Question 1

Bismuth subsalicylate,clarithromycin,and metronidazole are prescribed for a child with a peptic ulcer for which one of the following reasons?

Accepted Answer

A)  It eradicates Helicobacter pylori. 
B)  It coats gastric mucosa. 
C)  It treats epigastric pain. 
D)  It reduces gastric acid production. 
A)  It eradicates Helicobacter pylori. 
B)  It coats gastric mucosa. 
C)  It treats epigastric pain. 
D)  It reduces gastric acid production. A

Question 2

Caring for the newborn with a cleft lip and palate before surgical repair includes which of the following?

Accepted Answer

A)  Gastrostomy feedings 
B)  Keeping the infant in near-horizontal position during feedings 
C)  Allowing little or no sucking 
D)  Providing satisfaction for the infant's sucking needs 
A)  Gastrostomy feedings 
B)  Keeping the infant in near-horizontal position during feedings 
C)  Allowing little or no sucking 
D)  Providing satisfaction for the infant's sucking needs D

Question 3

Which statement best describes 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)  The 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)  The onset is usually rapid and acute. 
D)  There is a persistent carrier state. C

Question 4

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

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 5

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 would indicate 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 6

Which statement best describes Meckel's diverticulum?

Accepted Answer

A)  It is more common in females than in males. 
B)  It is acquired during childhood. 
C)  Intestinal bleeding may be mild or profuse. 
D)  Medical interventions are usually sufficient to treat the problem. 
A)  It is more common in females than in males. 
B)  It is acquired during childhood. 
C)  Intestinal bleeding may be mild or profuse. 
D)  Medical interventions are usually sufficient to treat the problem.

Question 7

What 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 8

A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting.What is the first step in therapeutic management for this child?

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 9

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 10

The nurse is explaining to a parent how to care for a child with vomiting associated with a viral illness.What advice should the nurse include in her discussion?

Accepted Answer

A)  Avoid carbohydrate-containing liquids. 
B)  Give nothing by mouth for 24 hours. 
C)  Brush teeth or rinse mouth after vomiting. 
D)  Give plain water until vomiting ceases for at least 24 hours. 
A)  Avoid carbohydrate-containing liquids. 
B)  Give nothing by mouth for 24 hours. 
C)  Brush teeth or rinse mouth after vomiting. 
D)  Give plain water until vomiting ceases for at least 24 hours.

Question 11

What is the most important nursing consideration when caring for a child with celiac disease?

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 handwashing and standard precautions/routine practices 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 handwashing and standard precautions/routine practices to prevent disease transmission. 
D)  Suggest ways to cope more effectively with stress to minimize symptoms.

Question 12

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.What is the most likely cause of her constipation?

Accepted Answer

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

Question 13

What is often the cause of acute diarrhea?

Accepted Answer

A)  Celiac disease 
B)  Antibiotic therapy 
C)  Immunodeficiency 
D)  Protein malnutrition 
A)  Celiac disease 
B)  Antibiotic therapy 
C)  Immunodeficiency 
D)  Protein malnutrition

Question 14

What is the earliest clinical manifestation of biliary atresia?

Accepted Answer

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

Question 15

Which of the following is a parasite that 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 16

What is the best chance of survival for a child with cirrhosis?

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 17

What should the nurse do when caring for a neonate with a suspected tracheoesophageal fistula?

Accepted Answer

A)  Elevate the head but giving nothing by mouth. 
B)  Elevate the head for feedings. 
C)  Feed glucose water only. 
D)  Avoid suctioning unless the infant is cyanotic. 
A)  Elevate the head but giving nothing by mouth. 
B)  Elevate the head for feedings. 
C)  Feed glucose water only. 
D)  Avoid suctioning unless the infant is cyanotic.

Question 18

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 19

What is the viral pathogen that frequently causes acute diarrhea in young children?

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 20

Which high-fibre food can the nurse recommend for a 10-year-old child with chronic constipation?

Accepted Answer

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

Exam 47: Gastrointestinal Dysfunction

Bismuth subsalicylate,clarithromycin,and metronidazole are prescribed for a child with a peptic ulcer for which one of the following reasons?

Caring for the newborn with a cleft lip and palate before surgical repair includes which of the following?

Which statement best describes hepatitis A?

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

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 would indicate a correct understanding of the teaching?

Which statement best describes Meckel's diverticulum?

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

A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting.What is the first step in therapeutic management for this child?

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

The nurse is explaining to a parent how to care for a child with vomiting associated with a viral illness.What advice should the nurse include in her discussion?

What is the most important nursing consideration when caring for a child with celiac disease?

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.What is the most likely cause of her constipation?

What is often the cause of acute diarrhea?

What is the earliest clinical manifestation of biliary atresia?

Which of the following is a parasite that causes acute diarrhea?

What is the best chance of survival for a child with cirrhosis?

What should the nurse do when caring for a neonate with a suspected tracheoesophageal fistula?

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 viral pathogen that frequently causes acute diarrhea in young children?

Which high-fibre food can the nurse recommend for a 10-year-old child with chronic constipation?

Contemporary Perinatal Nursing in Canada

The Family and Culture

Community Care

Health Promotion

Health Assessment

Reproductive Health

Infertility, contraception, and Abortion

Preconception, genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Fetal Health Surveillance During Labour

Nursing Care During Labour and Birth

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing in Canada

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social, cultural, and Religious Influences on Child Health Promotion

Developmental Influences on Child Health Promotion

Communication, history, physical, and Developmental Assessment

Pain Assessment and Management

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

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Cardiovascular Dysfunction

Hematological and Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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