RENAL SYSTEM IMPORTANT QUESTION SERIES 1

  RENAL SYSTEM  IMPORTANT QUESTION SERIES 1 : AIIMSHACKS blog brings Staff nurse exam Modal Paper, which is Useful for nursing students who prepare for staff nurse Recruitment exam like AIIMS, JIPMER, PGIMER, GMCH, DSSSB, RRB, RUHS, BHU, AMU, SCTIMST, KPSC, RPSC, HPSSSB, HSSC, IGNOU ESIC and All govt Staff nurse exam .

1. The child with acute glomerulonephritis is under treatment in a ward. The nurse should look for following as an indicator for acute renal failure (ARF)-

(a) Polyuria 

(b) Oliguria 

(c) Hematuria 

(d) Glycosuria.

ANS- (b) Oliguria 

2. During diuretic phase of acute renal failure, the client must be assessed for signs of developing:

(a) Hypervolemia 

(b) Renal failure

(c) Metabolic acidosis 

(d) Hyperkalemia.

ANS- (a) Hypervolemia 

3. A kayexalate enema is ordered for a client who has acute renal failure. What is the primary purpose of the kayxalate enema?

(a) To remove fluid from the extracellular spaces

(b) To exchange K ions for Na ions

(c) To reduce abdominal pressure

(d) To introduce potassium into the bowel.

ANS- (b) To exchange K ions for Na ions

4. Nursing care for a client with an arteriovenous (AV) fistula aimed at maintaining patency includes:

(a) Taking B.P. in the affected area

(b) Applying heat to maintain circulation

(c) Palpating for a bruit

(d) Keeping the arm free of constriction.

ANS- (d) Keeping the arm free of constriction.

5. Symptoms of nephritic syndrome except

(a) Edema 

(b) Hyperbilirubinemia

(c) Proteinuria 

(d) Oliguria.

ANS- (b) Hyperbilirubinemia

6. ………… is characterized by heavy proteinuria, hypoalbuminemia and edema

(a) Nephritic syndrome

(b) Urinary tract infection

(c) Acute glomerulonephritis 

(d) renal failure.

ANS- (a) Nephritic syndrome

7. Which are classical manifestations of nephrotic syndrome –

(a) Proteinuria, cola colour urine

(b) Proteinuria, cola color urine and edema

(c) Proteinuria, edema, hyperlipidemia

(d) Proteinuria, edema and hypoalbuminemia.

ANS- (d) Proteinuria, edema and hypoalbuminemia.

8. Which diet is given to patient with nephritic syndrome?

(a) Fluid restriction and high calorie and high protein

(b) Protein supplement with calorie restriction

(c) Protein supplement, sodium and fluid restriction

(d) Fluid and sodium and potassium restriction.

9. Nurse is planning care for 2 years old that has nephritic syndrome and is in remission. What type of diet would the nurse plan to feed the child?

(a) High protein, low calorie

(b) High calorie, low protein

(c) Low sodium, low fat

(d) Regular diet, no added salt.

ANS- (d) Regular diet, no added salt.

10. The nurse will anticipate that which drug mainly prescribed for patient with nephrotic syndrome

(a) Diuretic 

(b) Albumin 

(c) Steroids 

(d) Antibiotic.

ANS- (c) Steroids 

11. Pre renal failure occurs in

(a) Heart failure

(b) Nephrolithiasis

(c) Toxic nephropathy 

(d) Glomerulonephritis.

ANS- (a) Heart failure

12. The synthesis of the uric acid mainly take place in the

(a) Muscle 

(b) Kidney 

(c) Liver 

(d) Bone marrow

ANS- (c) Liver 

13. The number of lobes in normal kidney

(a) 2 

(b) 3 

(c) 5 

(d) 7

ANS- (d) 7

14. Development of the kidney takes place in the–

(a) Cervical region 

(b) Thoracic region

(c) Lumber region 

(d) Sacral region.

ANS- (d) Sacral region.

15. Urea is a waste product of which of the following substance metabolism?

(a) Nucleic acid 

(b) Amino acid

(c) Muscle tissue 

(d) Carbohydrate

ANS- (b) Amino acid

16. Main product of protein metabolism is:-

(a) Iodine 

(b) Urea

(c) Carbohydrate 

(d) Glycogen

ANS- (b) Urea

17. What is the basic functional unit of kidney?

(a) Renal cortex 

(b) Nephron

(c) Glomerulus 

(d) Renal Medulla

ANS- (b) Nephron

18. In human each kidney has larger number of filtration units called:

(a) Nephrons 

(b) Neurons

(c) Neptune 

(d) Neutrons

ANS- (a) Nephrons 

19. The functional unit of kidney is

(a) Glomerulus 

(b) Nephron

(c) Bowman’s capsule 

(d) Calyx

20. The structural and functional unit of kidney is called as

(a) Neuron 

(b) Glomeruli 

(c) Axon 

(d) Nephron.

