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6 Complications of Renal Dysfunction Practice Questions Online Quiz Questions

Use this free practice quiz with 20 questions to review 6 Complications of Renal Dysfunction, test your knowledge, and prepare for your next test or exam.

20 questions
01
True or false
1 point

True or false: If a patient with kidney dysfunction has edema and a low serum sodium concentration, the edema rules out a water-balance problem.

  1. A

    True

  2. B

    False

02
Choose one
1 point

A patient with advanced kidney dysfunction develops ankle edema, rising blood pressure, and crackles at both lung bases. Which mechanism best accounts for this combination?

  1. A

    Increased renal excretion of sodium and water

  2. B

    Retention of sodium and water

  3. C

    Loss of plasma proteins into the urine only

  4. D

    Increased production of red blood cells

03
Written response
1 point

A patient with advanced chronic kidney disease has normocytic anemia. What kidney-produced hormone may be reduced and contribute directly to the anemia?

04
Choose one
1 point

A patient with markedly reduced kidney function has a high serum potassium level. Which electrocardiogram finding is classically associated with this electrolyte disturbance?

  1. A

    Peaked T waves

  2. B

    Prominent U waves

  3. C

    Shortened PR interval with delta waves

  4. D

    Sawtooth flutter waves

05
Fill in the blank
1 point

As chronic kidney disease advances, impaired phosphate excretion tends to make the serum phosphate level , while reduced vitamin D activation tends to make the calcitriol level .

06
Choose all
1 point

A patient with advanced kidney failure may develop symptoms as waste products build up. Which symptoms are consistent with this complication? Select all that apply.

  1. A

    Nausea

  2. B

    Reduced appetite

  3. C

    Itching

  4. D

    Difficulty concentrating

  5. E

    Improved concentration

  6. F

    Unusually high energy

07
Choose all
1 point

A patient with advanced kidney dysfunction has extracellular fluid expansion. Which findings can be associated with this fluid overload? Select all that apply.

  1. A

    Ankle edema

  2. B

    Rising blood pressure

  3. C

    Crackles at the lung bases

  4. D

    Increased red blood cell production

  5. E

    Increased renal excretion of water

08
True or false
1 point

True or false: Reduced kidney acid excretion and reduced bicarbonate production can contribute to metabolic acidosis in chronic kidney disease.

  1. A

    True

  2. B

    False

09
Written response
1 point

In chronic kidney disease, impaired phosphate handling and reduced vitamin D activation can contribute to increased PTH. What is the name of the resulting endocrine disorder?

10
Fill in the blank
1 point

In chronic kidney disease, reduced acid excretion and reduced bicarbonate can contribute to metabolic acidosis.

11
Choose one
1 point

A patient with chronic kidney disease has an arterial pH of 7.29, bicarbonate of 16 mmol/L, and PaCO₂ of 32 mm Hg. What is the primary acid–base disorder?

  1. A

    Metabolic acidosis with respiratory compensation

  2. B

    Respiratory acidosis with renal compensation

  3. C

    Metabolic alkalosis with respiratory compensation

  4. D

    Respiratory alkalosis with renal compensation

12
Open ended
1 point

Explain how chronic kidney disease can contribute to normocytic anemia, and identify one other potential contributor that should be considered during evaluation.

13
Choose one
1 point

A patient with chronic kidney disease has anemia. Besides reduced erythropoietin production, which potential contributor should also be considered during evaluation?

  1. A

    Iron deficiency

  2. B

    Increased calcitriol production

  3. C

    Increased phosphate excretion

  4. D

    Excessive red blood cell production

14
True or false
1 point

True or false: A suspected severe potassium elevation or concerning symptoms in a patient with kidney dysfunction requires urgent medical assessment.

  1. A

    True

  2. B

    False

15
Written response
1 point

Which kidney-produced hormone signals the bone marrow to make red blood cells?

16
Choose one
1 point

A patient with advanced kidney failure develops several symptoms. Which group is most consistent with buildup of waste products?

  1. A

    Nausea, reduced appetite, itching, or difficulty concentrating

  2. B

    Increased appetite, unusually high energy, and improved concentration

  3. C

    Isolated joint swelling after exercise

  4. D

    Sudden hearing improvement and increased urine output

17
Choose one
1 point

A patient with advanced kidney dysfunction develops ankle edema, rising blood pressure, and crackles at both lung bases. Which mechanism best explains these findings?

  1. A

    Increased renal excretion of sodium and water

  2. B

    Retention of sodium and water

  3. C

    Loss of plasma proteins into the urine only

  4. D

    Increased production of red blood cells

18
Choose one
1 point

A patient with markedly reduced kidney function has a high serum potassium level. Which electrocardiogram finding is classically associated with hyperkalemia?

  1. A

    Peaked T waves

  2. B

    Prominent U waves

  3. C

    Shortened PR interval with delta waves

  4. D

    Sawtooth flutter waves

19
Written response
1 point

Which active form of vitamin D may decrease when advancing kidney disease impairs vitamin D activation?

20
Choose one
1 point

As chronic kidney disease advances, which pattern is most consistent with impaired phosphate excretion and reduced activation of vitamin D?

  1. A

    Lower phosphate, higher calcitriol, and lower parathyroid hormone

  2. B

    Higher phosphate, lower calcitriol, and increased parathyroid hormone

  3. C

    Higher calcitriol and persistently suppressed parathyroid hormone

  4. D

    Lower phosphate and increased red-cell production