1.
The nurse is caring for a child who is experiencing an acute renal transplant rejection and is to receive muromonab-CD3. Which of the following would the nurse most likely expect to assess after the first dose is administered?
A)
Fever with chills, che
A)
Fever with chills, chest tightness
2.
The nurse is visually inspecting a urine specimen from a 12-year-old boy. The nurse documents gross hematuria with a specimen of which color?
A)
Cloudy yellow
B)
Cola colored
C)
Pale to almost clear urine
D)
Light orange to moderately yellow colored
B)
Cola colored
3.
The nurse is caring for a 4-year-old with a suspected urinary tract infection. Which of the following would be most appropriate when obtaining a urine specimen from the child?
A)
"I will need a urine sample."
B)
"Let your mom help you tinkle in this cu
B)
"Let your mom help you tinkle in this cup.
4.
The nurse is providing postsurgical care for an infant who has undergone a hypospadias repair. Which action by the nurse would be most important to help keep the area clean while maintaining proper position of the drainage tubing?
A)
Keeping the draina
D)
Using a double-diapering technique
5.
The nurse is caring for an infant with bladder exstrophy. As part of the infant's preoperative plan of care, the nurse monitors for abdominal skin excoriation. Which action would be most appropriate for promoting healing and preventing further skin bre
B)
Applying a barrier/healing cream or paste on skin
6.
The nurse is caring for a 4-year-old girl with vulvovaginitis. After explaining to the girl's mother how to help prevent subsequent episodes, which statement by the mother indicates a need for additional teaching?
A)
"She needs to wipe from front to ba
A)
"She needs to wipe from front to back.
7.
A nurse is caring for a 7-year-old girl scheduled for an intravenous pyelogram (IVP). Which of the following would be the priority before the test?
A)
Checking with the parents for any allergies
B)
Ensuring adequate hydration
C)
Giving the girl an enem
A)
Checking with the parents for any allergies
8.
A 6-year-old child has undergone a renal transplant and is receiving cyclosporine. The nurse instructs the parents to be especially alert for which of the following?
A)
Weight loss
B)
Hypotension
C)
Signs of infection
D)
Hair loss
C)
Signs of infection
9.
The nurse is taking a health history of a child with suspected acute poststreptococcal glomerulonephritis. Which of the following responses would alert the nurse to a confirmed risk factor for this condition?
A)
"She has been very healthy up to now."
B
B)
"He just got over a head cold with laryngitis.
10.
The nurse is caring for a 12-year-old girl with nephrotic syndrome. The girl confides that she feels like a "freak" compared to her peers because of her weight, edema, and moon face. Which response by the nurse would be most appropriate?
A)
"Let's put
A)
"Let's put you in touch with some other girls who are also having the same body changes.
11.
An 8-year-old girl is scheduled for a renal ultrasound. Which of the following would the nurse include in the plan of care when preparing the child for this test?
A)
Withholding food and fluids after midnight
B)
Checking the child for allergies to she
D)
Informing the child she should feel no discomfort
12.
The nurse is preparing a teaching plan for the parents of a child with a urinary tract infection (UTI). Which of the following would the nurse encourage the parents to avoid?
A)
Liberal fluid intake
B)
Caffeine
C)
Cranberry juice
D)
Cotton underwear
B)
Caffeine
13.
The mother of a child with end-stage renal disease asks the nurse why her son is getting an injection of erythropoietin. When responding to the mother, the nurse incorporates understanding of which of the following as the rationale?
A)
To treat low ca
C)
To stimulate red blood cell growth
14.
A child is diagnosed with hemolytic-uremic syndrome (HUS). Review of the child's laboratory test results would reveal which of the following?
A)
Decreased blood urea nitrogen (BUN) and creatinine
B)
Decreased platelets and leukocytosis
C)
Hypernatremi
B)
Decreased platelets and leukocytosis
15.
After teaching the parents of a child with a hydrocele about this condition, which statement indicates that the teaching was successful?
