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Pediatric Nursing Exam 2 Practice NCLEX QUESTIONS AND VERIFIED CORRECT ANSWERS .

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Pediatric Nursing Exam 2 Practice NCLEX QUESTIONS AND VERIFIED CORRECT ANSWERS .Pediatric Nursing Exam 2 Practice NCLEX QUESTIONS AND VERIFIED CORRECT ANSWERS .

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Pediatric Nursing Exam 2 Practice NCLEX
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What is the most important Careful Intake and Output measurements and blood pressures.

responsibility of an RN when

assessing a childs Urinary and

Renal function status?


What is the most useful clinical Clearance of creatinine. (Urine test over 12 -24 hours)

estimation of GFR (without

actually testing for it

specifically?)


Uncircumcised male infants younger than 3 months of age. (if a
Which age/*** is the highest
young male infant has a fever - circumcision status should always
incidence of UTI's overall
be checked)


What is affected by a UTI in the The urethra and bladder (Lower urinary tract) and the ureters,

body? renal pelvis, renal parenchyma and calyces (Upper Urinary Tract)


This in an infection of the lower Urinary Tract Infection

or upper urinary tract,

specifically it is an increase

number of microorganisms

anywhere within the urinary tract

except the distal 1/3 of the

urethra.


Why isn't the distal 1/3 of the Because it normally contains and increased level of bacteria

urethra included in UTI anyway without presence of true infection.

definition?


Bacteriuria, asymptomatic bacteriuria, symptomatic bacteriuria,

Different Classifications of UTIs recurrent UTI, persistent UTI, febrile UTI, cystitis, urethritis,

pyelonephritis, urosepsis


What does the presence of a Pyelonephritis (inflammation of the upper urinary tract and

fever usually indicate if the pt kidneys)

has a UTI?

, Who gets more UTI's boys or Girls

girls?


80% of all UTIs are caused by E. Coli (mostly gram negative organisms)

this organism


What are some clues in the very Incontinence in a toilet trained child, strong smelling urine,

young child that might indicate a frequency/urgency, rash, poor weight gain/appetite if ongoing.

possible UTI?


Shortened urethra, Uncircumcised, urinary stasis or reflux,
What are some contributing
altered urine and bladder chemistry, indwelling intermittent
factors to developing UTIs?
catheterization, tight clothing, bubble baths


What are some symptoms of a Some hematuria, with frequency and urgency. (Rarely fever for

lower tract UTI in older children Lower UTI)

and adolescents?


What is a sign of an Upper UTI Fever, Chills, Flank Pain

(renal involvement) in Older

children/adolescents?


What are signs in toddlers Rash, Poor intake, wt loss

younger than 2 years old that

they might have a UTI?


What are signs in children 2 and Classic symptoms - Fever incontinence, increasing frequency,

older that they might have a UTI. dysuria, urgency, strong smelling urine, abdominal or flank pain


Normal BUN levels for 4-18

Newborns


Normal BUN levels for infants 5-18

and children


Normal Uric Acid levels in a 2.0-5.5

child?


Normal Creatinine levels in an 0.2-0.4

infant?


Normal Creatinine levels in a 0.3-0.7

child?


Normal Creatinine levels in an 0.5-1.0

adolescent?


If there are normally bacteria in Under normal conditions the act of completely and repeatedly

the Urinary Tract, why does one emptying the bladder flushes away any organisms before they

not develop a symptomatic have an opportunity to multiply and invade surrounding tissues.

infection all of the time?


What is the key to preventing Maintain adequate blood supply to the bladder wall by

UTI? avoidance of over-distention and high bladder pressure.


Should children be encouraged No, a recent high fluid intake may indicate a false low organism

to drink large amounts of fluid count.

before a urinalysis?


What are the quickest methods Dipstick test for leukocyte esterase or nitrite are the quickest,

to measure for UTI? most inexpensive methods

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