RENAL SYSTEM IMPORTANT QUESTION SERIES 2

RENAL SYSTEM IMPORTANT QUESTION SERIES 2 : 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. A patient is scheduled for an IVP using a radio – opaque dye. Which of the following assessment is most critical before the procedure?

(a) History of Intake and output

(b) Measurement of baseline peripheral pulse rates

(c) Measurement of height and weight

(d) History of allergy to iodine

ANS- (d) History of allergy to iodine.

2. intravenous pyelography has been ordered to search for kidney stones preparation, the nurse must first:

(a) Weight the patient

(b) Determine whether the patient has any allergy to iodine

(c) Note the last bowel movement

(d) Record the baseline vital signs

ANS- (b) Determine whether the patient has any allergy to iodine.

3. The nurse accompanies a client who is to have an intravenous pyelogram (IVP). Which reaction, if it were to occur, should the nurse report to the physician immediately?

(a) Angioedema 

(b) A feeling of warmth

(c) Flushing of the face 

(d) Salty taste.

ANS- (a) Angioedema 

4. Which position is favorable for intravenous pyelography

(a) Supine position 

(b) Trendelenburg

(c) Lithotomy 

(d) Left lateral.

ANS- (a) Supine position 

5. Nephrectomy means removal of:

(a) Nerve 

(b) Spleen 

(c) Kidney 

(d) Liver

ANS- (c) Kidney 

6. A nurse’s highest priority for a client who has returned to the nursing unit after nephrectomy is:

(a) Hourly urine output

(b) Temperature

(c) Able to turn side to side

(d) Able to sips clear liquie.

ANS- (a) Hourly urine output

7. Urine output less than 100 ml in 24 hours is known as:

(a) Dysuria 

(b) Nocturia

(c) Anuria 

(d) Oliguria.

ANS- (c) Anuria 

8. Passing blood in the urine is called

(a) Haematuria 

(b) Proteinuria

(c) Uraemia 

(d) Polyuria.

ANS- (a) Haematuria 

9. The client diagnosed with renal calculi is admitted to the medical unit. Which intervention should the nurse implement first?

(a) Monitor the client’s urinary output

(b) Assess the client’s pain and rule out complications

(c) Increase the client’s oral fluid intake

(d) Use a safety gait belt when walking the patient.

ANS- (b) Assess the client’s pain and rule out complications

10. When a patient is being treated for a renal calculus, the nurse anticipates:

(a) Checking specific gravity

(b) Straining the urine

(c) Collecting a 24 hours urine sample

(d) Measuring urine output

ANS- (b) Straining the urine

11. Into human body which organ number is one?

(a) Lung 

(b) Kidney

(c) Ovary 

(d) Urinary bladder

ANS- (d) Urinary bladder

12. A client is admitted with the diagnosis of BPH. Which symptom is least likely to be present in the client?

(a) Urinary frequency 

(b) Pus in the urine

(c) Dribbling

(d) Decreased force of urine stream

ANS- (b) Pus in the urine

13. Which of the following is a priority action in case of a patient who had undergone transurethral resection of prostate?

