Nclex-Rn Practice Questions-Care Of The Child - Genitourinary Disorders Part 1
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Question 1 |
A mother of a child with hypospadias asks the nurse what is wrong with her son’s penis. What is the most appropriate response by the nurse?
A | “It is the absence of a urethral opening in the penis.” |
B | “It is a penis that is shorter than usual for the child’s age.” |
C | “It is a urethral opening along the dorsal or top surface of the penis.” |
D | “It is a urethral opening along the ventral or underside surface of the penis.” |
Question 2 |
What is the initial intervention for a nurse to implement when discussing hypospadias with the parents of an infant with this defect?
A | Refer the parents to a counselor. |
B | Be there to listen to the parents’ concerns. |
C | Notify the physician and have him talk to the parents. |
D | Suggest a support group of other parents who have gone through this experience. |
Question 3 |
The mother of a neonate born with hypospadias is sharing her feelings of guilt about this anomaly with a nurse. The nurse should explain which fact about the defect?
A | It occurs around the third month of fetal development and has nothing to do with anything the mother did. |
B | It occurs around the sixth month of fetal development and often results from smoking or drinking while pregnant. |
C | It’s carried by an autosomal recessive gene and may occur with future children. |
D | It’s hereditary and is usually passed on as an X-linked problem from mother to son. |
Question 4 |
The nurse is providing discharge instructions to the parents of an older child who has had hypospadias repair. Which activity should be encouraged?
A | Riding a bicycle |
B | Playing in sandboxes |
C | Increased fluid intake |
D | Playing with the family pet |
Question 5 |
Which statement made by the parents of a child undergoing hypospadias repair implies a need for further teaching about the primary objective of surgical correction?
A | “The purpose is to improve the physical appearance of the genitalia for psychological reasons.” |
B | “The purpose is to enhance the child’s ability to void in the standing position.” |
C | “The purpose is to decrease the chance of developing urinary tract infections.” |
D | “The purpose is to preserve a sexually adequate organ.” |
Question 6 |
A nurse would counsel parents to postpone which action until after their son’s hypospadias has been repaired?
A | Circumcising the infant |
B | Baptizing the infant |
C | Getting hepatitis B vaccine |
D | Checking blood for inborn errors of metabolism |
Question 7 |
A nurse is explaining the rationale for timing of surgical repair of a hypospadias to the parents of a child with the disorder. Which best explains why it is done as early as possible?
A | To prevent separation anxiety |
B | To prevent urinary complications |
C | To promote acceptance of hospitalization |
D | To promote development of a normal body image |
Question 8 |
The nurse is caring for an infant with hypospadias. The nurse understands that which anomaly commonly accompanies this condition?
A | Undescended testicles |
B | Ambiguous genitalia |
C | Umbilical hernias |
D | Inguinal hernias |
Question 9 |
The mother of a newborn tells the nurse that she was told that her infant has chordee but does not understand what that means. What is the most appropriate response by the nurse?
A | “It is a ventral curvature of the penis.” |
B | “It is a dorsal curvature of the penis.” |
C | “It is a slit along the top of the penis.” |
D | “It is a misshapen penis.” |
Question 10 |
A child with acute glomerulonephritis is selecting his menu. The nurse determines further teaching is necessary when the child selects which food?
A | Turkey sandwich with mayonnaise and celery sticks |
B | Hot dog with ketchup and mustard and chips |
C | Chocolate cake with white icing and ice cream |
D | Apple slices with peanut butter and milk |
Question 11 |
A nurse is teaching the parents of a child who has been newly diagnosed with acute glomerulonephritis about nutrition. The nurse determines teaching was effective when the parents state the need to do what?
A | Decrease calories being consumed. |
B | Increase the child’s potassium intake. |
C | Severely limit all sodium intake. |
D | Moderately restrict sodium intake. |
Question 12 |
Which therapy should a nurse expect to incorporate into the care of a child with acute glomerulonephritis?
A | Antibiotic therapy |
B | Dialysis therapy |
C | Sodium therapy |
D | Play therapy |
Question 13 |
An important nursing intervention to support the therapeutic management of a child with acute glomerulonephritis should include which action?
A | Measuring daily weight |
B | Increasing oral fluid intake |
C | Providing sodium supplements |
D | Monitoring the client for signs of hypokalemia |
Question 14 |
A nurse is taking frequent blood pressure readings on a child diagnosed with acute glomerulonephritis. The parents ask the nurse why this is necessary. Which statement by the nurse most accurately addresses their concerns?
A | “Blood pressure fluctuations are a sign that the condition has become chronic.” |
B | “Blood pressure fluctuations are a common adverse effect of the antibiotic therapy your child is on.” |
C | “Hypotension can lead to sudden shock and can develop at any time as part of the disease process.” |
D | “Acute hypertension must be anticipated and identified.” |
Question 15 |
Which comment made by a parent would indicate to the nurse the need for further education about acute glomerulonephritis complications?
A | “Dizziness is expected, and I should have my child lie down when he feels it.” |
B | “I should let the nurse know every time my child urinates.” |
C | “I need to ask my child whether he has a headache.” |
D | “I should encourage quiet play activities in the room.” |
Question 16 |
The nurse understands the reoccurrence of glomerulonephritis and is aware that:
A | second attacks are quite common. |
B | a recessive gene transfers this disease. |
C | multiple cases tend to occur in families. |
D | overcrowding in the schoolroom leads to higher incidence. |
Question 17 |
When evaluating the urinalysis report of a child with acute glomerulonephritis, the nurse should expect which result?
