A patient states that he is "not peeing nearly as much as usual, even though I am drinking my usual amount of fluids." He voids a small amount of urine to submit for a urinalysis (UA). The specific gravity on the UA is 1.000. The patient’s normal range for urine specific gravity is 1.002 to 1.028.

is dehydrated; the body is compensating by "hanging onto water."

has an acute kidney injury; the specific gravity indicates very concentrated urine.

is developing renal tissue impairment; the kidney is not able to concentrate urine.

has testicular cancer; the specific gravity indicates an undescended testis.

Answer and Explanation

The Correct Answer is C

A. A specific gravity of 1.000 indicates very dilute urine, not concentrated. This would not be typical of dehydration, where urine would be concentrated with a high specific gravity.

B. Acute kidney injury (AKI) typically results in more concentrated urine due to retained waste products; therefore, specific gravity would likely be higher, not at the minimum level of 1.000.

C. A specific gravity of 1.000 indicates the kidney’s inability to concentrate urine, often seen in renal impairment where kidney function is compromised, leading to very dilute urine.

D. Specific gravity is unrelated to testicular cancer or an undescended testis, as it measures kidney concentration ability rather than reproductive health.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Large amounts of IV fluids are generally not used in ESRD because the kidneys cannot effectively remove excess fluids, potentially worsening fluid overload.

B. Potassium supplements are avoided, as ESRD patients often have elevated potassium levels due to reduced excretion, which can lead to dangerous cardiac complications.

C. While ESRD is serious, postmortem care is premature; many patients manage ESRD with appropriate treatment.

D. Dialysis or kidney transplantation is the standard treatment for ESRD to take over the functions that the kidneys can no longer perform, such as waste removal and fluid balance.

A. Troponin B. Calcium level C. B-type natriuretic peptide (BNP) D. C-reactive protein (CRP)

Correct Answer is C

Explanation

A. Troponin is a biomarker used to diagnose myocardial infarction (heart attack), not heart failure.

B. Calcium levels are important for overall metabolic function but are not specific for heart failure.

C. B-type natriuretic peptide (BNP) is elevated in heart failure, specifically in left heart failure, and helps confirm the diagnosis. BNP is a hormone released by the ventricles in response to increased pressure and volume.

D. C-reactive protein (CRP) is a marker of inflammation but does not specifically confirm a heart failure diagnosis.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who has complete kidney failure or end-stage renal disease (ESRD). Which treatment will the nurse anticipate for this patient?

Correct Answer is D

Explanation

A patient has developed left heart failure (LHF). Which laboratory test, when elevated, confirms a heart failure diagnosis?

Correct Answer is C

Explanation

While speaking to his neighbor about his recent health problems, a man describes his pain as "tightness across his chest which worsens with strenuous activity but completely goes away when the activity is stopped." He most likely received a diagnosis of

A patient is admitted to the hospital with a diagnosis of peripheral arterial disease (PAD). Clinical findings associated with this disease are

A nurse is examining an overweight elderly man and notices cyanosis and clubbing of the fingers. The nurse suspects _____ and requests a _____.

Following a myocardial infarction (MI) of the left ventricle, a patient develops left heart failure (LHF). Findings commonly associated with LHF include

A patient with a history of renal failure presents with confusion. This altered mental status is characteristic of

Which assessment finding is expected in a child diagnosed with croup?

A week after recovering from strep throat, a child is diagnosed with post-streptococcal glomerulonephritis. Expected signs and symptoms (S&S) of a patient diagnosed with glomerulonephritis include which is caused by

A patient has had chronic kidney disease (CKD) for many years. The patient sustains a hip fracture. The high risk of fractures is related to a(n)