Question 1

The most appropriate food to recommend for supplementing kcalories in the renal diet is:

Accepted Answer

A) olive oil. 
B) cheese. 
C) whole milk. 
D) a chocolate candy bar. 
A) olive oil. 
B) cheese. 
C) whole milk. 
D) a chocolate candy bar.

Question 2

The nephrotic syndrome results in:

Accepted Answer

A) decreased blood pH. 
B) increased blood albumin. 
C) decreased LDL and VLDL. 
D) increased risk for blood clots. 
A) decreased blood pH. 
B) increased blood albumin. 
C) decreased LDL and VLDL. 
D) increased risk for blood clots.

Question 3

One of the effects of nephrotic syndrome is a loss of vitamin D.This can result in _____ in children.

Accepted Answer

A) growth failure 
B) poor appetite 
C) rickets 
D) type 1 diabetes 
A) growth failure 
B) poor appetite 
C) rickets 
D) type 1 diabetes

Question 4

The ideal renal diet provides enough protein to:

Accepted Answer

A) provide needed energy (kcalories). 
B) keep blood ammonia levels stable. 
C) decrease liver hyperactivity. 
D) prevent malnutrition. 
A) provide needed energy (kcalories). 
B) keep blood ammonia levels stable. 
C) decrease liver hyperactivity. 
D) prevent malnutrition.

Question 5

A patient with a history of renal disease complains of muscle cramping, twitching, and restless leg syndrome.The nurse recognizes these as symptoms of:

Accepted Answer

A) renal osteodystrophy. 
B) uremic syndrome. 
C) kidney stones. 
D) PEM. 
A) renal osteodystrophy. 
B) uremic syndrome. 
C) kidney stones. 
D) PEM.

Question 6

A glomerular filtration rate < 29 indicates kidney failure and the need for dialysis.

Accepted Answer

A) True 
 B)False

Question 7

Mr.Wilson's GFR is indicative of Stage _____ chronic kidney disease.

Accepted Answer

A) 2 
B) 3 
C) 4 
D) 5 
A) 2 
B) 3 
C) 4 
D) 5

Question 8

Which of the following is not appropriate after a kidney transplant?

Accepted Answer

A) calcium supplements for those on corticosteroids 
B) < 300 milligrams cholesterol per day 
C) protein intake of at least twice the RDA 
D) < 10% of total kcalories from saturated fat 
A) calcium supplements for those on corticosteroids 
B) < 300 milligrams cholesterol per day 
C) protein intake of at least twice the RDA 
D) < 10% of total kcalories from saturated fat

Question 9

The part of the kidney that acts like a sieve to filter wastes is the:

Accepted Answer

A) nephron. 
B) glomerulus. 
C) tubule. 
D) lobe. 
A) nephron. 
B) glomerulus. 
C) tubule. 
D) lobe.

Question 10

Secondary complications of chronic kidney disease include:

Accepted Answer

A) type 1 diabetes. 
B) bone disease. 
C) stroke. 
D) hypotension. 
A) type 1 diabetes. 
B) bone disease. 
C) stroke. 
D) hypotension.

Question 11

John is a 56-year-old male who started hemodialysis a week ago.He weighs 174 pounds.The nurse recognizes that an appropriate diet prescription for him should read:

Accepted Answer

A) 1975 kcalories; 95 grams protein; 4 grams sodium. 
B) 2370 kcalories; 63 grams protein; 3 grams sodium. 
C) 2768 kcalories; 95 grams protein; 2 grams sodium; 2 grams potassium. 
D) 2768 kcalories; 63 grams protein; 3 grams sodium; 3 grams potassium. 
A) 1975 kcalories; 95 grams protein; 4 grams sodium. 
B) 2370 kcalories; 63 grams protein; 3 grams sodium. 
C) 2768 kcalories; 95 grams protein; 2 grams sodium; 2 grams potassium. 
D) 2768 kcalories; 63 grams protein; 3 grams sodium; 3 grams potassium.

Question 12

Hypercalciuria can result from all of the following except:

Accepted Answer

A) excessive calcium absorption. 
B) impaired calcium reabsorption. 
C) elevated serum levels of parathyroid hormone. 
D) impaired absorption of vitamin C. 
A) excessive calcium absorption. 
B) impaired calcium reabsorption. 
C) elevated serum levels of parathyroid hormone. 
D) impaired absorption of vitamin C.

Question 13

In acute kidney injury, fluid needs are determined by measuring urine output and adding _____ milliliters.

Accepted Answer

A) 200 
B) 300 
C) 400 
D) 500 
A) 200 
B) 300 
C) 400 
D) 500

Question 14

Manifestations of the nephrotic syndrome include:

Accepted Answer

A) low serum albumin. 
B) uremia. 
C) low blood lipids. 
D) dehydration. 
A) low serum albumin. 
B) uremia. 
C) low blood lipids. 
D) dehydration.

