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 C

Question 2

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?

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 A,C,D

Question 3

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 A

Question 4

A health care provider prescribes feedings of 1 to 2 oz Pedialyte every 3 hours and to advance to 1/2 strength Similac with iron as tolerated postoperatively for an infant who had a pyloromyotomy.The nurse should decide to advance the feeding if which occurs?

Accepted Answer

A)  The infant's IV line has infiltrated. 
B)  The infant has not voided since surgery. 
C)  The infant's mother states the infant is tolerating the feeding okay. 
D)  The infant is taking the Pedialyte without vomiting or distention. 
A)  The infant's IV line has infiltrated. 
B)  The infant has not voided since surgery. 
C)  The infant's mother states the infant is tolerating the feeding okay. 
D)  The infant is taking the Pedialyte without vomiting or distention.

Question 5

Nutritional management of the child with Crohn disease includes a diet that has which component?

Accepted Answer

A)  High fiber 
B)  Increased protein 
C)  Reduced calories 
D)  Herbal supplements 
A)  High fiber 
B)  Increased protein 
C)  Reduced calories 
D)  Herbal supplements

Question 6

The nurse is teaching a parent of a 6-month-old infant with gastroesophageal reflux (GER)before discharge.What instructions should the nurse include?

Accepted Answer

A)  Elevate the head of the bed in the crib to a 90-degree angle while the infant is sleeping. 
B)  Hold the infant in the prone position after a feeding. 
C)  Discontinue breastfeeding so that a formula and rice cereal mixture can be used. 
D)  The infant will require the Nissen fundoplication after 1 year of age. 
E)  Prescribed cimetidine (Tagamet) should be given 30 minutes before feedings. 
A)  Elevate the head of the bed in the crib to a 90-degree angle while the infant is sleeping. 
B)  Hold the infant in the prone position after a feeding. 
C)  Discontinue breastfeeding so that a formula and rice cereal mixture can be used. 
D)  The infant will require the Nissen fundoplication after 1 year of age. 
E)  Prescribed cimetidine (Tagamet) should be given 30 minutes before feedings.

Question 7

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 8

A 6-month-old infant with Hirschsprung disease is scheduled for a temporary colostomy.What should postoperative teaching to the parents include?

Accepted Answer

A)  Dilating the stoma 
B)  Assessing bowel function 
C)  Limitation of physical activities 
D)  Measures to prevent prolapse of the rectum 
A)  Dilating the stoma 
B)  Assessing bowel function 
C)  Limitation of physical activities 
D)  Measures to prevent prolapse of the rectum

Question 9

The school nurse is teaching a group of adolescents about avoiding contaminated water during a mission trip.What should the nurse include in the teaching?

Accepted Answer

A)  Ice 
B)  Meats 
C)  Raw vegetables 
D)  Unpeeled fruits 
E)  Carbonated beverages 
A)  Ice 
B)  Meats 
C)  Raw vegetables 
D)  Unpeeled fruits 
E)  Carbonated beverages

Question 10

The health care provider has prescribed famotidine (Pepcid)1 mg/kg/day divided bid for a child with gastroesophageal reflux disease.The child weighs 33 lb.The nurse is preparing to administer the 0900 dose.Calculate the dose the nurse should administer in milligrams.Record your answer using one decimal place.
_______________

Accepted Answer

7.5
The correct calculation is

Question 11

What therapeutic intervention provides the best chance of survival for a child with cirrhosis?

Accepted Answer

A)  Nutritional support 
B)  Liver transplantation 
C)  Blood component therapy 
D)  Treatment with corticosteroids 
A)  Nutritional support 
B)  Liver transplantation 
C)  Blood component therapy 
D)  Treatment with corticosteroids

Question 12

What intervention is contraindicated in a suspected case of appendicitis?

Accepted Answer

A)  Enemas 
B)  Palpating the abdomen 
C)  Administration of antibiotics 
D)  Administration of antipyretics for fever 
A)  Enemas 
B)  Palpating the abdomen 
C)  Administration of antibiotics 
D)  Administration of antipyretics for fever

Question 13

What term describes invagination of one segment of bowel within another?

