Question 1

What signs and symptoms are indicative of a urinary tract disorder in the neonatal period (birth to 1 month)?

Accepted Answer

A)  Edema 
B)  Bradypnea 
C)  Frequent urination 
D)  Poor urinary stream 
E)  Failure to gain weight 
A)  Edema 
B)  Bradypnea 
C)  Frequent urination 
D)  Poor urinary stream 
E)  Failure to gain weight

Question 2

What name is given to inflammation of the bladder?

Accepted Answer

A)  Cystitis 
B)  Urethritis 
C)  Urosepsis 
D)  Bacteriuria 
A)  Cystitis 
B)  Urethritis 
C)  Urosepsis 
D)  Bacteriuria

Question 3

The nurse is teaching a child experiencing severe edema associated with minimal change nephrotic syndrome about his diet.The nurse should discuss what dietary need?

Accepted Answer

A)  Consuming a regular diet 
B)  Increasing protein 
C)  Restricting fluids 
D)  Decreasing calories 
A)  Consuming a regular diet 
B)  Increasing protein 
C)  Restricting fluids 
D)  Decreasing calories

Question 4

What major complication is associated with a child with chronic renal failure?

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 5

A parent asks the nurse what would be the first indication that acute glomerulonephritis was improving.What would be the nurse's best response?

Accepted Answer

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

Question 6

Match the classification of urinary tract infections of inflammations to its definition.
-Inflammation of the bladder

Accepted Answer

A) Persistent urinary tract infection 
B) Cystitis 
C) Urethritis 
D) Pyelonephritis 
E) Urosepsis 
A) Persistent urinary tract infection 
B) Cystitis 
C) Urethritis 
D) Pyelonephritis 
E) Urosepsis

Question 7

What is an appropriate nursing intervention for a child with minimal change nephrotic syndrome (MCNS)who has scrotal edema?

Accepted Answer

A)  Place an ice pack on the scrotal area. 
B)  Place the child in an upright sitting position. 
C)  Elevate the scrotum with a rolled washcloth. 
D)  Place a warm moist pack to the scrotal area. 
A)  Place an ice pack on the scrotal area. 
B)  Place the child in an upright sitting position. 
C)  Elevate the scrotum with a rolled washcloth. 
D)  Place a warm moist pack to the scrotal area.

Question 8

A child is admitted in acute renal failure (ARF).Therapeutic management to rapidly provoke a flow of urine includes the administration of what medication?

Accepted Answer

A)  Propranolol (Inderal) 
B)  Calcium gluconate 
C)  Mannitol (Osmitrol) or furosemide (Lasix) (or both) 
D)  Sodium, chloride, and potassium 
A)  Propranolol (Inderal) 
B)  Calcium gluconate 
C)  Mannitol (Osmitrol) or furosemide (Lasix) (or both) 
D)  Sodium, chloride, and potassium

Question 9

What statement is descriptive of renal transplantation in children?

Accepted Answer

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

Question 10

What is the narrowing of preputial opening of foreskin called?

Accepted Answer

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

Question 11

The nurse is teaching a client to prevent future urinary tract infections (UTIs).What factor is most important to emphasize as the potential cause?

Accepted Answer

A)  Poor hygiene 
B)  Constipation 
C)  Urinary stasis 
D)  Congenital anomalies 
A)  Poor hygiene 
B)  Constipation 
C)  Urinary stasis 
D)  Congenital anomalies

Question 12

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

Accepted Answer

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

Question 13

Parents of a child who will need hemodialysis ask the nurse,"What are the advantages of a fistula over a graft or external access device for hemodialysis?" What response should the nurse give?

Accepted Answer

A)  It is ready to be used immediately. 
B)  There are fewer complications with a fistula. 
C)  There is less restriction of activity with a fistula. 
D)  It produces dilation and thickening of the superficial vessels. 
E)  The fistula does not require a needle insertion at each dialysis. 
A)  It is ready to be used immediately. 
B)  There are fewer complications with a fistula. 
C)  There is less restriction of activity with a fistula. 
D)  It produces dilation and thickening of the superficial vessels. 
E)  The fistula does not require a needle insertion at each dialysis.

Question 14

Identification and treatment of cryptorchid testes should be done by age 2 years.What is an important consideration?

Accepted Answer

A)  Medical therapy is not effective after this age. 
B)  Treatment is necessary to maintain the ability to be fertile when older. 
C)  The younger child can tolerate the extensive surgery needed. 
D)  Sexual reassignment may be necessary if treatment is not successful. 
A)  Medical therapy is not effective after this age. 
B)  Treatment is necessary to maintain the ability to be fertile when older. 
C)  The younger child can tolerate the extensive surgery needed. 
D)  Sexual reassignment may be necessary if treatment is not successful.

