Question 1

Therapeutic management of most children with Hirschsprung's disease is primarily:

Accepted Answer

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

Question 2

Which statement best characterizes hepatitis A?

Accepted Answer

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

Question 3

What food choice by the parent of a 2-year-old child with celiac disease indicates a need for further teaching?

Accepted Answer

A) Oatmeal 
B) Rice cake 
C) Corn muffin 
D) Meat patty 
A) Oatmeal 
B) Rice cake 
C) Corn muffin 
D) Meat patty

Question 4

An infant is brought to the emergency department with poor skin turgor,weight loss,lethargy,and tachycardia.This is suggestive of:

Accepted Answer

A) Overhydration. 
B) Dehydration. 
C) Sodium excess. 
D) Calcium excess. 
A) Overhydration. 
B) Dehydration. 
C) Sodium excess. 
D) Calcium excess.

Question 5

What is used to treat moderate-to-severe inflammatory bowel disease?

Accepted Answer

A) Antacids 
B) Antibiotics 
C) Corticosteroids 
D) Antidiarrheal medications 
A) Antacids 
B) Antibiotics 
C) Corticosteroids 
D) Antidiarrheal medications

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 high-fiber food that the nurse could recommend for a child with chronic constipation is:

Accepted Answer

A) Popcorn. 
B) Pancakes. 
C) Muffins. 
D) Ripe bananas. 
A) Popcorn. 
B) Pancakes. 
C) Muffins. 
D) Ripe bananas.

Question 8

Which intervention should be included in the nurse's plan of care for a 7-year-old child with encopresis who has cleared the initial impaction?

Accepted Answer

A) Have the child sit on the toilet for 30 minutes when he gets up in the morning and at bedtime. 
B) Increase sugar in the child's diet to promote bowel elimination. 
C) Use a Fleet enema daily. 
D) Give the child a choice of beverage to mix with a laxative. 
A) Have the child sit on the toilet for 30 minutes when he gets up in the morning and at bedtime. 
B) Increase sugar in the child's diet to promote bowel elimination. 
C) Use a Fleet enema daily. 
D) Give the child a choice of beverage to mix with a laxative.

Question 9

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 10

The viral pathogen that frequently causes acute diarrhea in young children is:

Accepted Answer

A) Giardia organisms. 
B) Shigella organisms. 
C) Rotavirus. 
D) Salmonella organisms. 
A) Giardia organisms. 
B) Shigella organisms. 
C) Rotavirus. 
D) Salmonella organisms.

Question 11

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.

-Second 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 12

Careful hand washing before and after contact can prevent the spread of which condition in day care 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 13

A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting.Therapeutic management of this child will begin with:

Accepted Answer

A) Intravenous fluids. 
B) Oral rehydration solution (ORS). 
C) Clear liquids, 1 to 2 ounces at a time. 
D) Administration of antidiarrheal medication. 
A) Intravenous fluids. 
B) Oral rehydration solution (ORS). 
C) Clear liquids, 1 to 2 ounces at a time. 
D) Administration of antidiarrheal medication.

Question 14

Which type of dehydration results from water loss in excess of electrolyte loss?

Accepted Answer

A) Isotonic dehydration 
B) Isosmotic dehydration 
C) Hypotonic dehydration 
D) Hypertonic dehydration 
A) Isotonic dehydration 
B) Isosmotic dehydration 
C) Hypotonic dehydration 
D) Hypertonic dehydration

Question 15

A newborn was admitted to the nursery with a complete bilateral cleft lip and palate.The physician explained the plan of therapy and its expected good results.However,the mother refuses to see or hold her baby.Initial therapeutic approach to the mother should be to:

Accepted Answer

A) Restate what the physician has told her about plastic surgery. 
B) Encourage her to express her feelings. 
C) Emphasize the normalcy of her baby and the baby's need for mothering. 
D) Recognize that negative feelings toward the child continue throughout childhood. 
A) Restate what the physician has told her about plastic surgery. 
B) Encourage her to express her feelings. 
C) Emphasize the normalcy of her baby and the baby's need for mothering. 
D) Recognize that negative feelings toward the child continue throughout childhood.

Question 16

The nurse is caring for a neonate with a suspected tracheoesophageal fistula.Nursing care should include:

Accepted Answer

A) Elevating the head but giving nothing by mouth. 
B) Elevating the head for feedings. 
C) Feeding glucose water only. 
D) Avoiding suctioning unless the infant is cyanotic. 
A) Elevating the head but giving nothing by mouth. 
B) Elevating the head for feedings. 
C) Feeding glucose water only. 
D) Avoiding suctioning unless the infant is cyanotic.

Exam 41: Gastrointestinal Dysfunction

Therapeutic management of most children with Hirschsprung's disease is primarily:

Which statement best characterizes hepatitis A?

What food choice by the parent of a 2-year-old child with celiac disease indicates a need for further teaching?

An infant is brought to the emergency department with poor skin turgor,weight loss,lethargy,and tachycardia.This is suggestive of:

What is used to treat moderate-to-severe inflammatory bowel disease?

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

A high-fiber food that the nurse could recommend for a child with chronic constipation is:

Which intervention should be included in the nurse's plan of care for a 7-year-old child with encopresis who has cleared the initial impaction?

The best chance of survival for a child with cirrhosis is:

The viral pathogen that frequently causes acute diarrhea in young children is:

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. -Second priority

Careful hand washing before and after contact can prevent the spread of which condition in day care and school settings?

A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting.Therapeutic management of this child will begin with:

Which type of dehydration results from water loss in excess of electrolyte loss?

A newborn was admitted to the nursery with a complete bilateral cleft lip and palate.The physician explained the plan of therapy and its expected good results.However,the mother refuses to see or hold her baby.Initial therapeutic approach to the mother should be to:

The nurse is caring for a neonate with a suspected tracheoesophageal fistula.Nursing care should include:

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

Filters