Exam 3 Practice : Pathophysiology Questions
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The nurse working in an B, C, D
outpatient nephrology
clinic knows that which of The kidneys do not metabolize fats.
the following are primary Production of clotting factors is a primary function
functions of the kidneys? of the liver.
(Select all that apply.) The kidneys maintain blood pressure using the
A. Production of clotting RAAS and also produce erythropoietin to stimulate
factors RBC production.
B. Homeostasis
C. Excretion of metabolic
wastes
D. Regulation of acid-
base balance
E. Metabolism of fats
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,2/16/25, 4:31 PM Exam 3 Practice : Pathophysiology Questions (2025) comprehensive questions and verified detailed solutions ( MULTIPLE CH…
In caring for a patient B, C, D
diagnosed with acute
kidney injury, the AST related to LIVER function
nephrology nurse knows
that which of the
following tests are
specific for renal
function? (Select all that
apply.)
A. Aspartate
aminotransferase (AST)
B. Blood urea nitrogen
C. Creatinine
D. Glomerular filtration
rate
E. White blood cell count
In caring for a patient D
with acute kidney injury
the nurse knows that the Normal GFR is 90-120 mL/min
patient's renal function Normal Creatinine 0.6-1.1 for females and 0.6-1.2 for
has returned to normal males
range when the patient's Normal BUN is 10-20 mg/dL
GFR measures:
A. 30-40 mL/min *Be sure to know these normal values, you will use
B. 40-50 mL/min them daily as a nurse
C. 70-90 mL/min
D. 90-120 mL/min
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B
The nursing working in a
Aging and renal function:
geriatric living facility
Decrease in renal blood flow and GFR → altered
understands that as
sodium and water balance
patients age, which
Number of nephrons decrease due to renal vascular
change in glomerular
and perfusion changes
filtration rate is
Response to acid-base changes is delayed
expected?
Increased risk for drug toxicity
A. Increased GFR
Alterations in thirst and water intake
B. Decreased GFR
Get dehydrated very easily; do not recognize thirst
C. Same GFR
and heat
D. No GFR
Decreased muscle mass may lead to decreased
creatinine values
An older patient is D
experiencing urinary
stasis. The registered Urinary stasis is a risk factor for developing UTI
nurse knows that urinary
stasis may lead to which
of the following?
A. Increased GFR
B. Hypocoagulation
C. Hypertension
D. Infection
Which of the following is A
classified as the most
common primary mineral A - calcium (i.e. oxalate or phosphate) is most
salt composition of common
kidney stones?
A. Calcium *Note that a change in urine pH may lead to
B. Struvite precipitation of stones
C. Uric Acid
D. Cysteine
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Which of the following B, C, E
are risk factors for
developing renal tumors? risk factors are male gender, smoking, obesity,
(Select all that apply.) uncontrolled hypertension
A. Female gender
B. Smoking
C. Obesity
D. Diabetes
E. Hypertension
The registered nurse A
would expect which of
the following lab values
for a patient the normal creatinine level is 0.6 - 1.2
experiencing acute
kidney failure? This BUN is within normal range (BUN would be
A. Creatinine 3.5 mg/dL elevated in acute kidney failure)
B. Sodium 122 mEq/L
C. Albumin 3.5 g/dL
D. BUN 10 mg/dL
In caring for a patient B
experiencing acute
kidney injury who has Remember that there are phases of acute kidney
these lab values: urinary injury -
output 15 mL/hr, BUN 30 Initiation phase is when the injury is just beginning
mg/dL, and creatinine 3.5, and prevention is still possible
the nurse knows that the Next is the oliguric phase where urinary output is
patient is experiencing decreased and nitrogenous waste products are
which phase of acute maintained (BUN and Creatinine)
kidney injury? There is also the recovery or polyuric/diuretic phase
A. Initiation phase - diuresis is common and BUN and creatinine
B. Oliguric phase decline
C. Recovery (polyuric)
phase
D. I don't remember the
normal lab values
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