• MATERNITY AND
PEDIATRIC 09/25/2026
NURSING
TEST BANK MATERNITY AND PEDIATRIC
NURSING 5TH EDITION BY RICCI, KYLE &
CARMAN | COMPLETE TEST BANK 2 ALL
CHAPTERS (1–51) | QUESTIONS, ANSWERS
& RATIONALES
P 1
, • MATERNITY AND
PEDIATRIC 09/25/2026
NURSING
. An 8-year-old girl is scheduled for a renal ultrasound. What would the nurse include in the
plan of care when preparing the child for this test?
A) Withholding food and fluids after midnight
B) Checking the child for allergies to shellfish
C) Ensuring the child has a full bladder
D) Informing the child she should feel no discomfort - Correct Answer :Ans: D
Feedback:
The nurse should inform the child that she should feel no discomfort during the test. No
fasting is required and no dye is used, so allergies are not a concern. A full bladder is needed
for urodynamic studies.
12. The nurse is preparing a teaching plan for the parents of a child with a urinary tract
infection (UTI). What would the nurse encourage the parents to avoid?
A) Liberal fluid intake
B) Caffeine
C) Cranberry juice
D) Cotton underwear - Correct Answer :Ans: B
Feedback:
Caffeine is an irritant to the bladder and should be avoided. Liberal fluid intake and cranberry
juice should be encouraged. The child should wear cotton underwear to avoid perineal
irritation.
13. The mother of a child with end-stage renal disease asks the nurse why her son is getting an
injection of erythropoietin. When responding to the mother, the nurse explains this as the
rationale.
A) To treat low calcium levels
P 2
, • MATERNITY AND
PEDIATRIC 09/25/2026
NURSING
B) To stimulate growth in stature
C) To stimulate red blood cell growth
D) To correct acidosis - Correct Answer :Ans: C
Feedback:
Erythropoietin is given to stimulate red blood cell growth. Vitamin D and calcium are used to
correct hypocalcemia. Growth hormone is used to stimulate growth in stature. Bicitra or
sodium bicarbonate tablets are used to correct acidosis.
14. A child is diagnosed with hemolytic-uremic syndrome (HUS). Review of the child's
laboratory test results would reveal which finding?
A) Decreased blood urea nitrogen (BUN) and creatinine
B) Decreased platelets and leukocytosis
C) Hypernatremia and hypokalemia
D) Respiratory acidosis and proteinuria - Correct Answer :Ans: B
Feedback:
The child with HUS typically exhibits severe thrombocytopenia (decreased platelets) and
leukocytosis. BUN and creatinine are elevated. Hyponatremia, hyperkalemia, metabolic
acidosis, and proteinuria also may be noted.
15. After teaching the parents of a child with a hydrocele about this condition, which
statement indicates that the teaching was successful?
A) "If this gets worse and we don't treat it, our son could become infertile."
B) "This condition should gradually go away on its own."
C) "The surgeon is going to operate on him immediately."
D) "It's going to be difficult putting ice packs on his scrotum." - Correct Answer :Ans: B
P 3
, • MATERNITY AND
PEDIATRIC 09/25/2026
NURSING
Feedback:
Hydrocele requires watchful waiting because it will usually resolve spontaneously on its own.
Hydrocele is not associated with the development of infertility; a varicocele, if left untreated,
can lead to infertility. Immediate surgery is warranted for testicular torsion. Ice packs to the
scrotum are helpful in relieving pain associated with epididymitis.
16. A nurse is conducting a physical examination of an infant and observes the urethral
opening on the dorsal side of the penis. The nurse documents this finding as:
A) hypospadias.
B) epispadias.
C) varicocele.
D) hydrocele. - Correct Answer :Ans: B
Feedback:
Epispadias is a urethral defect in which the opening is on the dorsal surface of the penis.
Hypospadias is a urethral defect in which the opening is on the ventral surface of the penis
rather than at the end. Varicocele is a venous varicosity along the spermatic cord manifested
as a scrotal swelling. Hydrocele is a benign condition in which fluid accumulates in the scrotal
sac.
17. A 15-year-old boy comes to the emergency department accompanied by his parents. The
boy reports an abrupt onset of sudden pain on the right side of his scrotum. When asked to
rate his pain on a scale of 1 to 10, with 10 being the most severe, the boy states, "It's a 12."
Further assessment reveals a blue-black swelling on the affected side. The nurse suspects
testicular torsion and immediately notifies the physician because:
A) the condition is a surgical emergency.
B) the boy is at risk for sepsis.
C) intravenous antibiotics need to be initiated.
