HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 1 of 69
A 6-year-old boy, he is a known case of nephrotic syndrome, presented with mild edema around the eyes and lower extremities, but urine albumin show trace result for three successive days.
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 2 of 69
The initial management of localized renal cell carcinoma in children is
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Question 3 of 69
In children, hypertension (HTN) is defined as blood pressure (BP) greater than the 95th percentile for age, gender, and height on at least three different occasions. Stage 1 hypertension is defined as
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 4 of 69
Congenital nephrotic syndrome is defined as nephrotic syndrome manifesting at birth or within the first 3 months of life. The etiologies include all the following EXCEPT
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 5 of 69
Hepatic fibrosis that leads to portal hypertension is a usual finding in
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 6 of 69
Which child is at risk for developing glomerulonephritis?
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 7 of 69
In evaluation of 3-year-old boy with minimal change nephrotic syndrome (MCNS), his GUE show: albumin +++ and RBC +.
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 8 of 69
Pathognomonic in diagnosis of X-linked type of hereditary nephritis is
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 9 of 69
The parents overhear the healthcare team refer to their child’s tumor as stage III. The parents ask what this means.
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 10 of 69
Transient proteinuria can be seen in all the following EXCEPT
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 11 of 69
The initial management of testicular torsion is
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 12 of 69
For a 14-month-old whose cleft palate was repaired 12 hours ago, which should be included in the plan of care? (Select all that apply.)
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 13 of 69
A medical student asks you about the main factor which affects plasma creatinine level. The correct answer is the
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 14 of 69
A 4-month-old baby boy did intravenous pyelography (IVP) because high suspicion of ureteropelvic junction obstruction. Post IVP patient became anuric for 24 hr.
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 15 of 69
A 12-year-old receiving peritoneal dialysis has cloudy return fluid and abdominal pain. The parents ask what the next step will likely be.
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 16 of 69
All of the following are true about IgA nephropathy (Berger nephropathy) EXCEPT it
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 17 of 69
Complications of chronic kidney disease (CKD) MOSTLY do not manifest until at least stage of
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 18 of 69
Pollakiuria is characterized by
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 19 of 69
Ultra potent topical corticosteroids is the first-line therapy in
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 20 of 69
A mastia (complete absence of the breast) is associated with all the following EXCEPT
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 21 of 69
Acute post-infectious glomerulonephritis is one of the most common glomerular causes of gross hematuria in children. Of the following, the TRUE statement is
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 22 of 69
Minimal change nephrotic syndrome (MCNS) is the most common histologic form of primary nephrotic syndrome (NS) in children. Children 7 to 16 years old with NS have a chance of having MCNS in a percentage of
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 23 of 69
A 5-year-old patient had poor growth secondary to chronic kidney disease.
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 24 of 69
Secondary hyperoxaluria can occur in patients with
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 25 of 69
Which is true of a Wilms tumor? (Select all that apply.)
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 26 of 69
The MOST likely cause of flank mass in neonate is
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 27 of 69
The MOST common structural uterine anomaly is
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 28 of 69
All the following are causes of hematuria EXCEPT
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 29 of 69
Which is an accurate description of a Kasai procedure?
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 30 of 69
One week after kidney transplant, a child complains of abdominal pain, is very irritable, has gained 10% of body weight, and has elevated BUN and creatinine levels. Which medication is most likely being taken?
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 31 of 69
All the following are options in dietary adjustment in patient with chronic kidney disease (CKD) EXCEPT
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 32 of 69
A 6-year-old girl has a long history of urinary frequency and urgency. She also has nocturnal enuresis. In addition,she has urge incontinence. The most likely diagnosis is
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 33 of 69
Pyelonephritis usually requires total or partial nephrectomy in
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 34 of 69
Which of the following drugs can precipitate and form renal stones?
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 35 of 69
Cystitis is associated with all of the following EXCEPT
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 36 of 69
A 5-year-old boy presented to ER with severe scrotal pain. Of the following
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 37 of 69
Potter syndrome (bilateral renal agenesis) is characterized by all the following EXCEPT
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 38 of 69
Causes of nephrotic syndrome in the first 3 months of life include all of the following EXCEPT
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 39 of 69
Hemolytic uremic syndrome is characterized by all of the following EXCEPT
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 40 of 69
A 9-year-old nephrotic syndrome patient with a history of thromboembolism.
