NURS 6500 FINAL EXAM |ACTUAL SUMMER UPDATE WITH ALREADY GRADED A+
The nurse is reinforcing teaching with the caregiver of 5-year-old twins regarding urinary tract infections
(UTIs). The caregiver is puzzled about why her daughter has had three urinary tract infections but her
son has had none. She reports that their diets and fluid intake is similar. Which statement would be
accurate for the nurse to tell this mother? - (ANSWER)a girls urethra is much shorter and straighter than
a boy's so it can be contaminated fairly easily
The nurse is collecting data for a child diagnosed with acute glomerulonephritis. What would the nurse
likely find in this child's history? - (ANSWER)the child recently had an ear infection
The nurse is caring for the parents of a newborn who has an undescended testicle. Which comment by
the parents indicates understanding of the condition? - (ANSWER)our son's condition may resolve on its
own
normally both testes will descend prior to birth. In the event this does not happen the child will be? -
(ANSWER)observed for the first 6 months of life
Which goal of therapy would be appropriate for a nurse to establish with a client's family and a client
who has a diagnosis of enuresis? - (ANSWER)the client remains continent throughout the night
Which condition is a risk factor for the development of pelvic inflammatory disease (PID)? -
(ANSWER)multiple sexual partners
An adolescent girl and her caregiver present at the pediatrician's office. The adolescent reports severe
abdominal pain. A diagnosis of pelvic inflammatory disease (PID) is made. The nurse notes in the child's
chart that this is the third time she has been treated for PID. The most appropriate action by the nurse
would be to: - (ANSWER)take the child to a private room and interview her regarding her sexual history
and partners
pelvic inflammatory disease can? - (ANSWER)cause sterility in the female primarily by causing scarring in
the fallopian tubes that prohibits the passage of the fertilized ovum into the uterus
The nurse is caring for a 2-year-old girl with suspected vulvovaginitis. The nurse suspects the cause as
Candida albicans based on which finding? - (ANSWER)white cottage cheese-like discharge
,NURS 6500 FINAL EXAM |ACTUAL SUMMER UPDATE WITH ALREADY GRADED A+
A parent asks the nurse, "What is precocious puberty?" The nurse's response should be based on which
statement? - (ANSWER)precocious puberty is early sexual development
A school nurse is trying to prevent poststreptococcal glomerulonephritis in children. What would be the
best way to prevent this? - (ANSWER)encourage the child to take all the antibiotics if diagnosed with
strep throat
UTIs may be treated with? - (ANSWER)antibiotics at home
A nurse has admitted a 3-year-old female diagnosed with a urinary tract infection. When developing the
plan of care, what should the nurse do first? - (ANSWER)assess usual voiding patterns
A pediatric client is scheduled for an intravenous pyelogram (IVP) of the kidney this afternoon. Which of
the following situations would require immediate attention by the nurse? - (ANSWER)the child does not
have intravenous access
The nurse is conducting a presentation for a group of nurses who work with adolescents. The group
discusses dysmenorrhea. Which statement is most accurately related to dysmenorrhea? - (ANSWER)a
contributing factor in dysmenorrhea is the increased secretion of prostaglandins
When assessing a child with hydronephrosis, what would the nurse expect to find? Select all that apply. -
(ANSWER)intermittent hematuria
abdominal mass
The nurse is caring for a child who receives dialysis via an AV fistula. Which finding indicates an
immediate need to notify the physician? - (ANSWER)absence of a thrill
The nurse is caring for a child diagnosed with hydronephrosis. Which manifestation is consistent with
complications of the disorder? - (ANSWER)hypertension
,NURS 6500 FINAL EXAM |ACTUAL SUMMER UPDATE WITH ALREADY GRADED A+
A nurse has just admitted a client with symptoms of vulva inflammation, pain, odor, and pruritus. Based
on these findings, the nurse could conclude that this client will be diagnosed with which condition? -
(ANSWER)vulvovaginitis
The nurse is caring for a child on a pediatric unit who has hemodialysis three times per week due to
renal failure. On the days between dialysis treatment, which meal would be acceptable for the child? -
(ANSWER)grilled chicken, apple slices, and flavored water
A nurse is conducting a discussion group with parents of children who have genitourinary disorders. As
part of the discussion, the nurse reviews the major functions of the kidneys. The nurse determines that
the teaching was successful based on which statement by the group? - (ANSWER)the kidneys help
control BP, so our child's blood pressure needs to be checked often
