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CHILD HEALTH NURSING

Total questions: 62

Worksheet time: 31mins

Name
Class
Date
1.

What is Wilms’ tumor also known as?

a)

Nephroblastoma

b)

Neuroblastoma

c)

Hepatoblastoma

d)

Osteosarcoma

2.

Which age group is most commonly affected by Wilms’ tumor?

a)

Adolescents

b)

Children aged 2-5 years

c)

Infants under 1 year

d)

Adults

3.

What is a common clinical manifestation of Wilms’ tumor?

a)

Painful urination

b)

Abdominal mass

c)

Chronic cough

d)

Bone pain

4.

What is the primary treatment for Wilms’ tumor?

a)

Antibiotics

b)

Surgery with chemotherapy

c)

Radiation therapy only

d)

Observation

5.

Which nursing intervention is critical for a child with Wilms’ tumor preoperatively?

a)

Vigorous abdominal palpation

b)

Avoiding palpation of the abdomen

c)

Administering diuretics

d)

Encouraging high fluid intake

6.

Exstrophy of the bladder is characterized by:

a)

Bladder inside the abdominal cavity

b)

Bladder exposed on the abdominal wall

c)

Absence of the bladder

d)

Enlarged bladder

7.

What is a priority nursing intervention for exstrophy of the bladder?

a)

Keeping the bladder mucosa moist

b)

Administering oral antibiotics e

c)

Encouraging early ambulation

d)

Restricting fluid intake

8.

  1. Which complication is most associated with exstrophy of the bladder?

a)

  1. Urinary tract infections

b)

  1. Respiratory distress

c)

  1. Seizures

d)

  1. Heart failure

9.

  1. Hypospadias is a congenital condition where the urethral opening is located:

a)

  1. On the dorsal surface of the penis

b)

At the tip of the penis

c)

On the ventral surface of the penis

d)

Inside the scrotum

10.

  1. What is a key nursing consideration post-hypospadias repair?

a)

  1. Monitoring for urinary retention

b)

Encouraging heavy lifting

c)

Administering diuretics

d)

Restricting pain management

11.

Epispadias is characterized by the urethral opening located:

a)

On the ventral surface of the penis

b)

On the dorsal surface of the penis

c)

Inside the bladder

d)

At the base of the scrotum

12.

  1. What is a common associated condition with epispadias?

a)

  1. Bladder exstrophy

b)

  1. Wilms’ tumor

c)

  1. Nephrotic syndrome

d)

  1. Hydronephrosis

13.

  1. What is a primary goal of surgical correction for epispadias?

a)

  1. A) Correcting bone deformities

b)

  1. B) Restoring normal urination and appearance

c)

  1. C) Preventing respiratory infections

d)

  1. D) Improving cardiac function Correct Answer:

14.

  1. Obstructive uropathy is caused by:

a)

  1. A) Blockage in the urinary tract

b)

  1. B) Overproduction of urine

c)

  1. C) Absence of kidneys

d)

  1. D) Excessive bladder contraction

15.

  1. Which symptom is commonly associated with obstructive uropathy?

a)

  1. A) Increased urine output

b)

  1. B) Hydronephrosis

c)

  1. C) Hyperglycemia

d)

  1. D) Tachycardia

16.

  1. What diagnostic test is commonly used for obstructive uropathy?

a)

  1. A) Electrocardiogram

b)

  1. B) Renal ultrasound

c)

  1. C) Chest X-ray

d)

  1. D) Blood glucose test

17.

  1. What is a key nursing intervention for obstructive uropathy?

a)

  1. A) Monitoring intake and output

b)

  1. B) Encouraging high salt intake

c)

  1. C) Restricting physical activity

d)

  1. D) Administering sedatives

18.

  1. Nephrotic syndrome is primarily characterized by:

a)

  1. A) Massive proteinuria

b)

  1. B) Hematuria

c)

  1. C) Hypertension

d)

  1. D) Glycosuria

19.

  1. What is a common clinical sign of nephrotic syndrome?

a)

  1. A) Edema

b)

  1. B) Fever

c)

  1. C) Weight gain

d)

  1. D) Both A and C

20.

  1. Which dietary modification is recommended for nephrotic syndrome?

a)

  1. A) High protein diet

b)

  1. B) Low sodium diet

c)

  1. C) High carbohydrate diet

d)

  1. D) Low fat diet

21.

  1. What medication is commonly used to manage nephrotic syndrome?

a)

  1. A) Corticosteroids

b)

  1. B) Antibiotics

c)

  1. C) Antihypertensives

d)

  1. D) Diuretics

22.

  1. What is a nursing priority for a child with nephrotic syndrome?

a)

  1. A) Preventing infection

b)

  1. B) Encouraging high fluid intake

c)

  1. C) Promoting weight gain

d)

  1. D) Administering insulin

23.

