Question 1

Which factor predisposes the urinary tract to infection?

Accepted Answer

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

Question 2

The care of the child with chronic renal failure is complex and requires a multidisciplinary team approach.Most of these children will ultimately require dialysis.Is this statement true or false?

Accepted Answer

A) True 
 B)False

Question 3

A child is admitted with acute glomerulonephritis.The nurse expects the urinalysis during this acute phase to show

Accepted Answer

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

Question 4

Which statement by a school-age girl indicates the need for further teaching about the prevention of urinary tract infections (UTIs)?

Accepted Answer

A)  "I always wear cotton underwear." 
B)  "I really enjoy taking a bubble bath." 
C)  "I go to the bathroom every 3 to 4 hours." 
D)  "I drink four to six glasses of fluid every day." 
A)  "I always wear cotton underwear." 
B)  "I really enjoy taking a bubble bath." 
C)  "I go to the bathroom every 3 to 4 hours." 
D)  "I drink four to six glasses of fluid every day."

Question 5

A child with secondary enuresis who complains of dysuria or urgency should be evaluated for what condition? Select all that apply.

Accepted Answer

A)  Hypocalciuria 
B)  Nephrotic syndrome 
C)  Glomerulonephritis 
D)  UTI 
E)  Diabetes mellitus 
A)  Hypocalciuria 
B)  Nephrotic syndrome 
C)  Glomerulonephritis 
D)  UTI 
E)  Diabetes mellitus

Question 6

Which dietary modification is appropriate for a child with chronic renal failure?

Accepted Answer

A)  Decreased protein 
B)  Decreased fat 
C)  Increased potassium 
D)  Increased phosphorus 
A)  Decreased protein 
B)  Decreased fat 
C)  Increased potassium 
D)  Increased phosphorus

Question 7

A nurse is planning care for a child admitted with nephrotic syndrome.Which interventions should be included in the plan of care? Select all that apply.

Accepted Answer

A)  Administration of antihypertensive medications 
B)  Daily weights 
C)  Salt-restricted diet 
D)  Frequent position changes 
E)  Teaching parents to expect tea-colored urine 
A)  Administration of antihypertensive medications 
B)  Daily weights 
C)  Salt-restricted diet 
D)  Frequent position changes 
E)  Teaching parents to expect tea-colored urine

Question 8

What is an appropriate intervention for a child with nephrotic syndrome who is edematous?

Accepted Answer

A)  Teach the child to minimize body movements. 
B)  Change the child's position every 2 hours. 
C)  Avoid the use of skin lotions. 
D)  Bathe every other day. 
A)  Teach the child to minimize body movements. 
B)  Change the child's position every 2 hours. 
C)  Avoid the use of skin lotions. 
D)  Bathe every other day.

Question 9

The nurse assessing a child with acute poststreptococcal glomerulonephritis should be alert for which finding?

Accepted Answer

A)  Increased urine output 
B)  Hypotension 
C)  Tea-colored urine 
D)  Weight gain 
A)  Increased urine output 
B)  Hypotension 
C)  Tea-colored urine 
D)  Weight gain

Question 10

Which statement by a parent of a child with nephrotic syndrome indicates an understanding of a no-added-salt diet?

Accepted Answer

A)  "I can give my child sweet pickles." 
B)  "My child can put ketchup on his hotdog." 
C)  "I can let my child have potato chips." 
D)  "I do not put any salt in foods when I am cooking." 
A)  "I can give my child sweet pickles." 
B)  "My child can put ketchup on his hotdog." 
C)  "I can let my child have potato chips." 
D)  "I do not put any salt in foods when I am cooking."

Question 11

The most common cause of acute renal failure in children is

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 12

The narrowing of preputial opening of foreskin is called

Accepted Answer

A)  Chordee 
B)  Phimosis 
C)  Epispadias 
D)  Hypospadias 
A)  Chordee 
B)  Phimosis 
C)  Epispadias 
D)  Hypospadias

Question 13

The diet of a child with chronic renal failure is usually characterized as

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

Exam 44: The Child With a Genitourinary Alteration

Which factor predisposes the urinary tract to infection?

The care of the child with chronic renal failure is complex and requires a multidisciplinary team approach.Most of these children will ultimately require dialysis.Is this statement true or false?

A child is admitted with acute glomerulonephritis.The nurse expects the urinalysis during this acute phase to show

Which statement by a school-age girl indicates the need for further teaching about the prevention of urinary tract infections (UTIs)?

A child with secondary enuresis who complains of dysuria or urgency should be evaluated for what condition? Select all that apply.

Which dietary modification is appropriate for a child with chronic renal failure?

A nurse is planning care for a child admitted with nephrotic syndrome.Which interventions should be included in the plan of care? Select all that apply.

What is an appropriate intervention for a child with nephrotic syndrome who is edematous?

The nurse assessing a child with acute poststreptococcal glomerulonephritis should be alert for which finding?

Which statement by a parent of a child with nephrotic syndrome indicates an understanding of a no-added-salt diet?

The most common cause of acute renal failure in children is

The narrowing of preputial opening of foreskin is called

The diet of a child with chronic renal failure is usually characterized as

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating With Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion during Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family With Special Needs

Pregnancy-Related Complications

Concurrent Disorders During Pregnancy

The Woman With an Intrapartum Complication

The Woman With a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s Health Care

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child With a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child With a Fluid and Electrolyte Alteration

The Child With an Infectious Disease

The Child With an Immunologic Alteration

The Child With a Gastrointestinal Alteration

The Child With a Respiratory Alteration

The Child With a Cardiovascular Alteration

The Child With a Hematologic Alteration

The Child With Cancer

The Child With an Alteration in Tissue Integrity

The Child With a Musculoskeletal Alteration

The Child With an Endocrine or Metabolic Alteration

The Child With a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With a Developmental Disability

The Child With a Sensory Alteration

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