NCLEX - PN Pediatrics Renal & Urinary Exam
NCLEX - PN PEDIATRICS RENAL & URINARY EXAM NEWEST
2025/2026 WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+||BRAND NEW VERSION!|
The nurse caring for a child with nephrotic syndrome reviews the medication
record. The nurse notes that prazosin hydrochloride is prescribed for the child.
The nurse determines that this medication has been prescribed to achieve which
result?
1.Reduce proteinuria.
2.Control hypertension.
3.Decrease inflammation.
4.Suppress the autoimmune response.
2.Control hypertension.
Prazosin hydrochloride may be used to control hypertension. The child also may
be placed on diuretic therapy until protein loss is controlled. Corticosteroids, such
as prednisone, may be prescribed to decrease inflammation. Corticosteroids also
suppress the autoimmune response and stimulate vascular reabsorption of
edema. Cyclophosphamide is an alkylating agent.
A parent with a 6-year-old child diagnosed with enuresis discusses with the nurse
the measures that are being taken to help her child. Which statement by the
parent indicates a need for further teaching?
1."I make sure that my child goes potty before going to bed."
2."I have my child help with changing the wet sheets in the morning."
3."I take away privileges such as TV time when the bed is wet in the morning."
4."I make sure that my child does not have anything to drink 2 hours before
bedtime."
3."I take away privileges such as TV time when the bed is wet in the morning."
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, NCLEX - PN Pediatrics Renal & Urinary Exam
Providing a reward system appropriate for the child is more effective than a
punitive system to treat enuresis. Interventions for treatment of enuresis include
involving the child in caring for the wet sheets and changing the bed, to assist with
the child taking ownership of the problem. Limiting fluid intake at night and
encouraging the child to void just before going to bed is another effective
intervention.
The nurse is reviewing the record of a child admitted to the hospital with
nephrotic syndrome. Which finding should the nurse expect to note documented
in the record?
1.Proteinuria
2.Weight loss
3.Increased appetite
4.Hyperalbuminemia
1.Proteinuria
The term nephrotic syndrome refers to a kidney disorder characterized by
proteinuria, hypoalbuminemia, and edema. The child experiences fatigue,
anorexia, increased weight, abdominal pain, and a normal blood pressure.
The child with cryptorchidism is being discharged after orchiopexy, which was
performed on an outpatient basis. The nurse should reinforce instructions to the
parents about which priority care measure?
1.Measuring intake and output
2.Administering anticholinergics
3.Preventing infection at the surgical site
4.Applying cold, wet compresses to the surgical site
3.Preventing infection at the surgical site
The most common complications associated with orchiopexy are bleeding and
infection. The parents are instructed in postoperative homecare measures,
2|Page
, NCLEX - PN Pediatrics Renal & Urinary Exam
including the prevention of infection, pain control, and activity restrictions. The
measurement of intake and output is not required. Anticholinergics are prescribed
for the relief of bladder spasms; they are not necessary after orchiopexy. Cold,
wet compresses are not prescribed. The moisture from a wet compress presents a
potential for infection
The nurse is administering medications to a 6-year-old child with nephrotic
syndrome. To reduce proteinuria, the nurse would expect which medication to be
prescribed?
1.Enalapril
2.Prednisone
3.Furosemide
4.Cyclophosphamide
3.Furosemide
The child is usually placed on diuretic therapy with furosemide until protein loss is
controlled. Enalapril is most commonly used to control hypertension.
Corticosteroids, such as prednisone, may be prescribed to decrease inflammation.
Corticosteroids also suppress the autoimmune response and stimulate vascular
reabsorption of edema. Cyclophosphamide is an alkylating agent.
The nurse is reinforcing discharge instructions to the parent of a 2-year-old child
who has had an orchiopexy to correct cryptorchidism. Which statement by the
parent indicates a need for further teaching?
1."I'll check his temperature."
2."I'll give him medication so he'll be comfortable."
3."I'll let him decide when to return to his play activities."
4."I'll check his voiding to be sure there are no problems."
