Question 1

What anticipatory guidance could you give to parents that would be beneficial to a child with GER or GERD?

Accepted Answer

A)   Provide larger feedings less frequently
B)   Provide smaller feedings more frequently
C)   Place child in supine position after feedings
D)   Place child in semi-Fowler's position after feedingsE) A) and C)
F) A) and B)

Question 2

A 2-year-old child presents with episodic abdominal pain that comes and goes every 15-20 minutes, abdominal distention, and "red currant jelly-like" stools. As a pediatric nurse, based on this presentation, what medical condition should be suspected?

Accepted Answer

A)   Appendicitis
B)   Hirschsprung Disease
C)   Intussusception
D)   Hypertrophic pyloric stenosisE) None of the above
F) B) and C) C

Question 3

A 5-year-old child presents with classic symptoms of appendicitis, including persistent pain localized to the right lower quadrant of the abdomen at McBurney's point. While under your care, the child experiences a sudden relief of this persistent pain. As a pediatric nurse, what is the significance of this occurrence?

Accepted Answer

A)   The condition is resolving
B)   The child will not require pain medication
C)   The appendix has ruptured
D)   The patient was misdiagnosedE) All of the above
F) A) and B)

Question 4

During a physical assessment, you notice that the child exhibits multiple signs of dehydration, including skin turgor and abnormal respiratory pattern. If these findings are observed in combination with vomiting or diarrhea, which physical condition should you suspect?

Accepted Answer

A)   Pending hypovolemic shock
B)   Fluid deficit of 5% or greater
C)   The patient is losing electrolytes faster than water
D)   The patient is losing water faster than electrolytesE) All of the above
F) B) and C)

Question 5

A 4-week-old infant presents with increasing, blood-tinged projectile vomiting and an olive-shaped mass in the right upper abdominal quadrant. As a pediatric nurse, what medical condition should be suspected?

Accepted Answer

A)   Appendicitis
B)   Inguinal hernia
C)   Intussusception
D)   Hypertrophic pyloric stenosisE) B) and D)
F) C) and D)

Question 6

You are responsible for caring for an infant with a cleft palate. What is the preferred method of providing nutrition to a child with this condition?

Accepted Answer

A)   ESSR method for feeding
B)   Tube feedings
C)   Intravenous nutrition
D)   Clear liquids with vitamin supplementationE) B) and C)
F) A) and D)

Question 7

While performing a physical assessment on a toddler, you observe a capillary refill time of greater than 2 seconds. Delayed capillary refill time of this magnitude is indicative of what medical condition?

Accepted Answer

A)   Anemia
B)   Malnutrition
C)   Dehydration
D)   HypoglycemiaE) A) and D)
F) None of the above C

Question 8

As a pediatric nurse responsible for caring for a newborn child, you observe that the child has not passed stool for 2 days. This characteristic is a key indicator for what medical condition?

Accepted Answer

A)   Appendicitis
B)   Hirschsprung disease
C)   Intussusception
D)   Hypertrophic pyloric stenosisE) None of the above
F) B) and D)

Question 9

As a pediatric nurse responsible for the care of a newborn child, what action should you take if you notice the child is developing jaundice 2 or 3 days after birth?

Accepted Answer

A)   Tell the mother to stop breastfeeding and initiate formula feeds.
B)   Apply fluorescent light to the neonate's exposed body surface area.
C)   Alert the physician that an exchange transfusion may be required.
D)   Initiate rapid phototherapy with bili lights or a biliblanket.E) All of the above
F) B) and D) B

Question 10

When performing a physical assessment of the abdomen, under which conditions would palpation of the child's abdomen be performed last?

Accepted Answer

A)   If the abdomen is concave
B)   If the abdomen is convex
C)   If the child is experiencing acute pain
D)   If the child is experiencing nausea and vomitingE) A) and C)
F) None of the above

Exam 14: Gastrointestinal Elimination

What anticipatory guidance could you give to parents that would be beneficial to a child with GER or GERD?

Correct Answer
verified

A 2-year-old child presents with episodic abdominal pain that comes and goes every 15-20 minutes, abdominal distention, and "red currant jelly-like" stools. As a pediatric nurse, based on this presentation, what medical condition should be suspected?

Correct Answer
verified
C

Correct Answer
verified

During a physical assessment, you notice that the child exhibits multiple signs of dehydration, including skin turgor and abnormal respiratory pattern. If these findings are observed in combination with vomiting or diarrhea, which physical condition should you suspect?

Correct Answer
verified

A 4-week-old infant presents with increasing, blood-tinged projectile vomiting and an olive-shaped mass in the right upper abdominal quadrant. As a pediatric nurse, what medical condition should be suspected?

Correct Answer
verified

You are responsible for caring for an infant with a cleft palate. What is the preferred method of providing nutrition to a child with this condition?

Correct Answer
verified

While performing a physical assessment on a toddler, you observe a capillary refill time of greater than 2 seconds. Delayed capillary refill time of this magnitude is indicative of what medical condition?

Correct Answer
verified
C

As a pediatric nurse responsible for caring for a newborn child, you observe that the child has not passed stool for 2 days. This characteristic is a key indicator for what medical condition?

Correct Answer
verified

As a pediatric nurse responsible for the care of a newborn child, what action should you take if you notice the child is developing jaundice 2 or 3 days after birth?

Correct Answer
verified
B

When performing a physical assessment of the abdomen, under which conditions would palpation of the child's abdomen be performed last?

Correct Answer
verified

Exam 14: Gastrointestinal Elimination

What anticipatory guidance could you give to parents that would be beneficial to a child with GER or GERD?

Correct AnswerverifiedShow Answer

A 2-year-old child presents with episodic abdominal pain that comes and goes every 15-20 minutes, abdominal distention, and "red currant jelly-like" stools. As a pediatric nurse, based on this presentation, what medical condition should be suspected?

Correct AnswerverifiedC

Correct AnswerverifiedShow Answer

During a physical assessment, you notice that the child exhibits multiple signs of dehydration, including skin turgor and abnormal respiratory pattern. If these findings are observed in combination with vomiting or diarrhea, which physical condition should you suspect?

Correct AnswerverifiedShow Answer

A 4-week-old infant presents with increasing, blood-tinged projectile vomiting and an olive-shaped mass in the right upper abdominal quadrant. As a pediatric nurse, what medical condition should be suspected?

Correct AnswerverifiedShow Answer

You are responsible for caring for an infant with a cleft palate. What is the preferred method of providing nutrition to a child with this condition?

Correct AnswerverifiedShow Answer

While performing a physical assessment on a toddler, you observe a capillary refill time of greater than 2 seconds. Delayed capillary refill time of this magnitude is indicative of what medical condition?

Correct AnswerverifiedC

As a pediatric nurse responsible for caring for a newborn child, you observe that the child has not passed stool for 2 days. This characteristic is a key indicator for what medical condition?

Correct AnswerverifiedShow Answer

As a pediatric nurse responsible for the care of a newborn child, what action should you take if you notice the child is developing jaundice 2 or 3 days after birth?

Correct AnswerverifiedB

When performing a physical assessment of the abdomen, under which conditions would palpation of the child's abdomen be performed last?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
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C

Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
verified

Correct Answer
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C

Correct Answer
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Correct Answer
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B

Correct Answer
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