ATI RN
RN Nursing Care of Children 2019 With NGN Questions
Question 1 of 5
A nurse is evaluating the effectiveness of teaching regarding care of a child with minimal change nephrotic syndrome (MCNS) that is in remission after administration of prednisone. The nurse realizes further teaching is required if the parents state what?
Correct Answer: D
Rationale: The correct answer is D) "We understand our child will not be able to attend school, so we will arrange for home schooling." In the case of a child with minimal change nephrotic syndrome (MCNS) in remission after prednisone treatment, it is essential for the parents to understand that the child can attend school as usual. This statement indicates a misunderstanding of the condition and treatment, highlighting the need for further education. Option A is incorrect because while it is important to protect the child from exposure to illnesses, isolating the child completely is not necessary. Option B is incorrect as it demonstrates understanding of medication administration, which is a crucial aspect of managing MCNS. Option C is also incorrect as encouraging a balanced diet and monitoring salt intake are important aspects of care for a child with MCNS, indicating a good understanding of the condition. In an educational context, this question assesses the parents' understanding of the child's condition and treatment plan. It emphasizes the importance of clear communication and education to ensure optimal care for the child with MCNS. By identifying misconceptions or gaps in knowledge, nurses can provide targeted teaching to empower parents in managing their child's health effectively.
Question 2 of 5
A child is admitted with acute glomerulonephritis. What should the nurse expect the urinalysis during this acute phase to show?
Correct Answer: B
Rationale: In a child with acute glomerulonephritis, the nurse should expect the urinalysis during the acute phase to show hematuria and proteinuria, making option B the correct answer. Hematuria, the presence of red blood cells in the urine, is a hallmark sign of glomerulonephritis due to inflammation and damage to the glomeruli in the kidneys. Proteinuria, the presence of protein in the urine, is also commonly seen in glomerulonephritis as damaged glomeruli allow proteins to leak into the urine. Option A (Bacteriuria and hematuria) is incorrect because glomerulonephritis is not typically associated with a bacterial infection of the urinary tract. Option C (Bacteriuria and increased specific gravity) is incorrect as glomerulonephritis is not characterized by bacterial presence in the urine or increased specific gravity. Option D (Proteinuria and decreased specific gravity) is incorrect as decreased specific gravity is not typically seen in glomerulonephritis. Educationally, understanding the expected findings in acute glomerulonephritis is crucial for nurses caring for pediatric patients with this condition. Recognizing the significance of hematuria and proteinuria in the urinalysis can aid in early detection, prompt intervention, and improved outcomes for children with glomerulonephritis.
Question 3 of 5
A child with acute glomerulonephritis is in the playroom and experiences blurred vision and a headache. What action should the nurse take?
Correct Answer: B
Rationale: In this scenario, the correct action for the nurse to take is option B: Obtain the child's blood pressure and notify the healthcare provider. Blurred vision and headache in a child with acute glomerulonephritis could indicate a rise in blood pressure, which is a common complication of this condition. Monitoring blood pressure is crucial in managing acute glomerulonephritis to prevent hypertensive crisis and further kidney damage. Option A is incorrect because checking urine for increased hematuria does not address the immediate concern of elevated blood pressure and potential hypertensive crisis. Option C, obtaining serum electrolytes and sending urinalysis to the laboratory, is not the priority when dealing with acute symptoms like blurred vision and headache. Option D is also incorrect as reassuring the child and encouraging bed rest do not address the potential medical emergency of hypertension. It is essential for nurses caring for children with acute glomerulonephritis to promptly assess and address signs of increasing blood pressure to prevent complications. Educationally, understanding the relationship between acute glomerulonephritis and hypertension is vital for nurses caring for pediatric patients. This rationale highlights the importance of timely assessment, intervention, and collaboration with the healthcare team to provide safe and effective care for children with renal conditions.
Question 4 of 5
The nurse is preparing to admit a child to the hospital with a diagnosis of acute poststreptococcal glomerulonephritis. The nurse understands that the peak age at onset for this disease is what?
Correct Answer: B
Rationale: In understanding the peak age at onset for acute poststreptococcal glomerulonephritis, the correct answer is B) 5 to 7 years. This is because this condition typically occurs in children aged 5 to 7 years old. Option A) 2 to 4 years is incorrect because children in this age group are less commonly affected by acute poststreptococcal glomerulonephritis. Option C) 8 to 10 years and option D) 11 to 13 years are also incorrect as the peak age for this condition falls within the 5 to 7-year-old range. Educationally, understanding the age range at which certain conditions are more prevalent is crucial for nurses caring for pediatric patients. This knowledge informs the nurse's assessment, intervention, and education provided to the child and their family. Understanding the typical age range for acute poststreptococcal glomerulonephritis helps nurses anticipate and provide appropriate care for children presenting with this condition.
Question 5 of 5
The nurse is preparing to admit a child to the hospital with a diagnosis of minimal change nephrotic syndrome. The nurse understands that the peak age at onset for this disease is what?
Correct Answer: B
Rationale: In the case of minimal change nephrotic syndrome, the peak age at onset is typically between 4 to 5 years old. This is because minimal change nephrotic syndrome is more commonly seen in preschool and early school-aged children. At this age, the immune system is still developing, making children more susceptible to this condition. Option A (2 to 3 years) is incorrect because minimal change nephrotic syndrome is less commonly seen in younger children due to their immune system still maturing. Option C (6 to 7 years) is incorrect because while children in this age range can develop minimal change nephrotic syndrome, the peak age of onset is earlier, around 4 to 5 years old. Option D (8 to 9 years) is incorrect as minimal change nephrotic syndrome typically presents before this age range. Understanding the peak age of onset for diseases in children is crucial for nurses caring for pediatric patients as it helps in early recognition, prompt treatment, and better outcomes. By knowing the typical age range for minimal change nephrotic syndrome, nurses can provide appropriate care and support to children and their families facing this condition.