NUR 2115 EXAM 2 REAL EXAM 2023-2024 LATEST 50 QUESTIONS AND CORRECT ANSWERS
Renal failure - (answer) A reduction (or absence) of kidney function
Acid base balance
Water removal
Erythropoesis
Toxin Removal
Blood pressure control
Electrolyte balance
Vitamin D activation - (answer) Functions of the Kidney:
Acronym for "A WET BED"
CKD - (answer) Type of Renal Failure:
Kidney damage or a decrease in the glomerular filtration rate (GFR) lasting for 3 or more months
-GFR <60 ml/min/1.73 m2 for 3 or more months
-May result from Diabetes, cardiovascular disease, HTN, and obesity, glomulerulonephritis and
polynephritis; polycystic, hereditary, or congenital disorders; and renal cancer
-Associated disease processes:Nephrosclerosis and Primary glomular disease
-If untreated, can result in end-stage kidney disease (ESKD)
Inflammation
GFR
BUN and creatinine
Anemia, metabolic acidosis, imbalanced calcium and phosphorus, fluid retention - (answer)
Pathophysiology of CKD:
Linked to prolonged acute ___________________
-As the nephrons are damaged, the _______________ begins to decline
-Waste products in the blood begin to build up:________________ and _________________
-Renal function declines --> Leading to _________________, _________________,
____________________, _________________
,NUR 2115 EXAM 2 REAL EXAM 2023-2024 LATEST 50 QUESTIONS AND CORRECT ANSWERS
Mild to no symptoms
May develop azotemia
ESKD - (answer) Stages of CKD:
Stage 1-2: ____________________________
Stage 3-4:____________________________
Stage 5:______________________________
125 - (answer) Normal GFR?
Stage 1 - (answer) Stage of CKD:
GFR: 90 or above
Kidney damage with normal or increased GFR
Stage 2 - (answer) Stage of CKD:
GFR: 60-89
Kidney damage with mild decrease in GFR
Stage 3 - (answer) Stage of CKD:
GFR: 30-59
Moderate decrease in GFR
Stage 4 - (answer) Stage of CKD:
GFR: 15-29
Severe decrease in GFR
Stage 5 - (answer) Stage of CKD:
GFR: Less than 15 or dialysis/ kidney transplant
ESKD or chronic renal failure
,NUR 2115 EXAM 2 REAL EXAM 2023-2024 LATEST 50 QUESTIONS AND CORRECT ANSWERS
Primary Glomerular Disease - (answer) Associated Disease Process of CKD:
Diseases that destroy the glomerulus of the kidney
Antigen antibody complexes formed in the blood become trapped in glomerular capillaries, leading to
inflammation and glomerular destruction
Symptoms include: proteinuria, hematuria, decreased GFR, decreased excretion of Na+, edema, and HTN
Nephrosclerosis - (answer) Associated Disease Process of CKD:
Hardening of the renal arteries, reducing blood flow to the kidneys
Leads to necrosis of renal parenchyma, fibrosis, and glomerular destruction
Acute Nephritic Syndrome - (answer) Primary Glomerular Disease:
Renal failure with glomerular inflammation
Glomerulonephritis - (answer) Primary Glomerular Disease:
Inflammation of glomerular capillaries (acute or chronic)
Acute Glomerulonephritis - (answer) Associated Disease Process of CKD:
Develops suddenly (days to weeks)
Inflammation of the glomerular capillaries
Caused by previous infections or illnesses- strep throat, viral URI, chicken pox, lupus
Symptoms include: Hematuria, edema , azotemia or proteinuria
Chronic Glomerulonephritis - (answer) Associated Disease Process of CKD:
Develops over time (over months or years)
Repeated insults to the glomeruli causes scar tissue and atrophy of the cortex
, NUR 2115 EXAM 2 REAL EXAM 2023-2024 LATEST 50 QUESTIONS AND CORRECT ANSWERS
Caused by repeated episodes of nephritic syndrome, hypertensive nephrosclerosis, hyperlipidemia,
lupus, goodpasture syndrome, or diabetes
"Silent S&S": HTN, elevated BUN or creatinine, imbalanced electrolytes
Generalized symptoms: Wt. loss, nocturia, headaches, digestive disturbances
Progressive kidney damage: Anemia, poorly nourished, grayish skin color, edema, cardiomegaly,
respiratory (fluid build up)
Nephrotic Syndrome - (answer) Associated Disease Process of CKD:
A group of clinical manifestations due to protein wasting through damaged glomeruli
Damaged glomeruli capillaries become permeable to protein resulting in protein loss in the urine
Hypoalbuminemia develops and causes a decrease serum osmotic pressure which causes fluid shift
Caused by diseases that cause damage to the glomerulus and increase glomerular permeability to
plasma proteins
S&S: Edema, proteinuria, mood changes such as irritability, headache and fatigue
Urinalysis - (answer) Urine Diagnostic Studies for Renal Failure:
Examination includes: urine color, clarity, odor, pH, specific gravity, and presence of protein, glucose
Urine Culture and Sensitivity - (answer) Urine Diagnostic Studies for Renal Failure:
Determines presence and type of bacteria present while also identifying which antimicrobial therapy is
effective in treating bacteria
Take a few days to come back
Renal Function or 24 hour urine test - (answer) Urine Diagnostic Studies for Renal Failure:
