Question 1

What food choice by the parent of a 2-year-old child with celiac disease indicates a need for further teaching?

Accepted Answer

A)  Oatmeal 
B)  Rice cake 
C)  Corn muffin 
D)  Meat patty 
A)  Oatmeal 
B)  Rice cake 
C)  Corn muffin 
D)  Meat patty

Question 2

What goal has the highest priority for a child with malabsorption associated with lactose intolerance?

Accepted Answer

A)  The child will experience no abdominal spasms. 
B)  The child will not experience constipation and malabsorption syndrome. 
C)  The child will not experience diarrhea associated with malabsorption syndrome. 
D)  The child will receive adequate nutrition as evidenced by a weight gain of 1 kg/week. 
A)  The child will experience no abdominal spasms. 
B)  The child will not experience constipation and malabsorption syndrome. 
C)  The child will not experience diarrhea associated with malabsorption syndrome. 
D)  The child will receive adequate nutrition as evidenced by a weight gain of 1 kg/week.

Question 3

Which treatment provides the best chance of survival for a child with cirrhosis?

Accepted Answer

A)  Liver transplantation 
B)  Treatment with corticosteroids 
C)  Treatment with immune globulin 
D)  Provision of nutritional support 
A)  Liver transplantation 
B)  Treatment with corticosteroids 
C)  Treatment with immune globulin 
D)  Provision of nutritional support

Question 4

Therapeutic management of most children with Hirschsprung disease is primarily

Accepted Answer

A)  daily enemas. 
B)  low-fiber diet. 
C)  permanent colostomy. 
D)  surgical removal of the affected section of the bowel. 
A)  daily enemas. 
B)  low-fiber diet. 
C)  permanent colostomy. 
D)  surgical removal of the affected section of the bowel.

Question 5

Which nursing diagnosis has the highest priority for the toddler with celiac disease?

Accepted Answer

A)  Disturbed Body Image related to chronic constipation 
B)  Risk for Disproportionate Growth related to obesity 
C)  Excess Fluid Volume related to celiac crisis 
D)  Imbalanced Nutrition: Less than Body Requirements related to malabsorption 
A)  Disturbed Body Image related to chronic constipation 
B)  Risk for Disproportionate Growth related to obesity 
C)  Excess Fluid Volume related to celiac crisis 
D)  Imbalanced Nutrition: Less than Body Requirements related to malabsorption

Question 6

Therapeutic management of the child with acute diarrhea and dehydration usually begins with

Accepted Answer

A)  clear liquids. 
B)  IV solutions while the child is NPO. 
C)  oral rehydration solution (ORS). 
D)  antidiarrheal medications. 
A)  clear liquids. 
B)  IV solutions while the child is NPO. 
C)  oral rehydration solution (ORS). 
D)  antidiarrheal medications.

Question 7

A stool specimen from a child with diarrhea shows the presence of neutrophils and red blood cells.This is most suggestive of

Accepted Answer

A)  protein intolerance. 
B)  parasitic infection. 
C)  fat malabsorption. 
D)  bacterial gastroenteritis. 
A)  protein intolerance. 
B)  parasitic infection. 
C)  fat malabsorption. 
D)  bacterial gastroenteritis.

Question 8

What should the nurse teach a school-age child and his parents about the management of ulcer disease?

Accepted Answer

A)  Eat a bland, low-fiber diet in small, frequent meals. 
B)  Eat three balanced meals a day with no snacking between meals. 
C)  The child needs to eat alone in a quiet spot to avoid stress. 
D)  Do not give antacids 1 hour before or after antiulcer medications. 
A)  Eat a bland, low-fiber diet in small, frequent meals. 
B)  Eat three balanced meals a day with no snacking between meals. 
C)  The child needs to eat alone in a quiet spot to avoid stress. 
D)  Do not give antacids 1 hour before or after antiulcer medications.

