NCLEX Pediatric Genitourinary Practice Questions

ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 1 of 70

Of the following, the MOST common intrinsic cause of acute kidney injury (AKI) in childhood is

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 2 of 70

Plasmapheresis has been reported to be of benefit in patients with

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 3 of 70

A 5-year-old boy presented to ER with severe scrotal pain.

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 4 of 70

An infant is admitted to the hospital because of vomiting and lethargy. The child shows evidence of failure to thrive, and physical examination reveals an abdominal mass. Blood and urinary cultures grow Escherichia coli. The most likely cause of this disorder is

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 5 of 70

The most common cause of hydronephrosis in children is

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 6 of 70

The glomerular filtration rate (GFR) reaches adult levels by the age of

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 7 of 70

Collectively, the glomerular endothelial cell, basement membrane, and podocytes form the

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 8 of 70

Cystinosis is a systemic disease caused by a defect in the metabolism of cysteine that results in accumulation of cystine crystals in most of the major organs of the body. All the following are recognized features EXCEPT

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 9 of 70

Type I membranoproliferative glomerulonephritis is

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 10 of 70

In the treatment of diarrhea-associated hemolytic-uremic syndrome, one of the following options has no beneficial role

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 11 of 70

The least likely cause of Infectious vulvovaginitis is

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 12 of 70

During hemodialysis, a 10-year-old becomes confused, restless, complains of headache and nausea, and has generalized muscle twitching. Which of the following can prevent this?

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 13 of 70

Which discharge instruction for a child with encopresis should the nurse question?

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 14 of 70

A 2-year-old girl presents with a palpable abdominal mass and hypertension. Imaging shows a renal mass with calcifications. The most likely diagnosis is

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 15 of 70

Children with nephrotic syndrome are especially susceptible to infections such as cellulitis, spontaneous bacterial peritonitis, and bacteremia. All the following are contributory factors EXCEPT

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 16 of 70

Testicular torsion is most commonly seen in

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 17 of 70

The MOST common cause of daytime incontinence is

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 18 of 70

A 10-year-old newly diagnosed with diabetes has had several daytime 'accidents.' What is this called?

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 19 of 70

False-negative results in urine dipstick measurement of protein can occur in

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 20 of 70

One of the complications of the horseshoe kidney is

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 21 of 70

To reduce the risk of serious infections in children with nephrotic syndrome, all the following immunizations can be used EXCEPT

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 22 of 70

The most common cause of acquired hydronephrosis in children is

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 23 of 70

The presence of renal parenchymal scarring due to vesicoureteral reflux is best determined by

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 24 of 70

A 7-year-old had a sore throat 10 days ago. Today she manifests periorbital edema and tea-colored urine. Her blood pressure is 155/95. Her serum complement level is low. The most likely diagnosis is

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 25 of 70

A parent asks how to prevent relapse of MCNS. Which is the best response?

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 26 of 70

A newborn with hypospadias: The parents ask if circumcision is an option. Which is the nurse's best response?

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 27 of 70

Vesicoureteral reflux is associated with all of the following EXCEPT

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 28 of 70

The most common complication of peritoneal dialysis in children is

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 29 of 70

The revised Schwartz formula is the following:

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 30 of 70

Active hydrogen ion secretion

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 31 of 70

The consequences of cryptorchidism include all the following EXCEPT

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 32 of 70

All of the following are true about nephrotic syndrome EXCEPT

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 33 of 70

5-yr survival is 100% in the following germ cell tumors

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 34 of 70

Regarding the treatment of IgA nephropathy, which of the following is TRUE?

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 35 of 70

A 3-month-old baby boy had history of upper respiratory tract infection before two days ago presented to ER with repeated fit, rapid breathing, face swelling, and urine output

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 36 of 70

The MOST accurate study in a child with suspected renal stone is

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 37 of 70

Hemihematometra is described as

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 38 of 70

A 12-year-old girl with nephrotic syndrome (NS) secondary to hepatitis B infection.