Question 15

What signs and symptoms are indicative of a urinary tract disorder in the infancy period (1-24 months)?

Accepted Answer

A)  Pallor 
B)  Poor feeding 
C)  Hypothermia 
D)  Excessive thirst 
E)  Frequent urination 
A)  Pallor 
B)  Poor feeding 
C)  Hypothermia 
D)  Excessive thirst 
E)  Frequent urination

Question 16

The nurse notes that a child has lost 3.6 kg (8 lb)after 4 days of hospitalization for acute glomerulonephritis.What is the most likely cause of this weight loss?

Accepted Answer

A)  Poor appetite 
B)  Reduction of edema 
C)  Restriction to bed rest 
D)  Increased potassium intake 
A)  Poor appetite 
B)  Reduction of edema 
C)  Restriction to bed rest 
D)  Increased potassium intake

Question 17

A girl,age 5 1/2 years,has been sent to the school nurse for urinary incontinence three times in the past 2 days.The nurse should recommend to her parent that the first action is to have the child evaluated for what condition?

Accepted Answer

A)  School phobia 
B)  Glomerulonephritis 
C)  Urinary tract infection (UTI) 
D)  Attention deficit hyperactivity disorder (ADH
D)  
A)  School phobia 
B)  Glomerulonephritis 
C)  Urinary tract infection (UTI) 
D)  Attention deficit hyperactivity disorder (ADH
D)

Question 18

What statement is an advantage of peritoneal dialysis compared with hemodialysis?

Accepted Answer

A)  Protein loss is less extensive. 
B)  Dietary limitations are not necessary. 
C)  It is easy to learn and safe to perform. 
D)  It is needed less frequently than hemodialysis. 
A)  Protein loss is less extensive. 
B)  Dietary limitations are not necessary. 
C)  It is easy to learn and safe to perform. 
D)  It is needed less frequently than hemodialysis.

Question 19

The nurse is preparing to admit a child to the hospital with a diagnosis of minimal change nephrotic syndrome.The nurse understands that the peak age at onset for this disease is what?

Accepted Answer

A)  2 to 3 years 
B)  4 to 5 years 
C)  6 to 7 years 
D)  8 to 9 years 
A)  2 to 3 years 
B)  4 to 5 years 
C)  6 to 7 years 
D)  8 to 9 years

Question 20

What diet is most appropriate for the child with chronic renal failure (CRF)?

Accepted Answer

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

Exam 25: The Child With Renal Dysfunction

What signs and symptoms are indicative of a urinary tract disorder in the neonatal period (birth to 1 month)?

What name is given to inflammation of the bladder?

The nurse is teaching a child experiencing severe edema associated with minimal change nephrotic syndrome about his diet.The nurse should discuss what dietary need?

What major complication is associated with a child with chronic renal failure?

A parent asks the nurse what would be the first indication that acute glomerulonephritis was improving.What would be the nurse's best response?

Match the classification of urinary tract infections of inflammations to its definition. -Inflammation of the bladder

What is an appropriate nursing intervention for a child with minimal change nephrotic syndrome (MCNS)who has scrotal edema?

A child is admitted in acute renal failure (ARF).Therapeutic management to rapidly provoke a flow of urine includes the administration of what medication?

What statement is descriptive of renal transplantation in children?

What is the narrowing of preputial opening of foreskin called?

The nurse is teaching a client to prevent future urinary tract infections (UTIs).What factor is most important to emphasize as the potential cause?

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

Parents of a child who will need hemodialysis ask the nurse,"What are the advantages of a fistula over a graft or external access device for hemodialysis?" What response should the nurse give?

Identification and treatment of cryptorchid testes should be done by age 2 years.What is an important consideration?

What signs and symptoms are indicative of a urinary tract disorder in the infancy period (1-24 months)?

The nurse notes that a child has lost 3.6 kg (8 lb)after 4 days of hospitalization for acute glomerulonephritis.What is the most likely cause of this weight loss?

A girl,age 5 1/2 years,has been sent to the school nurse for urinary incontinence three times in the past 2 days.The nurse should recommend to her parent that the first action is to have the child evaluated for what condition?

What statement is an advantage of peritoneal dialysis compared with hemodialysis?

The nurse is preparing to admit a child to the hospital with a diagnosis of minimal change nephrotic syndrome.The nurse understands that the peak age at onset for this disease is what?

What diet is most appropriate for the child with chronic renal failure (CRF)?

Perspectives of Pediatric Nursing

Social,cultural,religious,and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Early Childhood

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child With Chronic Illness or Disability

Family-Centered Palliative Care

The Child With Cognitive, sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child With Fluid and Electrolyte Imbalance

The Child With Gastrointestinal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child With Respiratory 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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