Question 9

A histamine-receptor antagonist such as cimetidine (Tagamet)or ranitidine (Zantac)is ordered for an infant with GER.What is the purpose of these drugs?

Accepted Answer

A)  Prevent reflux 
B)  Prevent hematemesis 
C)  Reduce gastric acid production 
D)  Increase gastric acid production 
A)  Prevent reflux 
B)  Prevent hematemesis 
C)  Reduce gastric acid production 
D)  Increase gastric acid production

Question 10

Careful handwashing before and after contact can prevent the spread of which condition in daycare and school settings?

Accepted Answer

A)  Irritable bowel syndrome 
B)  Ulcerative colitis 
C)  Hepatic cirrhosis 
D)  Hepatitis A 
A)  Irritable bowel syndrome 
B)  Ulcerative colitis 
C)  Hepatic cirrhosis 
D)  Hepatitis A

Question 11

Which viral pathogen frequently causes acute diarrhea in young children?

Accepted Answer

A)  Giardia organisms 
B)  Shigella organisms 
C)  Rotavirus 
D)  Salmonella organisms 
A)  Giardia organisms 
B)  Shigella organisms 
C)  Rotavirus 
D)  Salmonella organisms

Question 12

Which order should the nurse question when caring for a 5-year-old child after surgery for Hirschsprung disease?

Accepted Answer

A)  Monitor rectal temperature every 4 hours. 
B)  Assess stools after surgery. 
C)  Keep the child NPO until bowel sounds return. 
D)  Maintain IV fluids at ordered rate. 
A)  Monitor rectal temperature every 4 hours. 
B)  Assess stools after surgery. 
C)  Keep the child NPO until bowel sounds return. 
D)  Maintain IV fluids at ordered rate.

Question 13

Which statement about Crohn disease is the most accurate?

Accepted Answer

A)  The signs and symptoms of Crohn disease are usually present at birth. 
B)  Signs and symptoms of Crohn disease include cramping, diarrhea, and weight loss. 
C)  Edema usually accompanies this disease. 
D)  Symptoms of Crohn disease usually disappear by late adolescence. 
A)  The signs and symptoms of Crohn disease are usually present at birth. 
B)  Signs and symptoms of Crohn disease include cramping, diarrhea, and weight loss. 
C)  Edema usually accompanies this disease. 
D)  Symptoms of Crohn disease usually disappear by late adolescence.

Question 14

What information should the nurse include when teaching the parents of a 5-week-old infant about pyloromyotomy?

Accepted Answer

A)  The infant will be in the hospital for a week. 
B)  The surgical procedure is routine and "no big deal." 
C)  The prognosis for complete correction with surgery is good. 
D)  They will need to ask the physician about home care nursing. 
A)  The infant will be in the hospital for a week. 
B)  The surgical procedure is routine and "no big deal." 
C)  The prognosis for complete correction with surgery is good. 
D)  They will need to ask the physician about home care nursing.

Question 15

A 4-month-old infant has gastroesophageal reflux (GER)but is thriving without other complications.What should the nurse suggest to minimize reflux?

Accepted Answer

A)  Place in the Trendelenburg position after eating. 
B)  Thicken formula with rice cereal. 
C)  Give continuous nasogastric tube feedings. 
D)  Give larger, less frequent feedings. 
A)  Place in the Trendelenburg position after eating. 
B)  Thicken formula with rice cereal. 
C)  Give continuous nasogastric tube feedings. 
D)  Give larger, less frequent feedings.

Question 16

What is an expected outcome for the child with irritable bowel disease?

Accepted Answer

A)  Decreasing symptoms 
B)  Adherence to a low-fiber diet 
C)  Increasing milk products in the diet 
D)  Adapting the lifestyle to the lifelong problems 
A)  Decreasing symptoms 
B)  Adherence to a low-fiber diet 
C)  Increasing milk products in the diet 
D)  Adapting the lifestyle to the lifelong problems

Question 17

What is the major focus of the therapeutic management for a child with lactose intolerance?

