Question 1

What is a priority concern for a 14-year-old child with inflammatory bowel disease?

Accepted Answer

A)  Compliance with antidiarrheal medication therapy 
B)  Long-term complications 
C)  Dealing with the embarrassment and stress of diarrhea 
D)  Home schooling due to extreme absenteeism 
A)  Compliance with antidiarrheal medication therapy 
B)  Long-term complications 
C)  Dealing with the embarrassment and stress of diarrhea 
D)  Home schooling due to extreme absenteeism C

Question 2

Which assessment finding should the nurse expect in an infant with Hirschsprung disease?

Accepted Answer

A)  "Currant jelly" stools 
B)  Constipation with passage of foul-smelling, ribbon-like stools 
C)  Foul-smelling, fatty stools 
D)  Diarrhea 
A)  "Currant jelly" stools 
B)  Constipation with passage of foul-smelling, ribbon-like stools 
C)  Foul-smelling, fatty stools 
D)  Diarrhea B

Question 3

A baby is scheduled for abdominal surgery for hypertrophic pyloric stenosis and has an NG tube to intermittent suction.When the family asks why the child has the tube,what response by the nurse is best?

Accepted Answer

A)  "The nasogastric tube decompresses the abdomen and decreases vomiting." 
B)  "We can keep a more accurate measure of intake and output with the tube." 
C)  "The tube is used to decrease postoperative diarrhea." 
D)  "The nasogastric tube makes the baby more comfortable after surgery." 
A)  "The nasogastric tube decompresses the abdomen and decreases vomiting." 
B)  "We can keep a more accurate measure of intake and output with the tube." 
C)  "The tube is used to decrease postoperative diarrhea." 
D)  "The nasogastric tube makes the baby more comfortable after surgery." A

Question 4

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 indicates 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 5

The nurse is providing home care instructions to the parents of an infant being discharged after repair of a bilateral cleft lip.Which instructions should the nurse include? (Select all that apply.)

Accepted Answer

A)  Acetaminophen (Tylenol) should not be given to your infant. 
B)  Feed your infant in an upright position. 
C)  Place your infant prone for a period of time each day. 
D)  Burp your child frequently during feedings. 
E)  Apply antibiotic ointment to the lip as prescribed. 
A)  Acetaminophen (Tylenol) should not be given to your infant. 
B)  Feed your infant in an upright position. 
C)  Place your infant prone for a period of time each day. 
D)  Burp your child frequently during feedings. 
E)  Apply antibiotic ointment to the lip as prescribed.

Question 6

The child with lactose intolerance is most at risk for which imbalance?

Accepted Answer

A)  Hyperkalemia 
B)  Hypoglycemia 
C)  Hyperglycemia 
D)  Hypocalcemia 
A)  Hyperkalemia 
B)  Hypoglycemia 
C)  Hyperglycemia 
D)  Hypocalcemia

Question 7

What is the most important information to be included in the discharge planning for an infant with gastroesophageal reflux?

Accepted Answer

A)  Teach parents to position the infant on the left side. 
B)  Reinforce the parents' knowledge of the infant's developmental needs. 
C)  Teach the parents how to do infant cardiopulmonary resuscitation (CPR). 
D)  Have the parents keep an accurate record of intake and output. 
A)  Teach parents to position the infant on the left side. 
B)  Reinforce the parents' knowledge of the infant's developmental needs. 
C)  Teach the parents how to do infant cardiopulmonary resuscitation (CPR). 
D)  Have the parents keep an accurate record of intake and output.

Question 8

Which intervention should be included in the nurse's plan of care for a 7-year-old child with encopresis who has cleared the initial impaction?

