Question 1

What is an expected outcome for a 1-month-old infant with biliary atresia?

Accepted Answer

A)  Correction of the defect with the Kasai procedure 
B)  Adequate nutrition and age-appropriate growth and development 
C)  Adherence to a salt-free diet with vitamin B12 supplementation 
D)  Adequate protein intake 
A)  Correction of the defect with the Kasai procedure 
B)  Adequate nutrition and age-appropriate growth and development 
C)  Adherence to a salt-free diet with vitamin B12 supplementation 
D)  Adequate protein intake

Question 2

Which statement about Crohn disease is the most accurate?

Accepted Answer

A)  The signs and symptoms of Crohn disease are usually present at birth. 
B)  Signs and symptoms of Crohn disease include abdominal pain, diarrhea, and often a palpable abdominal mass. 
C)  Edema usually accompanies this disease. 
D)  Symptoms of Crohn disease usually disappear by late adolescence. 
A)  The signs and symptoms of Crohn disease are usually present at birth. 
B)  Signs and symptoms of Crohn disease include abdominal pain, diarrhea, and often a palpable abdominal mass. 
C)  Edema usually accompanies this disease. 
D)  Symptoms of Crohn disease usually disappear by late adolescence.

Question 3

Bismuth subsalicylate,clarithromycin,and metronidazole are prescribed for a child with a peptic ulcer to

Accepted Answer

A)  Eradicate Helicobacter pylori. 
B)  Coat gastric mucosa. 
C)  Treat epigastric pain. 
D)  Reduce gastric acid production. 
A)  Eradicate Helicobacter pylori. 
B)  Coat gastric mucosa. 
C)  Treat epigastric pain. 
D)  Reduce gastric acid production.

Question 4

A girl with possible malabsorption syndrome is undergoing diagnostic testing for the condition.She is instructed to wear a facemask in order for expelled air to be collected.This test is known as the ________ breath test.

Accepted Answer

hydrogen
A carbohydrate solution is give

Question 5

A 4-month-old infant has gastroesophageal reflux (GER)but is thriving without other complications.What should the nurse suggest to minimize reflux?

Accepted Answer

A)  Place in Trendelenburg position after eating. 
B)  Thicken formula with rice cereal. 
C)  Give continuous nasogastric tube feedings. 
D)  Give larger, less frequent feedings. 
A)  Place in Trendelenburg position after eating. 
B)  Thicken formula with rice cereal. 
C)  Give continuous nasogastric tube feedings. 
D)  Give larger, less frequent feedings.

Question 6

What is the major focus of the therapeutic management for a child with lactose intolerance?

Accepted Answer

A)  Compliance with the medication regimen. 
B)  Providing emotional support to family members. 
C)  Teaching dietary modifications. 
D)  Administration of daily normal saline enemas. 
A)  Compliance with the medication regimen. 
B)  Providing emotional support to family members. 
C)  Teaching dietary modifications. 
D)  Administration of daily normal saline enemas.

Question 7

A school-age child with diarrhea has been rehydrated.The nurse is discussing the child's diet with the family.Which statement by the parent indicates a correct understanding of the teaching?

Accepted Answer

A)  "I will keep my child on a clear liquid diet for the next 24 hours." 
B)  "I should encourage my child to drink carbonated drinks but avoid food for the next 24 hours." 
C)  "I will offer my child bananas, rice, applesauce, and toast for the next 48 hours." 
D)  "I should have my child eat a normal diet with easily digested foods for the next 48 hours." 
A)  "I will keep my child on a clear liquid diet for the next 24 hours." 
B)  "I should encourage my child to drink carbonated drinks but avoid food for the next 24 hours." 
C)  "I will offer my child bananas, rice, applesauce, and toast for the next 48 hours." 
D)  "I should have my child eat a normal diet with easily digested foods for the next 48 hours."

Question 8

Careful handwashing before and after contact can prevent the spread of which condition in daycare and school settings?

Accepted Answer

A)  Irritable bowel syndrome 
B)  Ulcerative colitis 
C)  Hepatic cirrhosis 
D)  Hepatitis A 
A)  Irritable bowel syndrome 
B)  Ulcerative colitis 
C)  Hepatic cirrhosis 
D)  Hepatitis A

Question 9

What clinical manifestation should a nurse be alert for when suspecting a diagnosis of esophageal atresia?

Accepted Answer

A)  A radiograph in the prenatal period indicates abnormal development. 
B)  It is visually identified at the time of delivery. 
C)  A nasogastric tube fails to pass at birth. 
D)  The infant has a low birth weight. 
A)  A radiograph in the prenatal period indicates abnormal development. 
B)  It is visually identified at the time of delivery. 
C)  A nasogastric tube fails to pass at birth. 
D)  The infant has a low birth weight.