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 41 of 69
A child who has had a kidney removed will experience pain due to which of the following?
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 42 of 69
Hemolytic uremic syndrome presenting without a prodrome of diarrhea (atypical HUS) may occur at any age. It can be secondary to infection with
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 43 of 69
Neuropathic bladder dysfunction in children is usually congenital resulting from neural tube defects or other spinal abnormalities. All the following are options in the treatment EXCEPT
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 44 of 69
Hemorrhagic cystitis can occur in response to all the following EXCEPT
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 45 of 69
The imaging modality of choice for breast abnormalities in the pediatric population is
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 46 of 69
The most common cause of graft loss in pediatric kidney transplant recipients is
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 47 of 69
Nephrogenic diabetes insipidus is a disorder of water metabolism characterized by an inability to concentrate urine, even in the presence of antidiuretic hormone. Of the following, the LEAST likely cause is
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 48 of 69
The triad of Wilm's tumor includes
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 49 of 69
All the following are indications for admission to hospital in patients with urosepsis EXCEPT
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 50 of 69
WHO classification of lupus nephritis is based on a combination of features including light microscopy, immunofluorescence, and electron microscopy. Of the following, the WORST outcome is associated with
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 51 of 69
Ureteropelvic junction obstruction is the most common obstructive lesion in childhood. Of the following, the MOST correct statement is
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 52 of 69
The tumor marker (alpha-fetoprotein) is used for the diagnosis of all the following ovarian cancers EXCEPT
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 53 of 69
A teen wakes up complaining of intense pain and swelling of the scrotal area with abdominal pain and has vomited twice. Which should the nurse suggest?
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 54 of 69
The initial management of posterior urethral valves includes
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 55 of 69
The primary pathology in classic Potter syndrome is best characterized as
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 56 of 69
The risk of renal stone formation increases in the presence of
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 57 of 69
In hematuria, renal biopsy is indicated in all the following EXCEPT
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 58 of 69
A 4-year-old male experienced an upper respiratory tract infection that was followed in 2 weeks by generalized edema. His blood pressure is normal. Urinalysis reveals 2–5 red blood cells per high-power field and 4 + protein. His BUN is 19 mg/dL, creatinine 0.6 mg/dL, cholesterol 402 mg/dL, serum albumin 0.9 g/dL, antistreptolysin O titer 1:16, and C3 93 mg/dL. The most likely diagnosis is
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 59 of 69
A 10-year-old boy he is a known case of steroid dependent nephrotic syndrome presented to the ER with severe generalized edema. In addition to restricting salt intake
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 60 of 69
When you investigate for first attack of minimal change nephrotic syndrome (MCNS), one of the following is TRUE
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 61 of 69
Which of the following is secreted by interstitial cells in the renal medulla in response to low oxygen delivery?
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 62 of 69
A child receiving peritoneal dialysis has not been having adequate volume in the return and is edematous and hypertensive. Which would the nurse anticipate the physician to do?
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 63 of 69
The most common cause of micropenis is failure of the hypothalamus to produce an adequate amount of gonadotropin-releasing hormone. Of the following, the syndrome associated with micropenis is
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 64 of 69
Renal cortical necrosis is a rare cause of acute renal failure occurring secondary to extensive ischemic damage of the renal cortex. Of the following, the LEAST common cause is
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 65 of 69
Atypical hemolytic-uremic syndrome may be triggered by
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 66 of 69
A 5-year-old is discharged from the hospital following the diagnosis of hemolytic uremic syndrome (HUS). The child has been free of diarrhea for 1 week and renal function has returned. The parent asks when the child can return to school. Which is the nurse’s best response?
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 67 of 69
The parent of a 3-year-old with suspected Wilms tumor says, 'How could I have missed a lump this big?' Which is the nurse’s best response?
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 68 of 69
In contrast to the concentration of blood urea nitrogen, the serum creatinine level is primarily influenced by
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HESI LPN · LPN Genitourinary Assessment in Pediatrics
Question 69 of 69
Urinalysis in patients with Fanconi syndrome may show all the following EXCEPT
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