AH II Knowledge Checks Exam 1

What is a characteristic of the intra-renal category of acute kidney injury (AKI)? 1) Decreased creatinine 2) Increased BUN 3) High specific gravity 4) Decreased urine sodium

2) Increased BUN

A client is scheduled for a renal angiography. Which of the following would be appropriate before the test? 1) Monitor the client for signs of electrolyte and water imbalance 2) Monitor the client for an allergy to iodine contrast material 3) Assess the client's mental changes 4) Evaluates the client for periorbital edema

2) Monitor the client for an allergy to iodine contrast material

Which is an effect of aging on upper and lower urinary tract function? 1) Increased glomerular filtration rate 2) More prone to develop hypernatremia 3) Increased blood flow to the kidneys 4) Acid-base balance

2) More prone to develop hypernatremia

The nurse cares for a client with acute kidney injury (AKI). The client is experiencing an increase in the serum concentration or urea and creatinine. The nurse determines the client is experience which phase of AKI? 1) Initiation 2) Oliguria 3) Diuresis 4) Recovery

2) Oliguria

Which group of clients is at high risk of developing breast cancer? 1) Women who do not consume alcohol 2) Women who are obese 3) Women who have sex with multiple partners 4) Women who consume a low-fat, low-calorie diet

2) Women who are obese

Which type of lung cancer is the most prevalent among both men and women? 1) Large cell carcinoma 2) Squamous cell carcinoma 3) Adenocarcinoma 4) Small cell carcinoma

3) Adenocarcinoma

A decrease in circulating WBCs is referred to as 1) Granulocytopenia 2) Thrombocytopenia 3) Leukopenia 4) Neutropenia

3) Leukopenia

At a public health fair, a nurse teaches a group of women about breast cancer awareness. Possible signs of breast cancer include: 1) Fever 2) Breast changes during menstruation 3) Nipple discharge and breast nodule 4) Fever and erythema of the breast

3) Nipple discharge and breast nodule

Which type of pneumonia has the highest incidence in clients w/ AIDS and clients receiving immunosuppressive therapy for cancer? 1) Streptococcal 2) Fungal 3) Pneumocystis 4) Tuberculosis

3) Pneumocystis

A group of students is reviewing for a test on the urinary system. The students demonstrate understanding of the information when they identify which of the following as part of the upper urinary tract? 1) Bladder 2) Urethra 3) Ureters 4) Pelvic floor muscles

3) Ureters

Which is a characteristic of a breast cancer mass? 1) Occurs as disseminated masses 2) Symmetrical mass 3) Tender upon palpitation 4) Firm, hard, embedded in surrounding tissue

4) Firm, hard, embedded in surrounding tissue

A nurse is interviewing a client about past medical history. Which preexisting condition may led the nurse to suspect that a client has colorectal cancer? 1) Duodenal ulcers 2) Hemorrhoids 3) Weight gain 4) Polyps

4) Polyps

The nurse is aware, when caring for patients with renal disease, that which substance made in the glomeruli directly controls blood pressure? 1) Cortisol 2) Vasopressin 3) Albumin 4) Renin

4) Renin

According to the TNM classification system, T0 means there is... 1) No evidence of primary tumor 2) No regional lymph node metastasis 3) no distant metastasis 4) distant metastasis

1) No evidence of primary tumor

Which hormone causes the kidneys to reabsorb sodium? 1) Antidiuretic hormone 2) Aldosterone 3) Growth hormone 4) Prostaglandins

2) Aldosterone

Which is the most common presenting symptom of colon cancer? 1) Fatigue 2) Change in bowel habits 3) Anorexia 4) Weight loss

2) Change in bowel habits

The nurse recognizes which condition as in an integumentary manifestation of chronic renal failure? 1) Asterixis 2) Gray-bronze skin color 3) Tremors 4) Seizures

2) Gray-bronze skin color

A client is admitted to the hospital with a pre-renal disorder, a nonurologic condition that disrupts renal blood flow to the nephrons, affecting their filtering ability. One cause of per-renal acute kidney injury is: 1) Anaphylaxis 2) Myoglobinuria secondary to burns 3) Polycystic disease 4) Ureteral stricture

1) Anaphylaxis

During the diuresis period of acute kidney injury (AKI), the nurse should observe the client closely for what complication? 1) Dehydration 2) Hypokalemia 3) Oliguria 4) Renal calculi

1) Dehydration

The nurse is providing care to a client who has had surgery as treatment for breast cancer. The nurse would be alert for the development of which of the following? 1) Lymphedema 2) Fibrocystic breast disorders 3) Fibroadenoma 4) Breast abscess

1) Lymphedema