ANS- (d) Nephron.

21. Excretory unit of kidney is:

(a) Bowman’s Capsule 

(b) Glomerulus

(c) Nephron 

(d) Henley’s Loop

ANS- (c) Nephron 

22. Which infection usually precedes the glomerulonephritis–

(a) A beta – hemolytic streptococcal

(b) Staphylococcus

(c) Both a and b

(d) Not precedes any infection

ANS- (a) A beta – hemolytic streptococcal

23. The diet regimen for a child with acute glomerulonephritis is:

(a) Low sodium, low calorie

(b) Low potassium, low protein

(c) Low sodium, low protein

(d) Low calcium, low potassium

ANS- (c) Low sodium, low protein

24. The school nurse suspect a child may have acute glomerulonephritis. Which of the following data would be most related to this disorder?

(a) Had pneumonia a month ago

(b) Was bitten by brown spider

(c) Is recovering from gastroenteritis

(d) Had a streptococcal infection 2 weeks ago

ANS- (d) Had a streptococcal infection 2 weeks ago

25. Nurse is developing a plan of care for a seven year old child diagnosed with acute glomerulonephritis. The nurse includes which priority intervention in the plan of care?

(a) Encourage limited activity and provide safety measures

(b) Catheterize the child to strictly monitor intake and output

(c) Force oral fluids to prevent hypovolemic shock

(d) Encourage classmate to visit and keep the child informed of school events.

ANS- (a) Encourage limited activity and provide safety measures

26. The most importance nursing intervention for a 3 year old child with diagnosis of nephrosis is:

(a) Encouraging fluids

(b) Regulating the diet

(c) Preventing infection

(d) Maintaining bed rest

ANS- (b) Regulating the diet

27. Complications of retropubic prostatectomy is:

(a) Recurrent obstruction

(b) Difficult to control haemorrhage

(c) Urinary leakage

(d) Incidence of increased haemorrhage

ANS- (c) Urinary leakage

28. As a child with nephrosis gets older and has repeated attacks, it is most important for the nurse to help the child develop:

(a) The ability to test urine

(b) Fine muscle coordination

(c) Acceptance of possible sterility

(d) A positive body image

ANS- (d) A positive body image

29. The following are possible complications after prostatectomy except:

(a) Urethral stricture

(b) Erectile dysfunction

(c) Residual urine

(d) Urine incontinence

ANS- (c) Residual urine

30. The symptoms indicative of benign prostatic hypertrophy are

(a) Frequency, hesitancy, straining and hematuria

(b) Nocturia, hesitancy, straining and anuria

(c) Frequency, pyuria, straining and hematuria

(d) Hesitancy, straining, suppression and urgency

ANS- (a) Frequency, hesitancy, straining and hematuria

31. Mr. SURESH is to have a suprapubic prostatectomy. In this procedure the gland is approached through the–

(a) Bladder 

(b) Perineum

(c) Urethra 

(d) Ureter

ANS- (a) Bladder 

32. The main function of kidney is to

(a) Eliminate oxygen

(b) Regulate fluid balance and removing waste product

(c) Metabolise vitamins

(d) Eliminate carbon dioxide

ANS- (b) Regulate fluid balance and removing waste product

33. The electrolyte balance in the body is regulated by which organ system?

(a) Heart 

(b) Liver

(c) Kidneys 

(d) Parathyroid

ANS- (c) Kidneys 

34. The micturition reflex center is located in the

(a) Pons 

(b) Midbrain

(c) Lumbar Plexus 

(d) sacral plexus

ANS- (d) sacral plexus

35. What is the average GFR of an adult?

(a) 10 ml/day 

(b) 180 liter/day

(c) 1500 ml/day 

(d) 1 ml/day

ANS- (b) 180 liter/day

36. Which of the following is not found in urine?

(a) Only glucose 

(b) Only protein

(c) Only Red blood cells 

(d) All of above.

ANS- (d) All of above.

37. We have two each of these except:

(a) Adrenal gland 

(b) Urinary bladder

(c) Kidney 

(d) Ureter

ANS- (b) Urinary bladder

38. The urinary bladder is a:

(a) Pear shaped organ 

(b) Oval shaped organ

(c) Spherical organ 

(d) Bean shaped organ

ANS- (a) Pear shaped organ 

39. The total capacity of the urinary bladder is:

(a) 0.5 liter 

(b) 1 liter

(c) 1.5 liter 

(d) 2 liter

ANS- (b) 1 liter

40. Reservoir of urine known as:

(a) Bladder 

(b) Spleen

(c) Kidney

 (d) Large intestine

ANS- (a) Bladder 

teg

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