A | Proteinuria and decreased specific gravity |
B | Bacteriuria and increased specific gravity |
C | Hematuria and proteinuria |
D | Bacteriuria and hematuria |
Question 18 |
Which statement by a nurse would be the best response to a mother who wants to know what the first indication will be that her child’s acute glomerulonephritis is improving?
A | “The child’s urine output will increase.” |
B | “The child’s urine will be free from protein.” |
C | “The child’s blood pressure will stabilize.” |
D | “The child’s energy will notably increase.” |
Question 19 |
Which statement by the parents of a child with acute glomerulonephritis indicates that they understand the teaching provided by the nurse regarding the diagnosis?
A | “This disease occurs after a urinary tract infection.” |
B | “This disease is associated with renal vascular disorders.” |
C | “This disease occurs after a streptococcal infection.” |
D | “This disease is associated with structural anomalies of the genitourinary tract.” |
Question 20 |
A nurse is explaining the expected treatment for glomerulonephritis. What is the most important information for the nurse to include?
A | All children who have signs of glomerulonephritis are hospitalized for approximately 1 week. |
B | Parents should expect children to have a normal energy level during the acute phase. |
C | Children who have normal blood pressure and a satisfactory urinary output can generally be treated at home. |
D | Children with gross hematuria and significant oliguria should be brought to the physician’s office every 2 days for monitoring. |
Question 21 |
A nurse is evaluating a group of children for the potential development of acute glomerulonephritis. Which client would be most likely to develop the disease?
A | A client who had pneumonia a month ago |
B | A client who was bitten by a brown spider |
C | A client who has a history of cardiac disease |
D | A client who had a streptococcal infection 2 weeks ago |
Question 22 |
A nurse is questioned by a student nurse about the long-term consequences of poststreptococcal acute glomerulonephritis. What is the most accurate response by the nurse?
A | “Children up to age 2 with this disease have the worst outcomes.” |
B | “Approximately 95% of children affected by acute glomerulonephritis will recover without problems.” |
C | “Chronic hypertension is a common long-term problem seen in children with this diagnosis.” |
D | “The higher the level of hematuria and proteinuria, the more likely it is the child will go into renal failure.” |
Question 23 |
A child with acute glomerulonephritis has a nursing diagnosis of impaired urinary elimination related to fluid retention and impaired glomerular filtration. Which client goal best addresses the expected outcome for this diagnosis?
A | Exhibits no evidence of infection |
B | Engages in activities appropriate to capabilities |
C | Demonstrates no periorbital, facial, or body edema |
D | Maintains a fluid intake of more than 2,000 ml in 24 hours |
Question 24 |
A 3-year-old child who had a hypospadias repair yesterday has a suprapubic catheter in place and an I.V. The nurse is aware that which is the rationale for administering propantheline bromide (Pro-Banthine) on an asneeded basis?
A | To decrease the risk of infection at the suture line |
B | To decrease the number of organisms in the urine |
C | To prevent bladder spasms while the catheter is present |
D | To increase urine flow from the kidney to the ureters |
Question 25 |
The nurse is teaching parents of a 3-year-old child how to obtain a cleancatch urine specimen. What is the most appropriate statement by the nurse?
A | “Collect the specimen right after a nap.” |
B | “Never use the first voided specimen of the day.” |
C | “Collect the specimen at the beginning of urination.” |
D | “There is no need to wash the perineal area before collecting the specimen.” |
Question 26 |
What is the most important intervention for the nurse to include in the care plan for a male infant following surgical repair of hypospadias?
A | Sterile dressing changes every 4 hours |
B | Frequent assessment of the tip of the penis |
C | Removal of the suprapubic catheter on the second postoperative day |
D | Urethral catheterization if voiding doesn’t occur over an 8-hour period |
Question 27 |
What is a priority nursing intervention for a school-age child with acute glomerulonephritis?
A | Assess blood pressure every 4 hours. |
B | Check urine specific gravity every 8 hours. |
C | Encourage daily fluid intake of 100 ml/kg/day. |
D | Provide a 2,500-mg sodium diet. |
Question 28 |
When obtaining a child’s daily weights, the nurse notes that he has lost 6 lb (2.7 kg) after 3 days of hospitalization for acute glomerulonephritis. The nurse determines that this is most likely the result of which factor?
A | Poor appetite |
B | Reduction of edema |
C | Decreased salt intake |
D | Restriction to bed rest |
Question 29 |
After the acute phase of glomerulonephritis is resolved, which discharge instruction should a nurse include?
A | Every 6 months, a cystogram will be needed for evaluation of progress. |
B | Weekly visits to the physician may be needed for evaluation. |
C | It will be acceptable to keep the regular yearly checkup appointment for the next evaluation. |
D | There’s no need for further evaluations by the physician related to this disease. |
Question 30 |
A nurse is reviewing the urine results of a child diagnosed with acute glomerulonephritis. Based on the results of the routine urinalysis, which component best supports this diagnosis?
A | Specific gravity of 1.032 |
B | Protein of 10 mg/100 cc |
C | Gross hematuria |
D | Urine crystals |
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