UPDATE!!!2025/2026|GUARANTEED
The nurse is reviewing the record of a child diagnosed with nephrotic syndrome. The nurse
would expect to note which of the following findings documented in the child's record?
1. Polyuria
2. Weight gain
3. Hypotension
4. Grossly bloody urine - ANSWER 2
Rationale: Massive edema resulting in dramatic weight gain is a characteristic finding in
nephrotic syndrome. Urine is dark, foamy, and frothy, but only microscopic hematuria is
present frank. Urine output is decreased, and hypertension is likely to be present.
The nurse is planning discharge instructions for the mother of a child following orchiopexy,
which was performed on an outpatient basis. Which of the following is a priority in the plan
of care?
1. Wound care
2. Pain control measures
3. Measurement of intake
4. Cold and heat applications
*Orchiopexy (or orchidopexy) is a surgery to move an undescended (cryptorchid) testicle
into the scrotum and permanently fix it there. Orchiopexy typically also describes the
surgery used to resolve testicular torsion. - ANSWER 1
*The most common complications associated with orchiopexy are bleeding and infection.
A nursing student is assigned to care for a child following surgery to correct cryptorchidism.
The nursing instructor reviews the plan of care developed by the student and determines
1
, that the student is adequately prepared to care for the child if the student identifies which
priority in the plan of care following this type of surgery?
1. Prevent tension on the suture.
2. Force oral fluids, and monitor I&O.
3. Monitor urine for glucose and acetone.
4. Encourage coughing and deep breathing every hour.
* cryptorchidism: the most common abnormality of male sexual development. In this
condition, the testis is not located in the scrotum. It can be ectopic, incompletely descended,
retractile, and absent or atrophic. - ANSWER 1
*When a child returns from surgery, the testicle is held in position by an internal suture that
passes through the testes and scrotum and is attached to the thigh. It is important not to
dislodge this suture, and it should be immobilized for 1 week.
A nurse is developing a plan of care for a 4-year-old child scheduled for a renal biopsy. Based
on the developmental level of the child the nurse considers which of the following?
1. Masturbation is common in this age group.
2. Body image may be a concern for the child.
3. Fears of mutilation may be present in the child.
4. The urination pattern will cause embarrassment for the child. - ANSWER 3
Rationale: During the preschool years, a child's fears of separation and mutilation are great,
because the child is facing the developmental task of trusting others.
The mother of a newborn male infant with hypospadias asks the nurse why circumcision
cannot be performed. The most appropriate response by the nurse is which of the
following?
1. "Circumcision will cause an infection."
2. "Circumcision is not performed in a newborn."
3. "Circumcision will cause difficulty with urination."
4. "Circumcision has been delayed to save tissue for surgical repair."
2
The nurse is reviewing the record of a child diagnosed with nephrotic syndrome. The nurse
would expect to note which of the following findings documented in the child's record?
1. Polyuria
2. Weight gain
3. Hypotension
4. Grossly bloody urine - ANSWER 2
Rationale: Massive edema resulting in dramatic weight gain is a characteristic finding in
nephrotic syndrome. Urine is dark, foamy, and frothy, but only microscopic hematuria is
present frank. Urine output is decreased, and hypertension is likely to be present.
The nurse is planning discharge instructions for the mother of a child following orchiopexy,
which was performed on an outpatient basis. Which of the following is a priority in the plan
of care?
1. Wound care
2. Pain control measures
3. Measurement of intake
4. Cold and heat applications
*Orchiopexy (or orchidopexy) is a surgery to move an undescended (cryptorchid) testicle
into the scrotum and permanently fix it there. Orchiopexy typically also describes the
surgery used to resolve testicular torsion. - ANSWER 1
*The most common complications associated with orchiopexy are bleeding and infection.
A nursing student is assigned to care for a child following surgery to correct cryptorchidism.
The nursing instructor reviews the plan of care developed by the student and determines
1
, that the student is adequately prepared to care for the child if the student identifies which
priority in the plan of care following this type of surgery?
1. Prevent tension on the suture.
2. Force oral fluids, and monitor I&O.
3. Monitor urine for glucose and acetone.
4. Encourage coughing and deep breathing every hour.
* cryptorchidism: the most common abnormality of male sexual development. In this
condition, the testis is not located in the scrotum. It can be ectopic, incompletely descended,
retractile, and absent or atrophic. - ANSWER 1
*When a child returns from surgery, the testicle is held in position by an internal suture that
passes through the testes and scrotum and is attached to the thigh. It is important not to
dislodge this suture, and it should be immobilized for 1 week.
A nurse is developing a plan of care for a 4-year-old child scheduled for a renal biopsy. Based
on the developmental level of the child the nurse considers which of the following?
1. Masturbation is common in this age group.
2. Body image may be a concern for the child.
3. Fears of mutilation may be present in the child.
4. The urination pattern will cause embarrassment for the child. - ANSWER 3
Rationale: During the preschool years, a child's fears of separation and mutilation are great,
because the child is facing the developmental task of trusting others.
The mother of a newborn male infant with hypospadias asks the nurse why circumcision
cannot be performed. The most appropriate response by the nurse is which of the
following?
1. "Circumcision will cause an infection."
2. "Circumcision is not performed in a newborn."
3. "Circumcision will cause difficulty with urination."
4. "Circumcision has been delayed to save tissue for surgical repair."
2