Urine collected in bottles (on ice) for 24 hours
Renal failure - (answer) A reduction (or absence) of kidney function
Acid base balance
Water removal
Erythropoesis
Toxin Removal
Blood pressure control
Electrolyte balance
Vitamin D activation - (answer) Functions of the Kidney:
Acronym for "A WET BED"
CKD - (answer) Type of Renal Failure:
Kidney damage or a decrease in the glomerular filtration rate (GFR) lasting for 3 or more months
-GFR <60 ml/min/1.73 m2 for 3 or more months
-May result from Diabetes, cardiovascular disease, HTN, and obesity, glomulerulonephritis and
polynephritis; polycystic, hereditary, or congenital disorders; and renal cancer
-Associated disease processes:Nephrosclerosis and Primary glomular disease
-If untreated, can result in end-stage kidney disease (ESKD)
Inflammation
GFR
BUN and creatinine
Anemia, metabolic acidosis, imbalanced calcium and phosphorus, fluid retention - (answer)
Pathophysiology of CKD:
Linked to prolonged acute ___________________
-As the nephrons are damaged, the _______________ begins to decline
-Waste products in the blood begin to build up:________________ and _________________
-Renal function declines --> Leading to _________________, _________________,
____________________, _________________
,NUR 2115 EXAM 2 REAL EXAM 2023-2024 LATEST 50 QUESTIONS AND CORRECT ANSWERS
Mild to no symptoms
May develop azotemia
ESKD - (answer) Stages of CKD:
Stage 1-2: ____________________________
Stage 3-4:____________________________
Stage 5:______________________________
125 - (answer) Normal GFR?
Stage 1 - (answer) Stage of CKD:
GFR: 90 or above
Kidney damage with normal or increased GFR
Stage 2 - (answer) Stage of CKD:
GFR: 60-89
Kidney damage with mild decrease in GFR
Stage 3 - (answer) Stage of CKD:
GFR: 30-59
Moderate decrease in GFR
Stage 4 - (answer) Stage of CKD:
GFR: 15-29
Severe decrease in GFR
Stage 5 - (answer) Stage of CKD:
GFR: Less than 15 or dialysis/ kidney transplant
ESKD or chronic renal failure
,NUR 2115 EXAM 2 REAL EXAM 2023-2024 LATEST 50 QUESTIONS AND CORRECT ANSWERS
Primary Glomerular Disease - (answer) Associated Disease Process of CKD:
Diseases that destroy the glomerulus of the kidney
Antigen antibody complexes formed in the blood become trapped in glomerular capillaries, leading to
inflammation and glomerular destruction
Symptoms include: proteinuria, hematuria, decreased GFR, decreased excretion of Na+, edema, and HTN
Nephrosclerosis - (answer) Associated Disease Process of CKD:
Hardening of the renal arteries, reducing blood flow to the kidneys
Leads to necrosis of renal parenchyma, fibrosis, and glomerular destruction
Acute Nephritic Syndrome - (answer) Primary Glomerular Disease:
Renal failure with glomerular inflammation
Glomerulonephritis - (answer) Primary Glomerular Disease:
Inflammation of glomerular capillaries (acute or chronic)
Acute Glomerulonephritis - (answer) Associated Disease Process of CKD:
Develops suddenly (days to weeks)
Inflammation of the glomerular capillaries
Caused by previous infections or illnesses- strep throat, viral URI, chicken pox, lupus
Symptoms include: Hematuria, edema , azotemia or proteinuria
Chronic Glomerulonephritis - (answer) Associated Disease Process of CKD:
Develops over time (over months or years)
Repeated insults to the glomeruli causes scar tissue and atrophy of the cortex
, NUR 2115 EXAM 2 REAL EXAM 2023-2024 LATEST 50 QUESTIONS AND CORRECT ANSWERS
Caused by repeated episodes of nephritic syndrome, hypertensive nephrosclerosis, hyperlipidemia,
lupus, goodpasture syndrome, or diabetes
"Silent S&S": HTN, elevated BUN or creatinine, imbalanced electrolytes
Generalized symptoms: Wt. loss, nocturia, headaches, digestive disturbances
Progressive kidney damage: Anemia, poorly nourished, grayish skin color, edema, cardiomegaly,
respiratory (fluid build up)
Nephrotic Syndrome - (answer) Associated Disease Process of CKD:
A group of clinical manifestations due to protein wasting through damaged glomeruli
Damaged glomeruli capillaries become permeable to protein resulting in protein loss in the urine
Hypoalbuminemia develops and causes a decrease serum osmotic pressure which causes fluid shift
Caused by diseases that cause damage to the glomerulus and increase glomerular permeability to
plasma proteins
S&S: Edema, proteinuria, mood changes such as irritability, headache and fatigue
Urinalysis - (answer) Urine Diagnostic Studies for Renal Failure:
Examination includes: urine color, clarity, odor, pH, specific gravity, and presence of protein, glucose
Urine Culture and Sensitivity - (answer) Urine Diagnostic Studies for Renal Failure:
Determines presence and type of bacteria present while also identifying which antimicrobial therapy is
effective in treating bacteria
Take a few days to come back
Renal Function or 24 hour urine test - (answer) Urine Diagnostic Studies for Renal Failure:
Urine collected in bottles (on ice) for 24 hours