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 39 of 70

Children with kidney transplant generally do well, but have to take immunosuppressive medications associated with a variety of side effects which include all the following EXCEPT

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 40 of 70

Regarding the voiding cystourethrogram (VCUG) for diagnosis of vesicoureteral reflux (VUR). Of the following, the MOST appropriate statement is

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 41 of 70

The use of erythropoietin in chronic renal failure is associated with all of the following EXCEPT

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 42 of 70

Clinical manifestations of sickle cell nephropathy include all the following EXCEPT

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 43 of 70

Which causes the symptoms in testicular torsion?

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 44 of 70

Pathogenesis of hyperkalemic (Type IV) renal tubular acidosis is due to

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 45 of 70

Renal disorders in children may represent intrinsic renal diseases (primary) or derive from systemic conditions (secondary). Which of the following is a systemic cause of renal disease in children?

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 46 of 70

A 5-month-old boy with Fanconi syndrome, send for urine examination.

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 47 of 70

An adolescent's urine examination show normal protein excretion while recumbent but significant proteinuria when upright. This condition is characterized by

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 48 of 70

Ultrasound reliably assesses all the following EXCEPT

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 49 of 70

The most likely diagnosis for the patient in Question 7 is

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 50 of 70

Painless gross hematuria may be seen with all the following EXCEPT

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 51 of 70

Which is a care priority for a newborn with bladder exstrophy and a malformed pelvis?

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 52 of 70

A 10-year-old male presented with headache, malaise, lethargy, loin pain, decreased urine output, and puffiness of the face; GUE: RBC cast ++, albumin ++; low C3 level and normal C4 level. Which of the following is TRUE about his disease?

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 53 of 70

Infant with history of recurrent urinary tract infections

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 54 of 70

A parent of a child with glomerulonephritis asks why the urine is discolored.

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 55 of 70

Nephrocalcinosis refers to calcium deposition within the renal tissue. All of the following can cause nephrocalcinosis EXCEPT

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 56 of 70

Children with end-stage renal disease (ESRD) are typically treated with either dialysis or renal transplantation when glomerular filtration rate is less than

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 57 of 70

Of the following, the MOST common solid mass seen in adolescent girls is

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 58 of 70

In pyelonephritis, a high risk of renal scarring is associated with an elevated

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 59 of 70

A child had a tonsillectomy 6 days ago and was seen in the ER 4 hours ago for post-operative hemorrhage. The parent noted that her child was 'swallowing a lot and finally began vomiting large amounts of blood.' The child's vital signs are: T 99.5Â°F, HR 124, BP 84/48, RR 26. The nurse knows this child is at risk for which type of renal failure?

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 60 of 70

The diet for a child with chronic renal failure (CRF) should be high in calories and include:

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 61 of 70

A 5-year-old patient had poor growth secondary to chronic kidney disease. Of the following

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 62 of 70

Which manifestation would you expect in a 4-week-old with biliary atresia?

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 63 of 70

Rhabdomyolysis is always clinically significant as it may lead to acute renal injury. It can occur secondary to

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 64 of 70

All of the following are true about membranoproliferative glomerulonephritis EXCEPT

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 65 of 70

A 10-kg toddler is diagnosed with acute renal failure (ARF), is afebrile, and has a 24-hour urine output of 110 mL. After calculating daily fluid maintenance, which would the nurse expect the toddler's daily allotment of fluids to be?

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 66 of 70

Ureteroceles is a cystic dilation of the terminal ureter. Of the following, the MOST appropriate statement is

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 67 of 70

The gold standard diagnostic investigation for precocious puberty is

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 68 of 70

Of the following

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 69 of 70

The MOST effective way of treatment in older children with nocturnal enuresis is

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ATI RN · NCLEX Pediatric Genitourinary Practice Questions

Question 70 of 70

Which would be an appropriate activity for a toddler with acute hepatitis?

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