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Pediatric Exam 3 Practice Questions With 100% SURE ANSWERS
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JACKLINEPediatric Exam 3 Practice Questions With 100% SURE ANSWERS
Terms in this set (48)
A male newborn is found to have exstrophy of the B) Epispadias
bladder. The nurse should evaluate the infant for E) Bilateral Inguinal Hernias
which of the following? SATA
Epispadias and bilateral inguinal hernias are frequent anomalies associated w/ exstrophy of the
a) hypospadias bladder
b) epispadias
c) cryptoorchidism
d) acute tubular necrosis
e) bilateral inguinal hernias
a child has been admitted to the hospital with a B) Edema
diagnosis "rule out nephrotic syndrome." The
nurse would assess the child for which of the edema is a major clinical s/s of nephrotic syndrome
following s/s?
the child may gain 2x their normal wt in severe cases
A) hematuria
B) edema dehydration is the opposite of what the pt is experiencing
C) petechial rash
D) dehydration
Pediatric Exam 3 Practice Questions
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,9/3/24, 8:46 AM
the nurse is caring for a toddler who is not toilet C) subtracting the weight of a dry diaper from a wet diaper and recording the amount
trained. The nurse practitioner has ordered intake
and output measurements. The nurse will most diapers are weighed on a gram scale before using them and after removal (1 g = 1 ml)
likely measure the urine using which method?
the weight of a dry diaper is subtracted from the wt of a wet diaper to determine UOP
A) estimating UOP as small, moderate, or large
and recording it on the chart
B) weighing each diaper and recording the weight
as the amount of UOP
C) subtracting the weight of a dry diaper from a
wet diaper and recording the amount
D) Determine UOP by the number of diaper
changes in each 24 hr period
the nurse has provided the parents of a A) " I should try to get her drink a lot of water and juices"
preschooler with info about UTIs and how to B) "I will buy her underwear made with cotton"
reduce their recurrence. Which statement from the D) "If i notice her starting to wet the bed again, I need to have her checked for another UTI"
parents indicate they understood the information?
SATA RATIONALES
- drinking an increased amount of fluids helps flush microbes from the bladder
A) " I should try to get her drink a lot of water and - cotton does not trap moisture
juices" - bed wetting may be a sign of UTI
B) "I will buy her underwear made with cotton" - bubble baths are irritating of to the meatus and increase the incidence of UTIs
C) "Soaking in a bubble bath will reduce irritation" - cranberry may acidify urine or may prevent bacteria from sticking to the bladder wall
D) "If i notice her starting to wet the bed again, I
need to have her checked for another UTI"
E) "I should avoid giving her cranberry juice as it
has been shown to make the urine more acidic"
the nurse would include which of the following in B) measuring BP to monitor for HTN
the care of a child with acute glomerulonephritis. C) providing fun activities if child is on bedrest
SATA D) monitoring the urine for hematuria
A) carefully handle edematous extremities Rationale
B) measuring BP to monitor for HTN - glomerulonephritis can be associated w/ HTN; therefore, MUST check BPs
C) providing fun activities if child is on bedrest - children are no longer confined to bedrest
D) monitoring the urine for hematuria - severe edema of the extremities is not generally seen in glomerulonephritis
E) encourage fluid intake
Pediatric Exam 3 Practice Questions
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, 9/3/24, 8:46 AM
a urinalysis is ordered for a child w/ a throat D) Group A beta hemolytic strep infections can be followed by the complication of acute
culture positive for group A beta hemolytic strep glomerulonephritis
(strep throat)
when the mom asks why this test is being ordered, Rationale
what would the nurse appropriately include in the - UA allows for early diagnosis and treatment of AGN, which is a serious complication following a
response? group a beta hemolytic strep infection
- HIV screening is done initially by an ELISA
A) the UA will indicate whether an HIV infection is - UTIs are not commonly associated w/ strep infections
also present - pyelonephritis is an infection of the pelvis of the kidney, and is often a complication of
B) UTIs are common with streptococcal infections ascending infection from the urinary bladder
and need to receive prompt treatment
C) pyelonephritis is a potential complication of
ABX therapy
D) Group A beta hemolytic strep infections can be
followed by the complication of acute
glomerulonephritis
D) Risk for Infection
what would the nurse select as an appropriate
nursing diagnosis for an infant with unrepaired
Rationale
exstrophy of the bladder?
- the open bladder allows bacteria to enter the urinary system, and UTIs are common
- disorganized behavior does not apply
A) disorganized infant behavior
- although there is a risk for impaired parent-infant attachment at the time of birth, this diagnosis is
B) impaired parent-infant attachment
written as an actual nursing diagnosis, and there is no evidence to support this with the info given
C) Urinary Retention
- the unformed bladder does not hold urine, so urinary retention would not be an appropriate
D) Risk for Infection
diagnosis
A) ASO titer
a child has been admitted to the unit with AGN.
What test does the nurse anticipate will be rationale
ordered to confirm the diagnosis? - ASO titer indicates a preceding infection with a group a beta hemolytic strep, which can lead to
A) ASO titer glomerulonephritis as a complication
B) UA - UA would show hematuria, but this alone would not be a diagnostic of AGN
C) blood cultures - blood cultures may be negative as the infection preceded the illness by 1-3 weeks
D) WBC count - a WBC count could be elevated with any inflammatory or infectious process in the body, and
thus is not diagnostic for AGN
Pediatric Exam 3 Practice Questions
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