GU A&P Prep-U
A client is scheduled for a creatinine clearance test. The nurse should explain that this test is done to assess the kidneys' ability to remove a substance from the plasma in: a) 1 minute. b) 24 hours. c) 30 minutes. d) 1 hour.
A
Which hormone causes the kidney to reabsorb sodium? a) Aldosterone b) Growth hormone c) Prostaglandins d) ADH
A
The nurse is reviewing the client's lab results. Which lab result requires follow up by the nurse? Select all that apply. a) BUN 28 mg/dL b) Urine: RBC 20 c) Serum creatinine 0.8 mg/dL d) Urine specific gravity 1.020 e) Urine: WBC 1
A,B
Common tests of renal function include which of the following? Select all that apply. a) Renal concentration test b) Creatinine clearance c) Blood urea nitrogen (BUN) d) Serum creatinine e) Arterial blood gas analysis
A,B,C,D
A nursing student asks the nurse why older adults are at risk for renal disease. The best response by the nurse is: a) "Contractility of the bladder wall increases with age." b) "The glomerular filtration rate decreases as we age." c) "Hypoplasia of the prostate occurs in older men." d) "Urethral hypertrophy occurs following menopause."
B
Approximately what percentage of blood passing through the glomeruli is filtered into the nephron? a) 30 b) 20 c) 10 d) 40
B
When fluid intake is normal, the specific gravity of urine should be a) greater than 1.025. b) 1.010 to 1.025. c) 1.000. d) less than 1.010.
B
When the bladder contains 300 mL or more of urine, this is referred to as a) renal clearance b) functional capacity c) specific gravity d) anuria.
B
Which of the following is an effect of aging on upper and lower urinary tract function? a) Increased blood flow to the kidney b) More prone to develop hypernatremia c) Increased GFR d) Acid-base balance
B
A nurse is teaching a male client to perform monthly testicular self-examinations. Which point is appropriate to make? a) Testicular cancer is the number one cause of cancer deaths in males. b) Testicular cancer is more common in older men. c) Testicular cancer is a highly curable type of cancer. d) Testicular cancer is very difficult to diagnose.
C
During a routine assessment, the patient states; "I wake up all night long to go the bathroom." The nurse will document this finding as which of the following? a) Polyuria b) Dysuria c) Nocturia d) Oliguria
C
Students preparing for a test are reviewing the structure and function of the male reproductive system. They demonstrate understading of the material when they identify which of the following as the site of spermatogenesis? a) Prostate gland b) Vas deferens c) Testes d) Seminal vesicles
C
A client develops decreased renal function and requires a change in antibiotic dosage. On which factor should the physician base the dosage change? a) GI absorption rate b) Therapeutic index c) Liver function studies d) Creatinine clearance
D
A client with a genitourinary problem is being examined in the emergency department. When palpating the client's kidneys, the nurse should keep in mind which anatomic fact? a) The kidneys lie between the 10th and 12th thoracic vertebrae. b) The average kidney is approximately 5 cm (2?) long and 2 to 3 cm (¾? to 1??) wide. c) The kidneys are situated just above the adrenal glands. d) The left kidney usually is slightly higher than the right one.
D
Nursing students are reviewing information about the male reproductive system and normal age-related changes. They demonstrate understanding of the topic when they identify which of the following as occurring? a) Testes become heavier in weight. b) Spematogenesis drops significantly c) Secretions of the prostate gland increase. d) Plasma testosterone levels decrease.
D
Retention of which electrolyte is the most life-threatening effect of renal failure? a) Sodium b) Calcium c) Phosphorous d) Potassium
D
The term used to describe painful or difficult urination is which of the following? a) Anuria b) Nocturia c) Oliguria d) Dysuria
D
The term used to describe total urine output of less than 400 mL in 24 hours is a) anuria. b) dysuria. c) nocturia. d) oliguria.
D
Which is the correct term for the ability of the kidneys to clear solutes from the plasma? a) Tubular secretion b) Glomerular filtration rate (GFR) c) Specific gravity d) Renal clearance
D
The nurse is preparing a presentation for a men's community group about health promotion. Which of the following would the nurse include as a current recommendation for screening? a) Monthly testicular self-examination (TSE) b) Annual digital rectal examination (DRE) after age 35 years c) Annual prostate-specific antigen (PSA) testing after age 40 years d) Transrectal ultrasound every 5 years after age 50 years
A
The nurse is reviewing the client's urinalysis results. The finding that is most suggestive of dehydration of the client is: a) Specific gravity 1.035 b) Creatinine 0.7 mg/dL c) Protein 15 mg/dL d) Bright yellow urine
A
Which of the following describes awakening at night to urinate? a) Nocturia b) Dysuria c) Polyuria d) Oliguria
A
Which of the following hormones is secreted by the juxtaglomerular apparatus? a) Renin b) Aldosterone c) Calcitonin d) Antidiuretic hormone (ADH)
A
Which of the following is an age-related change associated with the renal system? a) Renal arteries thicken b) Blood flow increase c) Increased bladder capacity d) Kidney weight increases
A
Which part of the kidney contains the nephrons? a) Cortex b) Pelvis c) Glomerulus d) Medulla
A
A client asks the nurse what PSA is. The nurse should reply that it stands for: a) pneumococcal strep antigen, which is a bacteria that causes pneumonia. b) prostate-specific antigen, which is used to screen for prostate cancer. c) Papanicolaou-specific antigen, which is used to screen for cervical cancer. d) protein serum antigen, which is used to determine protein levels.
B
Which of the following substances stimulate the bone marrow to produced red blood cells? a) Renin b) Prostacyclin c) Prostaglandin E d) Erythropoietin
D
Which of the following vitamin is necessary for maintenance of normal calcium levels? a) C b) A c) E d) D
D
The client asks the nurse about the functions of the kidney. Which should the nurse include when responding to the client? Select all that apply. a) Vitamin D synthesis b) Regulation of blood pressure c) Vitamin B production d) Secretion of insulin e) Secretion of prostaglandins
A,B,E
A creatinine level has been ordered. The nurse prepares to: a) Straight cath for a specimen. b) Obtain a blood specimen. c) Collect the client's urine for 24 hours. d) Obtain a clean catch urine.
B
