N201 Intermediate Medical Surgical Nursing
N201 – Intermediate Medical Surgical Nursing EXAM
Quick Review & NCLEX Prep – VERIFIED SET 2025
Kidney Function- CORRECT ANSWER - Regulate extracellular fluid, excrete waste products, control BP,
produce erythropoietin, activate Vitamin D, regulate acid-base balance
Glomerulonephritis- CORRECT ANSWER - Inflammation of the glomeruli; third leading cause of ESRD in the
United States; associated with kidney infections, nephrotoxic drugs, immune disorders, systemic diseases
Acute Glomerulonephritis- CORRECT ANSWER - Symptoms come on suddenly, may be temporary or
reversible.
Chronic Glomerulonephritis- CORRECT ANSWER - Slowly progressive, generally leading to irreversible renal
failure.
Acute Poststreptococcal Glomerulonephritis (APSG)- CORRECT ANSWER - Most common type of acute
glomerulonephritis, common in children (5-7 years) and adults more than 60 years old
Clinical Manifestations of Glomerulonephritis- CORRECT ANSWER - Generalized edema, hypertension,
oliguria, hematuria, varying degrees of proteinuria, and fluid retention
Diagnosis of Glomerulonephritis- CORRECT ANSWER - History and Physical, Antistreptolysin-O (ASO)
titers, Renal biopsy, Dipstick urinalysis and urine sediment microscopy, BUN and serum creatinine
Treatment for Glomerulonephritis- CORRECT ANSWER - Restrict Na & fluid intake, diuretics, restrict protein,
treat GABHS infection if present
Nursing and Interprofessional Management of ASPGN- CORRECT ANSWER - Early diagnosis and treatment
of sore throats and skin lesions, patient teaching: take entire prescription, personal hygiene with skin infections
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Risk factors for kidney stones- CORRECT ANSWER - Abnormalities that cause increased pH, calcium,
oxalate, or uric acid; Warm climate; Tea & fruit juice ↑ oxalate. Excessive protein ↑ uric acid; Family history;
Immobility, obesity, sedentary lifestyle
Factors Influencing Stone Formation- CORRECT ANSWER - Urinary pH, Solute load, Inhibitors in urine,
Obstruction with urinary stasis, Infection with urea-splitting bacteria
Types of Urinary Stones- CORRECT ANSWER - Calcium oxalate, calcium phosphate, cystine, struvite, uric
acid
Clinical Manifestations of Nephrolithiasis- CORRECT ANSWER - Sudden, severe pain (renal colic), flank
area, back, or lower abdomen, nausea and vomiting
Diagnostic Studies for Nephrolithiasis- CORRECT ANSWER - Noncontrast CT scan, ultrasound, urinalysis,
24-hour urine, retrieval and analysis of stones
Interprofessional Care for Nephrolithiasis- CORRECT ANSWER - Manage acute attack (pain, infection, and/or
obstruction) and evaluate cause of stone formation and prevent further development
Treatment and Patient Teaching for Nephrolithiasis- CORRECT ANSWER - Adequate hydration, sodium
restriction, diet changes, drugs (to treat the underlying problem causing the stones)
Kidney (Renal) Failure- CORRECT ANSWER - Partial or complete impairment of kidney function that results
in the inability to excrete metabolic waste products and water
AKI- CORRECT ANSWER - Sudden Onset; Acute tubular necrosis most common cause; Acute reduction in
urine output and/or elevation in serum creatinine; Potentially Reversible; Infection Cause of Death
CKD- CORRECT ANSWER - Gradual, over years Onset; Diabetic nephropathy most common cause; GFR <
60 mL/min/1.73m2 for > 3 months and /or kidney damage > 3 months; Progressive and Irreversible;
Cardiovascular disease Cause of Death