Question 1

Match the antibody or antigen to its definition.
-Indicates active infection

Accepted Answer

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

Question 2

A child has a nasogastric (NG)tube after surgery for Hirschsprung disease.What is the purpose of the NG tube?

Accepted Answer

A)  Prevent spread of infection. 
B)  Monitor electrolyte balance. 
C)  Prevent abdominal distention. 
D)  Maintain accurate record of output. 
A)  Prevent spread of infection. 
B)  Monitor electrolyte balance. 
C)  Prevent abdominal distention. 
D)  Maintain accurate record of output.

Question 3

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 4

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

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 5

The nurse is evaluating the laboratory results of a stool sample.What is a normal finding?

Accepted Answer

A)  The laboratory reports a stool pH of 5.0. 
B)  The laboratory reports a negative guaiac. 
C)  The laboratory reports low levels of enzymes. 
D)  The laboratory reports reducing substances present. 
A)  The laboratory reports a stool pH of 5.0. 
B)  The laboratory reports a negative guaiac. 
C)  The laboratory reports low levels of enzymes. 
D)  The laboratory reports reducing substances present.

Question 6

What should the nurse consider when providing support to a family whose infant has just been diagnosed with biliary atresia?

Accepted Answer

A)  The prognosis for full recovery is excellent. 
B)  Death usually occurs by 6 months of age. 
C)  Liver transplantation may be needed eventually. 
D)  Children with surgical correction live normal lives. 
A)  The prognosis for full recovery is excellent. 
B)  Death usually occurs by 6 months of age. 
C)  Liver transplantation may be needed eventually. 
D)  Children with surgical correction live normal lives.

Question 7

A school-age child with celiac disease asks for guidance about snacks that will not exacerbate the disease.What snack should the nurse suggest?

Accepted Answer

A)  Pizza 
B)  Pretzels 
C)  Popcorn 
D)  Oatmeal cookies 
A)  Pizza 
B)  Pretzels 
C)  Popcorn 
D)  Oatmeal cookies

Question 8

The nurse is preparing to admit a 6-month-old child with gastroesophageal reflux disease.What clinical manifestations should the nurse expect to observe?

Accepted Answer

A)  Spitting up 
B)  Bilious vomiting 
C)  Failure to thrive 
D)  Excessive crying 
E)  Respiratory problems 
A)  Spitting up 
B)  Bilious vomiting 
C)  Failure to thrive 
D)  Excessive crying 
E)  Respiratory problems

Question 9

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 10

A 2-year-old child has a chronic history of constipation and is brought to the clinic for evaluation.What should the therapeutic plan initially include?

Accepted Answer

A)  Bowel cleansing 
B)  Dietary modification 
C)  Structured toilet training 
D)  Behavior modification 
A)  Bowel cleansing 
B)  Dietary modification 
C)  Structured toilet training 
D)  Behavior modification

Question 11

The nurse is preparing to admit a 2-month-old child with hypertrophic pyloric stenosis.What clinical manifestations should the nurse expect to observe?

Accepted Answer

A)  Weight loss 
B)  Bilious vomiting 
C)  Abdominal pain 
D)  Projectile vomiting 
E)  The infant is hungry after vomiting 
A)  Weight loss 
B)  Bilious vomiting 
C)  Abdominal pain 
D)  Projectile vomiting 
E)  The infant is hungry after vomiting

Question 12

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

Match the antibody or antigen to its definition. -Indicates active infection

A child has a nasogastric (NG)tube after surgery for Hirschsprung disease.What is the purpose of the NG tube?

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?

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

The nurse is evaluating the laboratory results of a stool sample.What is a normal finding?

What should the nurse consider when providing support to a family whose infant has just been diagnosed with biliary atresia?

A school-age child with celiac disease asks for guidance about snacks that will not exacerbate the disease.What snack should the nurse suggest?

The nurse is preparing to admit a 6-month-old child with gastroesophageal reflux disease.What clinical manifestations should the nurse expect to observe?

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

A 2-year-old child has a chronic history of constipation and is brought to the clinic for evaluation.What should the therapeutic plan initially include?

The nurse is preparing to admit a 2-month-old child with hypertrophic pyloric stenosis.What clinical manifestations should the nurse expect to observe?

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

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