Child Health (Paediatrics) › Paediatric Renal & Genitourinary · 41 questions on this topic in NurseRank, 5 free to practise now.
Practise Glomerulonephritis for NORCET, RRB, ESIC, CHO and state nursing officer exams. Read the 5 sample questions below, tap Show answer and explanation to check yourself, then open the full topic practice.
Q1. Which diet is advised for a child with acute glomerulonephritis?
Unrestricted normal diet
Low-sodium, low-protein
High-potassium, high-protein
High-sodium, high-protein
Show answer and explanation
Answer: B. Low-sodium, low-protein
Acute glomerulonephritis – treatment – antibiotics for 10 days (finish full course), diuretics, antihypertensives, low-sodium low-protein diet, fluid restriction; dialysis if kidneys fail., p.281.)
Q2. Urine microscopy in a child with acute glomerulonephritis typically shows:
Crystals only
Red cells and granular casts
Pus cells and bacteria
Oval fat bodies only
Show answer and explanation
Answer: B. Red cells and granular casts
Acute glomerulonephritis (AGN) – classic sign – sudden smoky, cola-coloured (dirty-brown) urine with puffiness of the face; urine shows red cells, granular casts and mild albuminuria, ASO titre and ESR raised.
Q3. A child has acute post-streptococcal glomerulonephritis. Which findings are expected?
Massive proteinuria without blood
Tea-colored urine, hypertension and periorbital edema
Polyuria
Hypotension
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Answer: B. Tea-colored urine, hypertension and periorbital edema
APSGN causes hematuria, hypertension and edema after strep infection.
Q4. What would you do if you got an order to give Kayexalate to a child who has glomerulonephritis?
Assess the child’s potassium level before administering the medication.
Administer the medication as order.
Administer the medication only if the child’s potassium level is low; otherwise there is a risk of cardiac arrest.
Question the order because the child’s kidneys are not functionally normally.
Show answer and explanation
Answer: A. Assess the child’s potassium level before administering the medication.
Kayexalate removes potassium, so the nurse checks the serum potassium level before giving it to confirm hyperkalemia and avoid causing hypokalemia.
Q5. When planning nursing care for a 5-year-old child with acute post streptococcal glomerulonephritis (APSGN), what should the nurse emphasize that the child and family maintain?
Isolation from children with infections
A bland diet high in protein
Bed rest for at least four weeks
A daily intramuscular dose of penicillin
Show answer and explanation
Answer: A. Isolation from children with infections
During the acute stage, anorexia and general malaise lower the child's resistance to infection. 1 A bland diet is not necessary, but high-protein and high-sodium foods should be avoided. 2 Bed rest is not a necessary restriction. It is encouraged when the child is easily fatigued. 4 Antibiotics are not necessary for all children with acute glomerulonephritis, only those with persistent streptococcal infections. The intramuscular route is not used.
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Which exams do these Glomerulonephritis MCQs help with?
They are useful for AIIMS NORCET, RRB, ESIC, CHO, DSSSB and state staff nurse or nursing officer exams, and for NCLEX-style practice.