WITH SOLUTIONS 2024
Which of the following statements made by a school-age girl indicates the need for further teaching
about the prevention of urinary tract infections? - ANSWER "I really like taking bubble baths every night"
An 8-month-old being evaluated for a UTI. A urinalysis and urine culture are ordered. Which of the
following is the best way to obtain the urine samples? - ANSWER Suprapubic aspiration with bladder
catheterization after excluding first few milliliter from collection
A 5-year-old is being evaluated for a lower UTI. Which symptoms is she likely to be displaying to warrant
evaluation? (Select all that apply) - ANSWER 1. Frequency or urgency
2. Strong smelling urine
3. Incontinence in a toilet-trained child
The nurse is caring for a 4-year-old who weighs 15 kg. At the end of a 10 hour period, the nurse notes
the urine output is 150 ml. What action should the nurse take? - ANSWER The nurse records the
patient's urine output in the chart
The nurse is teaching the parents of a child with vesicoureteral reflux. What is the most important
instruction to include? - ANSWER The importance of taking prophylactic antibiotics
It is important to surgically correct hypospadias prior to which procedure? - ANSWER Circumcision
Which of the following factors predisposes a child to urinary tract infections? - ANSWER Short urethra in
young girls
The nurse is caring for a child with Wilms tumor. The child is scheduled for a MRI of the lungs. The
parents ask the reason because Wilms involves the kidneys. What is the best response? - ANSWER "The
test is dont to check to see if the disease has spread to the lungs"
A child is admitted after being diagnosed with Wilms tumor. The admitting nurse knows to place a sign
that says: - ANSWER "Do not palpate abdomen"
, What is the best response to a parent who asks the nurse whether her 5-month-old infant can have
cow's milk? - ANSWER "Infants younger than 12 months need iron-rich formula to get the iron they
need"
An assessment of a 7-month-old with hemoglobin level of 6.5 is likely to reveal which of the following
symptoms? - ANSWER Lethargic, pale and irritable
Which of the following suggestions are important to include when teaching parents of an 18-month-old
with iron-deficiency anemia? (select all that apply) - ANSWER 1. Decrease the toddler's daily milk intake
to 24 ounces or less
2. Give oral iron supplement between meals with orange juice
3. Include apricots, dark-green leafy veggies and Cream of Wheat in diet
Which of the following is the best nursing diagnosis for a child with anemia? - ANSWER Activity
intolerence r/t generalized weakness
Which of the following explains why iron deficiency anemia is common during toddlerhood? - ANSWER
Milk is a poor source of iron
Which of the following should the nurse include when teaching the mother of a 9-month-old about
administering liquid iron preparations? - ANSWER Adequate dosage will turn the stools a tarry green
color
Which of the following is true about the genetic transmission of sickle cell disease? - ANSWER Both
parents must carry the sickle cell trait
What are the nursing priorities for a child with sickle cell disease in vaso-occulusive crisis? - ANSWER
Hydration and pain management
A child with sickle cell disease is seen in the ED with paleness, fatigue, decreased BP and increased pulse.
What is this child potentially experiencing? - ANSWER Acute sequestration crisis
What will be included in the discharge plan for a three-year old with sickle cell disease? - ANSWER
Administration of penicillin daily as ordered