The nurse is admitting the infant with a tentative diagnosis of intussusception. Which question to the mother would be most helpful in obtaining additional information to confirm intussusception?

The infant with prolonged vomiting secondary to pyloric stenosis has ABGs drawn. Which ABG results should the nurse expect when reviewing the laboratory report if the infant has an acid-base imbalance?

The nurse is taking the history from the parent of the infant with Hirschsprung’s disease. Which statement is the parent most likely to make?

When counseling the parent of the child with celiac disease, the nurse uses a food list to address foods to be eliminated from the child’s diet. Which foods should appear on the elimination food list?

The nurse is caring for the infant who has respiratory distress and copious oral secretions. Which finding would prompt the nurse to notify the HCP with a concern about possible tracheoesophageal atresia (TEA)?

The nurse is preparing to care for the infant newly diagnosed with esophageal atresia with tracheoe-sophageal fistula. Which nursing action is priority?

The nurse is caring for the infant tentatively diagnosed with esophageal atresia. What should be the priority nursing outcome?

The nurse is caring for the newborn who has a cleft lip and palate- Despite the HCP explaining to the parents the surgical treatment plan and expected good results, the mother refuses to see or hold her baby. What nursing intervention is needed at this time?

The nurse is caring for the infant with Hirschsprung’s disease. Which statement by the parent indicates understanding of the treatment for Hirschsprung’s disease?

The nurse is planning care for children diagnosed with IBD. After collecting and analyzing the information about the clients, the nurse makes which statement that best reflects the conclusion about the information?

The client who is African American is breastfeeding her infant. The infant has lactose intolerance. The mother shows the nurse a list of foods that she has been eating- What food should the nurse advise the mother to avoid?

The child is to have a breath hydrogen test to evaluate for malabsorption syndrome. Which instruction is most important for the nurse to include when teaching the parents about the preparation needed for the test?

The nurse assesses that a neonate has meconium in the urine. Which describes the nurse’s best thinking about this assessment finding?

The nurse is caring for the child diagnosed with celiac disease. The parent is describing the number, consistency, appearance, and size of the child’s stools- Which changes in the child’s stools should prompt the nurse to conclude that the child’s ability to absorb nutrients is improving?

The clinic nurse completed teaching with the adolescent who recently started treatment for PUD caused by Helicobacter pylori (H. pylori). Which statement made by the client indicates the need for further teaching?

The nurse is planning care for the infant newly hospitalized with intussusception. Which problem should the nurse establish as the priority?

The infant is postoperative day 1 after emergency surgery for tracheoesophageal atresia. Which unsafe nursing action would require the intervention of the more experienced nurse?

The experienced nurse is observing the new nurse caring for the 1 1-month—old child who is 12 hours postoperative from a cleft palate repair. Which nursing action requires the experienced nurse to intervene?

The nurse is caring for the 1-year—old who had surgery for a gastrostomy tube insertion. Which intervention should the nurse implement?

The nurse is giving discharge teaching to the parents of the 2-week—old infant born with cleft lip and palate. The parents have each demonstrated the proper technique of feeding the infant with a special soft-sided bottle equipped with a cleft palate nipple. The nurse should inform the parents to monitor for which most important problem with this type of feeding?

Before administering an enteral feeding to the 2-month-old infant, the nurse aspirates 5 mL of gastric contents. Which action should the nurse take next?

The nurse is caring for the 2-month-old hospitalized for dehydration secondary to gastroenteritis. The nurse’s assessment findings include irritability; pulse, 180 bpm; RR, 48 bpm; BP, 80/50 mm Hg; and dry mucous membranes. Which additional assessment finding supports moderate dehydration?

The child is diagnosed with early hypovolemic shock following surgical intervention for a ruptured appendix. Which nursing assessment findings best support early hypovolemic shock?

The nurse completes teaching the parents of the 3-month-old infant who had surgical correction for pyloric stenosis. Which statement by the parents indicates teaching has been effective?

The nurse is preparing the 4-month-old diagnosed with intussusception for surgery when the infant passes a normal brown stool. What is the nurse’s most important action?

The 5-year-old child who has been diagnosed with peritonitis secondary to a ruptured appendix has abdominal pain and nausea, even though an NG tube is in place. When pulling back the covers, the nurse notes that the child’s abdomen is distended. Which action should the nurse take first?

The nurse is caring for the 8-month-old recovering from acute diarrhea. The child has not had a loose stool for two hours. Which initial drink should the nurse give to the child hourly?

The nurse is caring for the 10-year-old with peritonitis secondary to a ruptured appendix. Which intervention prescribed by the HCP should the nurse question?

The public health nurse is caring for the 10-year-old with hepatitis A. The nurse is instructing the parents to avoid giving their child any medications that are not prescribed. Which is the nurse’s rationale for this instruction?

The ED nurse completes an initial assessment of the 12-year-old child and thinks the child may be experiencing acute appendicitis. Which statement by the child would support the nurse’s conclusion?

The oncoming shift nurse is reviewing the documentation completed by the previous shift nurse in the medical record of the 16-year-old client with ulcerative colitis. Which statement in the narrative notes should the oncoming shift nurse most definitely clarify with the nurse from the previous shift?

An enema is prescribed for the 20-month-old who has had severe constipation. The experienced nurse observes the new nurse perform the procedure .Which action by the new nurse requires the experienced nurse to intervene?

The nurse is reviewing the HCP orders for the child weighing 40 lb who has infectious diarrhea caused by Salmonella. Which order should the nurse question?