Question 1

What intervention is a component of 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 2

An objective of care for the child with nephrosis is what desired outcome?

Accepted Answer

A)  Reduced blood pressure 
B)  Reduced excretion of urinary protein 
C)  Increased excretion of urinary protein 
D)  Increased ability of tissues to retain fluid 
A)  Reduced blood pressure 
B)  Reduced excretion of urinary protein 
C)  Increased excretion of urinary protein 
D)  Increased ability of tissues to retain fluid

Question 3

A school-age child has been admitted to the hospital diagnosed with minimal-change nephrotic syndrome.Which clinical manifestations should the nurse expect to assess? (Select all that apply.)

Accepted Answer

A)  Weight loss 
B)  Generalized edema 
C)  Proteinuria > 2+ 
D)  Fatigue 
E)  Irritability 
A)  Weight loss 
B)  Generalized edema 
C)  Proteinuria > 2+ 
D)  Fatigue 
E)  Irritability

Question 4

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 5

Which intervention is appropriate when examining a male infant for cryptorchidism?

Accepted Answer

A)  Cooling the examiner's hands 
B)  Taking a rectal temperature 
C)  Eliciting the cremasteric reflex 
D)  Warming the room 
A)  Cooling the examiner's hands 
B)  Taking a rectal temperature 
C)  Eliciting the cremasteric reflex 
D)  Warming the room

Question 6

Calcium carbonate is given with meals to a child with chronic renal disease.The purpose of this is to achieve which desired result?

Accepted Answer

A)  Prevent vomiting 
B)  Bind phosphorus 
C)  Stimulate appetite 
D)  Increase absorption of fat-soluble vitamins 
A)  Prevent vomiting 
B)  Bind phosphorus 
C)  Stimulate appetite 
D)  Increase absorption of fat-soluble vitamins

Question 7

A mother asks the nurse what would be the first indication that acute glomerulonephritis is improving.The nurse's best response should be to identify which occurrence?

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 8

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

Question 9

The nurse is caring for an adolescent who has just started dialysis.The child seems always angry,hostile,or depressed.What should the nurse contribute this behavior 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 10

The nurse understands that hypospadias refers to what urinary anomaly?

Accepted Answer

A)  Absence of a urethral opening. 
B)  Penis shorter than usual for age. 
C)  Urethral opening along dorsal surface of penis. 
D)  Urethral opening along ventral surface of penis. 
A)  Absence of a urethral opening. 
B)  Penis shorter than usual for age. 
C)  Urethral opening along dorsal surface of penis. 
D)  Urethral opening along ventral surface of penis.

Question 11

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

Question 12

What is a common side 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 13

The nurse is caring for an infant with a suspected urinary tract infection.Which clinical manifestations would be observed? (Select all that apply.)

Accepted Answer

A)  Vomiting 
B)  Jaundice 
C)  Failure to gain weight 
D)  Swelling of the face 
E)  Back pain 
F) Persistent diaper rash 
A)  Vomiting 
B)  Jaundice 
C)  Failure to gain weight 
D)  Swelling of the face 
E)  Back pain 
F) Persistent diaper rash

Question 14

Which statement is descriptive of renal transplantation in children?

Accepted Answer

A)  It is an acceptable means of treatment after age 10 years. 
B)  It is 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 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.

Question 15

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.

Question 16

Which diagnostic finding is present when a child has primary nephrotic syndrome?

Accepted Answer

A)  Hyperalbuminemia 
B)  Positive ASO titer 
C)  Leukocytosis 
D)  Proteinuria 
A)  Hyperalbuminemia 
B)  Positive ASO titer 
C)  Leukocytosis 
D)  Proteinuria

Question 17

What is an 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.

Question 18

What is the term used to identify when the meatal opening is located on the dorsal surface of the penis?

Accepted Answer

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

Question 19

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 20

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

Exam 45: The Child With Genitourinary Dysfunction

What intervention is a component of the therapeutic management of nephrosis?

An objective of care for the child with nephrosis is what desired outcome?

A school-age child has been admitted to the hospital diagnosed with minimal-change nephrotic syndrome.Which clinical manifestations should the nurse expect to assess? (Select all that apply.)

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

Which intervention is appropriate when examining a male infant for cryptorchidism?

Calcium carbonate is given with meals to a child with chronic renal disease.The purpose of this is to achieve which desired result?

A mother asks the nurse what would be the first indication that acute glomerulonephritis is improving.The nurse's best response should be to identify which occurrence?

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

The nurse is caring for an adolescent who has just started dialysis.The child seems always angry,hostile,or depressed.What should the nurse contribute this behavior to?

The nurse understands that hypospadias refers to what urinary anomaly?

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?

What is a common side effect of corticosteroid therapy?

The nurse is caring for an infant with a suspected urinary tract infection.Which clinical manifestations would be observed? (Select all that apply.)

Which statement is descriptive of renal transplantation in children?

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

Which diagnostic finding is present when a child has primary nephrotic syndrome?

What is an advantage of peritoneal dialysis?

What is the term used to identify when the meatal opening is located on the dorsal surface of the penis?

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?

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

21st Century Maternity Nursing

The Family, culture, spirituality, and Home Care

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

High-Risk Perinatal Care: Preexisting Conditions

High-Risk Perinatal Care: Gestational Conditions

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Postpartum 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 and Physical Assessment of the Child and Family

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

Impact of Chronic Illness, disability, or End-Of-Life Care for the Child and Family

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

The Child With Respiratory Dysfunction

The Child With Gastrointestinal Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Cerebral Dysfunction

The Child With Endocrine Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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