Pediatric Nursing Practice Questions

Pediatric Nursing Practice Questions Related

Review Pediatric Nursing Practice Questions related questions and content

A child is admitted with acute glomerulonephritis. What should the nurse expect the urinalysis to show during the acute phase?

  • A. Bacteriuria, hematuria
  • B. Hematuria, proteinuria
  • C. Bacteriuria, increased specific gravity
  • D. Proteinuria, decreased specific gravity
Correct Answer: B

Rationale: The nurse should expect the urinalysis to show hematuria (blood in the urine) and proteinuria (excess protein in the urine) during the acute phase of glomerulonephritis. Hematuria is a common finding due to the inflammation and damage to the glomeruli, which allows red blood cells to leak into the urine. Proteinuria occurs because the damaged glomeruli are unable to effectively filter out proteins, leading to their presence in the urine. Bacteriuria and increased specific gravity are not typically associated with acute glomerulonephritis.

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The following are true EXCEPT

  • A. Hypoglycemia develops in about 25-50%
  • B. Increased weight of the placenta and all infant organs
  • C. Heart failure occurs in 5-10% of infants of diabetic mothers
  • D. The incidence of congenital anomalies is increased threefold in infants of diabetic mothers
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Mid diastolic rumble murmur at the lower left sternal border may be heard in the following structural heart disease:

  • A. Large PDA
  • B. Severe mitral incompetence
  • C. Aortic rheumatic carditis with mitral valvulitis
  • D. Large atrial septal defect
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Manifestations of the initial attack of rheumatic fever with carditis may include all the following Except:

  • A. Tachycardia out of proportion to fever
  • B. Pericardial rub
  • C. Heart failure
  • D. Apical mid-diastolic rumbling murmur with pre-systolic accentuation
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A toddler has minimal change nephrotic syndrome (MCNS) and 3+ pitting edema. Which intervention should the nurse include in the plan of care?

  • A. Encourage an increased fluid intake for the toddler
  • B. Place the child in an Airborne infection isolation room
  • C. Increase the toddler's dietary sodium intake
  • D. Administer corticosteroids to the toddler
Correct Answer: D

Rationale: In managing minimal change nephrotic syndrome (MCNS) in children with pitting edema, corticosteroids are the mainstay of treatment. Corticosteroids help reduce inflammation and decrease proteinuria, addressing the underlying cause of MCNS. Therefore, the nurse should prioritize administering the prescribed corticosteroids to the toddler as part of the plan of care.

Concerning acute bronchiolitis, all of the following are true except:

  • A. Epidemics often occur during winter
  • B. The disease typically affects infants younger than 2 years of age
  • C. Immunodeficiency is an indication for treatment with ribavirin
  • D. The disease is more benign in infants born prematurely
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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