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A-level
Emergency Nursing Orientation 3.0: Renal and Genitourinary Emergencies – ENA-
ENO-C23: A+ Graded End Term Exam with Verified Answers
Time allowed: 3 hours
Materials
For this paper you must have: For Examiner’s Use
• a calculator. Section Mark
A
Instructions
• Use black ink or black ball-point pen. B
• Fill in the boxes at the top of this page. C
• Answer all questions.
TOTAL
• You must answer the questions in the spaces provided. Do not write
outside the box around each page or on blank pages.
• If you need extra space for your answer(s), use the lined pages at the end
of this book. Write the question number against your answer(s).
• Do all rough work in this answer book. Cross through any
work you do not want to be marked.
Information
• The marks for each question are shown in brackets.
• The maximum mark for this paper is 120.
AQA/ETM/FTEDF
, Which disorder contributes to a continued rise of nitrogenous wastes in a patient with acute kidney injury? - B. Fever
Which disorder involves the retrograde passage of infected urine? - C. Epididymitis
Which disorder is more prevalent in patients with diabetes mellitus? - C. Pyelonephritis
Which laboratory test is the primary diagnostic indicator of rhabdomyolysis? - D. Serum creatine phosphokinase level
A mother brings her son, age 15, to the emergency department. He has been complaining of constant genital pain for 24
hours. The diagnosis is testicular torsion. What is the most serious possible complication? - Testicular infarction
Which process keeps pressure in the glomerulus constant over a wide range of blood pressures? - Autoregulation
Which electrolyte imbalance occurs in an acute kidney injury? - Hyperkalemia
Which patient is most likely to develop acute kidney injury? - A patient with anaphylactic shock
A man, age 29, arrives in the emergency department with severe scrotal pain that radiates to the abdomen, tenderness
along the spermatic cord, fever, and urethral discharge. The complete blood count shows an elevated white blood cell
count. Which disorder should the nurse suspect? - Epididymitis
A man, age 24, is brought to the emergency department after being in a motor vehicle collision. He was trapped in his
vehicle for 45 minutes because his legs were pinned during the impact. Because of this patient's mechanism of injury
and presenting injuries, the nurse should monitor for which condition? - Rhabdomyolysis
A woman, age 31, complains of pain with urination, urinary frequency, and obvious hematuria. She reports being
sexually active with only one partner and denies having vaginal discharge. On palpation, she has bilateral flank pain and
abdominal tenderness. Her temperature is 100.4°F (38°C), and her urine is cloudy. Her last menstrual period was 2
weeks ago. This patient probably has which disorder? - Urinary tract infection
For which disorder is phenazopyridine (Pyridium) most commonly administered? - D. Urethritis
Which medication causes urine retention? - D. Diphenhydramine (Benadryl)