NSG 530 Pathophysiology Exam 3 Practice Questions.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/NSG%20530%20Pathop
NSG 530 Pathophysiology Exam 3 Practice
Questions & Answers
1. The nurse working in an outpatient nephrology clinic knows that which of the
following are primary functions of the kidneys? (Select all that apply.)
A. Production of clotting factors
B. Homeostasis
C. Excretion of metabolic wastes
D. Regulation of acid-base balance
E. Metabolism of fats
ANS B, C, D
The kidneys do not metabolize fats.
Production of clotting factors is a primary function of the liver.
The kidneys maintain blood pressure using the RAAS and also produce erythropoi- etin to
stimulate RBC production.
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,NSG 530 Pathophysiology Exam 3 Practice Questions.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/NSG%20530%20Pathop
2. In caring for a patient diagnosed with acute kidney injury, the nephrology nurse
knows that which of the following tests are specific for renal function? (Select all that
apply.)
A. Aspartate aminotransferase (AST)
B. Blood urea nitrogen
C. Creatinine
D. Glomerular filtration rate
E. White blood cell count
ANS B, C, D
AST related to LIVER function
3. In caring for a patient with acute kidney injury the nurse knows that the patient's
renal function has returned to normal range when the patient's GFR measures
A. 30-40 mL/min
B. 40-50 mL/min
C. 70-90 mL/min
D. 90-120 mL/min
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,NSG 530 Pathophysiology Exam 3 Practice Questions.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/NSG%20530%20Pathop
ANS D
Normal GFR is 90-120 mL/min
Normal Creatinine 0.6-1.1 for females and 0.6-1.2 for males Normal BUN is
10-20 mg/dL
*Be sure to know these normal values, you will use them daily as a nurse
4. The nursing working in a geriatric living facility understands that as patients age, which
change in glomerular filtration rate is expected?
A. Increased GFR
B. Decreased GFR
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C. Same GFR
D. No GFR
ANS B
Aging and renal function
Decrease in renal blood flow and GFR ’ altered sodium and water balance Number of nephrons
decrease due to renal vascular and perfusion changes Response to acid-base changes is delayed
Increased risk for drug toxicity Alterations
in thirst and water intake
Get dehydrated very easily; do not recognize thirst and heat Decreased
muscle mass may lead to decreased creatinine values
5. An older patient is experiencing urinary stasis.The registered nurse knows that urinary
stasis may lead to which of the following?
A. Increased GFR
B. Hypocoagulation
C. Hypertension
D. Infection
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