of
acute renal failure?(Points : 0.4)
7. Which of the following substances is most likely to be reabsorbed in the tubular segments of
the nephron using passive transport mechanisms? (Points : 0.4)
8. A 60-year-old man has been diagnosed with renal calculi after repeated episodes of
excruciating flank pain in recent weeks. The man states, “I don't know how this could happen to
me, since I'm so careful about eating a healthy diet.” What is the most appropriate response to
the man's statement? (Points : 0.4)
9. An 82-year-old resident of a long-term care facility with a recent history of repeated urinary
tract infections and restlessness is suspected of having urinary retention. Which of the following
actions by the care team is most appropriate? (Points : 0.4)
10. A 34-year-old male patient has diagnoses of liver failure, ascites, and hepatic encephalopathy
secondary to alcohol abuse. The patient's family is questioning the care team about why his
abdomen is so large even though he is undernourished and emaciated. Which of the following
statements most accurately underlies the explanation that a member of the care team would
provide to the family? (Points : 0.4)
11. A pediatric unit will be receiving from a rural medical outpost a patient transfer of an 8-day-
old infant with a suspected congenital renal disorder. Which of the following possibilities is the
care team most likely to be able to rule out early? (Points : 0.4)
12. A 22-year-old female with a history of intermittent flank pain, repeated UTIs, and hematuria
has been diagnosed with autosomal dominant polycystic kidney disease (ADPKD). Which of the
This study source was downloaded by 100000868537585 from CourseHero.com on 07-10-2023 22:17:49 GMT -05:00
https://www.coursehero.com/file/168371063/MN-551-Midterm-Exam-1-Question-and-Answersdoc/