3|Page
NCLEX - PN PEDIATRICS RENAL & URINARY EXAM NEWEST
2025/2026 WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+||BRAND NEW VERSION!|
The nurse caring for a child with nephrotic syndrome reviews the medication
record. The nurse notes that prazosin hydrochloride is prescribed for the child.
The nurse determines that this medication has been prescribed to achieve which
result?
1.Reduce proteinuria.
2.Control hypertension.
3.Decrease inflammation.
4.Suppress the autoimmune response.
2.Control hypertension.
Prazosin hydrochloride may be used to control hypertension. The child also may
be placed on diuretic therapy until protein loss is controlled. Corticosteroids, such
as prednisone, may be prescribed to decrease inflammation. Corticosteroids also
suppress the autoimmune response and stimulate vascular reabsorption of
edema. Cyclophosphamide is an alkylating agent.
A parent with a 6-year-old child diagnosed with enuresis discusses with the nurse
the measures that are being taken to help her child. Which statement by the
parent indicates a need for further teaching?
1."I make sure that my child goes potty before going to bed."
2."I have my child help with changing the wet sheets in the morning."
3."I take away privileges such as TV time when the bed is wet in the morning."
4."I make sure that my child does not have anything to drink 2 hours before
bedtime."
3."I take away privileges such as TV time when the bed is wet in the morning."
1|Page
, NCLEX - PN Pediatrics Renal & Urinary Exam
Providing a reward system appropriate for the child is more effective than a
punitive system to treat enuresis. Interventions for treatment of enuresis include
involving the child in caring for the wet sheets and changing the bed, to assist with
the child taking ownership of the problem. Limiting fluid intake at night and
encouraging the child to void just before going to bed is another effective
intervention.
The nurse is reviewing the record of a child admitted to the hospital with
nephrotic syndrome. Which finding should the nurse expect to note documented
in the record?
1.Proteinuria
2.Weight loss
3.Increased appetite
4.Hyperalbuminemia
1.Proteinuria
The term nephrotic syndrome refers to a kidney disorder characterized by
proteinuria, hypoalbuminemia, and edema. The child experiences fatigue,
anorexia, increased weight, abdominal pain, and a normal blood pressure.
The child with cryptorchidism is being discharged after orchiopexy, which was
performed on an outpatient basis. The nurse should reinforce instructions to the
parents about which priority care measure?
1.Measuring intake and output
2.Administering anticholinergics
3.Preventing infection at the surgical site
4.Applying cold, wet compresses to the surgical site
3.Preventing infection at the surgical site
The most common complications associated with orchiopexy are bleeding and
infection. The parents are instructed in postoperative homecare measures,
2|Page
, NCLEX - PN Pediatrics Renal & Urinary Exam
including the prevention of infection, pain control, and activity restrictions. The
measurement of intake and output is not required. Anticholinergics are prescribed
for the relief of bladder spasms; they are not necessary after orchiopexy. Cold,
wet compresses are not prescribed. The moisture from a wet compress presents a
potential for infection
The nurse is administering medications to a 6-year-old child with nephrotic
syndrome. To reduce proteinuria, the nurse would expect which medication to be
prescribed?
1.Enalapril
2.Prednisone
3.Furosemide
4.Cyclophosphamide
3.Furosemide
The child is usually placed on diuretic therapy with furosemide until protein loss is
controlled. Enalapril is most commonly used to control hypertension.
Corticosteroids, such as prednisone, may be prescribed to decrease inflammation.
Corticosteroids also suppress the autoimmune response and stimulate vascular
reabsorption of edema. Cyclophosphamide is an alkylating agent.
The nurse is reinforcing discharge instructions to the parent of a 2-year-old child
who has had an orchiopexy to correct cryptorchidism. Which statement by the
parent indicates a need for further teaching?
1."I'll check his temperature."
2."I'll give him medication so he'll be comfortable."
3."I'll let him decide when to return to his play activities."
4."I'll check his voiding to be sure there are no problems."
3|Page
