Question 1

What should the nurse include in a teaching plan for the parents of a child with vesicoureteral reflux?

Accepted Answer

A) The importance of taking prophylactic antibiotics 
B) Suggestions for how to maintain fluid restrictions 
C) The use of bubble baths as an incentive to increase bath time 
D) The need for the child to hold urine for 6 to 8 hours 
A) The importance of taking prophylactic antibiotics 
B) Suggestions for how to maintain fluid restrictions 
C) The use of bubble baths as an incentive to increase bath time 
D) The need for the child to hold urine for 6 to 8 hours A

Question 2

The nurse is admitting a school-age child in acute renal failure with reduced glomerular filtration rate.Which urine test is the most useful clinical indication of glomerular filtration rate?

Accepted Answer

A) pH 
B) Osmolality 
C) Creatinine clearance 
D) Protein level 
A) pH 
B) Osmolality 
C) Creatinine clearance 
D) Protein level C

Question 3

An objective of care for the child with nephrosis is to:

Accepted Answer

A) Reduce blood pressure. 
B) Reduce excretion of urinary protein. 
C) Increase excretion of urinary protein. 
D) Increase ability of tissues to retain fluid. 
A) Reduce blood pressure. 
B) Reduce excretion of urinary protein. 
C) Increase excretion of urinary protein. 
D) Increase ability of tissues to retain fluid. B

Question 4

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 5

The nurse closely monitors the temperature of a child with nephrosis.The purpose of this is to detect an early sign of:

Accepted Answer

A) Infection. 
B) Hypertension. 
C) Encephalopathy. 
D) Edema. 
A) Infection. 
B) Hypertension. 
C) Encephalopathy. 
D) Edema.

Question 6

The primary clinical manifestations of acute renal failure are:

Accepted Answer

A) Oliguria and hypertension. 
B) Hematuria and pallor. 
C) Proteinuria and muscle cramps. 
D) Bacteriuria and facial edema. 
A) Oliguria and hypertension. 
B) Hematuria and pallor. 
C) Proteinuria and muscle cramps. 
D) Bacteriuria and facial edema.

Question 7

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

Accepted Answer

A) Wearing cotton underpants 
B) Limiting bathing as much as possible 
C) Increasing fluids; decreasing salt intake 
D) Cleansing the perineum with water after voiding 
A) Wearing cotton underpants 
B) Limiting bathing as much as possible 
C) Increasing fluids; decreasing salt intake 
D) Cleansing the perineum with water after voiding

Question 8

Which diagnostic test allows visualization of the renal parenchyma and renal pelvis without exposure 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

Question 9

The nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis.Which information should the nurse include in the teaching?

Accepted Answer

A) "You will need to decrease the number of calories in your child's diet." 
B) "Your child's diet will need an increased amount of protein." 
C) "You will need to avoid adding salt to your child's food." 
D) "Your child's diet will consist of low-fat, low-carbohydrate foods." 
A) "You will need to decrease the number of calories in your child's diet." 
B) "Your child's diet will need an increased amount of protein." 
C) "You will need to avoid adding salt to your child's food." 
D) "Your child's diet will consist of low-fat, low-carbohydrate foods."

Question 10

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 11

An advantage of peritoneal dialysis is that:

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.

Question 12

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

Accepted Answer

A) Neurologic manifestations that occur with dialysis. 
B) Physiologic manifestations of renal disease. 
C) Adolescents having few coping mechanisms. 
D) Adolescents often resenting the control and enforced dependence imposed by dialysis. 
A) Neurologic manifestations that occur with dialysis. 
B) Physiologic manifestations of renal disease. 
C) Adolescents having few coping mechanisms. 
D) Adolescents often resenting the control and enforced dependence imposed by dialysis.

Question 13

The nurse is conducting teaching for an adolescent being discharged to home after a renal transplantation.The adolescent needs further teaching if which statement is made?

