Question 1

Which type of hernia has an impaired blood supply to the herniated organ?

Accepted Answer

A)  Hiatal hernia 
B)  Incarcerated hernia 
C)  Omphalocele 
D)  Strangulated hernia. 
A)  Hiatal hernia 
B)  Incarcerated hernia 
C)  Omphalocele 
D)  Strangulated hernia.

Question 2

Which interventions should a nurse implement when caring for a child with hepatitis? Select all that apply.

Accepted Answer

A)  Provide a well-balanced low-fat diet. 
B)  Schedule playtime in the playroom with other children. 
C)  Teach parents not to administer any over-the-counter medications. 
D)  Arrange for home schooling because the child will not be able to return to school. 
E)  Instruct parents on the importance of good handwashing. 
A)  Provide a well-balanced low-fat diet. 
B)  Schedule playtime in the playroom with other children. 
C)  Teach parents not to administer any over-the-counter medications. 
D)  Arrange for home schooling because the child will not be able to return to school. 
E)  Instruct parents on the importance of good handwashing.

Question 3

Which parasite causes acute diarrhea?

Accepted Answer

A)  Shigella organisms 
B)  Salmonella organisms 
C)  Giardia lamblia 
D)  Escherichia coli 
A)  Shigella organisms 
B)  Salmonella organisms 
C)  Giardia lamblia 
D)  Escherichia coli

Question 4

What is the best response to parents who ask why their infant has a nasogastric tube to intermittent suction before abdominal surgery for hypertrophic pyloric stenosis?

Accepted Answer

A)  "The nasogastric tube decompresses the abdomen and decreases vomiting." 
B)  "We can keep a more accurate measure of intake and output with the nasogastric tube." 
C)  "The tube is used to decrease postoperative diarrhea." 
D)  "Believe it or not, the nasogastric tube makes the baby more comfortable after surgery." 
A)  "The nasogastric tube decompresses the abdomen and decreases vomiting." 
B)  "We can keep a more accurate measure of intake and output with the nasogastric tube." 
C)  "The tube is used to decrease postoperative diarrhea." 
D)  "Believe it or not, the nasogastric tube makes the baby more comfortable after surgery."

Question 5

Which nursing interventions are significant for a child with cirrhosis who is at risk for bleeding? Select all that apply.

Accepted Answer

A)  Guaiac all stools 
B)  Provide a safe environment 
C)  Administer multivitamins with vitamins A, D, E, and K 
D)  Inspect skin for pallor and cyanosis 
E)  Monitor serum liver panels 
A)  Guaiac all stools 
B)  Provide a safe environment 
C)  Administer multivitamins with vitamins A, D, E, and K 
D)  Inspect skin for pallor and cyanosis 
E)  Monitor serum liver panels

Question 6

What goal has the highest priority for a child with malabsorption associated with lactose intolerance?

Accepted Answer

A)  The child will experience no abdominal spasms. 
B)  The child will not experience constipation associated with malabsorption syndrome. 
C)  The child will not experience diarrhea associated with malabsorption syndrome. 
D)  The child will receive adequate nutrition as evidenced by a weight gain of 1 kg/day. 
A)  The child will experience no abdominal spasms. 
B)  The child will not experience constipation associated with malabsorption syndrome. 
C)  The child will not experience diarrhea associated with malabsorption syndrome. 
D)  The child will receive adequate nutrition as evidenced by a weight gain of 1 kg/day.

Question 7

Which statement best characterizes hepatitis A?

Accepted Answer

A)  Incubation period is 6 weeks to 6 months. 
B)  Principal mode of transmission is through the parenteral route. 
C)  Onset is usually rapid and acute. 
D)  There is a persistent carrier state. 
A)  Incubation period is 6 weeks to 6 months. 
B)  Principal mode of transmission is through the parenteral route. 
C)  Onset is usually rapid and acute. 
D)  There is a persistent carrier state.

Question 8

An infant with imperforate anus has an anal plasty and temporary colostomy.Which statement by the infant's mother indicates that she understands how to care for the infant's colostomy at home?

Accepted Answer

A)  "I will call the doctor right away if my baby starts vomiting." 
B)  "I'll call my home health nurse if the colostomy bag needs to be changed." 
C)  "I'll call the doctor if I notice that the colostomy stoma is pink." 
D)  "I'll have my mother help me with the care of the colostomy." 
A)  "I will call the doctor right away if my baby starts vomiting." 
B)  "I'll call my home health nurse if the colostomy bag needs to be changed." 
C)  "I'll call the doctor if I notice that the colostomy stoma is pink." 
D)  "I'll have my mother help me with the care of the colostomy."

