Question 1

Which statement describes renal transplantation in children?

Accepted Answer

A)  It is an acceptable means of treatment after age 10 years. 
B)  It is the preferred means of renal replacement therapy in children. 
C)  Children can receive kidneys only from other children. 
D)  The decision for transplantation is difficult since a relatively normal lifestyle is not possible. 
A)  It is an acceptable means of treatment after age 10 years. 
B)  It is the preferred means of renal replacement therapy in children. 
C)  Children can receive kidneys only from other children. 
D)  The decision for transplantation is difficult since a relatively normal lifestyle is not possible. B

Question 2

What is one advantage of peritoneal dialysis?

Accepted Answer

A)  Treatments are done in hospitals. 
B)  Protein loss is less extensive. 
C)  Dietary limitations are not necessary. 
D)  Parents and older children can perform treatments. 
A)  Treatments are done in hospitals. 
B)  Protein loss is less extensive. 
C)  Dietary limitations are not necessary. 
D)  Parents and older children can perform treatments. D

Question 3

What is the most appropriate nursing diagnosis for a child with acute glomerulonephritis?

Accepted Answer

A)  Risk for injury related to malignant process and treatment 
B)  Deficient fluid volume related to excessive losses 
C)  Excess fluid volume related to decreased plasma filtration 
D)  Excess fluid volume related to fluid accumulation in tissues and third spaces 
A)  Risk for injury related to malignant process and treatment 
B)  Deficient fluid volume related to excessive losses 
C)  Excess fluid volume related to decreased plasma filtration 
D)  Excess fluid volume related to fluid accumulation in tissues and third spaces C

Question 4

What is usually different about the diet of a child with nephrosis?

Accepted Answer

A)  High protein 
B)  Salt restriction 
C)  Low fat 
D)  High carbohydrate 
A)  High protein 
B)  Salt restriction 
C)  Low fat 
D)  High carbohydrate

Question 5

What is the most common cause of acute renal failure in children?

Accepted Answer

A)  Pyelonephritis 
B)  Tubular destruction 
C)  Urinary tract obstruction 
D)  Severe dehydration 
A)  Pyelonephritis 
B)  Tubular destruction 
C)  Urinary tract obstruction 
D)  Severe dehydration

Question 6

Which is characteristic of the diet of a child with chronic kidney disease?

Accepted Answer

A)  High in protein 
B)  Low in vitamin D 
C)  Low in phosphorus 
D)  Supplemented with vitamins A,E,and K 
A)  High in protein 
B)  Low in vitamin D 
C)  Low in phosphorus 
D)  Supplemented with vitamins A,E,and K

Question 7

The nurse is caring for a child with acute renal failure.What clinical manifestation should the nurse recognize as a sign of hyperkalemia?

Accepted Answer

A)  Dyspnea 
B)  Seizure 
C)  Oliguria 
D)  Cardiac arrhythmia 
A)  Dyspnea 
B)  Seizure 
C)  Oliguria 
D)  Cardiac arrhythmia

Question 8

Which is included in the therapeutic management of nephrosis?

Accepted Answer

A)  Corticosteroids 
B)  Antihypertensive agents 
C)  Long-term diuretics 
D)  Increased fluids to promote diuresis 
A)  Corticosteroids 
B)  Antihypertensive agents 
C)  Long-term diuretics 
D)  Increased fluids to promote diuresis

Question 9

What is a major complication in a child with chronic kidney disease?

Accepted Answer

A)  Hypokalemia 
B)  Metabolic alkalosis 
C)  Water and sodium retention 
D)  Excessive excretion of blood urea nitrogen 
A)  Hypokalemia 
B)  Metabolic alkalosis 
C)  Water and sodium retention 
D)  Excessive excretion of blood urea nitrogen

Question 10

What is a common adverse effect of corticosteroid therapy?

Accepted Answer

A)  Fever 
B)  Hypertension 
C)  Weight loss 
D)  Increased appetite 
A)  Fever 
B)  Hypertension 
C)  Weight loss 
D)  Increased appetite

Question 11

Where are Wilms' tumours (nephroblastomas)located?

Accepted Answer

A)  Bone 
B)  Brain 
C)  Kidney 
D)  Lymphatic system 
A)  Bone 
B)  Brain 
C)  Kidney 
D)  Lymphatic system

Question 12

Which factor predisposes the urinary tract to infection?

Accepted Answer

A)  Increased fluid intake 
B)  A short urethra in young girls 
C)  Prostatic secretions in males 
D)  Frequent emptying of the bladder 
A)  Increased fluid intake 
B)  A short urethra in young girls 
C)  Prostatic secretions in males 
D)  Frequent emptying of the bladder

Question 13

When a child has chronic renal failure (chronic kidney disease),which is the name of the clinical syndrome that is caused by progressive deterioration that produces a variety of clinical and biochemical disturbances?

Accepted Answer

A)  Uremia 
B)  Oliguria 
C)  Proteinuria 
D)  Pyelonephritis 
A)  Uremia 
B)  Oliguria 
C)  Proteinuria 
D)  Pyelonephritis

Question 14

A child is admitted with acute glomerulonephritis.What does the nurse expect the urinalysis to show during this acute phase?

