Question 1

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 2

Match the antibody or antigen to its definition.
-Indicates ongoing infection or carrier state

Accepted Answer

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

Question 3

The health care provider has prescribed metronidazole (Flagyl)30 mg/kg a day divided q 6 hours for a child with peptic ulcer disease.The child weighs 110 lb.The nurse is preparing to administer the 1200 dose.Calculate the dose the nurse should administer in mg.Record your answer in a whole number.
______________

Accepted Answer

375
The correct calculation is

Question 4

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 5

A parent of an infant with gastroesophageal reflux asks how to decrease the number and total volume of emesis.What recommendation should the nurse include in teaching this parent?

Accepted Answer

A)  Surgical therapy is indicated. 
B)  Place in prone position for sleep after feeding. 
C)  Thicken feedings and enlarge the nipple hole. 
D)  Reduce the frequency of feeding by encouraging larger volumes of formula. 
A)  Surgical therapy is indicated. 
B)  Place in prone position for sleep after feeding. 
C)  Thicken feedings and enlarge the nipple hole. 
D)  Reduce the frequency of feeding by encouraging larger volumes of formula.

Question 6

The nurse is caring for a child with Meckel diverticulum.What type of stool does the nurse expect to observe?

Accepted Answer

A)  Steatorrhea 
B)  Clay colored 
C)  Currant jelly-like 
D)  Loose stools with undigested food 
A)  Steatorrhea 
B)  Clay colored 
C)  Currant jelly-like 
D)  Loose stools with undigested food

Question 7

The health care provider has prescribed ondansetron (Zofran)0.1 mg/kg as needed for nausea for a child admitted for vomiting.The child weighs 55 lb.Calculate the correct dose of Zofran in milligrams.Record your answer using one decimal place.
_________________

Accepted Answer

2.5
The correct calculation is

Question 8

The nurse is preparing to admit a 3-year-old child with intussusception.What clinical manifestations should the nurse expect to observe?

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 9

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 10

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 11

The parents of a newborn with an umbilical hernia ask about treatment options.The nurse's response should be based on which knowledge?

Accepted Answer

A)  Surgery is recommended as soon as possible. 
B)  The defect usually resolves spontaneously by 3 to 5 years of age. 
C)  Aggressive treatment is necessary to reduce its high mortality. 
D)  Taping the abdomen to flatten the protrusion is sometimes helpful. 
A)  Surgery is recommended as soon as possible. 
B)  The defect usually resolves spontaneously by 3 to 5 years of age. 
C)  Aggressive treatment is necessary to reduce its high mortality. 
D)  Taping the abdomen to flatten the protrusion is sometimes helpful.

Question 12

The nurse is teaching parents about high-fiber foods that can prevent constipation.What foods should the nurse include in the teaching?

Accepted Answer

A)  Oranges 
B)  Bananas 
C)  Lima beans 
D)  Baked beans 
E)  Raisin bran cereal 
A)  Oranges 
B)  Bananas 
C)  Lima beans 
D)  Baked beans 
E)  Raisin bran cereal

Question 13

The health care provider has prescribed clarithromycin (Biaxin)20 mg/kg/day divided bid for a child with peptic ulcer disease.The child weighs 77 lb.The nurse is preparing to administer the 0900 dose.Calculate the dose the nurse should administer in milligrams.Record your answer in a whole number.
_______________

Accepted Answer

350
The correct calculation is

Question 14

Melena,the passage of black,tarry stools,suggests bleeding from which source?

Accepted Answer

A)  The perianal or rectal area 
B)  The upper gastrointestinal (GI) tract 
C)  The lower GI tract 
D)  Hemorrhoids or anal fissures 
A)  The perianal or rectal area 
B)  The upper gastrointestinal (GI) tract 
C)  The lower GI tract 
D)  Hemorrhoids or anal fissures

Question 15

One of the major differences in clinical presentation between Crohn disease (CD)and ulcerative colitis (UC)is that UC is more likely to cause which clinical manifestation?

Accepted Answer

A)  Pain 
B)  Rectal bleeding 
C)  Perianal lesions 
D)  Growth retardation 
A)  Pain 
B)  Rectal bleeding 
C)  Perianal lesions 
D)  Growth retardation

Question 16

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 17

What clinical manifestation should be the most suggestive of acute appendicitis?

Accepted Answer

A)  Rebound tenderness 
B)  Bright red or dark red rectal bleeding 
C)  Abdominal pain that is relieved by eating 
D)  Colicky, cramping, abdominal pain around the umbilicus 
A)  Rebound tenderness 
B)  Bright red or dark red rectal bleeding 
C)  Abdominal pain that is relieved by eating 
D)  Colicky, cramping, abdominal pain around the umbilicus

Question 18

A 3-day-old infant presents with abdominal distention,is vomiting,and has not passed any meconium stools.What disease should the nurse suspect?

Accepted Answer

A)  Pyloric stenosis 
B)  Intussusception 
C)  Hirschsprung disease 
D)  Celiac disease 
A)  Pyloric stenosis 
B)  Intussusception 
C)  Hirschsprung disease 
D)  Celiac disease

Question 19

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 20

An infant with short bowel syndrome is receiving total parenteral nutrition (TPN).The practitioner has added continuous enteral feedings through a gastrostomy tube.The nurse recognizes this as important for which reason?

Accepted Answer

A)  Wean the infant from TPN the next day 
B)  Stimulate adaptation of the small intestine 
C)  Give additional nutrients that cannot be included in the TPN 
D)  Provide parents with hope that the child is close to discharge 
A)  Wean the infant from TPN the next day 
B)  Stimulate adaptation of the small intestine 
C)  Give additional nutrients that cannot be included in the TPN 
D)  Provide parents with hope that the child is close to discharge

Exam 26: The Child With Gastrointestinal Dysfunction

Match the antibody or antigen to its definition. -Detected only in the liver

Match the antibody or antigen to its definition. -Indicates ongoing infection or carrier state

What statement best describes Hirschsprung disease?

A parent of an infant with gastroesophageal reflux asks how to decrease the number and total volume of emesis.What recommendation should the nurse include in teaching this parent?

The nurse is caring for a child with Meckel diverticulum.What type of stool does the nurse expect to observe?

The health care provider has prescribed ondansetron (Zofran)0.1 mg/kg as needed for nausea for a child admitted for vomiting.The child weighs 55 lb.Calculate the correct dose of Zofran in milligrams.Record your answer using one decimal place. _________________

The nurse is preparing to admit a 3-year-old child with intussusception.What clinical manifestations should the nurse expect to observe?

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

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

The parents of a newborn with an umbilical hernia ask about treatment options.The nurse's response should be based on which knowledge?

The nurse is teaching parents about high-fiber foods that can prevent constipation.What foods should the nurse include in the teaching?

Melena,the passage of black,tarry stools,suggests bleeding from which source?

One of the major differences in clinical presentation between Crohn disease (CD)and ulcerative colitis (UC)is that UC is more likely to cause which clinical manifestation?

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?

What clinical manifestation should be the most suggestive of acute appendicitis?

A 3-day-old infant presents with abdominal distention,is vomiting,and has not passed any meconium stools.What disease should the nurse suspect?

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

An infant with short bowel syndrome is receiving total parenteral nutrition (TPN).The practitioner has added continuous enteral feedings through a gastrostomy tube.The nurse recognizes this as important for which reason?

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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