Accepted Answer

A) "I will report any fever to my primary health care provider." 
B) "I am glad I only have to take the immunosuppressant medication for two weeks." 
C) "I will observe my incision for any redness or swelling." 
D) "I won't miss doing kidney dialysis every week." 
A) "I will report any fever to my primary health care provider." 
B) "I am glad I only have to take the immunosuppressant medication for two weeks." 
C) "I will observe my incision for any redness or swelling." 
D) "I won't miss doing kidney dialysis every week."

Question 14

A preschool child is being admitted to the hospital with dehydration and a urinary tract infection (UTI).Which urinalysis result should the nurse expect with these conditions?

Accepted Answer

A) WBC 2; specific gravity 1.016 
D) WBC >2; specific gravity 1.030 
A) WBC 2; specific gravity 1.016 
D) WBC >2; specific gravity 1.030

Question 15

A school-age child with chronic renal failure is admitted to the hospital with a serum potassium level of 5.2 mEq/L.Which prescribed medication should the nurse plan to administer?

Accepted Answer

A) Spironolactone (Aldactone) 
B) Sodium polystyrene sulfonate (Kayexalate) 
C) Lactulose (Cephulac) 
D) Calcium carbonate (Calcitab) 
A) Spironolactone (Aldactone) 
B) Sodium polystyrene sulfonate (Kayexalate) 
C) Lactulose (Cephulac) 
D) Calcium carbonate (Calcitab)

Question 16

The most appropriate nursing diagnosis for the child with acute glomerulonephritis is:

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.

Question 17

A major complication in a child with chronic renal failure is:

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 18

The diet of a child with nephrosis usually includes:

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 19

A mother asks the nurse what would be the first indication that acute glomerulonephritis is improving.The nurse's best response should be that the:

Accepted Answer

A) Blood pressure will stabilize. 
B) Child will have more energy. 
C) Urine will be free of protein. 
D) Urinary output will increase. 
A) Blood pressure will stabilize. 
B) Child will have more energy. 
C) Urine will be free of protein. 
D) Urinary output will increase.

Question 20

The nurse is conducting an assessment on a school-age child with urosepsis.Which assessment finding should the nurse expect?

Accepted Answer

A) Fever with a positive blood culture 
B) Proteinuria and edema 
C) Oliguria and hypertension 
D) Anemia and thrombocytopenia 
A) Fever with a positive blood culture 
B) Proteinuria and edema 
C) Oliguria and hypertension 
D) Anemia and thrombocytopenia

Exam 44: Genitourinary Dysfunction

What should the nurse include in a teaching plan for the parents of a child with vesicoureteral reflux?

The nurse is admitting a school-age child in acute renal failure with reduced glomerular filtration rate.Which urine test is the most useful clinical indication of glomerular filtration rate?

An objective of care for the child with nephrosis is to:

The narrowing of preputial opening of foreskin is called:

The nurse closely monitors the temperature of a child with nephrosis.The purpose of this is to detect an early sign of:

The primary clinical manifestations of acute renal failure are:

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

Which diagnostic test allows visualization of the renal parenchyma and renal pelvis without exposure to external beam radiation or radioactive isotopes?

The nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis.Which information should the nurse include in the teaching?

The most common cause of acute renal failure in children is:

An advantage of peritoneal dialysis is that:

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

The nurse is conducting teaching for an adolescent being discharged to home after a renal transplantation.The adolescent needs further teaching if which statement is made?

A preschool child is being admitted to the hospital with dehydration and a urinary tract infection (UTI).Which urinalysis result should the nurse expect with these conditions?

A school-age child with chronic renal failure is admitted to the hospital with a serum potassium level of 5.2 mEq/L.Which prescribed medication should the nurse plan to administer?

The most appropriate nursing diagnosis for the child with acute glomerulonephritis is:

A major complication in a child with chronic renal failure is:

The diet of a child with nephrosis usually includes:

A mother asks the nurse what would be the first indication that acute glomerulonephritis is improving.The nurse's best response should be that the:

The nurse is conducting an assessment on a school-age child with urosepsis.Which assessment finding should the nurse expect?

21st Century Maternity Nursing

Community Care: the Family and Culture

Assessment and Health Promotion

Reproductive System Concerns

Infertility,contraception,and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High Risk Pregnancy

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Pain Management

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Maternal Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication, history, and Physical Assessment

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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