Question 1

Which vaccine is now recommended for the immunization of all newborns?

Accepted Answer

A) Hepatitis A vaccine 
B) Hepatitis B vaccine 
C) Hepatitis C vaccine 
D) Hepatitis A, B, and C vaccines 
A) Hepatitis A vaccine 
B) Hepatitis B vaccine 
C) Hepatitis C vaccine 
D) Hepatitis A, B, and C vaccines

Question 2

Acute diarrhea is often caused by:

Accepted Answer

A) Hirschsprung's disease. 
B) Antibiotic therapy. 
C) Hypothyroidism. 
D) Meconium ileus. 
A) Hirschsprung's disease. 
B) Antibiotic therapy. 
C) Hypothyroidism. 
D) Meconium ileus.

Question 3

An important nursing consideration in the care of a child with celiac disease is to:

Accepted Answer

A) Refer to a nutritionist for detailed dietary instructions and education. 
B) Help the child and family understand that diet restrictions are usually only temporary. 
C) Teach proper hand washing and Standard Precautions to prevent disease transmission. 
D) Suggest ways to cope more effectively with stress to minimize symptoms. 
A) Refer to a nutritionist for detailed dietary instructions and education. 
B) Help the child and family understand that diet restrictions are usually only temporary. 
C) Teach proper hand washing and Standard Precautions to prevent disease transmission. 
D) Suggest ways to cope more effectively with stress to minimize symptoms.

Question 4

A 4-month-old infant has gastroesophageal reflux disease (GERD)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 5

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 6

The nurse is preparing to care for an infant returning from pyloromyotomy surgery.Which prescribed orders should the nurse anticipate implementing (Select all that apply)?

Accepted Answer

A) Nothing by mouth for 24 hours 
B) Administration of analgesics for pain 
C) Ice bag to the incisional area 
D) Intravenous (IV) fluids continued until tolerating fluids by mouth 
E) Clear liquids as the first feeding 
A) Nothing by mouth for 24 hours 
B) Administration of analgesics for pain 
C) Ice bag to the incisional area 
D) Intravenous (IV) fluids continued until tolerating fluids by mouth 
E) Clear liquids as the first feeding

Question 7

A stool specimen from a child with diarrhea shows the presence of neutrophils and red blood cells.This is most suggestive of which condition?

Accepted Answer

A) Protein intolerance 
B) Parasitic infection 
C) Fat malabsorption 
D) Bacterial gastroenteritis 
A) Protein intolerance 
B) Parasitic infection 
C) Fat malabsorption 
D) Bacterial gastroenteritis

Question 8

An infant with pyloric stenosis experiences excessive vomiting that can result in:

Accepted Answer

A) Hyperchloremia. 
B) Hypernatremia. 
C) Metabolic acidosis. 
D) Metabolic alkalosis. 
A) Hyperchloremia. 
B) Hypernatremia. 
C) Metabolic acidosis. 
D) Metabolic alkalosis.

Question 9

A histamine receptor antagonist such as cimetidine (Tagamet)or ranitidine (Zantac)is ordered for an infant with gastroesophageal reflux.The purpose of this is to:

Accepted Answer

A) Prevent reflux. 
B) Prevent hematemesis. 
C) Reduce gastric acid production. 
D) Increase gastric acid production. 
A) Prevent reflux. 
B) Prevent hematemesis. 
C) Reduce gastric acid production. 
D) Increase gastric acid production.

Question 10

A 3-year-old child with Hirschsprung's disease is hospitalized for surgery.A temporary colostomy will be necessary.The nurse should recognize that preparing this child psychologically is:

Accepted Answer

A) Not necessary because of child's age. 
B) Not necessary because the colostomy is temporary. 
C) Necessary because it will be an adjustment. 
D) Necessary because the child must deal with a negative body image. 
A) Not necessary because of child's age. 
B) Not necessary because the colostomy is temporary. 
C) Necessary because it will be an adjustment. 
D) Necessary because the child must deal with a negative body image.

Question 11

Nurses must be alert for increased fluid requirements when a child has:

Accepted Answer

A) Fever. 
B) Mechanical ventilation. 
C) Congestive heart failure. 
D) Increased intracranial pressure (ICP). 
A) Fever. 
B) Mechanical ventilation. 
C) Congestive heart failure. 
D) Increased intracranial pressure (ICP).

Question 12

What is characterized by a chronic inflammatory process that may involve any part of the gastrointestinal (GI)tract from mouth to anus?

Accepted Answer

A) Crohn's disease 
B) Ulcerative colitis 
C) Meckel's diverticulum 
D) Irritable bowel syndrome 
A) Crohn's disease 
B) Ulcerative colitis 
C) Meckel's diverticulum 
D) Irritable bowel syndrome

Question 13

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 14

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 15

The nurse is caring for an infant whose cleft lip was repaired.Important aspects of this infant's postoperative care include:

Accepted Answer

A) Arm restraints, postural drainage, and mouth irrigations. 
B) Cleansing of suture line, supine and side-lying positions, and arm restraints. 
C) Mouth irrigations, prone position, and cleansing of suture line. 
D) Supine and side-lying positions, postural drainage, and arm restraints. 
A) Arm restraints, postural drainage, and mouth irrigations. 
B) Cleansing of suture line, supine and side-lying positions, and arm restraints. 
C) Mouth irrigations, prone position, and cleansing of suture line. 
D) Supine and side-lying positions, postural drainage, and arm restraints.