Question 15

Following kidney transplantation, dietary restrictions:

Accepted Answer

A) are more strict. 
B) are liberalized. 
C) can replace immunosuppressive therapy. 
D) determine whether the body rejects the kidney. 
A) are more strict. 
B) are liberalized. 
C) can replace immunosuppressive therapy. 
D) determine whether the body rejects the kidney.

Question 16

The most effective way to improve the iron status of patients undergoing dialysis is:

Accepted Answer

A) oral supplements. 
B) IV administration. 
C) IV administration in conjunction with erythropoietin therapy. 
D) increasing intake of iron-rich foods. 
A) oral supplements. 
B) IV administration. 
C) IV administration in conjunction with erythropoietin therapy. 
D) increasing intake of iron-rich foods.

Question 17

Supplementation of all fat-soluble vitamins is necessary in clients with chronic kidney disease.

Accepted Answer

A) True 
 B)False

Question 18

Which of the following principles regarding fluid is correctly conveyed to Mr.Bradley?

Accepted Answer

A) "Gelatin, soups, fruit ices, and frozen fruit juice bars contribute to your fluid intake." 
B) "Water losses from the skin and lungs are deducted from your fluid allowance." 
C) "Solid foods do not contribute to your fluid intake." 
D) "Your average fluid gain between dialysis treatments should ideally be 0 pounds." 
E) all of the above 
A) "Gelatin, soups, fruit ices, and frozen fruit juice bars contribute to your fluid intake." 
B) "Water losses from the skin and lungs are deducted from your fluid allowance." 
C) "Solid foods do not contribute to your fluid intake." 
D) "Your average fluid gain between dialysis treatments should ideally be 0 pounds." 
E) all of the above

Question 19

Which of the following is not a function of the kidneys?

Accepted Answer

A) maintaining blood pressure 
B) regulating electrolyte concentrations 
C) maintaining acid-base balance 
D) converting vitamin K to its active form 
A) maintaining blood pressure 
B) regulating electrolyte concentrations 
C) maintaining acid-base balance 
D) converting vitamin K to its active form

Question 20

Why are the diet modifications used to treat chronic kidney disease difficult for patients to adhere to?

Accepted Answer

Diet modifications used to treat chronic

Exam 22: Nutrition and Renal Diseases

The most appropriate food to recommend for supplementing kcalories in the renal diet is:

The nephrotic syndrome results in:

One of the effects of nephrotic syndrome is a loss of vitamin D.This can result in _____ in children.

The ideal renal diet provides enough protein to:

A patient with a history of renal disease complains of muscle cramping, twitching, and restless leg syndrome.The nurse recognizes these as symptoms of:

A glomerular filtration rate < 29 indicates kidney failure and the need for dialysis.

Mr.Wilson's GFR is indicative of Stage _____ chronic kidney disease.

Which of the following is not appropriate after a kidney transplant?

The part of the kidney that acts like a sieve to filter wastes is the:

Secondary complications of chronic kidney disease include:

John is a 56-year-old male who started hemodialysis a week ago.He weighs 174 pounds.The nurse recognizes that an appropriate diet prescription for him should read:

Hypercalciuria can result from all of the following except:

In acute kidney injury, fluid needs are determined by measuring urine output and adding _____ milliliters.

Manifestations of the nephrotic syndrome include:

Following kidney transplantation, dietary restrictions:

The most effective way to improve the iron status of patients undergoing dialysis is:

Supplementation of all fat-soluble vitamins is necessary in clients with chronic kidney disease.

Which of the following principles regarding fluid is correctly conveyed to Mr.Bradley?

Which of the following is not a function of the kidneys?

Why are the diet modifications used to treat chronic kidney disease difficult for patients to adhere to?

Overview of Nutrition and Health

Digestion and Absorption

Carbohydrates

Lipids

Protein

Energy Balance and Body Composition

Weight Management

The Vitamins

Water and the Minerals

Nutrition Through the Life Span: Pregnancy and Infancy

Nutrition Through the Life Span: Childhood and Adolescence

Nutrition Through the Life Span: Later Adulthood

Nutrition Care and Assessment

Nutrition Intervention and Diet-Drug Interactions

Enteral and Parenteral Nutrition Support

Nutrition in Metabolic and Respiratory Stress

Nutrition and Upper Gastrointestinal Disorders

Nutrition and Lower Gastrointestinal Disorders

Nutrition and Liver Diseases

Nutrition and Diabetes Mellitus

Nutrition and Disorders of the Heart and Blood Vessels

Nutrition, Cancer, and Hiv Infection

Filters