NURS 420 EXAM 1 QUESTIONS AND ANSWERS
ELABORATIONS!!
A child with secondary enuresis who complains of dysuria or urgency should be
evaluated for which condition?
a. Hypocalciuria
b. Nephrotic syndrome
c. Glomerulonephritis
d. Urinary tract infection
Answers :Answer: Urinary tract infection
Rationale: Complaints of dysuria or urgency from a child with secondary enuresis
suggest the possibility of a urinary tract infection. An excessive loss of calcium in
the urine (hypercalciuria) can be associated with complaints of painful urination,
urgency, frequency, and wetting. Nephrotic syndrome is not usually associated
with complaints of dysuria or urgency. Glomerulonephritis is not a likely cause of
dysuria or urgency.
A nurse is planning care for a child admitted with nephrotic syndrome. Which
interventions should be included in the plan of care? Select all that apply.
a. Administration of antihypertensive medications
b. Daily weights
c. Salt-restricted diet
d. Frequent position changes
e. Teach parents to expect tea-colored urine
Answers :Answers
,-Daily weights
-Salt-restricted diet
-Frequent position changes
Rationale: A child with nephrotic syndrome will need to be monitored closely for
fluid excess so daily weights are important. The diet is salt restricted to prevent
further retention of fluid. Because of the fluid excess, frequent position changes are
required to prevent skin breakdown. Nephrotic syndrome does not require
antihypertensive medications. These are administered for acute glomerulonephritis.
Tea-colored urine is expected with acute glomerulonephritis, but not nephrotic
syndrome. The urine in nephrotic syndrome is frothy indicating protein is being
lost in the urine.
A nurse is assessing an infant for urinary tract infection (UTI). Which assessment
findings should the nurse expect? Select all that apply.
a. Change in urine odor or color
b. Enuresis
c. Fever or hypothermia
d. Voiding urgency
e. Poor weight gain
Answers :Answers:
-Change in urine odor or color
-Fever or hypothermia
-Poor weight gain
,The postoperative care plan for an infant with surgical repair of a cleft lip includes
which intervention?
a. A clear liquid diet for 72 hours
b. Nasogastric feedings until the sutures are removed
c. Elbow restraints to keep the infants fingers away from the mouth
d. Rinsing the mouth after every feeding
Answers :Answer: Elbow restraints to keep the infants fingers away from the
mouth
Rationale: Keeping the infants hands away from the incision reduces potential
complications at the surgical www.testbanktank.com
site. The infants diet is advanced from clear liquid to soft foods within 48 hours of
surgery. After surgery, the infant can resume preoperative feeding techniques.
Rinsing the mouth after feeding is an inappropriate intervention. Feeding a small
amount of water after feedings will help keep the mouth clean. A cleft lip repair
site should be cleansed with a wet sterile cotton swab after feedings.
A nurse should plan to implement which interventions for a child admitted with
inorganic failure to thrive? Select all that apply.
a. Observation of parentchild interactions
b. Assignment of different nurses to care for the child from day to day c. Use of 28
calorie per ounce concentrated formulas
d. Administration of daily multivitamin supplements
e. Role-modeling appropriate adultchild interactions
, Answers :Answers:
-Observation of parent child interactions
-Administration of daily multivitamin supplements
- Role-modeling appropriate adult child interactions
Rationale: The nurse should plan to assess parent-child interactions when a child is
admitted for nonorganic failure to thrive. The observations should include how the
child is held and fed, how eye contact is initiated and maintained, and the facial
expressions of both the child and the caregiver during interaction
The nurse is assessing the respiratory system of a newborn. Which anatomic
differences place the infant at risk for respiratory compromise? Select all that
apply.
a. The nasal passages are narrower.
b. The trachea and chest wall are less compliant.
c. The bronchi and bronchioles are shorter and wider.
d. The larynx is more funnel-shaped.
e. The tongue is smaller.
f. There are significantly fewer alveoli.
Answers :Answers:
-The nasal passages are narrower
-The larynx is more funnel-shaped
-There are significantly fewer alveoli
ELABORATIONS!!