Accepted Answer

A)  Have the child sit on the toilet for 30 minutes when he gets up in the morning and at bedtime. 
B)  Increase caffeine in the child's diet to promote bowel elimination. 
C)  Use a Fleet enema daily. 
D)  Give the child a choice of beverage to mix with a laxative. 
A)  Have the child sit on the toilet for 30 minutes when he gets up in the morning and at bedtime. 
B)  Increase caffeine in the child's diet to promote bowel elimination. 
C)  Use a Fleet enema daily. 
D)  Give the child a choice of beverage to mix with a laxative.

Question 9

Which assessment finding is the most significant to report to the physician for a child with cirrhosis?

Accepted Answer

A)  Weight loss 
B)  Change in level of consciousness 
C)  Skin with pruritus 
D)  Black, foul-smelling stools 
A)  Weight loss 
B)  Change in level of consciousness 
C)  Skin with pruritus 
D)  Black, foul-smelling stools

Question 10

What is the most important action to prevent the spread of gastroenteritis in a daycare setting?

Accepted Answer

A)  Administering prophylactic medications to children and staff 
B)  Frequent handwashing 
C)  Having parents bring food from home 
D)  Directing the staff to wear gloves at all times 
A)  Administering prophylactic medications to children and staff 
B)  Frequent handwashing 
C)  Having parents bring food from home 
D)  Directing the staff to wear gloves at all times

Question 11

The nurse is caring for a neonate with a suspected tracheoesophageal fistula (TEF).Nursing care should include which of the following?

Accepted Answer

A)  Elevating the head but give nothing by mouth 
B)  Elevating the head for feedings 
C)  Feeding glucose water only 
D)  Avoiding suction unless infant is cyanotic 
A)  Elevating the head but give nothing by mouth 
B)  Elevating the head for feedings 
C)  Feeding glucose water only 
D)  Avoiding suction unless infant is cyanotic

Question 12

Which description of a stool is characteristic of intussusception?

Accepted Answer

A)  Ribbon-like stools 
B)  Hard stools positive for guaiac 
C)  "Currant jelly" stools 
D)  Loose, foul-smelling stools 
A)  Ribbon-like stools 
B)  Hard stools positive for guaiac 
C)  "Currant jelly" stools 
D)  Loose, foul-smelling stools

Question 13

What maternal assessment is related to an infant's diagnosis of TEF?

Accepted Answer

A)  Maternal age more than 40 years 
B)  First term pregnancy for the mother 
C)  Maternal history of polyhydramnios 
D)  Complicated pregnancy 
A)  Maternal age more than 40 years 
B)  First term pregnancy for the mother 
C)  Maternal history of polyhydramnios 
D)  Complicated pregnancy

Question 14

What is an expected outcome for the parents of a child with encopresis?

Accepted Answer

A)  The parents will give the child an enema daily for 3 to 4 months. 
B)  The family will develop a plan to achieve control over incontinence. 
C)  The parents will have the child launder soiled clothes. 
D)  The parents will supply the child with a low-fiber diet. 
A)  The parents will give the child an enema daily for 3 to 4 months. 
B)  The family will develop a plan to achieve control over incontinence. 
C)  The parents will have the child launder soiled clothes. 
D)  The parents will supply the child with a low-fiber diet.

Question 15

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 16

Bismuth subsalicylate,clarithromycin,and metronidazole are prescribed for a child with a peptic ulcer for what purpose?

Accepted Answer

A)  Eradicate Helicobacter pylori 
B)  Coat gastric mucosa 
C)  Treat epigastric pain 
D)  Reduce gastric acid production 
A)  Eradicate Helicobacter pylori 
B)  Coat gastric mucosa 
C)  Treat epigastric pain 
D)  Reduce gastric acid production

Question 17

Which parasite 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 18

A nurse has admitted a child to the hospital with a diagnosis of "rule out" peptic ulcer disease.Which test will the nurse expect to be ordered to confirm the diagnosis of a peptic ulcer?

