Question 1

The nurse is assisting a child with celiac disease to select foods from a menu. What foods should the nurse suggest?

Accepted Answer

A)  Hamburger on a bun 
B)  Spaghetti with meat sauce 
C)  Corn on the cob with butter 
D)  Peanut butter and crackers 
A)  Hamburger on a bun 
B)  Spaghetti with meat sauce 
C)  Corn on the cob with butter 
D)  Peanut butter and crackers

Question 2

The nurse is preparing to admit a 7-year-old child with Crohn disease. What clinical manifestations should the nurse expect to observe? (Select all that apply.)

Accepted Answer

A)  Pain is common. 
B)  Weight loss is severe. 
C)  Rectal bleeding is common. 
D)  Diarrhea is moderate to severe. 
E)  Anal and perianal lesions are rare. 
A)  Pain is common. 
B)  Weight loss is severe. 
C)  Rectal bleeding is common. 
D)  Diarrhea is moderate to severe. 
E)  Anal and perianal lesions are rare.

Question 3

The nurse is preparing to admit a 6-year-old child with celiac disease. What clinical manifestations should the nurse expect to observe? (Select all that apply.)

Accepted Answer

A)  Steatorrhea 
B)  Polycythemia 
C)  Malnutrition 
D)  Melena stools 
E)  Foul-smelling stools 
A)  Steatorrhea 
B)  Polycythemia 
C)  Malnutrition 
D)  Melena stools 
E)  Foul-smelling stools

Question 4

An adolescent with irritable bowel syndrome comes to see the school nurse. What information should the nurse share with the adolescent?

Accepted Answer

A)  A low-fiber diet is required. 
B)  Stress management may be helpful. 
C)  Milk products are a contributing factor. 
D)  Pantoprazole (a proton pump inhibitor) is effective in treatment. 
A)  A low-fiber diet is required. 
B)  Stress management may be helpful. 
C)  Milk products are a contributing factor. 
D)  Pantoprazole (a proton pump inhibitor) is effective in treatment.

Question 5

The nurse is teaching parents of a child with gastroesophageal reflux (GER) disease foods that can exacerbate acid reflux. What foods should be included in the teaching session? (Select all that apply.)

Accepted Answer

A)  Citrus 
B)  Bananas 
C)  Spicy foods 
D)  Peppermint 
E)  Whole wheat bread 
A)  Citrus 
B)  Bananas 
C)  Spicy foods 
D)  Peppermint 
E)  Whole wheat bread

Question 6

What procedure is most appropriate for assessment of an abdominal circumference related to a bowel obstruction?

Accepted Answer

A)  Measuring the abdomen after feedings 
B)  Marking the point of measurement with a pen 
C)  Measuring the circumference at the symphysis pubis 
D)  Using a new tape measure with each assessment to ensure accuracy 
A)  Measuring the abdomen after feedings 
B)  Marking the point of measurement with a pen 
C)  Measuring the circumference at the symphysis pubis 
D)  Using a new tape measure with each assessment to ensure accuracy

Question 7

The nurse observes that a newborn is having problems after birth. What should indicate a tracheoesophageal fistula?

Accepted Answer

A)  Jitteriness 
B)  Meconium ileus 
C)  Excessive frothy saliva 
D)  Increased need for sleep 
A)  Jitteriness 
B)  Meconium ileus 
C)  Excessive frothy saliva 
D)  Increased need for sleep

Question 8

A child who has just had definitive repair of a high rectal malformation is to be discharged. What should the nurse address in the discharge preparation of this family?

Accepted Answer

A)  Safe administration of daily enemas 
B)  Necessity of firm stools to keep suture line clean 
C)  Bowel training beginning as soon as the child returns home 
D)  Changes in stooling patterns to report to the practitioner 
A)  Safe administration of daily enemas 
B)  Necessity of firm stools to keep suture line clean 
C)  Bowel training beginning as soon as the child returns home 
D)  Changes in stooling patterns to report to the practitioner

Question 9

What statement best describes Hirschsprung disease?

