The nurse is caring for a child who is experiencing an acute renal transplant rejection and is to receive muromonab-CD3. What would the nurse most likely expect to assess after the first dose is administered? A) Fever with chills, chest tightness B) Cough, hyperkalemia C) Photosensitivity, gastroin...
the nurse is caring for a child who is experiencin
the nurse is visually inspecting a urine specimen
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Exam 5 – Peds Study Questions and
Correct Answers
The nurse is caring for a child who is experiencing an acute renal transplant rejection
and is to receive muromonab-CD3. What would the nurse most likely expect to assess
after the first dose is administered?
A)
Fever with chills, chest tightness
B)
Cough, hyperkalemia
C)
Photosensitivity, gastrointestinal (GI) upset
D)
Urinary retention, decreased appetite ✅A
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
The nurse is caring for a 4-year-old with a suspected urinary tract infection. What 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 cup."
C)
"Please tinkle in this cup right now."
D)
"Please void in this cup instead of the toilet." ✅B
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 drainage tube taped in an upright position
B)
,Administering antibiotics as ordered
C)
Administering analgesics as prescribed
D)
Using a double-diapering technique ✅D
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
breakdown?
A)
Cleaning the area well with a scented diaper wipe
B)
Applying a barrier/healing cream or paste on skin
C)
Keeping the bladder moist and covered with a sterile bag
D)
Covering the area with sterile gauze pads after tub baths ✅B
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 back."
B)
"I will make sure she changes her underwear every day."
C)
"She should probably avoid bubble baths."
D)
"I will help supervise her wiping after bowel movements." ✅A
A nurse is caring for a 7-year-old girl scheduled for an intravenous pyelogram (IVP).
Which action would be the priority before the test?
A)
Checking with the parents for any allergies
B)
Ensuring adequate hydration
C)
Giving the girl an enema
D)
Screening her for pregnancy ✅A
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 complication?
A)
Weight loss
, B)
Hypotension
C)
Signs of infection
D)
Hair loss ✅C
The nurse is taking a health history of a child with suspected acute poststreptococcal
glomerulonephritis. Which response would alert the nurse to a confirmed risk factor for
this condition?
A)
"She has been very healthy up to now."
B)
"He just got over a head cold with laryngitis."
C)
"My child is just 18 months old."
D)
"My child has not been sick at all." ✅B
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 you in touch with some other girls who are also having the same body
changes."
B)
"Luckily, this is just a temporary, unfortunate part of your condition; you need to
accept it."
C)
"Your real friends do not care about your appearance and just want you to get
well."
D)
"You are beautiful in your own way; what matters is what is on the inside." ✅A
An 8-year-old girl is scheduled for a renal ultrasound. What 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 shellfish
C)
Ensuring the child has a full bladder
D)
Informing the child she should feel no discomfort ✅D
The nurse is preparing a teaching plan for the parents of a child with a urinary tract
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