A child with secondary enuresis who complains of dysuria or urgency should be
evaluated for which condition?
a. Hypocalciuria
b. Nephrotic syndrome
c. Glomerulonephritis
d. Urinary tract infection
Answers :Answer: Urinary tract infection
Rationale: Complaints of dysuria or urgency from a child with secondary enuresis
suggest the possibility of a urinary tract infection. An excessive loss of calcium in
the urine (hypercalciuria) can be associated with complaints of painful urination,
urgency, frequency, and wetting. Nephrotic syndrome is not usually associated
with complaints of dysuria or urgency. Glomerulonephritis is not a likely cause of
dysuria or urgency.
A nurse is planning care for a child admitted with nephrotic syndrome. Which
interventions should be included in the plan of care? Select all that apply.
a. Administration of antihypertensive medications
b. Daily weights
c. Salt-restricted diet
d. Frequent position changes
e. Teach parents to expect tea-colored urine
Answers :Answers
,-Daily weights
-Salt-restricted diet
-Frequent position changes
Rationale: A child with nephrotic syndrome will need to be monitored closely for
fluid excess so daily weights are important. The diet is salt restricted to prevent
further retention of fluid. Because of the fluid excess, frequent position changes are
required to prevent skin breakdown. Nephrotic syndrome does not require
antihypertensive medications. These are administered for acute glomerulonephritis.
Tea-colored urine is expected with acute glomerulonephritis, but not nephrotic
syndrome. The urine in nephrotic syndrome is frothy indicating protein is being
lost in the urine.
A nurse is assessing an infant for urinary tract infection (UTI). Which assessment
findings should the nurse expect? Select all that apply.
a. Change in urine odor or color
b. Enuresis
c. Fever or hypothermia
d. Voiding urgency
e. Poor weight gain
Answers :Answers:
-Change in urine odor or color
-Fever or hypothermia
-Poor weight gain
,The postoperative care plan for an infant with surgical repair of a cleft lip includes
which intervention?
a. A clear liquid diet for 72 hours
b. Nasogastric feedings until the sutures are removed
c. Elbow restraints to keep the infants fingers away from the mouth
d. Rinsing the mouth after every feeding
Answers :Answer: Elbow restraints to keep the infants fingers away from the
mouth
Rationale: Keeping the infants hands away from the incision reduces potential
complications at the surgical www.testbanktank.com
site. The infants diet is advanced from clear liquid to soft foods within 48 hours of
surgery. After surgery, the infant can resume preoperative feeding techniques.
Rinsing the mouth after feeding is an inappropriate intervention. Feeding a small
amount of water after feedings will help keep the mouth clean. A cleft lip repair
site should be cleansed with a wet sterile cotton swab after feedings.
A nurse should plan to implement which interventions for a child admitted with
inorganic failure to thrive? Select all that apply.
a. Observation of parentchild interactions
b. Assignment of different nurses to care for the child from day to day c. Use of 28
calorie per ounce concentrated formulas
d. Administration of daily multivitamin supplements
e. Role-modeling appropriate adultchild interactions
, Answers :Answers:
-Observation of parent child interactions
-Administration of daily multivitamin supplements
- Role-modeling appropriate adult child interactions
Rationale: The nurse should plan to assess parent-child interactions when a child is
admitted for nonorganic failure to thrive. The observations should include how the
child is held and fed, how eye contact is initiated and maintained, and the facial
expressions of both the child and the caregiver during interaction
The nurse is assessing the respiratory system of a newborn. Which anatomic
differences place the infant at risk for respiratory compromise? Select all that
apply.
a. The nasal passages are narrower.
b. The trachea and chest wall are less compliant.
c. The bronchi and bronchioles are shorter and wider.
d. The larynx is more funnel-shaped.
e. The tongue is smaller.
f. There are significantly fewer alveoli.
Answers :Answers:
-The nasal passages are narrower
-The larynx is more funnel-shaped
-There are significantly fewer alveoli
