NURS 6541 PEDIATRIC WEEK 10 QUIZ

NURS 6541 PEDIATRIC WEEK 10 QUIZ Q U E S T I O N 1 1. A 7-month-old male presents with a bulge in the scrotal sac. It is only found in the scrotum and does not seem to bother the child. No difference in size is noted ...

NURS 6541 PEDIATRIC WEEK 10 QUIZ Q U E S T I O N 1 1. A 7-month-old male presents with a bulge in the scrotal sac. It is only found in the scrotum and does not seem to bother the child. No difference in size is noted when the child strains or cries. His scrotum’s size is normal in the morning but increases as the day progresses. The scrotal mass is transilluminable and both testes are located in the scrotal sac. You anticipate: a. Emergent referral to a pediatric surgeon/urologist for repair b. Surgical repair of the above condition before age 1 to maintain testicular viability c. Reassurance for the parents and observation of the condition with no need for further intervention as long as the mass resolves by age 1 d. Increased risk of testicular cancer with decreased fertility in later life 1 points Q U E S T I O N 2 1. A 12-year-old boy awakes with onset of severe, unilateral scrotal pain, nausea, and vomiting. He is afebrile. Inspection reveals a tender scrotum and marked scrotal edema. The most likely cause is: a. Scrotal trauma b. Epididymitis c. Testicular torsion d. Testicular malignancy 1 points Q U E S T I O N 3 1. The initial evaluation of an asymptomatic child with 1+ proteinuria and 1.020 specific gravity on a random dipstick urinalysis would include: a. Urine protein/creatinine ratio b. CBC, renal disease battery, and liver function tests c. Repeat dipstick analysis on an early morning urine d. Reassurance for the parents 1 points Q U E S T I O N 4 1. A male infant born at 36 weeks gestation has a left testicle palpated in the inguinal canal. At 12 months of age the left testicle has failed to descend. Which of the following is most appropriate? a. Observation until 12 years of age b. Refer for orchiopexy c. Radionucleotide scan of the left testicled. Treatment with testosterone 1 points Q U E S T I O N 5 1. When assessing a child with glomerulonephritis, what symptoms would the nurse practitioner anticipate will be present? a. Anorexia and dysuria b. Periorbital edema and hypertension c. Polyuria with strong-smelling, concentrated urine d. Fever to 102°F and unilateral flank pain 1 points Q U E S T I O N 6 1. A 4-year-old presents with a chief complaint of pallor. He was well until 1 week ago when he developed bloody diarrhea that improved with oral antibiotics. His blood pressure is 150/100, he is afebrile, and his heart rate is 130 beats per minute. The best test to establish diagnosis is: a. Complete blood count and smear, serum electrolytes b. Renal ultrasound c. Routine stool culture d. Urine analysis and culture 1 points Q U E S T I O N 7 1. A 10-year-old male has proteinuria in the afternoon but not on first morning void. He probably has: a. Early chronic renal failure b. Idiopathic hypercalciuria c. Minimal change disease d. Orthostatic proteinuria 1 points Q U E S T I O N 8 1. After diagnosing a urinary tract infection in a 14-month-old, you note partial fusion of the labia minora that extends for 1 centimeter and obscures the posterior fourchette. There is no evidence of inflammation, although she does have some dysuria. The preferred management of this condition is: a. Administration of low-dose oral estrogen therapy b. Application of estrogen cream c. Genital examination under anesthesia d. Watchful waiting1 points Q U E S T I O N 9 1. Vulvovaginitis in a prepubertal child: a. Is an infrequent finding b. May be a risk factor for the development of labial adhesions c. Is usually caused by a sexually transmitted infection d. Is almost always caused by sexual abuse 1 points Q U E S T I O N 1 0 1. You see a 3-year-old female with dysuria. She is potty trained, febrile, and nontoxic. She has no prior history of UTI. Urine dipstick reveals 1+ leukocyte esterase, 2+ nitrites, 1+ non-hemolyzed blood, pH of 6.0, and specific gravity 1.025. Her vulvovaginal area is slightly red with no discharge. Which of the following treatments is recommended? a. Start sulfamethoxazole/trimethoprim (Bactrim) for 10 days and refer for renal ultrasound by day 2 of illness. b. Start azithromycin (Zithromax) for 5 days, increase fluids, and send urine for culture and sensitivity. c. Start cephalexin (Keflex) for 10 days, increase fluids, and send urine for culture and sensitivity. d. Increase fluids, use sitz baths, and apply liberal A&D ointment to the vulvovaginal area. 1 points Click Save and Submit to save and submit. Click Save All Answers to save all answers.  Question 1 0 out of 1 points A 7-month-old male presents with a bulge in the scrotal sac. It is only found in the scrotum and does not seem to bother the child. No difference in size is noted when the child strains or cries. His scrotum’s size is normal in the morning but increases as the day progresses. The scrotal mass is transilluminable and both testes are located in the scrotal sac. You anticipate:  Question 2 1 out of 1 points A 12-year-old boy awakes with onset of severe, unilateral scrotal pain, nausea, and vomiting. He is afebrile. Inspection reveals a tender scrotum and marked scrotal edema. The most likely cause is:  Question 3 0 out of 1 points The initial evaluation of an asymptomatic child with 1+ proteinuria and 1.020 specificgravity on a random dipstick urinalysis would include:  Question 4 1 out of 1 points A male infant born at 36 weeks gestation has a left testicle palpated in the inguinal canal. At 12 months of age the left testicle has failed to descend. Which of the following is most appropriate?  Question 5 0 out of 1 points When assessing a child with glomerulonephritis, what symptoms would the nurse practitioner anticipate will be present?  Question 6 1 out of 1 points A 4-year-old presents with a chief complaint of pallor. He was well until 1 week ago when he developed bloody diarrhea that improved with oral antibiotics. His blood pressure is 150/100, he is afebrile, and his heart rate is 130 beats per minute. The best test to establish diagnosis is:  Question 7 1 out of 1 points A 10-year-old male has proteinuria in the afternoon but not on first morning void. He probably has:  Question 8 0 out of 1 points After diagnosing a urinary tract infection in a 14-month-old, you note partial fusion of the labia minora that extends for 1 centimeter and obscures the posterior fourchette. There is no evidence of inflammation, although she does have some dysuria. The preferred management of this condition is:  Question 9 1 out of 1 points Vulvovaginitis in a prepubertal child:  Question 10 1 out of 1 points You see a 3-year-old female with dysuria. She is potty trained, febrile, and nontoxic. She has no prior history of UTI. Urine dipstick reveals 1+ leukocyte esterase, 2+ nitrites, 1+ non-hemolyzed blood, pH of 6.0, and specific gravity 1.025. Her vulvovaginal area is slightly red with no discharge. Which of the following treatments is recommended? Sunday, February 5, 2017 1:34:15 PM EST