Question 16

A mother calls the clinic nurse about her 4-year-old son who has acute diarrhea.She has been giving him the antidiarrheal drug loperamide (Imodium A-D).The nurse's response should be based on knowledge that this drug is:

Accepted Answer

A) Not indicated. 
B) Indicated because it slows intestinal motility. 
C) Indicated because it decreases diarrhea. 
D) Indicated because it decreases fluid and electrolyte losses. 
A) Not indicated. 
B) Indicated because it slows intestinal motility. 
C) Indicated because it decreases diarrhea. 
D) Indicated because it decreases fluid and electrolyte losses.

Question 17

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 hand washing. 
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 hand washing.

Question 18

Constipation has recently become a problem for a school-age girl.She is healthy except for seasonal allergies,which are now being successfully treated with antihistamines.The nurse should suspect that the constipation is most likely caused by:

Accepted Answer

A) Diet. 
B) Allergies. 
C) Antihistamines. 
D) Emotional factors. 
A) Diet. 
B) Allergies. 
C) Antihistamines. 
D) Emotional factors.

Question 19

The school nurse observes a child with a peanut allergy in obvious distress, wheezing and cyanotic, after ingestion of some trail mix containing peanuts. Place the interventions the nurse should implement in order of the highest priority to the lowest priority.

-First priority

Accepted Answer

A) Call Jason's parents and notify them of the situation. 
B) Call Jason's family practitioner to obtain further orders for medication. 
C) Promptly administer an intramuscular (IM) dose of epinephrine. 
D) Call 911 and wait for the emergency response personnel to arrive. 
A) Call Jason's parents and notify them of the situation. 
B) Call Jason's family practitioner to obtain further orders for medication. 
C) Promptly administer an intramuscular (IM) dose of epinephrine. 
D) Call 911 and wait for the emergency response personnel to arrive.

Question 20

The nurse is caring for a boy with probable intussusception.He had diarrhea before admission but,while waiting for administration of air pressure to reduce the intussusception,he passes a normal brown stool.The most appropriate nursing action is to:

Accepted Answer

A) Notify the practitioner. 
B) Measure abdominal girth. 
C) Auscultate for bowel sounds. 
D) Take vital signs, including blood pressure. 
A) Notify the practitioner. 
B) Measure abdominal girth. 
C) Auscultate for bowel sounds. 
D) Take vital signs, including blood pressure.

Exam 41: Gastrointestinal Dysfunction

Which vaccine is now recommended for the immunization of all newborns?

Acute diarrhea is often caused by:

An important nursing consideration in the care of a child with celiac disease is to:

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

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

The nurse is preparing to care for an infant returning from pyloromyotomy surgery.Which prescribed orders should the nurse anticipate implementing (Select all that apply)?

A stool specimen from a child with diarrhea shows the presence of neutrophils and red blood cells.This is most suggestive of which condition?

An infant with pyloric stenosis experiences excessive vomiting that can result in:

A histamine receptor antagonist such as cimetidine (Tagamet)or ranitidine (Zantac)is ordered for an infant with gastroesophageal reflux.The purpose of this is to:

A 3-year-old child with Hirschsprung's disease is hospitalized for surgery.A temporary colostomy will be necessary.The nurse should recognize that preparing this child psychologically is:

Nurses must be alert for increased fluid requirements when a child has:

What is characterized by a chronic inflammatory process that may involve any part of the gastrointestinal (GI)tract from mouth to anus?

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

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

The nurse is caring for an infant whose cleft lip was repaired.Important aspects of this infant's postoperative care include:

A mother calls the clinic nurse about her 4-year-old son who has acute diarrhea.She has been giving him the antidiarrheal drug loperamide (Imodium A-D).The nurse's response should be based on knowledge that this drug is:

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

Constipation has recently become a problem for a school-age girl.She is healthy except for seasonal allergies,which are now being successfully treated with antihistamines.The nurse should suspect that the constipation is most likely caused by:

The school nurse observes a child with a peanut allergy in obvious distress, wheezing and cyanotic, after ingestion of some trail mix containing peanuts. Place the interventions the nurse should implement in order of the highest priority to the lowest priority. -First priority

The nurse is caring for a boy with probable intussusception.He had diarrhea before admission but,while waiting for administration of air pressure to reduce the intussusception,he passes a normal brown stool.The most appropriate nursing action is to:

21st Century Maternity Nursing

Community Care: the Family and Culture

Assessment and Health Promotion

Reproductive System Concerns

Infertility,contraception,and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High Risk Pregnancy

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Pain Management

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Maternal Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication, history, and Physical Assessment

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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