ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 26 : The Child with Genitourinary Dysfunction Questions
Question 1 of 5
A hospitalized child with minimal change nephrotic syndrome is receiving high doses of prednisone. What nursing goal is appropriate for this child?
Correct Answer: C
Rationale: High-dose prednisone causes immunosuppression, making infection prevention a priority in MCNS. Appetite is naturally increased by steroids, edema monitoring is part of disease management, and antibiotics are not used prophylactically in this condition.
Question 2 of 5
The nurse is teaching a child experiencing severe edema associated with minimal change nephrotic syndrome about his diet. The nurse should discuss what dietary need?
Correct Answer: C
Rationale: Restricting fluids and sodium during severe edema in MCNS helps manage fluid retention. A regular diet isn?t advised, high protein doesn?t alter disease course, and adequate calories are needed for growth, despite appetite challenges.
Question 3 of 5
A child is admitted for minimal change nephrotic syndrome (MCNS). The nurse recognizes that the childs prognosis is related to what factor?
Correct Answer: D
Rationale: Response to steroid therapy within 28 days predicts prognosis in MCNS; non-response reduces likelihood of remission. Blood pressure is typically normal, creatinine clearance isn?t prognostic, and proteinuria confirms diagnosis but doesn?t predict outcome.
Question 4 of 5
A 12-year-old child is injured in a bicycle accident. When considering the possibility of renal trauma, the nurse should consider what factor?
Correct Answer: D
Rationale: Hematuria is common in renal trauma but doesn?t correlate with injury severity. Flank pain often occurs due to bleeding, most renal trauma in children is from blunt injuries like accidents, and children?s kidneys are more mobile and less protected, increasing injury risk.
Question 5 of 5
What condition is the most common cause of acute renal failure in children?
Correct Answer: C
Rationale: Severe dehydration, causing poor renal perfusion, is the most common cause of acute renal failure in children, often reversible with fluid restoration. Pyelonephritis and obstruction are less common causes, and tubular destruction is not a primary cause.