Question 1

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. B

Question 2

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 C

Question 3

Hypospadias refers to

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. D

Question 4

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 is difficult, since a 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 is difficult, since a normal lifestyle is not possible.

Question 5

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)  Risk for Imbalanced Fluid Volume related to a decrease in 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)  Risk for Imbalanced Fluid Volume related to a decrease in plasma filtration. 
D)  Excess Fluid Volume related to fluid accumulation in tissues and third spaces.

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 assessing lab results on four patients in the general pediatric unit.What child should the nurse go see first?

Accepted Answer

A)  Urine specific gravity: 1.025 
B)  Urine ketones: positive in large amounts 
C)  Serum BUN 21 mg/dL 
D)  Serum creatinine 0.7 mg/dL 
A)  Urine specific gravity: 1.025 
B)  Urine ketones: positive in large amounts 
C)  Serum BUN 21 mg/dL 
D)  Serum creatinine 0.7 mg/dL

Question 8

An infant is born with bladder exstrophy.What action by the nurse is the priority?

Accepted Answer

A)  Obtain surgical consent for the corrective operation. 
B)  Cover the exposed bladder with non-adherent plastic wrap. 
C)  Insert an indwelling catheter to collect all the urine. 
D)  Obtain consent for genetic testing on parents and infant. 
A)  Obtain surgical consent for the corrective operation. 
B)  Cover the exposed bladder with non-adherent plastic wrap. 
C)  Insert an indwelling catheter to collect all the urine. 
D)  Obtain consent for genetic testing on parents and infant.

Question 9

Which clinical finding warrants further intervention for the child with acute post streptococcal glomerulonephritis?

Accepted Answer

A)  Weight loss to within 1 lb of the preillness weight 
B)  Urine output of 1 mL/kg/hr 
C)  A positive antistreptolysin O (ASO) titer 
D)  Inspiratory crackles 
A)  Weight loss to within 1 lb of the preillness weight 
B)  Urine output of 1 mL/kg/hr 
C)  A positive antistreptolysin O (ASO) titer 
D)  Inspiratory crackles

Question 10

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

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 11

The most common cause of acute kidney injury 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

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 if prescribed 
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 if prescribed 
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

Question 13

Which finding indicates that a child receiving prednisone for primary nephrotic syndrome is in remission?

Accepted Answer

A)  Urine is negative for casts for 5 days. 
B)  Urine has <1+ protein for 3 to 7 consecutive days. 
C)  Urine is positive for glucose for 1 week. 
D)  Urine is up to a trace for blood for 1 week. 
A)  Urine is negative for casts for 5 days. 
B)  Urine has <1+ protein for 3 to 7 consecutive days. 
C)  Urine is positive for glucose for 1 week. 
D)  Urine is up to a trace for blood for 1 week.

Question 14

The primary clinical manifestations of acute kidney injury are which of the following?

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 15

A nurse is teaching a class on acute kidney injury.The nurse relates that acute kidney injury as a result of hemolytic-uremic syndrome (HUS)is classified as

Accepted Answer

A)  Intrinsic renal. 
B)  Prerenal. 
C)  Postrenal. 
D)  Chronic. 
A)  Intrinsic renal. 
B)  Prerenal. 
C)  Postrenal. 
D)  Chronic.

Question 16

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 17

Parents ask the nurse,"When should our child's hypospadias be corrected?" The nurse responds that correction of hypospadias should be accomplished by the time the child is

Accepted Answer

A)  1 month of age. 
B)  6 to 12 months of age. 
C)  school age. 
D)  sexually mature. 
A)  1 month of age. 
B)  6 to 12 months of age. 
C)  school age. 
D)  sexually mature.

Question 18

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 19

You are the nurse caring for a 4-year-old child who has developed acute renal failure as a result of hemolytic-uremic syndrome (HUS).Which bacterial infection was most likely the cause of HUS?

Accepted Answer

A)  Pseudomonas aeruginosa 
B)  Escherichia coli 
C)  Streptococcus pneumoniae 
D)  Staphylococcus aureus 
A)  Pseudomonas aeruginosa 
B)  Escherichia coli 
C)  Streptococcus pneumoniae 
D)  Staphylococcus aureus

Question 20

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."

Exam 44: The Child with a Genitourinary Alteration

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?

Hypospadias refers to

Which statement is descriptive of renal transplantation in children?

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

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

A nurse is assessing lab results on four patients in the general pediatric unit.What child should the nurse go see first?

An infant is born with bladder exstrophy.What action by the nurse is the priority?

Which clinical finding warrants further intervention for the child with acute post streptococcal glomerulonephritis?

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

The most common cause of acute kidney injury in children is

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

Which finding indicates that a child receiving prednisone for primary nephrotic syndrome is in remission?

The primary clinical manifestations of acute kidney injury are which of the following?

A nurse is teaching a class on acute kidney injury.The nurse relates that acute kidney injury as a result of hemolytic-uremic syndrome (HUS)is classified as

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

Parents ask the nurse,"When should our child's hypospadias be corrected?" The nurse responds that correction of hypospadias should be accomplished by the time the child is

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.)

You are the nurse caring for a 4-year-old child who has developed acute renal failure as a result of hemolytic-uremic syndrome (HUS).Which bacterial infection was most likely the cause of HUS?

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

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 HealthCare

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 an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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