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Heme/Cardiac/GI/GU

Total questions: 11

Worksheet time: 6mins

Name
Class
Date
1.

Which of the following symptoms is characteristic of a preschool child with a urinary tract infection?

a)

Foul-smelling urine, elevated B/P, and hematuria.

b)

Severe flank pain, nausea, headache.

c)

Headache, hematuria, vertigo.

d)

Urgency, dysuria, fever.

2.

A child with nephrotic syndrome is severely edematous. The primary health-care provider has placed the child on bed rest. An important nursing intervention for this child would be to

a)

Reposition the child every two hours.

b)

Monitor B/P every 30 minutes.

c)

Encourage fluids.

d)

Limit visitors.

3.

A child with nephrotic syndrome has been placed on prednisone for several weeks. An important point of teaching with the parents should include:

a)

Never stop the medication suddenly.

b)

This drug is taken once a week on Sunday.

c)

The child should always take the medication at night before bed.

d)

This drug should be taken with meals.

4.

A child with acute glomerulonephritis is in the playroom and experiences blurred vision and headache. Which of the following actions should be taken by the nurse?

a)

Check the urine to see if hematuria has increased.

b)

Obtain a B/P on the child; notify the physician.

c)

Reassure the child, and encourage bed rest until the headache improves.

d)

Obtain serum electrolytes, and send a urinalysis to the lab.

5.

A child, in renal failure, has hyperkalemia. The nurse plans to instruct that the child should avoid the following foods:

a)

Carrots and green, leafy vegetables.

b)

Chips, cold cuts, and canned foods.

c)

Spaghetti and meat sauce, breadsticks.

d)

Hamburger on a bun, cherry gelatin.

6.

A child is being treated for strep throat. The nurse tells the parent to report any abrupt onset of mid-abdominal pain along with malaise, irritability and fever. The nurse is teaching the parent signs of:

a)

Sodium retention.

b)

Acute post-streptococcal glomerulonephritis.

c)

Hemolytic-uremic syndrome.

d)

Renal insufficiency.

7.

The nurse is planning postoperative care for an infant after a cleft-lip repair. The plan should include

a)

Prone positioning.

b)

Suctioning with a Yankauer device.

c)

Supine or side-lying positioning.

d)

Avoidance of soft elbow restraints.

8.

The nurse is evaluating the activity tolerance of a 9-month-old with iron deficiency anemia. The finding that indicates the child is tolerating activity is

a)

HR of 150.

b)

Decreased alertness.

c)

Respiratory rate less than 40 with activity.

d)

Muscle weakness.

9.

A child who has beta-thalassemia is receiving numerous blood transfusions. The child is also receiving deferoxamine (Desferal) therapy. The parents ask how the deferoxamine will help their child. The nurse explains that the deferoxamine is given to

a)

Prevent blood transfusion reactions.

b)

Stimulate red blood cell production.

c)

Provide vitamin supplementation.

d)

Prevent iron overload

10.

A nurse is preparing to administer medication at 100 mL over 30 min. How many mL/hr should the nurse administer?

(a)  

11.

A school-age child with hemophilia falls on the playground and goes to the nurse’s office with superficial bleeding above the knee. The nurse should

a)

Apply a warm, moist pack to the area.

b)

Perform some passive range of motion to the affected leg.

c)

Apply pressure to the area for at least 15 minutes.

d)

Keep the affected extremity in a dependent position