Accepted Answer

A)  Bacteriuria,hematuria 
B)  Hematuria,proteinuria 
C)  Bacteriuria,increased specific gravity 
D)  Proteinuria,decreased specific gravity 
A)  Bacteriuria,hematuria 
B)  Hematuria,proteinuria 
C)  Bacteriuria,increased specific gravity 
D)  Proteinuria,decreased specific gravity

Question 15

Order the sequence of events see in nephrotic syndrome.Express answer with small letters followed by a comma and a space-e.g. ,a,b,c

Accepted Answer

A)  Hypoproteinemia 
B)  Edema 
C)  Proteinuria 
D)  Renal glomerular damage 
E)  Decreased oncotic pressure 
A)  Hypoproteinemia 
B)  Edema 
C)  Proteinuria 
D)  Renal glomerular damage 
E)  Decreased oncotic pressure

Question 16

The nurse is caring for an adolescent who has just started dialysis.The child seems to always be angry,hostile,or depressed.The nurse should recognize that this is most likely related to what issue?

Accepted Answer

A)  Neurological manifestations that occur with dialysis 
B)  Physiological manifestations of renal disease 
C)  Adolescents have few coping mechanisms. 
D)  Adolescents often resent the control and enforced dependence imposed by dialysis. 
A)  Neurological manifestations that occur with dialysis 
B)  Physiological manifestations of renal disease 
C)  Adolescents have few coping mechanisms. 
D)  Adolescents often resent the control and enforced dependence imposed by dialysis.

Question 17

One of the clinical manifestations of chronic kidney disease is uremic frost.What is the best description of this term?

Accepted Answer

A)  Deposits of urea crystals in urine 
B)  Deposits of urea crystals on skin 
C)  Overexcretion of blood urea nitrogen 
D)  Inability of body to tolerate cold temperatures 
A)  Deposits of urea crystals in urine 
B)  Deposits of urea crystals on skin 
C)  Overexcretion of blood urea nitrogen 
D)  Inability of body to tolerate cold temperatures

Question 18

Which clinical manifestation is seen in a child with chronic kidney disease?

Accepted Answer

A)  Hypotension 
B)  Massive hematuria 
C)  Hypokalemia 
D)  Unpleasant "uremic" breath odour 
A)  Hypotension 
B)  Massive hematuria 
C)  Hypokalemia 
D)  Unpleasant "uremic" breath odour

Question 19

What should the nurse recommend to prevent urinary tract infections in young girls?

Accepted Answer

A)  Wear cotton underpants. 
B)  Limit bathing as much as possible. 
C)  Increase fluids and decrease salt intake. 
D)  Cleanse the perineum with water after voiding. 
A)  Wear cotton underpants. 
B)  Limit bathing as much as possible. 
C)  Increase fluids and decrease salt intake. 
D)  Cleanse the perineum with water after voiding.

Question 20

Which diagnostic test provides images of the renal parenchyma and renal pelvis without exposing them to external beam radiation or radioactive isotopes?

Accepted Answer

A)  Renal ultrasound 
B)  Computed tomography 
C)  Intravenous pyelography 
D)  Voiding cystourethrography 
A)  Renal ultrasound 
B)  Computed tomography 
C)  Intravenous pyelography 
D)  Voiding cystourethrography

Exam 49: Genitourinary Dysfunction

Which statement describes renal transplantation in children?

What is one advantage of peritoneal dialysis?

What is the most appropriate nursing diagnosis for a child with acute glomerulonephritis?

What is usually different about the diet of a child with nephrosis?

What is the most common cause of acute renal failure in children?

Which is characteristic of the diet of a child with chronic kidney disease?

The nurse is caring for a child with acute renal failure.What clinical manifestation should the nurse recognize as a sign of hyperkalemia?

Which is included in the therapeutic management of nephrosis?

What is a major complication in a child with chronic kidney disease?

What is a common adverse effect of corticosteroid therapy?

Where are Wilms' tumours (nephroblastomas)located?

Which factor predisposes the urinary tract to infection?

When a child has chronic renal failure (chronic kidney disease),which is the name of the clinical syndrome that is caused by progressive deterioration that produces a variety of clinical and biochemical disturbances?

A child is admitted with acute glomerulonephritis.What does the nurse expect the urinalysis to show during this acute phase?

Order the sequence of events see in nephrotic syndrome.Express answer with small letters followed by a comma and a space-e.g. ,a,b,c

The nurse is caring for an adolescent who has just started dialysis.The child seems to always be angry,hostile,or depressed.The nurse should recognize that this is most likely related to what issue?

One of the clinical manifestations of chronic kidney disease is uremic frost.What is the best description of this term?

Which clinical manifestation is seen in a child with chronic kidney disease?

What should the nurse recommend to prevent urinary tract infections in young girls?

Which diagnostic test provides images of the renal parenchyma and renal pelvis without exposing them to external beam radiation or radioactive isotopes?

Contemporary Perinatal and Pediatric Nursing in Canada

The Family and Culture

Community Care

Perinatal Nursing in Canada

Health Promotion

Health Assessment

Reproductive Health

Infertility, Contraception, and Abortion

Preconception, Genetics, Conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Nursing Care of the Family During Labour and Birth

Pain Management During Labour

Fetal Health Surveillance During Labour

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Infants with Gestational Age Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Pediatric Nursing in Canada

Family, Social, Cultural, and Religious Influences on Children’s Health

Developmental Influences on Child Health Promotion

Communication, History, Physical, and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, Complex Conditions, and End-of-Life Care

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological or Immunological Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

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