Nclex-Rn Practice Questions-Care Of The Child - Genitourinary Disorders Part 3
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Question 1 |
The mother of a female child asks the nurse why her child seems to have so many urinary tract infections (UTIs). Which response by the nurse would be the most accurate?
A | Vaginal secretions are too acidic. |
B | Girls aren’t protected by circumcision. |
C | The urethra is in close proximity to the anus. |
D | Girls touch their genitalia more often than boys do. |
Question 2 |
A child is scheduled for surgery to remove a Wilms’ tumor from one kidney. The parents ask the nurse what treatment, if any, they should expect after their child recovers from surgery. Which response would be most accurate?
A | “Chemotherapy may be necessary.” |
B | “Kidney transplant is indicated eventually.” |
C | “No additional treatments are usually necessary.” |
D | “Chemotherapy with or without radiation therapy is usually indicated.” |
Question 3 |
A child has been diagnosed with Wilms’ tumor. Because of the parents’ religious beliefs, they choose not to treat the child. Which statement by the nurse indicates a lack of understanding of the parent’s decision?
A | “I know they have received a lot of information in a short period of time.” |
B | “I don’t think parents have the legal right to make these kinds of decisions.” |
C | “These parents don’t understand how easily a Wilms’ tumor can be treated.” |
D | “I think the parents are in shock and don’t understand the situation well.” |
Question 4 |
A child with a Wilms’ tumor has had surgery to remove a kidney and has received chemotherapy. The nurse should include which instruction at the time of discharge?
A | Avoid contact sports. |
B | Decrease fluid intake. |
C | Decrease sodium intake. |
D | Avoid contact with other children. |
Question 5 |
A nurse is planning preoperative care for a child diagnosed with Wilms’ tumor. What is the most important intervention for the nurse to implement?
A | Prepare the family for the initiation of chemotherapy and radiation. |
B | Avoid abdominal palpation or manipulation. |
C | Insert a nasogastric tube for enteral feedings. |
D | Begin I.V. therapy of hyperalimentation and lipids. |
Question 6 |
If both kidneys are involved in a child with Wilms’ tumor, the nurse should anticipate that treatment prior to surgery might include which method?
A | Peritoneal dialysis |
B | Abdominal gavage |
C | Radiation and chemotherapy |
D | Antibiotics and I.V. fluid therapy |
Question 7 |
When assessing the abdomen of a child with a potential diagnosis of Wilms’ tumor, which factor would be most suggestive of a different diagnosis?
A | The mass is on one side of the abdomen. |
B | There is a mass on both sides of the abdomen. |
C | The mass crosses the midline of the abdomen. |
D | There’s no pain associated with palpation of the mass. |
Question 8 |
A nurse is explaining the diagnosis of Wilms’ tumor to the parents of a child. The nurse determines the need for further teaching when a parent makes which statement?
A | “Wilms’ tumor usually involves both kidneys.” |
B | “Wilms’ tumor occurs slightly more commonly in the left kidney.” |
C | “Wilms’ tumor is staged during surgery for treatment planning.” |
D | “Wilms’ tumor stays encapsulated for an extended period of time.” |
Question 9 |
A nurse is teaching parents of children about recurrent urinary tract infections (UTIs). Which goal should be recognized as having the highest priority?
A | Detection |
B | Education |
C | Prevention |
D | Treatment |
Question 10 |
Which intervention should a nurse recommend to parents of young girls to help prevent urinary tract infections (UTIs)?
A | Limit tub bathing as much as possible. |
B | Increase fluids and decrease salt intake. |
C | Have the child wear cotton underpants. |
D | Have the child clean her perineum from back to front. |
Question 11 |
A nurse understands that which characteristic is the single most important factor influencing the occurrence of urinary tract infections (UTIs)?
A | Urinary stasis |
B | Frequency of baths |
C | Uncircumcised penis (in males) |
D | Amount of fluid intake |
Question 12 |
When evaluating infants and young toddlers for signs of urinary tract infections (UTIs), a nurse recognizes that which symptom would be most common in this age group?
A | Abdominal pain |
B | Feeding problems |
C | Frequency |
D | Urgency |
Question 13 |
When obtaining a urine specimen for culture and sensitivity, a nurse should understand that which method of collection provides the most accurate results?
A | Bagged urine specimen |
B | Clean-catch urine specimen |
C | First-voided urine specimen |
D | Catheterized urine specimen |
Question 14 |
After collecting a urine specimen, which action by a nurse is the most appropriate?
A | Taking the specimen to the laboratory immediately |
B | Sending the specimen to the laboratory on the next scheduled run |
C | Taking the specimen to the laboratory during the nurse’s next break |
D | Keeping the specimen in the refrigerator until it can be taken to the laboratory |
Question 15 |
Which treatment should a nurse anticipate for a child who has a history of recurrent urinary tract infections (UTIs)?
A | Frequent catheterizations |
B | Prophylactic antibiotics |
C | Limited activities |
D | Surgical intervention |
Question 16 |
When teaching parents about giving medications to children for recurrent urinary tract infections (UTIs), which instruction should be included?
A | The medication should be given first thing in the morning. |
B | The medication should be given right before bedtime. |
C | The medication is generally given four times a day. |
D | It doesn’t matter when the medication is given. |
Question 17 |
The nurse is providing education to a group of parents about urinary tract infections (UTIs). The nurse knows that teaching has been effective when the parents state that which situation has the greatest impact on the potential for progressive renal injury following UTIs?