Accepted Answer

A)  A dietary history 
B)  A positive Hematest result on a stool sample 
C)  A fiberoptic upper endoscopy 
D)  An abdominal ultrasound 
A)  A dietary history 
B)  A positive Hematest result on a stool sample 
C)  A fiberoptic upper endoscopy 
D)  An abdominal ultrasound

Question 19

The nurse caring for a child with suspected appendicitis should question which order from the physician?

Accepted Answer

A)  Keep patient NPO. 
B)  Start IV of D5/0.45 normal saline at 60 mL/hr. 
C)  Apply K-pad to abdomen prn for pain. 
D)  Obtain CBC on admission to nursing unit. 
A)  Keep patient NPO. 
B)  Start IV of D5/0.45 normal saline at 60 mL/hr. 
C)  Apply K-pad to abdomen prn for pain. 
D)  Obtain CBC on admission to nursing unit.

Question 20

Which interventions should a nurse implement when caring for a child with hepatitis? (Select all that apply.)

Accepted Answer

A)  Provide a well-balanced low-fat diet. 
B)  Schedule playtime in the playroom with other children. 
C)  Teach parents not to administer any over-the-counter medications. 
D)  Arrange for home schooling because the child will not be able to return to school. 
E)  Instruct parents on the importance of good handwashing. 
A)  Provide a well-balanced low-fat diet. 
B)  Schedule playtime in the playroom with other children. 
C)  Teach parents not to administer any over-the-counter medications. 
D)  Arrange for home schooling because the child will not be able to return to school. 
E)  Instruct parents on the importance of good handwashing.

Exam 43: The Child with a Gastrointestinal Alteration

What is a priority concern for a 14-year-old child with inflammatory bowel disease?

Which assessment finding should the nurse expect in an infant with Hirschsprung disease?

A baby is scheduled for abdominal surgery for hypertrophic pyloric stenosis and has an NG tube to intermittent suction.When the family asks why the child has the tube,what response by the nurse is best?

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 indicates a correct understanding of the teaching?

The nurse is providing home care instructions to the parents of an infant being discharged after repair of a bilateral cleft lip.Which instructions should the nurse include? (Select all that apply.)

The child with lactose intolerance is most at risk for which imbalance?

What is the most important information to be included in the discharge planning for an infant with gastroesophageal reflux?

Which intervention should be included in the nurse's plan of care for a 7-year-old child with encopresis who has cleared the initial impaction?

Which assessment finding is the most significant to report to the physician for a child with cirrhosis?

What is the most important action to prevent the spread of gastroenteritis in a daycare setting?

The nurse is caring for a neonate with a suspected tracheoesophageal fistula (TEF).Nursing care should include which of the following?

Which description of a stool is characteristic of intussusception?

What maternal assessment is related to an infant's diagnosis of TEF?

What is an expected outcome for the parents of a child with encopresis?

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

Bismuth subsalicylate,clarithromycin,and metronidazole are prescribed for a child with a peptic ulcer for what purpose?

Which parasite causes acute diarrhea?

A nurse has admitted a child to the hospital with a diagnosis of "rule out" peptic ulcer disease.Which test will the nurse expect to be ordered to confirm the diagnosis of a peptic ulcer?

The nurse caring for a child with suspected appendicitis should question which order from the physician?

Which interventions should a nurse implement when caring for a child with hepatitis? (Select all that apply.)

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating with Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion During Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family with Special Needs

Pregnancy-Related Complications

Concurrent Disorders during Pregnancy

The Woman with an Intrapartum Complication

The Woman with a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High-Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s HealthCare

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child with a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child with a Fluid and Electrolyte Alteration

The Child with an Infectious Disease

The Child with an Immunologic Alteration

The Child with a Genitourinary Alteration

The Child with a Respiratory Alteration

The Child with a Cardiovascular Alteration

The Child with a Hematologic Alteration

The Child with Cancer

The Child with an Alteration in Tissue Integrity

The Child with a Musculoskeletal Alteration

The Child with an Endocrine or Metabolic Alteration

The Child with a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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