  1. Which congenital malformation is associated with a palpable abdominal mass?

a)

  1. A) Hypospadias

b)

  1. B) Wilms’ tumor

c)

  1. C) Epispadias

d)

  1. D) Nephrotic syndrome

24.

  1. What is the primary surgical goal for exstrophy of the bladder?

a)

  1. A) Bladder reconstruction

b)

  1. B) Kidney transplantation

c)

  1. C) Urethral dilation

d)

  1. D) Bowel resection

25.

  1. Which condition may require a urinary diversion procedure?

a)

  1. A) Nephrotic syndrome

b)

  1. B) Exstrophy of the bladder

c)

  1. C) Wilms’ tumor

d)

  1. D) Hypospadias

26.

  1. What is a common postoperative complication of hypospadias repair?

a)

  1. A) Fistula formation

b)

  1. B) Pneumonia

c)

  1. C) Seizures

d)

  1. D) Heart failure

27.

  1. Which diagnostic tool is used to confirm Wilms’ tumor?

a)

  1. A) Biopsy

b)

  1. B) Urinalysis

c)

  1. C) Blood culture

d)

  1. D) Echocardiogram

28.

  1. What is a key nursing role in managing epispadias preoperatively?

a)

  1. A) Teaching catheter care

b)

  1. B) Administering chemotherapy

c)

  1. C) Monitoring blood glucose

d)

  1. D) Encouraging high protein diet

29.

  1. Obstructive uropathy can lead to:

a)

  1. A) Kidney damage

b)

  1. B) Liver failure

c)

  1. C) Lung collapse

d)

  1. D) Bone deformities

30.

  1. What is a hallmark laboratory finding in nephrotic syndrome?

a)

  1. A) Hypoalbuminemia

b)

  1. B) Hyperglycemia

c)

  1. C) Elevated hemoglobin

d)

  1. D) Low creatinine

31.

  1. Which congenital condition requires protection of exposed tissues?

a)

  1. A) Wilms’ tumor

b)

  1. B) Exstrophy of the bladder

c)

  1. C) Nephrotic syndrome

d)

  1. D) Obstructive uropathy

32.

  1. What is a common complication of untreated obstructive uropathy?

a)

  1. A) Renal failure

b)

  1. B) Asthma

c)

  1. C) Diabetes

d)

  1. D) Arthritis

33.

  1. Which nursing action is essential post-Wilms’ tumor surgery?

a)

  1. A) Monitoring for signs of infection

b)

  1. B) Encouraging heavy lifting

c)

  1. C) Restricting pain medication

d)

  1. D) Limiting fluid intake

34.

  1. What is a key teaching point for parents of a child with hypospadias?

a)

  1. A) Administering diuretics

b)

  1. B) Encouraging high sodium diet

c)

  1. C) Restricting physical activity

d)

  1. D) Avoiding circumcision

35.

  1. Which condition is associated with an increased risk of urinary incontinence?

a)

  1. A) Wilms’ tumor

b)

  1. B) Epispadias

c)

  1. C) Nephrotic syndrome

d)

  1. D) Obstructive uropathy

36.

  1. What is the primary cause of edema in nephrotic syndrome?

a)

  1. A) Hypoalbuminemia

b)

  1. B) Hypernatremia

c)

  1. C) Hypertension

d)

  1. D) Hyperglycemia

37.

  1. Which imaging study is used to evaluate exstrophy of the bladder?

a)

  1. A) MRI

b)

  1. B) Ultrasound

c)

  1. C) CT scan

d)

  1. D) All of the above

38.

  1. What is a common symptom of Wilms’ tumor in children?

a)

  1. A) Hematuria

b)

  1. B) Chest pain

c)

  1. C) Joint pain

d)

  1. D) Vision loss

39.

  1. What is a key nursing intervention for nephrotic syndrome to reduce edema?

a)

  1. A) Administering diuretics

b)

  1. B) Encouraging high sodium intake

c)

  1. C) Restricting protein intake

d)

  1. D) Limiting physical activity

40.

  1. Which condition requires long-term follow-up for renal function?

a)

  1. A) Hypospadias

b)

  1. B) Obstructive uropathy

c)

  1. C) Epispadias

d)

  1. D) Nephrotic syndrome

41.

  1. What is a common psychosocial concern for children with exstrophy of the bladder?

a)

  1. A) Body image issues

b)

  1. B) Hearing loss

c)

  1. C) Memory deficits

d)

  1. D) Vision problems

42.

  1. Which medication may be used to manage proteinuria in nephrotic syndrome?

a)

  1. A) ACE inhibitors

b)

  1. B) Beta-blockers

c)

  1. C) Antihistamines

d)

  1. D) Anticoagulants

43.