Question 10

The earliest clinical manifestation of biliary atresia is

Accepted Answer

A)  Jaundice 
B)  Vomiting 
C)  Hepatomegaly 
D)  Absence of stooling 
A)  Jaundice 
B)  Vomiting 
C)  Hepatomegaly 
D)  Absence of stooling

Question 11

The nurse is providing home care instructions to the parents of an infant being discharged after repair of a bilateral cleft lip.Which instructions should the nurse include? Select all that apply.

Accepted Answer

A)  Acetaminophen (Tylenol) should not be given to your infant. 
B)  Feed your infant in an upright position. 
C)  Place your infant prone for a period of time each day. 
D)  Burp your child frequently during feedings. 
E)  Apply antibiotic ointment to the lip as prescribed. 
A)  Acetaminophen (Tylenol) should not be given to your infant. 
B)  Feed your infant in an upright position. 
C)  Place your infant prone for a period of time each day. 
D)  Burp your child frequently during feedings. 
E)  Apply antibiotic ointment to the lip as prescribed.

Question 12

Which description of a stool is characteristic of intussusception?

Accepted Answer

A)  Ribbon-like stools 
B)  Hard stools positive for guaiac 
C)  "Currant jelly" stools 
D)  Loose, foul-smelling stools 
A)  Ribbon-like stools 
B)  Hard stools positive for guaiac 
C)  "Currant jelly" stools 
D)  Loose, foul-smelling stools

Question 13

The postoperative care plan for an infant with surgical repair of a cleft lip includes

Accepted Answer

A)  A clear liquid diet for 72 hours 
B)  Nasogastric feedings until the sutures are removed 
C)  Elbow restraints to keep the infant's fingers away from the mouth 
D)  Rinsing the mouth after every feeding 
A)  A clear liquid diet for 72 hours 
B)  Nasogastric feedings until the sutures are removed 
C)  Elbow restraints to keep the infant's fingers away from the mouth 
D)  Rinsing the mouth after every feeding

Question 14

Therapeutic management of the child with acute diarrhea and dehydration usually begins with

Accepted Answer

A)  Clear liquids 
B)  Adsorbents, such as kaolin and pectin 
C)  Oral rehydration solution (ORS) 
D)  Antidiarrheal medications such as paregoric 
A)  Clear liquids 
B)  Adsorbents, such as kaolin and pectin 
C)  Oral rehydration solution (ORS) 
D)  Antidiarrheal medications such as paregoric

Question 15

An infant with short bowel syndrome will be discharged home on total parenteral nutrition (TPN)and gastrostomy feedings.Nursing care should include

Accepted Answer

A)  Preparing family for impending death 
B)  Teaching family signs of central venous catheter infection 
C)  Teaching family how to calculate caloric needs 
D)  Securing TPN and gastrostomy tubing under the diaper to lessen risk of dislodgment 
A)  Preparing family for impending death 
B)  Teaching family signs of central venous catheter infection 
C)  Teaching family how to calculate caloric needs 
D)  Securing TPN and gastrostomy tubing under the diaper to lessen risk of dislodgment

Exam 43: The Child With a Gastrointestinal Alteration

What is an expected outcome for a 1-month-old infant with biliary atresia?

Which statement about Crohn disease is the most accurate?

Bismuth subsalicylate,clarithromycin,and metronidazole are prescribed for a child with a peptic ulcer to

A girl with possible malabsorption syndrome is undergoing diagnostic testing for the condition.She is instructed to wear a facemask in order for expelled air to be collected.This test is known as the ________ breath test.

A 4-month-old infant has gastroesophageal reflux (GER)but is thriving without other complications.What should the nurse suggest to minimize reflux?

What is the major focus of the therapeutic management for a child with lactose intolerance?

A school-age child with diarrhea has been rehydrated.The nurse is discussing the child's diet with the family.Which statement by the parent indicates a correct understanding of the teaching?

Careful handwashing before and after contact can prevent the spread of which condition in daycare and school settings?

What clinical manifestation should a nurse be alert for when suspecting a diagnosis of esophageal atresia?

The earliest clinical manifestation of biliary atresia is

The nurse is providing home care instructions to the parents of an infant being discharged after repair of a bilateral cleft lip.Which instructions should the nurse include? Select all that apply.

Which description of a stool is characteristic of intussusception?

The postoperative care plan for an infant with surgical repair of a cleft lip includes

Therapeutic management of the child with acute diarrhea and dehydration usually begins with

An infant with short bowel syndrome will be discharged home on total parenteral nutrition (TPN)and gastrostomy feedings.Nursing care should include

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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