Test Bank Chapter 35 Child With A Genitourinary Condition - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 35: Child With a Genitourinary Condition
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A male child presents with acute pain in the testicle area, nausea, vomiting, and a lump in the scrotal sac. What acute condition does the nurse suspect?
1) | Hypospadias |
2) | Epispadias |
3) | Exstrophy of the bladder |
4) | Testicular torsion |
____ 2. A nurse is planning to teach a child’s parents about the diagnosis of pyelonephritis. The nurse tells them that the infection is located in which urinary structure?
1) | Bladder |
2) | Urethra |
3) | Kidney |
4) | Vagina |
____ 3. Which of the following data collected by the nurse support the diagnosis of isotonic dehydration for a pediatric patient?
1) | Emesis |
2) | Hemorrhage |
3) | Profuse sweating |
4) | Poor fluid intake |
____ 4. The nurse is performing a physical assessment of a school-aged child with a history of urinary tract infection (UTI). The child’s urine has been brownish lately. Based on these data, the nurse explains that a diagnostic test may be ordered to assess for which item in the urine?
1) | Ketones |
2) | Hematuria |
3) | Proteinuria |
4) | Calcium |
____ 5. An adolescent is brought to the emergency department. The patient reports decreased urine output, headaches, and abdominal swelling. Based on these data, which condition does the nurse suspect?
1) | Chronic glomerulonephritis |
2) | Vesicoureteral reflux |
3) | Acute hematuria |
4) | Unexplained proteinuria |
____ 6. The nurse is caring for an infant who is diagnosed with a UTI. Which symptom does the nurse anticipate when assessing this infant?
1) | Dysuria |
2) | Poor feeding |
3) | Flank pain |
4) | Enuresis |
____ 7. Which is the appropriate nursing intervention when providing care to a child diagnosed with nephrotic syndrome who is edematous and on bedrest?
1) | Monitoring blood pressure every 30 minutes |
2) | Repositioning every 2 hours |
3) | Limiting visitors |
4) | Encouraging fluids |
____ 8. A child is admitted with acute glomerulonephritis. Which urinalysis result should the nurse anticipate confirming this diagnosis?
1) | Elevated antistreptolysin-O titer (ASO) |
2) | Hematuria and proteinuria |
3) | Elevated BUN and creatinine |
4) | Elevated erythrocyte sedimentation rate (ESR) |
____ 9. Which of the following laboratory tests measures the waste product of protein metabolism excreted via the kidneys?
1) | CBC (complete blood count) |
2) | BUN (blood urea nitrogen |
3) | PT (prothrombin time) |
4) | Blood culture |
____ 10. A nurse recognizes which of the following signs and symptoms of dehydration for a child who presents with diarrhea and vomiting?
1) | Tachycardia |
2) | Increased urine output |
3) | Moist pink lips |
4) | Bradycardia |
____ 11. The nurse is providing care to a 4-year-old patient who is experiencing nocturnal incontinence. Which parental statement indicates the need for further education?
1) | “Bed wetting is typically self-limiting.” |
2) | “We should limit fluids after lunchtime.” |
3) | “We should not punish our child for bed wetting.” |
4) | “Bed wetting can be treated with a drug that reduces urine production at night.” |
____ 12. A child is diagnosed with hyperkalemia from a urinary disorder. Which menu items should the nurse instruct the child to avoid?
1) | Green salad with cantaloupe |
2) | Spaghetti and meat sauce with cauliflower |
3) | Hamburger on a bun with apples |
4) | Cold cut sandwich and pineapple |
____ 13. A nurse is caring for a newborn with a congenital anomaly consisting of an abnormal positioning of the urinary meatus. What is the term used for documenting?
1) | Exstrophy of the bladder |
2) | Epispadias |
3) | Testicular torsion |
4) | Undescended testes |
____ 14. Which type of urine specimen is collected when the nurse places a cotton ball in the diaper of a newborn or infant?
1) | Sterile |
2) | Uro bag |
3) | Clean catch |
4) | Midstream sample |
____ 15. Which is the priority nursing intervention when caring for a neonate who is born with bladder exstrophy?
1) | Measuring intake and output |
2) | Inserting a Foley catheter |
3) | Covering the defect with sterile plastic wrap |
4) | Palpating the bladder mass to ensure that urine is expelled |
____ 16. Which is the correct hourly rate of IV fluid replacement for a child who weighs 25 kg?
1) | 42 mL/hr |
2) | 63 mL/hr |
3) | 67 mL/hr |
4) | 83 mL/hr |
____ 17. A nurse is caring for a child with hyperkalemia and impaired renal function. Which of the actions by the nurse needs further instruction?
1) | Maintain accurate intake and output. |
2) | Maintain low-potassium diet. |
3) | Administer potassium replacement infusion. |
4) | Administer glucose and insulin. |
____ 18. Which of the following terms would the nurse document for a child who presents with decreased sodium in the bloodstream from excessive diarrhea?
1) | Hypernatremia |
2) | Hyperkalemia |
3) | Hypokalemia |
4) | Hyponatremia |
____ 19. The nurse is treating a school-aged child with nephrotic syndrome. Which of the following interventions need further instruction?
1) | Count daily weights at the same time of day. |
2) | Administer corticosteroids. |
3) | Request a referral for a nutritionist. |
4) | Use a different scale each day. |
____ 20. A nurse is treating a school-aged child for nephrotic syndrome. Which of the following orders should the nurse question?
1) | Diuretics |
2) | Antibiotics |
3) | Corticosteroids |
4) | IV fluids |
____ 21. Which of the following conditions occurs when one or both testicles fail to move into the scrotum before birth?
1) | Testicular torsion |
2) | Hypospadias |
3) | Undescended testes |
4) | Epispadias |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 22. A nurse is educating a group of adolescents about the risk factors for UTIs. Which of the following risk factors mentioned by the students indicates an appropriate understanding? (Select all that apply.)
1) | Incomplete bladder emptying |
2) | Obstruction |
3) | Unexplained proteinuria |
4) | Reflux |
5) | Unexplained hematuria |
____ 23. A nurse is assessing a child for dehydration. Which of the following signs and symptoms should the nurse report? (Select all that apply.)
1) | Dry mucous membranes |
2) | Sunken eye sockets |
3) | Hypertension |
4) | Dry skin |
5) | Lethargy |
____ 24. Which clinical manifestations assessed when performing a genitourinary assessment for a child diagnosed with hemolytic uremic syndrome could indicate the need for dialysis? (Select all that apply.)
1) | Edema |
2) | Tachypnea |
3) | Bradycardia |
4) | Fluid retention |
5) | High BP |
____ 25. Which of the following denotes the average urine output for different age groups? (Select all that apply.)
1) | Infants produce approximately 5 to 10 mL/hour. |
2) | Toddlers and preschool-aged children produce approximately15 to 20 mL/hour. |
3) | School-aged children produce approximately 10 to 25 mL/hour. |
4) | Adolescents produce approximately 40 to 80 mL/hour. |
5) | Newborns produce approximately 10 mL/hour. |
Chapter 35: Child With a Genitourinary Condition
Document Information
Connected Book
Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer
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