A)
"If this gets worse and we don't treat it, our son could become infertile."
B)
"This condition should gradually
B)
"This condition should gradually go away on its own.
16.
A nurse is conducting a physical examination of an infant and observes the urethral opening on the dorsal side of the penis. The nurse documents this finding as which of the following?
A)
Hypospadias
B)
Epispadias
C)
Varicocele
D)
Hydrocele
B)
Epispadias
17.
A 15-year-old boy comes to the emergency department accompanied by his parents. The boy reports an abrupt onset of sudden pain on the right side of his scrotum. When asked to rate his pain on a scale of 1 to 10, with 10 being the most severe, the boy
A)
The condition is a surgical emergency.
18.
The nurse is reviewing the laboratory test results of a child with nephrotic syndrome. Which of the following would the nurse least likely expect to find?
A)
Hyperlipidemia
B)
Hypoalbuminemia
C)
Decreased blood urea nitrogen (BUN)
D)
Hypoproteinemia
C)
Decreased blood urea nitrogen (BUN)
19.
The nurse is applying a urine bag to a 15-month-old boy to collect a urine specimen. Which of the following would the nurse do first?
A)
Apply benzoin to the scrotal area
B)
Tuck the bag downward inside the diaper
C)
Pat the perineal area dry after cl
C)
Pat the perineal area dry after cleaning
20.
A group of students are reviewing information about renal failure in children. The students demonstrate a need for additional teaching when they identify which agent as a potential contributor to renal failure?
A)
Vancomycin
B)
Gentamicin
C)
Co-trimox
D)
Amoxicillin
21.
A nurse is preparing a presentation for a local parent group about urinary tract infections (UTIs) in children. Which of the following would the nurse incorporate into the presentation as the most common cause?
A)
Klebsiella
B)
Escherichia coli
C)
Sta
B)
Escherichia coli
22.
A nurse is interviewing the parents of a child diagnosed with obstructive uropathy. Which statement by the parents would the nurse identify as significant?
A)
"She's been constipated quite a few times."
B)
"We've noticed that her bed is wet in the mor
C)
"She had surgery to repair a problem with her anus.
23.
The nurse is assessing a child with acute poststreptococcal glomerulonephritis. Which of the following would the nurse expect to assess? Select all answers that apply.
A)
Irritability
B)
Abdominal pain
C)
Hypertension
D)
Crackles
E)
Polyphagia
B)
Abdominal pain
C)
Hypertension
D)
Crackles
24.
A nurse identifies a nursing diagnosis of impaired urinary elimination related to urinary tract infection. When developing the plan of care, which of the following would be most important for the nurse to do first?
A)
Develop a schedule for bladder em
C)
Assess usual voiding patterns
25.
While presenting a panel discussion to a group of parents about urinary tract infections in children, one of the parents asks the nurse, "Why would my daughter be more at risk than my son?" Which response by the nurse would be most accurate?
A)
"Girls
B)
"A girl's urethra is closer to the rectal opening.
26.
A child returns from surgery in which a stoma was created in the abdominal wall to the bladder. The nurse identifies this as which of the following?
A)
Vesicostomy
B)
Ureteral stent
C)
Continent urinary diversion
D)
Bladder augmentation
A)
Vesicostomy
27.
The nurse is preparing an 8-year-old girl for a cystoscopy. Which instruction would be most appropriate to give to the child?
A)
"You need to make sure that you don't go to the bathroom before the test."
B)
"You might feel some burning when you go to
B)
"You might feel some burning when you go to the bathroom afterward.
28.
The nurse is assessing a 5-year-old child's genitourinary system. Which of the following would the nurse document as a normal finding? Select all answers that apply.
A)
Labial fusion
B)
Round abdomen
C)
Positive bowel sounds
D)
Dullness over the splee
B)
Round abdomen
C)
Positive bowel sounds
D)
Dullness over the spleen