Pediatric Genitourinary Nclex Questions
And Answers Graded A+.
To prevent further urinary tract infections in a preschooler, what measures would you
teach her mother?
a) Teach her to take frequent tub baths to clean her perineal area.
b) Teach her to wipe her perineum front to back after voiding.
c) Suggest she drink less fluid daily to concentrate urine.
d) Encourage her to be more ambulatory to increase urine output - correct answer. b)
Teach her to wipe her perineum front to back after voiding.
Explanation:
Escherichia coli can be easily spread from the rectum to the urinary meatus and cause
infection if girls do not take precautions against this.
The mother of a child diagnosed with pyelonephritis asks if the kidneys were damaged
because of this. What is the best response by the nurse?
a) Yes, all children who get pyelonephritis have renal scarring.
b) The child's risk for renal scarring is increased with pyelonephritis.
c) As long as IV antibiotics are started, there is no risk of renal damage.
d) No, if the child is urinating normally, the kidneys were not damaged. - correct answer.
B. The child's risk for renal scarring is increased with pyelonephritis.
Explanation:
It would not be possible to determine if the child has renal scarring with pyelonephritis
until more testing is performed. It can result in renal scarring with this type of problem,
but that does not mean there will definitely be complications. Antibiotics are usually the
treatment of choice in this situation, but it cannot be determined when the damage had
occurred.
The nurse is caring for a child admitted with acute glomerulonephritis. Which of the
following clinical manifestations would likely have been noted in the child with this
diagnosis?
a) Smoky colored urine
b) Jaundiced skin
, c) Strawberry red tongue
d) Loose, dark stools - correct answer. a)Smoky colored urine
Explanation:
The presenting symptom in acute glomerulonephritis is grossly bloody urine. The
caregiver may describe the urine as smoky or bloody. Periorbital edema may
accompany or precede hematuria. Loose stools are seen in diarrhea. A strawberry
colored tongue is a symptom seen in the child with Kawasaki disease. Jaundiced skin is
noted in Hepatitis.
The child with nephrotic syndrome who has ascites and difficulty breathing is probably
most comfortable sleeping in which position?
a) Supine
b) Sims' position
c) Prone
d) Fowler's - correct answer. d)Fowler's
Explanation:
A Fowler's position (sitting upright) allows ascites fluid to settle downward and not press
against the diaphragm, compromising breathing.
A child diagnosed acute glomerulonephritis will most likely have a history of which of the
following?
a) Recent illness such as strep throat
b) Hemorrhage or history of bruising easily
c) Sibling diagnosed with the same disease
d) Hearing loss with impaired speech development - correct answer. a) Recent illness
such as strep throat
Explanation:
Symptoms of acute glomerulonephritis often appear one to three weeks after the onset
of a streptococcal infection such as strep throat.
A school nurse is trying to prevent poststreptococcal glomerulonephritis in children.
Which of the following would be the best way to prevent this?
a) Prophylactic antibiotics after strep throat are important.
b) Tell parents to give ibuprofen if their child has a sore throat.
c) All children in the child's class should be tested for strep throat if there is a positive.
d) Encourage the child to take all the antibiotics if diagnosed with strep throat. - correct
answer. D) Encourage the child to take all the antibiotics if diagnosed with strep
throat.
Explanation:
And Answers Graded A+.
To prevent further urinary tract infections in a preschooler, what measures would you
teach her mother?
a) Teach her to take frequent tub baths to clean her perineal area.
b) Teach her to wipe her perineum front to back after voiding.
c) Suggest she drink less fluid daily to concentrate urine.
d) Encourage her to be more ambulatory to increase urine output - correct answer. b)
Teach her to wipe her perineum front to back after voiding.
Explanation:
Escherichia coli can be easily spread from the rectum to the urinary meatus and cause
infection if girls do not take precautions against this.
The mother of a child diagnosed with pyelonephritis asks if the kidneys were damaged
because of this. What is the best response by the nurse?
a) Yes, all children who get pyelonephritis have renal scarring.
b) The child's risk for renal scarring is increased with pyelonephritis.
c) As long as IV antibiotics are started, there is no risk of renal damage.
d) No, if the child is urinating normally, the kidneys were not damaged. - correct answer.
B. The child's risk for renal scarring is increased with pyelonephritis.
Explanation:
It would not be possible to determine if the child has renal scarring with pyelonephritis
until more testing is performed. It can result in renal scarring with this type of problem,
but that does not mean there will definitely be complications. Antibiotics are usually the
treatment of choice in this situation, but it cannot be determined when the damage had
occurred.
The nurse is caring for a child admitted with acute glomerulonephritis. Which of the
following clinical manifestations would likely have been noted in the child with this
diagnosis?
a) Smoky colored urine
b) Jaundiced skin
, c) Strawberry red tongue
d) Loose, dark stools - correct answer. a)Smoky colored urine
Explanation:
The presenting symptom in acute glomerulonephritis is grossly bloody urine. The
caregiver may describe the urine as smoky or bloody. Periorbital edema may
accompany or precede hematuria. Loose stools are seen in diarrhea. A strawberry
colored tongue is a symptom seen in the child with Kawasaki disease. Jaundiced skin is
noted in Hepatitis.
The child with nephrotic syndrome who has ascites and difficulty breathing is probably
most comfortable sleeping in which position?
a) Supine
b) Sims' position
c) Prone
d) Fowler's - correct answer. d)Fowler's
Explanation:
A Fowler's position (sitting upright) allows ascites fluid to settle downward and not press
against the diaphragm, compromising breathing.
A child diagnosed acute glomerulonephritis will most likely have a history of which of the
following?
a) Recent illness such as strep throat
b) Hemorrhage or history of bruising easily
c) Sibling diagnosed with the same disease
d) Hearing loss with impaired speech development - correct answer. a) Recent illness
such as strep throat
Explanation:
Symptoms of acute glomerulonephritis often appear one to three weeks after the onset
of a streptococcal infection such as strep throat.
A school nurse is trying to prevent poststreptococcal glomerulonephritis in children.
Which of the following would be the best way to prevent this?
a) Prophylactic antibiotics after strep throat are important.
b) Tell parents to give ibuprofen if their child has a sore throat.
c) All children in the child's class should be tested for strep throat if there is a positive.
d) Encourage the child to take all the antibiotics if diagnosed with strep throat. - correct
answer. D) Encourage the child to take all the antibiotics if diagnosed with strep
throat.
Explanation:
