NEW ADVANCED NUR 502 ACTUAL EXAM
QUESTIONS AND ANWERS 2025/2026 LATEST
Causes of painless, asymptomatic hematuria include:
A) urolithiasis
B) urothelial cell carcinoma
C) acute cystitis
D) renal cell carcinoma
E) urothelial cell carcinoma and renal cell carcinoma -- ANSWER--E
Discharge teaching is done for the patient after a nephrectomy for renal
carcinoma. Which statement by the patient indicates that teaching has been
effective?
A) Because renal carcinoma usually affects both kidneys, I'll need to be
watched closely.
B) I'll need to decrease my fluid intake to prevent stress to my remaining
kidney.
C) My remaining kidney should provide me with normal renal function.
D) I'll eventually require some type of renal replacement therapy. --
ANSWER--
C
Page 1 of 58
,Finasteride, a 5α reductase inhibitor, is used for benign prostatic hypertrophy,
because the medication:
A) increases the conversion of dihydrotestosterone.
B) prevents the conversion of testosterone to dihydrotestosterone.
C) increases testosterone levels.
D) prevents estrogen conversion. -- ANSWER--B
A man with benign prostatic hypertrophy is complaining that his urine stream is
slower than in the past and sometimes his stream sprays. He also reports
dribbling when he is almost done urinating. These symptoms are known as: A)
voiding symptoms.
B) storage symptoms.
C) irritative symptoms.
D) urge symptoms. -- ANSWER--A
The cause of a decreased glomerular filtration rate in rapidly progressive
glomerulonephritis is due to the development of:
A) podocyte proliferation.
B) small vessel thrombosis.
C) albumin that gets trapped in the loop of Henle.
D) collagen and fibrin deposits that develop into crescents. -- ANSWER--D
Page 2 of 58
,A patient has stage V chronic kidney disease, and his family explains he is
becoming progressively confused. Uremic encephalopathy is suspected. What
other manifestations would support this complication?
A) Asterixis and hyperreflexia
B) Bone pain and fracture
C) Nausea and vomiting
D) Peripheral neuropathy and restless leg syndrome -- ANSWER--A
Which of the following diagnostic findings is present in pyelonephritis but not
in acute cystitis?
A) White blood cell casts
B) Nitrites
C) Leukocyte esterase
D) Hematuria -- ANSWER--A
A man has hematuria and colicky flank pain. A kidney stone is suspected.
Which diagnostic test is best to order to evaluate the stone size, location, and
hydronephrosis?
A) Kidney magnetic resonance image (MRI)
B) Ultrasound of the bladder and kidney
C) Computerized tomography (CT) scan of the abdomen and pelvis
D) X-ray of the kidneys, ureter, and bladder -- ANSWER--C
Page 3 of 58
, Stones form in the kidney as a result of:
A) excessive dietary calcium, which increases oxalate binding.
B) increased concentration of insoluble salts in the urine.
C) increased levels of citrate and magnesium.
D) a loss of integrity in the bladder lining causing a Hunner plaque. --
ANSWER--B
Escherichia coli is a common organism implicated in uncomplicated urinary
tract infections because:
A) it is more virulent than other bacteria.
B) it is around the anus, and the proximity to the urethra allows easy access.
C) lactobacillus in the vagina promotes growth.
D) it easily spreads through the pelvic vascular system. -- ANSWER--B
A mother brings in her 4-year-old daughter because she felt a "lump" on her
abdomen and she feels her daughter's belly is swollen. The mother states her
daughter is pretty healthy but has been stating that her stomach hurts on and off.
Physical exam reveals a nontender abdominal mass that is firm and does not
cross the midline. Based on this presentation, a possible diagnosis is: A)
polycystic kidney disease.
Page 4 of 58
QUESTIONS AND ANWERS 2025/2026 LATEST
Causes of painless, asymptomatic hematuria include:
A) urolithiasis
B) urothelial cell carcinoma
C) acute cystitis
D) renal cell carcinoma
E) urothelial cell carcinoma and renal cell carcinoma -- ANSWER--E
Discharge teaching is done for the patient after a nephrectomy for renal
carcinoma. Which statement by the patient indicates that teaching has been
effective?
A) Because renal carcinoma usually affects both kidneys, I'll need to be
watched closely.
B) I'll need to decrease my fluid intake to prevent stress to my remaining
kidney.
C) My remaining kidney should provide me with normal renal function.
D) I'll eventually require some type of renal replacement therapy. --
ANSWER--
C
Page 1 of 58
,Finasteride, a 5α reductase inhibitor, is used for benign prostatic hypertrophy,
because the medication:
A) increases the conversion of dihydrotestosterone.
B) prevents the conversion of testosterone to dihydrotestosterone.
C) increases testosterone levels.
D) prevents estrogen conversion. -- ANSWER--B
A man with benign prostatic hypertrophy is complaining that his urine stream is
slower than in the past and sometimes his stream sprays. He also reports
dribbling when he is almost done urinating. These symptoms are known as: A)
voiding symptoms.
B) storage symptoms.
C) irritative symptoms.
D) urge symptoms. -- ANSWER--A
The cause of a decreased glomerular filtration rate in rapidly progressive
glomerulonephritis is due to the development of:
A) podocyte proliferation.
B) small vessel thrombosis.
C) albumin that gets trapped in the loop of Henle.
D) collagen and fibrin deposits that develop into crescents. -- ANSWER--D
Page 2 of 58
,A patient has stage V chronic kidney disease, and his family explains he is
becoming progressively confused. Uremic encephalopathy is suspected. What
other manifestations would support this complication?
A) Asterixis and hyperreflexia
B) Bone pain and fracture
C) Nausea and vomiting
D) Peripheral neuropathy and restless leg syndrome -- ANSWER--A
Which of the following diagnostic findings is present in pyelonephritis but not
in acute cystitis?
A) White blood cell casts
B) Nitrites
C) Leukocyte esterase
D) Hematuria -- ANSWER--A
A man has hematuria and colicky flank pain. A kidney stone is suspected.
Which diagnostic test is best to order to evaluate the stone size, location, and
hydronephrosis?
A) Kidney magnetic resonance image (MRI)
B) Ultrasound of the bladder and kidney
C) Computerized tomography (CT) scan of the abdomen and pelvis
D) X-ray of the kidneys, ureter, and bladder -- ANSWER--C
Page 3 of 58
, Stones form in the kidney as a result of:
A) excessive dietary calcium, which increases oxalate binding.
B) increased concentration of insoluble salts in the urine.
C) increased levels of citrate and magnesium.
D) a loss of integrity in the bladder lining causing a Hunner plaque. --
ANSWER--B
Escherichia coli is a common organism implicated in uncomplicated urinary
tract infections because:
A) it is more virulent than other bacteria.
B) it is around the anus, and the proximity to the urethra allows easy access.
C) lactobacillus in the vagina promotes growth.
D) it easily spreads through the pelvic vascular system. -- ANSWER--B
A mother brings in her 4-year-old daughter because she felt a "lump" on her
abdomen and she feels her daughter's belly is swollen. The mother states her
daughter is pretty healthy but has been stating that her stomach hurts on and off.
Physical exam reveals a nontender abdominal mass that is firm and does not
cross the midline. Based on this presentation, a possible diagnosis is: A)
polycystic kidney disease.
Page 4 of 58