A | A school-age child who must get permission to go to the bathroom |
B | An adolescent female who has started menstruation |
C | Children who compete in competitive sports |
D | Being a young infant or toddler |
Question 18 |
A child presents at the emergency room with abdominal pain, blood in the urine, hypertension, and a palpable abdominal mass. The nurse would suspect which problem in this client?
A | Urinary tract infection |
B | Wilms’ tumor |
C | Acute glomerulonephritis |
D | Nephrotic syndrome |
Question 19 |
Which statement should a nurse make to help parents understand the recovery period after a child has had surgery to remove a Wilms’ tumor?
A | “Children will easily lie in bed and restrict their activities.” |
B | “Recovery is usually fast despite the abdominal incision.” |
C | “Recovery usually takes a great deal of time because of the large incision.” |
D | “Parents need to perform activities of daily living for about 2 weeks after surgery.” |
Question 20 |
The nurse is teaching parents about administering co-trimoxazole (Septra) to a child for treatment of a urinary tract infection (UTI). The nurse should include which instruction?
A | Give the medication with food. |
B | Give the medication with water. |
C | Give the medication with a cola beverage. |
D | Give the medication 2 hours after a meal. |
Question 21 |
A child has been sent to the school nurse’s office for wetting her pants three times in the past 2 days. The nurse should recommend that this child be evaluated for which problem?
A | School phobia |
B | Emotional trauma |
C | Urinary tract infection |
D | Structural defect of the urinary tract |
Question 22 |
A nurse is caring for a 3-year-old child following removal of a Wilms’ tumor. The mother states that the child is in pain and requests pain medication. Which nursing action has the highest priority in response to the mother’s request?
A | Assess the child’s pain by asking the child to rate his pain on a 1 to 10 scale. |
B | Prepare the ordered pain medication and administer it. |
C | Use the Faces Pain Scale to assess the degree of pain the child is experiencing. |
D | Document the pain complaint and note when the last pain medication was given. |
Question 23 |
In providing psychosocial care to a 6-year-old child who has had abdominal surgery for Wilms’ tumor, which activity would be the most appropriate?
A | Allowing the child to watch a 2-hour movie without interruptions |
B | Giving the child a puzzle with five pieces to encourage him to remain in bed |
C | Telling the child that you can give him enough medication so that he feels no pain |
D | Providing the child with puppets and supplies and asking him to draw how he feels |
Question 24 |
The nurse is questioned by a student nurse about the incidence of Wilms’ tumor in children. Which response by the nurse is the most accurate?
A | Peak incidence occurs at 10 years of age. |
B | It is the least common type of renal cancer. |
C | It is the most common type of renal cancer. |
D | It has a decreased incidence among siblings. |
Question 25 |
Because surgery is performed for a Wilms’ tumor within 24 to 48 hours of admission, a nurse must prepare a family and child quickly for procedures. Which information should guide the nurse in her preparation of the family?
A | Because the parents are in a state of shock, they don’t need explanations right now. |
B | Explanations should be kept simple and should be repeated often. |
C | Scientific terminology should be used with drawings and models to increase the family’s understanding. |
D | The play therapist is the best person to prepare this family. |
Question 26 |
A parent of a child with Wilms’ tumor asks the nurse about surgery. Which statement concerning the type of surgery for Wilms’ tumor is most accurate?
A | Surgery is only done if chemotherapy and radiation fail. |
B | Surgery is usually performed within 24 to 48 hours of admission. |
C | Surgery is the least favorable therapy for the treatment of Wilms’ tumor. |
D | Surgery will be delayed until the client’s overall health status improves. |
Question 27 |
Which statement made by the physician to the parents of a child who has had a Wilms’ tumor removed would be the most difficult for the parents to hear and might require nursing intervention?
A | “We will start chemotherapy within the next 24 to 48 hours.” |
B | “The tumor was a stage IV, which indicates other organ involvement.” |
C | “We were able to remove all of the tumor, but we had to take the kidney as well.” |
D | “The incision is long, and the dressing will need to be changed daily.” |
Question 28 |
A parent asks a nurse about the prognosis of her child who has been diagnosed with Wilms’ tumor. The nurse should base her response on which factor?
A | Usually, children with Wilms’ tumor need only surgical intervention. |
B | Survival rates for Wilms’ tumor are based on the tumor’s location. |
C | Survival rates for Wilms’ tumor are the highest among childhood cancers. |
D | Children with localized tumor have only a 30% chance of cure with multimodal therapy. |
Question 29 |
When teaching parents of a child with a urinary tract infection (UTI) about fluid intake, which statement by a parent would indicate the need for further teaching?
A | “I should encourage my child to drink about 50 ml/lb of body weight daily.” |
B | “Clear liquids should be the primary liquids that my child should drink.” |
C | “I should offer my child carbonated beverages about every 2 hours.” |
D | “My child should avoid drinking caffeinated beverages.” |
Question 30 |
When caring for a child after removal of a Wilms’ tumor, which assessment finding would indicate the need to notify the physician?
A | Fever of 101° F (38.3° C) |
B | Absence of bowel sounds |
C | Slight congestion in the lungs |
D | Complaints of pain when moving |
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