COMPREHENSIVE PEDIATRIC
NURSING: KEY CONCEPTS,
INTERVENTIONS, AND
CLINICAL SCENARIOS FOR
OPTIMAL CHILD HEALTH
CARE
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
, Question :
Which laboratory tests should the nurse prepare to draw when admitting a
pediatric client with possible obstructive uropathy? Select all that apply.
1. Platelet count
2. Blood urea nitrogen (BUN)
3. Partial thromboplastin time (PTT)
4. Blood culture
5. Creatinine
Answer: 2, 5
Rationale: Obstructive uropathy affects kidney function, so BUN and creatinine levels
are essential to assess renal function. Platelet count, PTT, and blood culture are not
directly related to obstructive uropathy.
Question:
Which assessment finding would necessitate action by the nurse for a 10-
month-old child who is 4 hours postoperative for the placement of a urethral
stent?
1. Bloody urine
2. One void since returning from surgery
3. Bladder spasms responding to pharmacologic intervention
4. Double diapering from the previous shift
Answer: 2
Rationale: A child should have adequate urine output postoperatively. Only one void
in 4 hours indicates potential urinary retention or obstruction, requiring immediate
intervention.
Question :
Which is the priority nursing intervention when caring for a neonate who is
born with bladder exstrophy?
1. Measuring intake and output
2. Inserting a Foley catheter
3. Covering the defect with sterile plastic wrap
4. Palpating the bladder mass to ensure urine is expelled
NURSING: KEY CONCEPTS,
INTERVENTIONS, AND
CLINICAL SCENARIOS FOR
OPTIMAL CHILD HEALTH
CARE
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
, Question :
Which laboratory tests should the nurse prepare to draw when admitting a
pediatric client with possible obstructive uropathy? Select all that apply.
1. Platelet count
2. Blood urea nitrogen (BUN)
3. Partial thromboplastin time (PTT)
4. Blood culture
5. Creatinine
Answer: 2, 5
Rationale: Obstructive uropathy affects kidney function, so BUN and creatinine levels
are essential to assess renal function. Platelet count, PTT, and blood culture are not
directly related to obstructive uropathy.
Question:
Which assessment finding would necessitate action by the nurse for a 10-
month-old child who is 4 hours postoperative for the placement of a urethral
stent?
1. Bloody urine
2. One void since returning from surgery
3. Bladder spasms responding to pharmacologic intervention
4. Double diapering from the previous shift
Answer: 2
Rationale: A child should have adequate urine output postoperatively. Only one void
in 4 hours indicates potential urinary retention or obstruction, requiring immediate
intervention.
Question :
Which is the priority nursing intervention when caring for a neonate who is
born with bladder exstrophy?
1. Measuring intake and output
2. Inserting a Foley catheter
3. Covering the defect with sterile plastic wrap
4. Palpating the bladder mass to ensure urine is expelled
