Child Health (Paediatrics) › Paediatric Renal & Genitourinary · 55 questions on this topic in NurseRank, 7 free to practise now.
Practise Nephrotic Syndrome 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. A parent asks the nurse how to prevent the child from having minimal change nephrotic syndrome (MCNS) again. What is the nurse's best response?
"Unfortunately, many children have cycles of relapse, and there is very little that can be done to prevent it."
"It is very rare for a child to have a relapse after having fully recovered."
"Try to keep your child away from sick children because relapses have been associated with infectious illnesses."
"Your child is much less likely to get sick again if sodium is decreased in the diet."
Show answer and explanation
Answer: C. "Try to keep your child away from sick children because relapses have been associated with infectious illnesses."
A. It is not unusual for a child to experience relapses. B. Many children do experience relapses, but exposure to infectious illnesses has been linked to relapses. C. There is no correlation between the consumption of sodium and minimal change nephrotic syndrome. D. Exposure to infectious illness has been linked to the relapse of minimal change nephrotic syndrome.
Q2. In nephrotic syndrome, haematocrit is often raised because of:
Blood transfusion
Polycythaemia vera
Haemoconcentration
Iron overload
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Answer: C. Haemoconcentration
Nephrotic syndrome – blood tests – Low serum albumin, high cholesterol and triglycerides, raised hemoglobin, hematocrit and platelets (hemoconcentration).
Q3. Which nursing assessment would best indicate that a child with nephrotic syndrome is responding well to treatment?
The child has more energy
The child's appetite improves
The child's pulse rate increases
The child weighs less
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Answer: D. The child weighs less
Diuretics and steroids will have been prescribed. The goal is to decrease edema. This will be demonstrated by a weight loss. He may feel better and have an improved appetite, but weight loss is a better indicator of the specific goal of therapy for a child with nephrotic syndrome.
Q4. A child with nephrotic syndrome visits the clinic for a follow-up visit. During the visit the parent says that the child is always tired and has no appetite. The nurse notices that the child has a muddy, pale complexion. What problem does the nurse suspect?
Impending renal failure
Being too active in school
Refusing the prescribed medications
Developing a viral infection
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Answer: A. Impending renal failure
Poor appetite and decreased energy are associated with the accumulation of toxic waste; anemia accounts for the pallor. 2 Activity does not cause these signs and symptoms. 3 An elevated temperature probably will be present, but an infection will not cause a muddy pallor. 4 Discontinuing the corticosteroids and diuretics that usually are prescribed will probably result in recurrence of edema in steroid-dependent children.
Q5. Selective proteinuria, with loss of albumin-size proteins only, is typical of:
Post-streptococcal glomerulonephritis
Chronic glomerulonephritis
Membranoproliferative glomerulonephritis
Minimal-change nephrotic syndrome
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Answer: D. Minimal-change nephrotic syndrome
Selective proteinuria – loss of albumin-size proteins only, typical of minimal-change nephrotic syndrome; non-selective (with IgG) in most glomerulonephritis.
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Which exams do these Nephrotic Syndrome 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.
