MULTIPLE CHOICE

1. The nurse is conducting a staff in-service on renal ultrasounds. Which statement describes this diagnostic test?

a. Computed tomography uses external radiation to visualize the renal system.

b. Visualization of the renal system is accomplished without exposure to radiation or radioactive isotopes.

c. Contrast medium and x-rays allow for visualization of the renal system.

d. External radiation for x-ray films is used to visualize the renal system, before, during, and after voiding.

2. The nurse is admitting a school-age child in acute renal failure with reduced glomerular filtration rate. Which urine test is the most useful clinical indication of glomerular filtration rate?

a. pH

b. Osmolality

c. Creatinine

d. Protein level

3. The nurse is conducting an assessment on a school-age child with urosepsis. Which assessment finding should the nurse expect?

a. Fever with a positive blood culture

b. Proteinuria and edema

c. Oliguria and hypertension

d. Anemia and thrombocytopenia

4. The nurse is teaching parents about prevention of urinary tract infections in children. Which factor predisposes the urinary tract to infection?

a. Increased fluid intake

b. Short urethra in young girls

c. Prostatic secretions in males

d. Frequent emptying of the bladder

5. Which should the nurse recommend to prevent urinary tract infections in young girls?

a. Wear cotton underpants.

b. Limit bathing as much as possible.

c. Increase fluids; decrease salt intake.

d. Cleanse perineum with water after voiding.

6. The nurse is admitting a newborn with hypospadias to the nursery. The nurse expects which finding in this newborn?

a. Absence of a urethral opening is noted.

b. Penis appears shorter than usual for age.

c. The urethral opening is along the dorsal surface of the penis.

d. The urethral opening is along the ventral surface of the penis.

7. The nurse is conducting a staff in-service on newborn defects of the genitourinary system. Which describes the narrowing of the preputial opening of the foreskin?

a. Chordee

b. Phimosis

c. Epispadias

d. Hypospadias

8. Which is an objective of care for a 10-year-old child with minimal change nephrotic syndrome?

a. Reduce blood pressure.

b. Reduce excretion of urinary protein.

c. Increase excretion of urinary protein.

d. Increase ability of tissues to retain fluid.

9. Which is instituted for the therapeutic management of minimal change nephrotic syndrome?

a. Corticosteroids

b. Antihypertensive agents

c. Long-term diuretics

d. Increased fluids to promote diuresis

10. Which is a common side effect of short-term corticosteroid therapy?

a. Fever

b. Hypertension

c. Weight loss

d. Increased appetite