Question 9

The nurse is teaching the parents of a child who has been diagnosed with irritable bowel syndrome about the pathophysiology associated with the symptoms their child is experiencing.Which response indicates to the nurse that her teaching has been effective?

Accepted Answer

A)  "My child has an absence of ganglion cells in the rectum causing alternating diarrhea and constipation." 
B)  "The cause of my child's diarrhea and constipation is disorganized intestinal contractility." 
C)  "My child has an intestinal obstruction; that's why he has abdominal pain." 
D)  "My child has an intolerance to gluten, and this causes him to have abdominal pain." 
A)  "My child has an absence of ganglion cells in the rectum causing alternating diarrhea and constipation." 
B)  "The cause of my child's diarrhea and constipation is disorganized intestinal contractility." 
C)  "My child has an intestinal obstruction; that's why he has abdominal pain." 
D)  "My child has an intolerance to gluten, and this causes him to have abdominal pain."

Question 10

The best chance of survival for a child with cirrhosis is

Accepted Answer

A)  Liver transplantation 
B)  Treatment with corticosteroids 
C)  Treatment with immune globulin 
D)  Provision of nutritional support 
A)  Liver transplantation 
B)  Treatment with corticosteroids 
C)  Treatment with immune globulin 
D)  Provision of nutritional support

Question 11

Therapeutic management of most children with Hirschsprung disease is primarily

Accepted Answer

A)  Daily enemas 
B)  Low-fiber diet 
C)  Permanent colostomy 
D)  Surgical removal of the affected section of the bowel 
A)  Daily enemas 
B)  Low-fiber diet 
C)  Permanent colostomy 
D)  Surgical removal of the affected section of the bowel

Question 12

What information should the nurse include when teaching the parents of a 5-week-old infant about pyloromyotomy?

Accepted Answer

A)  The infant will be in the hospital for a week. 
B)  The surgical procedure is routine and "no big deal." 
C)  The prognosis for complete correction with surgery is good. 
D)  They will need to ask the physician about home care nursing. 
A)  The infant will be in the hospital for a week. 
B)  The surgical procedure is routine and "no big deal." 
C)  The prognosis for complete correction with surgery is good. 
D)  They will need to ask the physician about home care nursing.

Question 13

A nurse is teaching a group of parents about TEF.Which statement made by the nurse is accurate about TEF?

Accepted Answer

A)  This defect results from an embryonal failure of the foregut to differentiate into the trachea and esophagus. 
B)  It is a fistula between the esophagus and stomach that results in the oral intake being refluxed and aspirated. 
C)  An extra connection between the esophagus and trachea develops because of genetic abnormalities. 
D)  The defect occurs in the second trimester of pregnancy. 
A)  This defect results from an embryonal failure of the foregut to differentiate into the trachea and esophagus. 
B)  It is a fistula between the esophagus and stomach that results in the oral intake being refluxed and aspirated. 
C)  An extra connection between the esophagus and trachea develops because of genetic abnormalities. 
D)  The defect occurs in the second trimester of pregnancy.

Question 14

You are the nurse caring for a child with celiac disease.Which food choices by the child's parent indicate understanding of teaching? Select all that apply.

Accepted Answer

A)  Oatmeal 
B)  Steamed rice 
C)  Corn on the cob 
D)  Baked chicken 
E)  Peanut butter and jelly sandwich on wheat bread 
A)  Oatmeal 
B)  Steamed rice 
C)  Corn on the cob 
D)  Baked chicken 
E)  Peanut butter and jelly sandwich on wheat bread

Question 15

What should the nurse stress in a teaching plan for the mother of an 11-year-old boy with ulcerative colitis?

Accepted Answer

A)  Preventing the spread of illness to others 
B)  Nutritional guidance and preventing constipation 
C)  Teaching daily use of enemas 
D)  Coping with stress and avoiding triggers 
A)  Preventing the spread of illness to others 
B)  Nutritional guidance and preventing constipation 
C)  Teaching daily use of enemas 
D)  Coping with stress and avoiding triggers

Question 16

What is the most important information to be included in the discharge planning for an infant with gastroesophageal reflux?

Accepted Answer

A)  Teach parents to position the infant on the left side. 
B)  Reinforce the parents' knowledge of the infant's developmental needs. 
C)  Teach the parents how to do infant cardiopulmonary resuscitation (CPR). 
D)  Have the parents keep an accurate record of intake and output. 
A)  Teach parents to position the infant on the left side. 
B)  Reinforce the parents' knowledge of the infant's developmental needs. 
C)  Teach the parents how to do infant cardiopulmonary resuscitation (CPR). 
D)  Have the parents keep an accurate record of intake and output.

Question 17

What should the nurse teach a school-age child and his parents about the management of ulcer disease?

