NUR 340 Quizzes Exam 3 Questions
and Answers
The nurse caring for a child with acute glomerulonephritis (AGN) should give priority
to which of the following interventions? - ANSWER-Monitor blood pressure every
four hours
A nurse is caring for an 8 month old boy brought to the emergency room. His past
medical record indicates he has been treated for meningitis as a newborn and 2
months ago was treated for a urinary tract infection. His immunizations are up to
date and he is in the 10th percentile for height and 25% for weight. His urinalysis
shows WBC of greater than 100,000 and was positive for nitrites. What test should
the nurse prepare the child for? - ANSWER-A VCUG to visualize the child's urine
flow from the kidneys to the bladder
Once a child, especially a boy, has been diagnosed with two UTIs, it is important to
make sure the child is not refluxing urine, which could cause scarring for the kidneys
leading to a long term damage. This is the best diagnostic tool we have to visualize
the urine flow from the kidneys to the bladder. The rest are not the best test for the
child at this time.
The nurse is discharging a child who has been hospitalized for glomerulonephritis.
Her parents ask how they will know if their child continues to get better once they get
home. Which is the best response by the nurse? - ANSWER-"Your child's urine
output will increase, and will less tea-colored."
When glomerulonephritis is improving, urine output increases, urine becomes less
tea-colored. The child's appetite will also increase, edema will decrease, and the
child activity level will improve. However, cap refill should have always been less
than 3 seconds (and probably not something parents will monitor at home) and there
was never sodium in the child's urine. An increase in urine output is the best answer.
The NICU team has been called to a delivery of a 38 week old infant who is
suspected to have a left sided diaphragmatic hernia. Which of the following
assessment findings would the nurse expect to find in an infant with a diaphragmatic
hernia? - ANSWER-Cardiac sounds heard loudest on the right side of the chest
If a child has a left-sided diaphragmatic hernia, then the abdominal contents will be
pushed up into the left side of the chest. This will in turn push the chest contents
over onto more of the right side, which is the answer. Crackles would not be heard
and their abdominal circumference will be smaller than it should because of the
displacement of the abdominal contents.
The nurse is caring for a 6 year old child following surgical resection of a large right
sided medulloblastoma. The child is 1 hour post operative. Which of the following
and Answers
The nurse caring for a child with acute glomerulonephritis (AGN) should give priority
to which of the following interventions? - ANSWER-Monitor blood pressure every
four hours
A nurse is caring for an 8 month old boy brought to the emergency room. His past
medical record indicates he has been treated for meningitis as a newborn and 2
months ago was treated for a urinary tract infection. His immunizations are up to
date and he is in the 10th percentile for height and 25% for weight. His urinalysis
shows WBC of greater than 100,000 and was positive for nitrites. What test should
the nurse prepare the child for? - ANSWER-A VCUG to visualize the child's urine
flow from the kidneys to the bladder
Once a child, especially a boy, has been diagnosed with two UTIs, it is important to
make sure the child is not refluxing urine, which could cause scarring for the kidneys
leading to a long term damage. This is the best diagnostic tool we have to visualize
the urine flow from the kidneys to the bladder. The rest are not the best test for the
child at this time.
The nurse is discharging a child who has been hospitalized for glomerulonephritis.
Her parents ask how they will know if their child continues to get better once they get
home. Which is the best response by the nurse? - ANSWER-"Your child's urine
output will increase, and will less tea-colored."
When glomerulonephritis is improving, urine output increases, urine becomes less
tea-colored. The child's appetite will also increase, edema will decrease, and the
child activity level will improve. However, cap refill should have always been less
than 3 seconds (and probably not something parents will monitor at home) and there
was never sodium in the child's urine. An increase in urine output is the best answer.
The NICU team has been called to a delivery of a 38 week old infant who is
suspected to have a left sided diaphragmatic hernia. Which of the following
assessment findings would the nurse expect to find in an infant with a diaphragmatic
hernia? - ANSWER-Cardiac sounds heard loudest on the right side of the chest
If a child has a left-sided diaphragmatic hernia, then the abdominal contents will be
pushed up into the left side of the chest. This will in turn push the chest contents
over onto more of the right side, which is the answer. Crackles would not be heard
and their abdominal circumference will be smaller than it should because of the
displacement of the abdominal contents.
The nurse is caring for a 6 year old child following surgical resection of a large right
sided medulloblastoma. The child is 1 hour post operative. Which of the following