A nurse is providing education to parents of a child diagnosed with vesicoureteral reflux (VUR). Which
would be included in the parental education? - (ANSWER)this occurs when there is back flow of urine
into the bladder and sometimes the kidneys
The nurse is caring for a 5-month-old boy with an undescended left testis. What would the nurse
identify as indicative of true cryptorchidism? - (ANSWER)testis cannot be milked down inguinal canal
A child needs to collect urine for 24 hours. The nurse explains to the parents and child that this test
assesses glomerular filtration rate and how the kidneys are functioning. What results would be expected
in this type of test? - (ANSWER)creatinine clearance
hypospadias occurs when - (ANSWER)the mental opening is on the ventral surface of the penis rather
than at the end of the penis
the newborn with this condition is not circumcisded at birth bc the excess skin may be needed to
reconstruct the meatus during surgical repair
, NURS 6500 FINAL EXAM |ACTUAL SUMMER UPDATE WITH ALREADY GRADED A+
In caring for a child with nephrotic syndrome, which intervention will be included in the child's plan of
care? - (ANSWER)weighing on the same scale each day
A symptom often seen in acute glomerulonephritis is edema. The most common site the edema is first
noted is in which area of the body? - (ANSWER)eyes
The nurse is caring for a child admitted with acute glomerulonephritis. Which clinical manifestation
would likely have been noted in the child with this diagnosis? - (ANSWER)tea colored urine
secondary amenorrhea can be the result of? - (ANSWER)discontinuing contraceptives, a sign of
pregnancy, the result of physical or emotional stress, or a symptom of and underlying medical condition
The nurse is caring for an infant boy with grade IV vesicoureteral reflux. Which finding would lead the
nurse to suspect that hydronephrosis is present? - (ANSWER)abdominal mass
The nurse is concerned about the pediatric client's immune system after taking corticosteroids. Which
laboratory study is the nurse most correct to assess? - (ANSWER)leukocyte count
The nurse is assessing a hospitalized child diagnosed with nephrotic syndrome. What set of assessments
is most important for the nurse to complete to help identify hypoalbuminemia in this child? -
(ANSWER)heart rate and blood pressure
clinical manifestations of HIV/AIDs - (ANSWER)failure to thrive
recurrent bacterial infections
opportunistic infections
chronic or recurrent diarrhea
The nurse is reinforcing teaching with the caregiver of 5-year-old twins regarding urinary tract infections
(UTIs). The caregiver is puzzled about why her daughter has had three urinary tract infections but her
son has had none. She reports that their diets and fluid intake is similar. Which statement would be
accurate for the nurse to tell this mother? - (ANSWER)a girls urethra is much shorter and straighter than
a boy's so it can be contaminated fairly easily
The nurse is collecting data for a child diagnosed with acute glomerulonephritis. What would the nurse
likely find in this child's history? - (ANSWER)the child recently had an ear infection
The nurse is caring for the parents of a newborn who has an undescended testicle. Which comment by
the parents indicates understanding of the condition? - (ANSWER)our son's condition may resolve on its
own
normally both testes will descend prior to birth. In the event this does not happen the child will be? -
(ANSWER)observed for the first 6 months of life
Which goal of therapy would be appropriate for a nurse to establish with a client's family and a client
who has a diagnosis of enuresis? - (ANSWER)the client remains continent throughout the night
Which condition is a risk factor for the development of pelvic inflammatory disease (PID)? -
(ANSWER)multiple sexual partners
An adolescent girl and her caregiver present at the pediatrician's office. The adolescent reports severe
abdominal pain. A diagnosis of pelvic inflammatory disease (PID) is made. The nurse notes in the child's
chart that this is the third time she has been treated for PID. The most appropriate action by the nurse
would be to: - (ANSWER)take the child to a private room and interview her regarding her sexual history
and partners
pelvic inflammatory disease can? - (ANSWER)cause sterility in the female primarily by causing scarring in
the fallopian tubes that prohibits the passage of the fertilized ovum into the uterus
The nurse is caring for a 2-year-old girl with suspected vulvovaginitis. The nurse suspects the cause as
Candida albicans based on which finding? - (ANSWER)white cottage cheese-like discharge
,NURS 6500 FINAL EXAM |ACTUAL SUMMER UPDATE WITH ALREADY GRADED A+
A parent asks the nurse, "What is precocious puberty?" The nurse's response should be based on which
statement? - (ANSWER)precocious puberty is early sexual development
