The most appropriate nursing diagnosis for the child with acute glomerulonephritis is

This is a quiz that contains NCLEX review questions for acute glomerulonephritis (poststreptococcal). As a nurse providing care to a patient with acute glomerulonephritis, it is important to know the signs and symptoms, pathophysiology, nursing management, patient education, and treatment.

In the previous NCLEX review series, I explained about other renal disorders you may be asked about on the NCLEX exam, so be sure to check out those reviews and quizzes as well.

Don’t forget to watch the glomerulonephritis lecture prior to taking the quiz.

Acute Glomerulonephritis NCLEX Questions

This quiz will test your knowledge on Acute Glomerulonephritis (post-streptococcal) in preparation for the NCLEX exam.

• 1. A 5 year old male is admitted with acute glomerulonephritis. On assessment, you note mild edema predominately in the face and tea-colored urine. The patient's blood pressure is 165/110, heart rate 95, oxygen saturation 98% on room air, and temperature 98.9 'F. In your nursing care plan, what nursing interventions will you include in this patient's plan of care? SELECT-ALL-THAT-APPLY:*
  • A. Initiate and maintain a high sodium diet daily.
  • B. Monitor intake and output hourly.
  • C. Encourage patient to ambulate every 2 hours while awake.
  • D. Assess color of urine after every void.
  • E. Weigh patient every daily on a standing scale.
  • F. Encourage the patient to consume 4 L of fluid per day.

• 2. While providing care to a pediatric patient with acute glomerulonephritis, you note the urine output to be 10 mL/hr. The patient weighs 30 lbs. As the nurse, you will want to limit what type of foods from the patient's diet?*
  • A. Calcium-rich foods
  • B. Potassium-rich foods
  • C. Purine -rich foods
  • D. None of the above because the patient's urinary output is normal based on the patient's weight.

• 3. A patient who is experiencing poststreptococcal glomerulonephritis has edema mainly in the face and around the eyes. As the nurse, you know to expect the edema to be most prominent during the?*
  • A. Evening
  • B. Afternoon
  • C. Morning
  • D. Bedtime

• 4. Which patient below is at MOST RISK for developing acute glomerulonephritis?*
  • A. A 3 year old male who has a positive ASO titer.
  • B. A 5 year old male who is recovering from an appendectomy.
  • C. An 18 year old male who is diagnosed with HIV.
  • D. A 6 year old female newly diagnosed with measles.

• 5. Which of the following are NOT a sign and symptom of acute glomerulonephritis (poststreptococcal)? SELECT-ALL-THAT-APPLY:*
  • A. Hypotension
  • B. Increased Glomerular filtration rate
  • C. Cola-colored urine
  • D. Massive proteinuria
  • E. Elevated BUN and creatinine
  • F. Mild swelling in the face or eyes

• 6. TRUE or FALSE: Poststreptococcal glomerulonephritis is a type of NEPHROTIC SYNDROME, which means there is the leakage of BOTH red blood cells and protein from the inflamed glomerulus into the filtrate.*
  • True
  • False

• 7. Within the past month, the admission rate of patients with poststreptococcal glomerulonephritis has doubled on your unit. You are proving an in-service to your colleagues about this condition. Which statement is CORRECT about this condition?*
  • A. "This condition tends to present 6 months after a strep infection of the throat or skin."
  • B. "It is important the patient consumes a diet rich in potassium based foods due to the risk of hypokalemia."
  • C. "Patients are less likely to experience hematuria with this condition."
  • D. "This condition is not caused by the streptococcal bacteria attacking the glomerulus, but by the immune system’s response to the bacteria by creating an antigen-antibody complex which inflames the glomerulus."

(NOTE: When you hit submit, it will refresh this same page. Scroll down to see your results.)

1.  A 5 year old male is admitted with acute glomerulonephritis. On assessment, you note mild edema predominately in the face and tea-colored urine. The patient’s blood pressure is 165/110, heart rate 95, oxygen saturation 98% on room air, and temperature 98.9 ‘F. In your nursing care plan, what nursing interventions will you include in this patient’s plan of care? SELECT-ALL-THAT-APPLY:

A. Initiate and maintain a high sodium diet daily.

B. Monitor intake and output hourly.

C. Encourage patient to ambulate every 2 hours while awake.

D. Assess color of urine after every void.

E. Weigh patient every daily on a standing scale.

F. Encourage the patient to consume 4 L of fluid per day.

2. While providing care to a pediatric patient with acute glomerulonephritis, you note the urine output to be 10 mL/hr. The patient weighs 30 lbs. As the nurse, you will want to limit what type of foods from the patient’s diet?

A. Calcium-rich foods

B. Potassium-rich foods

C. Purine -rich foods

D. None of the above because the patient’s urinary output is normal based on the patient’s weight.

3. A patient who is experiencing poststreptococcal glomerulonephritis has edema mainly in the face and around the eyes. As the nurse, you know to expect the edema to be more prominent during the?

A. Evening

B. Afternoon

C. Morning

D. Bedtime

4. Which patient below is at MOST RISK for developing acute glomerulonephritis?

A. A 3 year old male who has a positive ASO titer.

B. A 5 year old male who is recovering from an appendectomy.

C. An 18 year old male who is diagnosed with HIV.

D. A 6 year old female newly diagnosed with measles.

5. Which of the following are NOT a sign and symptom of acute glomerulonephritis (poststreptococcal)? SELECT-ALL-THAT-APPLY:

A. Hypotension

B. Increased Glomerular filtration rate

C. Cola-colored urine

D. Massive proteinuria

E. Elevated BUN and creatinine

F. Mild swelling in the face or eyes

6. TRUE or FALSE: Poststreptococcal glomerulonephritis is a type of NEPHROTIC SYNDROME, which means there is the leakage of BOTH red blood cells and protein from the inflamed glomerulus into the filtrate.

7. Within the past month, the admission rate of patients with poststreptococcal glomerulonephritis has doubled on your unit. You are proving an in-service to your colleagues about this condition. Which statement is CORRECT about this condition?

A. “This condition tends to present 6 months after a strep infection of the throat or skin.”

B. “It is important the patient consumes a diet rich in potassium based foods due to the risk of hypokalemia.”

C. “Patients are less likely to experience hematuria with this condition.”

D. “This condition is not caused by the streptococcal bacteria attacking the glomerulus, but by the immune system’s response to the bacteria by creating an antigen-antibody complex which inflames the glomerulus.”

Answer Key

1. B, D, E
2. B
3. C
4. A
5. A, B, D
6. False
7. D

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