Accepted Answer

A)  Eat a bland, low-fiber diet in small, frequent meals. 
B)  Eat three balanced meals a day with no snacking between meals. 
C)  The child needs to eat alone to avoid stress. 
D)  Do not give antacids 1 hour before or after antiulcer medications. 
A)  Eat a bland, low-fiber diet in small, frequent meals. 
B)  Eat three balanced meals a day with no snacking between meals. 
C)  The child needs to eat alone to avoid stress. 
D)  Do not give antacids 1 hour before or after antiulcer medications.

Question 18

Which order should the nurse question when caring for a 5-year-old child after surgery for Hirschsprung disease?

Accepted Answer

A)  Monitor rectal temperature every 4 hours and report an elevation greater than 38.5° C. 
B)  Assess stools after surgery. 
C)  Keep the child NPO until bowel sounds return. 
D)  Maintain IV fluids at ordered rate. 
A)  Monitor rectal temperature every 4 hours and report an elevation greater than 38.5° C. 
B)  Assess stools after surgery. 
C)  Keep the child NPO until bowel sounds return. 
D)  Maintain IV fluids at ordered rate.

Question 19

A nurse has admitted a child to the hospital with a diagnosis of "rule out" peptic ulcer disease.Which test will the nurse expect to be ordered to confirm the diagnosis of a peptic ulcer?

Accepted Answer

A)  A dietary history 
B)  A positive Hematest result on a stool sample 
C)  A fiberoptic upper endoscopy 
D)  An abdominal ultrasound 
A)  A dietary history 
B)  A positive Hematest result on a stool sample 
C)  A fiberoptic upper endoscopy 
D)  An abdominal ultrasound

Question 20

What is the most important action to prevent the spread of gastroenteritis in a daycare setting?

Accepted Answer

A)  Administering prophylactic medications to children and staff 
B)  Frequent handwashing 
C)  Having parents bring food from home 
D)  Directing the staff to wear gloves at all times 
A)  Administering prophylactic medications to children and staff 
B)  Frequent handwashing 
C)  Having parents bring food from home 
D)  Directing the staff to wear gloves at all times

Exam 43: The Child With a Gastrointestinal Alteration

Which type of hernia has an impaired blood supply to the herniated organ?

Which interventions should a nurse implement when caring for a child with hepatitis? Select all that apply.

Which parasite causes acute diarrhea?

What is the best response to parents who ask why their infant has a nasogastric tube to intermittent suction before abdominal surgery for hypertrophic pyloric stenosis?

Which nursing interventions are significant for a child with cirrhosis who is at risk for bleeding? Select all that apply.

What goal has the highest priority for a child with malabsorption associated with lactose intolerance?

Which statement best characterizes hepatitis A?

An infant with imperforate anus has an anal plasty and temporary colostomy.Which statement by the infant's mother indicates that she understands how to care for the infant's colostomy at home?

The nurse is teaching the parents of a child who has been diagnosed with irritable bowel syndrome about the pathophysiology associated with the symptoms their child is experiencing.Which response indicates to the nurse that her teaching has been effective?

The best chance of survival for a child with cirrhosis is

Therapeutic management of most children with Hirschsprung disease is primarily

What information should the nurse include when teaching the parents of a 5-week-old infant about pyloromyotomy?

A nurse is teaching a group of parents about TEF.Which statement made by the nurse is accurate about TEF?

You are the nurse caring for a child with celiac disease.Which food choices by the child's parent indicate understanding of teaching? Select all that apply.

What should the nurse stress in a teaching plan for the mother of an 11-year-old boy with ulcerative colitis?

What is the most important information to be included in the discharge planning for an infant with gastroesophageal reflux?

What should the nurse teach a school-age child and his parents about the management of ulcer disease?

Which order should the nurse question when caring for a 5-year-old child after surgery for Hirschsprung disease?

A nurse has admitted a child to the hospital with a diagnosis of "rule out" peptic ulcer disease.Which test will the nurse expect to be ordered to confirm the diagnosis of a peptic ulcer?

What is the most important action to prevent the spread of gastroenteritis in a daycare setting?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating With Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion during Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family With Special Needs

Pregnancy-Related Complications

Concurrent Disorders During Pregnancy

The Woman With an Intrapartum Complication

The Woman With a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s Health Care

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child With a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child With a Fluid and Electrolyte Alteration

The Child With an Infectious Disease

The Child With an Immunologic Alteration

The Child With a Genitourinary Alteration

The Child With a Respiratory Alteration

The Child With a Cardiovascular Alteration

The Child With a Hematologic Alteration

The Child With Cancer

The Child With an Alteration in Tissue Integrity

The Child With a Musculoskeletal Alteration

The Child With an Endocrine or Metabolic Alteration

The Child With a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With a Developmental Disability

The Child With a Sensory Alteration

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