P 4
PEDIATRIC 09/25/2026
NURSING
TEST BANK MATERNITY AND PEDIATRIC
NURSING 5TH EDITION BY RICCI, KYLE &
CARMAN | COMPLETE TEST BANK 2 ALL
CHAPTERS (1–51) | QUESTIONS, ANSWERS
& RATIONALES
P 1
, • MATERNITY AND
PEDIATRIC 09/25/2026
NURSING
. An 8-year-old girl is scheduled for a renal ultrasound. What would the nurse include in the
plan of care when preparing the child for this test?
A) Withholding food and fluids after midnight
B) Checking the child for allergies to shellfish
C) Ensuring the child has a full bladder
D) Informing the child she should feel no discomfort - Correct Answer :Ans: D
Feedback:
The nurse should inform the child that she should feel no discomfort during the test. No
fasting is required and no dye is used, so allergies are not a concern. A full bladder is needed
for urodynamic studies.
12. The nurse is preparing a teaching plan for the parents of a child with a urinary tract
infection (UTI). What would the nurse encourage the parents to avoid?
A) Liberal fluid intake
B) Caffeine
C) Cranberry juice
D) Cotton underwear - Correct Answer :Ans: B
Feedback:
Caffeine is an irritant to the bladder and should be avoided. Liberal fluid intake and cranberry
juice should be encouraged. The child should wear cotton underwear to avoid perineal
irritation.
13. The mother of a child with end-stage renal disease asks the nurse why her son is getting an
injection of erythropoietin. When responding to the mother, the nurse explains this as the
rationale.
A) To treat low calcium levels
P 2
, • MATERNITY AND
PEDIATRIC 09/25/2026
NURSING
B) To stimulate growth in stature
C) To stimulate red blood cell growth
D) To correct acidosis - Correct Answer :Ans: C
Feedback:
Erythropoietin is given to stimulate red blood cell growth. Vitamin D and calcium are used to
correct hypocalcemia. Growth hormone is used to stimulate growth in stature. Bicitra or
sodium bicarbonate tablets are used to correct acidosis.
14. A child is diagnosed with hemolytic-uremic syndrome (HUS). Review of the child's
laboratory test results would reveal which finding?
A) Decreased blood urea nitrogen (BUN) and creatinine
B) Decreased platelets and leukocytosis
C) Hypernatremia and hypokalemia
D) Respiratory acidosis and proteinuria - Correct Answer :Ans: B
Feedback:
The child with HUS typically exhibits severe thrombocytopenia (decreased platelets) and
leukocytosis. BUN and creatinine are elevated. Hyponatremia, hyperkalemia, metabolic
acidosis, and proteinuria also may be noted.
15. After teaching the parents of a child with a hydrocele about this condition, which
statement indicates that the teaching was successful?
A) "If this gets worse and we don't treat it, our son could become infertile."
B) "This condition should gradually go away on its own."
C) "The surgeon is going to operate on him immediately."
D) "It's going to be difficult putting ice packs on his scrotum." - Correct Answer :Ans: B
P 3
, • MATERNITY AND
PEDIATRIC 09/25/2026
NURSING
Feedback:
Hydrocele requires watchful waiting because it will usually resolve spontaneously on its own.
Hydrocele is not associated with the development of infertility; a varicocele, if left untreated,
can lead to infertility. Immediate surgery is warranted for testicular torsion. Ice packs to the
scrotum are helpful in relieving pain associated with epididymitis.
16. A nurse is conducting a physical examination of an infant and observes the urethral
opening on the dorsal side of the penis. The nurse documents this finding as:
A) hypospadias.
B) epispadias.
C) varicocele.
D) hydrocele. - Correct Answer :Ans: B
Feedback:
Epispadias is a urethral defect in which the opening is on the dorsal surface of the penis.
Hypospadias is a urethral defect in which the opening is on the ventral surface of the penis
rather than at the end. Varicocele is a venous varicosity along the spermatic cord manifested
as a scrotal swelling. Hydrocele is a benign condition in which fluid accumulates in the scrotal
sac.
17. A 15-year-old boy comes to the emergency department accompanied by his parents. The
boy reports an abrupt onset of sudden pain on the right side of his scrotum. When asked to
rate his pain on a scale of 1 to 10, with 10 being the most severe, the boy states, "It's a 12."
Further assessment reveals a blue-black swelling on the affected side. The nurse suspects
testicular torsion and immediately notifies the physician because:
A) the condition is a surgical emergency.
B) the boy is at risk for sepsis.
C) intravenous antibiotics need to be initiated.
P 4
