NUR 235 final UPDATED ACTUAL Exam
Questions and CORRECT Answers
Adrenal glands sit on top of - CORRECT ANSWER - kidneys
If a child has high blood pressure - CORRECT ANSWER - there is something wrong with
the kids kidneys
Urinalysis - CORRECT ANSWER - non-sterile specimen appropriate clean-catch
Urine culture - CORRECT ANSWER - sterile specimen preferred (catheter or wiping
down and catching mid-stream)
VCUG (in and out catheter, no balloon) - CORRECT ANSWER - voiding cystogram -
evaluates for urinary reflux in lower urinary tract through bladder catheterization
IVP - CORRECT ANSWER - Intravenous pyelogram - evaluates upper urinary tract with
serial x-rays using IV radiopaque dye
Renal biopsy - CORRECT ANSWER - will need sedation - needle through back to kidney,
need to look for extra bleeding, swelling, blood pressure, breathe sounds (possible puncture)
Peritoneal dialysis - CORRECT ANSWER - Go in abdomen, most common, one bag of
fluids going in stomach, one bag for fluids coming out
Hemodialysis - CORRECT ANSWER -
Grafting dialysis - CORRECT ANSWER - Put a vein and artery together in the arm - this
is were the dialysis needle will go in. Should feel thrill and hear bruit
, Urine output for kids should be - CORRECT ANSWER - 1 mL/kg/hr
Hypospadias - CORRECT ANSWER - hole besides the tip of the penis
How to clean penis with foreskin - CORRECT ANSWER - pull it down, clean site every 2
hours, pull foreskin back up
Will not perform a circumcision on a baby with hypospadias - CORRECT ANSWER -
until they are 3 or 4 - we will use the foreskin as a skin graft when we make a new hole *will put
a foley catheter in after so that it doesn't close up
Bladder Exstrophy - CORRECT ANSWER - Bladder is on outside of the abdomen.
What to do if child has bladder exstrophy - CORRECT ANSWER - clean outside
regularly, keep sterile/moist dressing over
Enuresis - CORRECT ANSWER - bedwetting
If enuresis is a behavioral issue - CORRECT ANSWER - You need the parent to go in
every 2 hours and wake the kid up to try and use the restroom
If enuresis is due to diabetes insipidus - CORRECT ANSWER - they will take
desmopressin (DDAVP) - nasal spray at night
Urinary tract infection s/s - CORRECT ANSWER - irritable, poor feeding, very
concentrated urine (brown or orange color), diaper rash, fever, seizure if prolonged and moved to
kidneys (urosepsis)
Before we get urine culture back, doctor will give - CORRECT ANSWER - antibiotics -
penicillin, cephalosporins, sulfas
Questions and CORRECT Answers
Adrenal glands sit on top of - CORRECT ANSWER - kidneys
If a child has high blood pressure - CORRECT ANSWER - there is something wrong with
the kids kidneys
Urinalysis - CORRECT ANSWER - non-sterile specimen appropriate clean-catch
Urine culture - CORRECT ANSWER - sterile specimen preferred (catheter or wiping
down and catching mid-stream)
VCUG (in and out catheter, no balloon) - CORRECT ANSWER - voiding cystogram -
evaluates for urinary reflux in lower urinary tract through bladder catheterization
IVP - CORRECT ANSWER - Intravenous pyelogram - evaluates upper urinary tract with
serial x-rays using IV radiopaque dye
Renal biopsy - CORRECT ANSWER - will need sedation - needle through back to kidney,
need to look for extra bleeding, swelling, blood pressure, breathe sounds (possible puncture)
Peritoneal dialysis - CORRECT ANSWER - Go in abdomen, most common, one bag of
fluids going in stomach, one bag for fluids coming out
Hemodialysis - CORRECT ANSWER -
Grafting dialysis - CORRECT ANSWER - Put a vein and artery together in the arm - this
is were the dialysis needle will go in. Should feel thrill and hear bruit
, Urine output for kids should be - CORRECT ANSWER - 1 mL/kg/hr
Hypospadias - CORRECT ANSWER - hole besides the tip of the penis
How to clean penis with foreskin - CORRECT ANSWER - pull it down, clean site every 2
hours, pull foreskin back up
Will not perform a circumcision on a baby with hypospadias - CORRECT ANSWER -
until they are 3 or 4 - we will use the foreskin as a skin graft when we make a new hole *will put
a foley catheter in after so that it doesn't close up
Bladder Exstrophy - CORRECT ANSWER - Bladder is on outside of the abdomen.
What to do if child has bladder exstrophy - CORRECT ANSWER - clean outside
regularly, keep sterile/moist dressing over
Enuresis - CORRECT ANSWER - bedwetting
If enuresis is a behavioral issue - CORRECT ANSWER - You need the parent to go in
every 2 hours and wake the kid up to try and use the restroom
If enuresis is due to diabetes insipidus - CORRECT ANSWER - they will take
desmopressin (DDAVP) - nasal spray at night
Urinary tract infection s/s - CORRECT ANSWER - irritable, poor feeding, very
concentrated urine (brown or orange color), diaper rash, fever, seizure if prolonged and moved to
kidneys (urosepsis)
Before we get urine culture back, doctor will give - CORRECT ANSWER - antibiotics -
penicillin, cephalosporins, sulfas