(a) Maintain patency of cystostomy tube

(b) Ensure patency of indwelling catheter

(c) Keep the abdominal dressing clean and dry

(d) Observe the surgical wound for hemorrhage and infection

ANS- (b) Ensure patency of indwelling catheter

14. Which nursing diagnosis would be priority for the client who has undergone TURP?

(a) Potential for sexual dysfunction

(b) Potential for an altered body image

(c) Potential for chronic infection

(d) Potential for hemorrhage

ANS- (d) Potential for hemorrhage

15. The most common cause of urinary tract infection (UTI) into community is

(a) E.coli 

(b) Klebsiella

(c) Citrobactor 

(d) Proteus vulgaris

ANS- (a) E.coli 

16. Commonest causative organism for urinary tract infection is:

(a) Proteus 

(b) Streptococci

(c) Escherichia coli 

(d) Pseudomonas

ANS- (c) Escherichia coli 

17. Inflammation of the urinary bladder is termed as:

(a) Sepsis 

(b) Urethritis

(c) Bladder sepsis 

(d) Cystitis

ANS- (d) Cystitis

18. Which drug is not used in treatment of UTI (urinary tract infection):

(a) Amoxicillin 

(b) Ciprofloxacin

(c) Mathixazole 

(d) Diazepam

ANS- (d) Diazepam

19. Cystitis is the inflammation of–

(a) Gall bladder 

(b) Urinary bladder

(c) Cyst 

(d) Liver

ANS- (b) Urinary bladder

20. Which is contradiction for administration of potassium chloride?

(a) Polyuria 

(b) Oliguria

(c) Anuria 

(d) Both b and c

ANS- (d) Both b and c

21. In oliguria volume of urine is:

(a) Less than 100 ml 

(b) Less than 400 ml

(c) Less than 800 ml 

(d) Absence of urine

ANS- (b) Less than 400 ml

22. Which of the following is completely reabsorbed in proximal convoluted tubule of nephron?

(a) Sodium 

(b) Urea

(c) Glucose 

(d) Water

ANS- (c) Glucose 

23. Renal pyramids are separated by the

(a) Renal cortex 

(b) Renal medulla

(c) Renal columns 

(d) Renal pelvis

ANS- (c) Renal columns 

24. Kidney is situated:

(a) In abdominal cavity 

(b) In pelvic cavity

(c) In thoracic cavity 

(d) In dorsal cavity

ANS- (a) In abdominal cavity 

25. In nephrotic syndrome which infection is more common in children?

(a) UTI 

(b) Cellulitis

(c) Pneumonia 

(d) Bacterial peritonitis

ANS- (d) Bacterial peritonitis

26. In a patient hospitalized with acute glomerulonephritis, nursing care include all of the following EXCEPT

(a) Recording vital signs every 4 hourly

(b) Recording the weight of the patient twice weekly

(c) Recording fluid intake and output every 8 hourly

(d) Recording BP 4 hourly

ANS- (b) Recording the weight of the patient twice weekly

27. When planning nursing care for a 5 year old with acute post streptococcal glomerulonephritis, what should the nurse emphasize that the child and family maintair?

(a) A bland diet high in protein

(b) Bed rest for at least 4 weeks

(c) A daily dose of 1 M penicillin

(d) Isolation form children with infection

ANS- (d) Isolation form children with infection

28. A nurse is assigned to care for a child suspected of having glomerulonephritis. The nurse reviews the child’s record and notes that which finding is associated with the diagnosis of glomerulonephritis?

(a) Low blood urea Nirtrogen (BUN)

(b) Hypotension

(c) Low urinary specific gravity

(d) Red–brown urine

ANS- (d) Red–brown urine

29. A client is in acute renal failure. The nurse must assess the patient carefully for which of the following potential complications?

(a) Tetany 

(b) Hypernatremia

(c) Cardiac arrhythmias 

(d) Vascular collapse

ANS- (a) Tetany 

30. The client is diagnosed with ARF. Which laboratory values are most significant for diagnosing ARF?

(a) BUN and Creatinine

(b) WBC and haemoglobin

(c) Potassium and Sodium

(d) Bilirubin and Sodium

ANS- (a) BUN and Creatinine

31. In chronic Renal Failure all the following noticed except?

(a) Anemia 

(b) Hypocalcaemia

(c) Metabolic Acidosis 

(d) Hypokalemia

ANS- (d) Hypokalemia

32. In case of a patient with the diagnosis of chronic Kidney failure, the signs of which of the following electrolyte imbalance should be monitored

(a) Hpokalemia 

(b) Hypocalcaemia

(c) Hypernatremia 

(d) Hyperglycaemia

ANS- (b) Hypocalcaemia

33. The most significant complication in clients undergoing chronic peritoneal dialysis, is:

(a) Pulmonary embolism 

(b) Hypotension

(c) Dyspnea 

(d) Peritonitis

ANS- (d) Peritonitis

34. Which of the following cannot be corrected by dialysis?

(a) Hypernatremia 

(b) Hyperkalmia

(c) Elevated creatinine 

(d) Decrease haemoglobin

ANS- (d) Decrease haemoglobin

35. Purpose to administer erythropoietin into a patient suffering with chronic renal failure (CRF)

(a) Elevate W.B.C. count

(b) Enhance maturation of thrombocyte

(c) Increase production of platelets

(d) Stimulate the synthesis of RBC

ANS- (d) Stimulate the synthesis of RBC

36. The nurse should expect a patient who has chronic renal failure to be given epoetin alfa (Epogen) to

(a) Elevate the WBC count

(b) Enhance the maturation of thrombocytes

(c) Increase the production of platelets

(d) Stimulate the synthesis of red blood cells

ANS- (d) Stimulate the synthesis of red blood cells

37. What is cause of anaemia in chronic renal failure?

(a) Decreased erythropoietein

(b) Hemolysis

(c) Production of immature RBCs

(d) Inppropriate renal functioning

ANS- (a) Decreased erythropoietein

38. The anaemia occurs in patient with chronic kidney disease due to

(a) Decreased plasma osmolarity

(b) Decreased plasma osmolality

(c) Decreased erythropoietin production

(d) Decreased rennin production.

ANS- (b) Decreased plasma osmolality

39. Which of the following is not filtered out during glomerular filtration?

(a) Glucose 

(b) Water

(c) Salts 

(d) Proteins

ans- (d) Proteins

40. A thin, smooth layer of fibrous membrane that protects the kidney is called as

(a) Bowman’s capsule 

(b) Capsule

(c) Cortex 

(d) Medulla

ans- (b) Capsule

Teg-

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