Accepted Answer

A)  Atresia 
B)  Stenosis 
C)  Herniation 
D)  Intussusception 
A)  Atresia 
B)  Stenosis 
C)  Herniation 
D)  Intussusception

Question 14

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 15

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 16

The nurse is discussing home care with a mother whose 6-year-old child has hepatitis A.What information should the nurse include?

Accepted Answer

A)  Advise bed rest until 1 week after the icteric phase. 
B)  Teach infection control measures to family members. 
C)  Inform the mother that the child cannot return to school until 3 weeks after onset of jaundice. 
D)  Reassure the mother that hepatitis A cannot be transmitted to other family members. 
A)  Advise bed rest until 1 week after the icteric phase. 
B)  Teach infection control measures to family members. 
C)  Inform the mother that the child cannot return to school until 3 weeks after onset of jaundice. 
D)  Reassure the mother that hepatitis A cannot be transmitted to other family members.

Question 17

A child with acute gastrointestinal bleeding is admitted to the hospital.The nurse observes which sign or symptom as an early manifestation of shock?

Accepted Answer

A)  Restlessness 
B)  Rapid capillary refill 
C)  Increased temperature 
D)  Increased blood pressure 
A)  Restlessness 
B)  Rapid capillary refill 
C)  Increased temperature 
D)  Increased blood pressure

Question 18

The nurse is caring for a child with celiac disease.The nurse understands that what may precipitate a celiac crisis?

Accepted Answer

A)  Exercise 
B)  Infections 
C)  Fluid overload 
D)  Electrolyte depletion 
E)  Emotional disturbance 
A)  Exercise 
B)  Infections 
C)  Fluid overload 
D)  Electrolyte depletion 
E)  Emotional disturbance

Question 19

A toddler's mother calls the nurse because she thinks her son has swallowed a button type of battery.He has no signs of respiratory distress.The nurse's response should be based on which premise?

Accepted Answer

A)  An emergency laparotomy is very likely. 
B)  The location needs to be confirmed by radiographic examination. 
C)  Surgery will be necessary if the battery has not passed in the stool in 48 hours. 
D)  Careful observation is essential because an ingested battery cannot be accurately detected. 
A)  An emergency laparotomy is very likely. 
B)  The location needs to be confirmed by radiographic examination. 
C)  Surgery will be necessary if the battery has not passed in the stool in 48 hours. 
D)  Careful observation is essential because an ingested battery cannot be accurately detected.

Question 20

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

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 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?

What test is used to screen for carbohydrate malabsorption?

A health care provider prescribes feedings of 1 to 2 oz Pedialyte every 3 hours and to advance to 1/2 strength Similac with iron as tolerated postoperatively for an infant who had a pyloromyotomy.The nurse should decide to advance the feeding if which occurs?

Nutritional management of the child with Crohn disease includes a diet that has which component?

The nurse is teaching a parent of a 6-month-old infant with gastroesophageal reflux (GER)before discharge.What instructions should the nurse include?

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 ?

A 6-month-old infant with Hirschsprung disease is scheduled for a temporary colostomy.What should postoperative teaching to the parents include?

The school nurse is teaching a group of adolescents about avoiding contaminated water during a mission trip.What should the nurse include in the teaching?

What therapeutic intervention provides the best chance of survival for a child with cirrhosis?

What intervention is contraindicated in a suspected case of appendicitis?

What term describes invagination of one segment of bowel within another?

What immunization is recommended for all newborns?

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

The nurse is discussing home care with a mother whose 6-year-old child has hepatitis A.What information should the nurse include?

A child with acute gastrointestinal bleeding is admitted to the hospital.The nurse observes which sign or symptom as an early manifestation of shock?

The nurse is caring for a child with celiac disease.The nurse understands that what may precipitate a celiac crisis?

A toddler's mother calls the nurse because she thinks her son has swallowed a button type of battery.He has no signs of respiratory distress.The nurse's response should be based on which premise?

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

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

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