  1. What is a key postoperative care focus for epispadias repair?

a)

  1. A) Monitoring for urinary flow

b)

  1. B) Encouraging high fluid intake

c)

  1. C) Restricting pain management

d)

  1. D) Administering sedatives

44.

  1. Which congenital malformation is most likely to be diagnosed at birth?

a)

  1. A) Wilms’ tumor

b)

  1. B) Exstrophy of the bladder

c)

  1. C) Nephrotic syndrome

d)

  1. D) Obstructive uropathy

45.

  1. What is a potential long-term complication of Wilms’ tumor treatment?

a)

  1. A) Secondary malignancies

b)

  1. B) Asthma

c)

  1. C) Diabetes

d)

  1. D) Osteoporosis

46.

  1. What is a common nursing diagnosis for nephrotic syndrome?

a)

  1. A) Fluid volume excess

b)

  1. B) Impaired gas exchange

c)

  1. C) Acute pain

d)

  1. D) Deficient knowledge

47.

  1. Which condition may require staged surgical repairs?

a)

  1. A) Exstrophy of the bladder

b)

  1. B) Wilms’ tumor

c)

  1. C) Nephrotic syndrome

d)

  1. D) Hypospadias

48.

  1. What is a key parental education topic for obstructive uropathy?

a)

  1. A) Signs of urinary tract infection

b)

  1. B) Importance of high sugar diet

c)

  1. C) Restricting fluid intake

d)

  1. D) Avoiding physical activity

49.

  1. Which condition is associated with a genetic predisposition?

a)

  1. A) Wilms’ tumor

b)

  1. B) Hypospadias

c)

  1. C) Epispadias

d)

  1. D) All of the above

50.

  1. What is a critical nursing intervention for a child with nephrotic syndrome during a relapse?

a)

  1. A) Monitoring for infection

b)

  1. B) Encouraging high protein diet

c)

  1. C) Restricting fluid intake

d)

  1. D) Administering antihistamines

51.

  1. What is an important consideration for parents of a child undergoing surgery for epispadias?

a)

  1. C) Promoting a high-calcium diet

b)

  1. A) Ensuring the child avoids all physical activity

c)

  1. B) Educating about potential urinary complications

d)

  1. D) Administering antibiotics before surgery

52.

  1. Which assessment finding is most concerning in a child with nephrotic syndrome?

a)

  1. A) Mild abdominal pain

b)

  1. C) Increased appetite

c)

  1. D) Occasional headaches

d)

  1. B) Sudden weight gain

53.

  1. What is a common long-term complication of untreated Wilms’ tumor?

a)

  1. D) Osteoporosis

b)

  1. A) Chronic kidney disease

c)

  1. B) Diabetes mellitus

d)

  1. C) Hypertension

54.

  1. What is a common diagnostic test for Wilms’ tumor?

a)

  1. D) X-ray

b)

  1. A) Ultrasound

c)

  1. B) MRI

d)

  1. C) CT scan

55.

  1. Which of the following is a potential risk factor for nephrotic syndrome?

a)

  1. C) Family history of diabetes

b)

  1. B) High protein diet

c)

  1. A) Viral infections

d)

  1. D) Exposure to toxins

56.

  1. What is a critical nursing assessment for a child with obstructive uropathy?

a)

  1. C) Evaluating skin turgor

b)

  1. D) Checking for fever

c)

  1. B) Monitoring blood pressure

d)

  1. A) Assessing for abdominal distension

57.

  1. What is a common surgical intervention for children with epispadias?

a)

  1. Bladder augmentation

b)

  1. Urethral reconstruction

c)

  1. Kidney transplant

d)

  1. Vesicostomy

58.

  1. What is a potential complication of untreated obstructive uropathy?

a)

  1. Urinary tract infection

b)

  1. Kidney stones

c)

  1. Chronic kidney disease

d)

  1. All of the above

59.

  1. What is a common diagnostic test for nephrotic syndrome?

a)

  1. Urinalysis

b)

  1. CT scan

c)

  1. Blood culture

d)

  1. X-ray

60.

  1. What is a common complication of nephrotic syndrome?

a)

  1. A) Infection

b)

  1. D) All of the above

c)

  1. B) Hypertension

d)

  1. C) Hyperkalemia

61.

  1. What is the typical age of presentation for obstructive uropathy in children?

a)

  1. D) Adolescents

b)

  1. C) Toddlers

c)

  1. B) Infants

d)

  1. A) Newborns

62.

  1. What is a common treatment option for hypospadias?

a)

  1. A) Hormonal therapy

b)

  1. B) Surgical repair

c)

  1. C) Antibiotic therapy

d)

  1. D) Chemotherapy

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