Accepted Answer

A)  The colon has an aganglionic segment. 
B)  It results in frequent evacuation of solids, liquid, and gas. 
C)  The neonate passes excessive amounts of meconium. 
D)  It results in excessive peristaltic movements within the gastrointestinal tract. 
A)  The colon has an aganglionic segment. 
B)  It results in frequent evacuation of solids, liquid, and gas. 
C)  The neonate passes excessive amounts of meconium. 
D)  It results in excessive peristaltic movements within the gastrointestinal tract.

Question 10

An infant with short bowel syndrome will be on total parenteral nutrition (TPN) for an extended period of time. What should the nurse monitor the infant for ?

Accepted Answer

A)  Central venous catheter infection, electrolyte losses, and hyperglycemia 
B)  Hypoglycemia, catheter migration, and weight gain 
C)  Venous thrombosis, hyperlipidemia, and constipation 
D)  Catheter damage, red currant jelly stools, and hypoglycemia 
A)  Central venous catheter infection, electrolyte losses, and hyperglycemia 
B)  Hypoglycemia, catheter migration, and weight gain 
C)  Venous thrombosis, hyperlipidemia, and constipation 
D)  Catheter damage, red currant jelly stools, and hypoglycemia

Question 11

What should preoperative care of a newborn with an anorectal malformation include?

Accepted Answer

A)  Frequent suctioning 
B)  Gastrointestinal decompression 
C)  Feedings with sterile water only 
D)  Supine position with head elevated 
A)  Frequent suctioning 
B)  Gastrointestinal decompression 
C)  Feedings with sterile water only 
D)  Supine position with head elevated

Question 12

What immunization is recommended for 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 13

MATCHING
Diagnosis of hepatitis B is confirmed by the detection of various hepatitis virus antigens, and the antibodies that are produced in response to the infection. Match the antibody or antigen to its definition.

-Detected only in the liver

Accepted Answer

A) HBsAg 
B) Anti-HBs 
C) HBcAg 
D) HBeAg 
A) HBsAg 
B) Anti-HBs 
C) HBcAg 
D) HBeAg

Question 14

The nurse is caring for a neonate with a suspected tracheoesophageal fistula. What should nursing care include?

Accepted Answer

A)  Feed glucose water only. 
B)  Elevate the patient's head for feedings. 
C)  Raise the patient's head and give nothing by mouth. 
D)  Avoid suctioning unless the infant is cyanotic. 
A)  Feed glucose water only. 
B)  Elevate the patient's head for feedings. 
C)  Raise the patient's head and give nothing by mouth. 
D)  Avoid suctioning unless the infant is cyanotic.

Question 15

An infant is born with a gastroschisis. Care preoperatively should include which priority intervention?

Accepted Answer

A)  Prone position 
B)  Sterile water feedings 
C)  Monitoring serum laboratory electrolytes 
D)  Covering the defect with a sterile bowel bag 
A)  Prone position 
B)  Sterile water feedings 
C)  Monitoring serum laboratory electrolytes 
D)  Covering the defect with a sterile bowel bag

Question 16

The nurse is preparing to admit a 3-year-old child with intussusception. What clinical manifestations should the nurse expect to observe? (Select all that apply.)

Accepted Answer

A)  Absent bowel sounds 
B)  Passage of red, currant jelly-like stools 
C)  Anorexia 
D)  Tender, distended abdomen 
E)  Hematemesis
F) Sudden acute abdominal pain 
A)  Absent bowel sounds 
B)  Passage of red, currant jelly-like stools 
C)  Anorexia 
D)  Tender, distended abdomen 
E)  Hematemesis
F) Sudden acute abdominal pain

Question 17

What test is used to screen for carbohydrate malabsorption?

Accepted Answer

A)  Stool pH 
B)  Urine ketones 
C)  C urea breath test 
D)  ELISA stool assay 
A)  Stool pH 
B)  Urine ketones 
C)  C urea breath test 
D)  ELISA stool assay

Question 18

A child is being admitted to the hospital with acute gastroenteritis. The health care provider prescribes an antiemetic. What antiemetic does the nurse anticipate being prescribed?

Accepted Answer

A)  Ondansetron (Zofran) 
B)  Promethazine (Phenergan) 
C)  Metoclopramide (Reglan) 
D)  Dimenhydrinate (Dramamine) 
A)  Ondansetron (Zofran) 
B)  Promethazine (Phenergan) 
C)  Metoclopramide (Reglan) 
D)  Dimenhydrinate (Dramamine)

Question 19

The nurse is preparing to care for a newborn with an omphalocele. The nurse should understand that care of the infant should include what intervention?

