NUR 126 Final Exam Review 2026 – Actual Nursing Test Questions &
Complete Study Guide
Physiological changes in urinary elimination for an older client - ANSWER-Blood flow to the
kidney decreases as a result of atrophy in the supplying blood vessels, particularly in the renal
cortex. In addition, the proximal tubules decrease in number in length. Compared to the
young adults, and older adult usually has a lower creatine clearance, has urine that is more
dilute having a lower specific gravity, and typically experience lower levels of glucose, acid,
and potassium. As these changes progressed, the serum Creatine level in the blood urea
nitrogen increase
Urinary output across the lifespan - ANSWER-Fetuses begin urination at 11 to 12 weeks.
Infants cannot concentrate urine well, no voluntary urine control. Children kidney start
functioning normally and concentrating urine, begins understanding bladder fullness and
needs to void daytime urinary control at 3 years in full control by five years. Adults kidneys
reach maximum size at 35 to 40 years after 50 years function declines. Older adults an
estimated 30% of nephrons are lost by 18 years of age. The following processes maker renal
blood flow decreases, ability to concentrate you're into coins, bladder muscle tone
diminishes, causing increased frequency of urination and nocturia, diminish bladder tone and
contractility and urinary incontinence
Abdominal assessment - ANSWER-Look auscultate palpate percuss
Dehydration in an older client - ANSWER-First Response often is blunted. Antidiuretic
hormone levels remain normal or might even be elevated. The nephrons become less able to
conserve water in response to antidiuretic hormone
Education of heart failure - ANSWER-Low sodium diet, moderate exercising starting slow and
then increasing