Accepted Answer

A)  Compliance with the medication regimen 
B)  Providing emotional support to family members 
C)  Teaching dietary modifications 
D)  Administration of daily normal saline enemas 
A)  Compliance with the medication regimen 
B)  Providing emotional support to family members 
C)  Teaching dietary modifications 
D)  Administration of daily normal saline enemas

Question 18

After an infant is born the nurse notices that the child has herniation of abdominal viscera into the base of the umbilical cord.What will the nurse document about this condition?

Accepted Answer

A)  Diaphragmatic hernia 
B)  Umbilical hernia 
C)  Gastroschisis 
D)  Omphalocele 
A)  Diaphragmatic hernia 
B)  Umbilical hernia 
C)  Gastroschisis 
D)  Omphalocele

Question 19

A nurse is teaching a group of parents about TEF.Which statement made by the nurse is accurate about TEF?

Accepted Answer

A)  This defect results from an embryonal failure of the foregut to differentiate into the trachea and esophagus. 
B)  It is a fistula between the esophagus and stomach that results in the oral intake being refluxed and aspirated. 
C)  An extra connection between the esophagus and trachea develops because of genetic abnormalities. 
D)  The defect occurs in the second trimester of pregnancy. 
A)  This defect results from an embryonal failure of the foregut to differentiate into the trachea and esophagus. 
B)  It is a fistula between the esophagus and stomach that results in the oral intake being refluxed and aspirated. 
C)  An extra connection between the esophagus and trachea develops because of genetic abnormalities. 
D)  The defect occurs in the second trimester of pregnancy.

Question 20

The nurse has educated the parents of a child with celiac disease on diet modifications.Which food choices by the child's parents indicate understanding of teaching? (Select all that apply.)

Accepted Answer

A)  Oatmeal 
B)  Steamed rice 
C)  Corn on the cob 
D)  Baked chicken 
E)  Peanut butter and jelly sandwich on wheat bread 
A)  Oatmeal 
B)  Steamed rice 
C)  Corn on the cob 
D)  Baked chicken 
E)  Peanut butter and jelly sandwich on wheat bread

Exam 43: The Child with a Gastrointestinal Alteration

What food choice by the parent of a 2-year-old child with celiac disease indicates a need for further teaching?

What goal has the highest priority for a child with malabsorption associated with lactose intolerance?

Which treatment provides the best chance of survival for a child with cirrhosis?

Therapeutic management of most children with Hirschsprung disease is primarily

Which nursing diagnosis has the highest priority for the toddler with celiac disease?

Therapeutic management of the child with acute diarrhea and dehydration usually begins with

A stool specimen from a child with diarrhea shows the presence of neutrophils and red blood cells.This is most suggestive of

What should the nurse teach a school-age child and his parents about the management of ulcer disease?

A histamine-receptor antagonist such as cimetidine (Tagamet)or ranitidine (Zantac)is ordered for an infant with GER.What is the purpose of these drugs?

Careful handwashing before and after contact can prevent the spread of which condition in daycare and school settings?

Which viral pathogen frequently causes acute diarrhea in young children?

Which order should the nurse question when caring for a 5-year-old child after surgery for Hirschsprung disease?

Which statement about Crohn disease is the most accurate?

What information should the nurse include when teaching the parents of a 5-week-old infant about pyloromyotomy?

A 4-month-old infant has gastroesophageal reflux (GER)but is thriving without other complications.What should the nurse suggest to minimize reflux?

What is an expected outcome for the child with irritable bowel disease?

What is the major focus of the therapeutic management for a child with lactose intolerance?

After an infant is born the nurse notices that the child has herniation of abdominal viscera into the base of the umbilical cord.What will the nurse document about this condition?

A nurse is teaching a group of parents about TEF.Which statement made by the nurse is accurate about TEF?

The nurse has educated the parents of a child with celiac disease on diet modifications.Which food choices by the child's parents indicate understanding of teaching? (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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