Accepted Answer

A)  Initiating breast- or bottle-feedings to stabilize the blood glucose level 
B)  Maintaining pain management with an intravenous opioid 
C)  Covering the intact bowel with a nonadherent dressing to prevent injury 
D)  Performing immediate surgery 
A)  Initiating breast- or bottle-feedings to stabilize the blood glucose level 
B)  Maintaining pain management with an intravenous opioid 
C)  Covering the intact bowel with a nonadherent dressing to prevent injury 
D)  Performing immediate surgery

Question 20

After surgery yesterday for gastroesophageal reflux, the nurse finds that the infant has somehow removed the nasogastric (NG) tube. What nursing action is most appropriate to perform at this time?

Accepted Answer

A)  Notify the practitioner. 
B)  Insert the NG tube so feedings can be given. 
C)  Replace the NG tube to maintain gastric decompression. 
D)  Leave the NG tube out because it has probably been in long enough. 
A)  Notify the practitioner. 
B)  Insert the NG tube so feedings can be given. 
C)  Replace the NG tube to maintain gastric decompression. 
D)  Leave the NG tube out because it has probably been in long enough.

Exam 26: The Child with Gastrointestinal Dysfunction

The nurse is assisting a child with celiac disease to select foods from a menu. What foods should the nurse suggest?

The nurse is preparing to admit a 7-year-old child with Crohn disease. What clinical manifestations should the nurse expect to observe? (Select all that apply.)

The nurse is preparing to admit a 6-year-old child with celiac disease. What clinical manifestations should the nurse expect to observe? (Select all that apply.)

An adolescent with irritable bowel syndrome comes to see the school nurse. What information should the nurse share with the adolescent?

The nurse is teaching parents of a child with gastroesophageal reflux (GER) disease foods that can exacerbate acid reflux. What foods should be included in the teaching session? (Select all that apply.)

What procedure is most appropriate for assessment of an abdominal circumference related to a bowel obstruction?

The nurse observes that a newborn is having problems after birth. What should indicate a tracheoesophageal fistula?

A child who has just had definitive repair of a high rectal malformation is to be discharged. What should the nurse address in the discharge preparation of this family?

What statement best describes Hirschsprung disease?

An infant with short bowel syndrome will be on total parenteral nutrition (TPN) for an extended period of time. What should the nurse monitor the infant for ?

What should preoperative care of a newborn with an anorectal malformation include?

What immunization is recommended for all newborns?

MATCHING Diagnosis of hepatitis B is confirmed by the detection of various hepatitis virus antigens, and the antibodies that are produced in response to the infection. Match the antibody or antigen to its definition. -Detected only in the liver

The nurse is caring for a neonate with a suspected tracheoesophageal fistula. What should nursing care include?

An infant is born with a gastroschisis. Care preoperatively should include which priority intervention?

The nurse is preparing to admit a 3-year-old child with intussusception. What clinical manifestations should the nurse expect to observe? (Select all that apply.)

What test is used to screen for carbohydrate malabsorption?

A child is being admitted to the hospital with acute gastroenteritis. The health care provider prescribes an antiemetic. What antiemetic does the nurse anticipate being prescribed?

The nurse is preparing to care for a newborn with an omphalocele. The nurse should understand that care of the infant should include what intervention?

After surgery yesterday for gastroesophageal reflux, the nurse finds that the infant has somehow removed the nasogastric (NG) tube. What nursing action is most appropriate to perform at this time?

Perspectives of Pediatric Nursing

Social, Cultural, Religious, and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, Physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Early Childhood

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child with Chronic Illness or Disability

Family-Centered Palliative Care

The Child with Cognitive, Sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child with Fluid and Electrolyte Imbalance

The Child with Renal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child with Respiratory Dysfunction

The Child with Cardiovascular Dysfunction

The Child with Hematologic or Immunologic Dysfunction

The Child with Cancer

The Child with Cerebral Dysfunction

The Child with Endocrine Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

The Child with Neuromuscular or Muscular Dysfunction

Filters