A school nurse is trying to prevent poststreptococcal glomerulonephritis in children. What would be the
best way to prevent this? - (ANSWER)encourage the child to take all the antibiotics if diagnosed with
strep throat
UTIs may be treated with? - (ANSWER)antibiotics at home
A nurse has admitted a 3-year-old female diagnosed with a urinary tract infection. When developing the
plan of care, what should the nurse do first? - (ANSWER)assess usual voiding patterns
A pediatric client is scheduled for an intravenous pyelogram (IVP) of the kidney this afternoon. Which of
the following situations would require immediate attention by the nurse? - (ANSWER)the child does not
have intravenous access
The nurse is conducting a presentation for a group of nurses who work with adolescents. The group
discusses dysmenorrhea. Which statement is most accurately related to dysmenorrhea? - (ANSWER)a
contributing factor in dysmenorrhea is the increased secretion of prostaglandins
When assessing a child with hydronephrosis, what would the nurse expect to find? Select all that apply. -
(ANSWER)intermittent hematuria
abdominal mass
The nurse is caring for a child who receives dialysis via an AV fistula. Which finding indicates an
immediate need to notify the physician? - (ANSWER)absence of a thrill
The nurse is caring for a child diagnosed with hydronephrosis. Which manifestation is consistent with
complications of the disorder? - (ANSWER)hypertension
,NURS 6500 FINAL EXAM |ACTUAL SUMMER UPDATE WITH ALREADY GRADED A+
A nurse has just admitted a client with symptoms of vulva inflammation, pain, odor, and pruritus. Based
on these findings, the nurse could conclude that this client will be diagnosed with which condition? -
(ANSWER)vulvovaginitis
The nurse is caring for a child on a pediatric unit who has hemodialysis three times per week due to
renal failure. On the days between dialysis treatment, which meal would be acceptable for the child? -
(ANSWER)grilled chicken, apple slices, and flavored water
A nurse is conducting a discussion group with parents of children who have genitourinary disorders. As
part of the discussion, the nurse reviews the major functions of the kidneys. The nurse determines that
the teaching was successful based on which statement by the group? - (ANSWER)the kidneys help
control BP, so our child's blood pressure needs to be checked often
A nurse is providing education to parents of a child diagnosed with vesicoureteral reflux (VUR). Which
would be included in the parental education? - (ANSWER)this occurs when there is back flow of urine
into the bladder and sometimes the kidneys
The nurse is caring for a 5-month-old boy with an undescended left testis. What would the nurse
identify as indicative of true cryptorchidism? - (ANSWER)testis cannot be milked down inguinal canal
A child needs to collect urine for 24 hours. The nurse explains to the parents and child that this test
assesses glomerular filtration rate and how the kidneys are functioning. What results would be expected
in this type of test? - (ANSWER)creatinine clearance
hypospadias occurs when - (ANSWER)the mental opening is on the ventral surface of the penis rather
than at the end of the penis
the newborn with this condition is not circumcisded at birth bc the excess skin may be needed to
reconstruct the meatus during surgical repair
, NURS 6500 FINAL EXAM |ACTUAL SUMMER UPDATE WITH ALREADY GRADED A+
In caring for a child with nephrotic syndrome, which intervention will be included in the child's plan of
care? - (ANSWER)weighing on the same scale each day
A symptom often seen in acute glomerulonephritis is edema. The most common site the edema is first
noted is in which area of the body? - (ANSWER)eyes
The nurse is caring for a child admitted with acute glomerulonephritis. Which clinical manifestation
would likely have been noted in the child with this diagnosis? - (ANSWER)tea colored urine
secondary amenorrhea can be the result of? - (ANSWER)discontinuing contraceptives, a sign of
pregnancy, the result of physical or emotional stress, or a symptom of and underlying medical condition
The nurse is caring for an infant boy with grade IV vesicoureteral reflux. Which finding would lead the
nurse to suspect that hydronephrosis is present? - (ANSWER)abdominal mass
The nurse is concerned about the pediatric client's immune system after taking corticosteroids. Which
laboratory study is the nurse most correct to assess? - (ANSWER)leukocyte count
The nurse is assessing a hospitalized child diagnosed with nephrotic syndrome. What set of assessments
is most important for the nurse to complete to help identify hypoalbuminemia in this child? -
(ANSWER)heart rate and blood pressure
clinical manifestations of HIV/AIDs - (ANSWER)failure to thrive
recurrent bacterial infections
opportunistic infections
chronic or recurrent diarrhea
