Nclex-Rn Practice Questions-Care Of The Child - Gastrointestinal Disorders Part 1
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Question 1 |
The nurse determines further teaching is not needed when the mother of a child with celiac disease makes which statement?
A | “I won’t serve wheat, rye, oats, or barley.” |
B | “I will provide a diet high in gluten.” |
C | “I won’t serve potatoes, rice, or corn bread.” |
D | “I can safely serve any frozen or packaged food.” |
Question 2 |
The parents of an infant who had cleft lip repair ask the nurse how the area will appear when it is healed. What is the best response by the nurse?
A | A large scar on the lip |
B | An abnormally large upper lip |
C | A distorted jaw |
D | Minimal scarring |
Question 3 |
The nurse would explain to the parents of a newborn with a cleft lip and palate that they will need to schedule an appointment with which specialist?
A | Cardiologist |
B | Neurologist |
C | Nutritionist |
D | Otolaryngologist |
Question 4 |
The nurse is most concerned when a neonate with esophageal atresia and tracheoesophageal fistula presents with:
A | bulging eyeballs. |
B | sunken anterior fontanelle. |
C | skin that returns briskly when pinched. |
D | fluctuating weight gain. |
Question 5 |
Feedings are being withheld in a neonate with esophageal atresia and tracheoesophageal fistula until a gastrostomy tube can be placed. What is the most appropriate nursing intervention to implement when the neonate is irritable and crying?
A | Offer him a pacifier. |
B | Encourage his parents to talk to him. |
C | Encourage his parents to hold him. |
D | Distract him by placing a mobile over the crib. |
Question 6 |
Which assessment finding indicates to a nurse that a neonate born with esophageal atresia needs suctioning?
A | Cyanosis |
B | Decreased production of saliva |
C | Inability to cough |
D | Inadequate swallow |
Question 7 |
A neonate is suspected of having esophageal atresia. The nurse is aware that a definitive diagnostic evaluation would include which factor?
A | Decreased breath sounds |
B | Absence of bowel sounds |
C | How the neonate tolerates eating |
D | Ability to pass a catheter down the esophagus |
Question 8 |
What is the best position for the nurse to place an infant in following cleft lip and palate repair to irrigate the mouth after feeding?
A | Supine with the head to the side |
B | Fowler’s position with the head to the side |
C | Upright with the head tilted forward |
D | Prone with the head over the side of the bed |
Question 9 |
A neonate has been diagnosed with a tracheoesophageal fistula. The nurse is aware that the treatment plan will include which measure?
A | Starting antibiotic therapy |
B | Keeping the neonate lying flat |
C | Continuing feedings |
D | Removing the diagnostic catheter from the esophagus |
Question 10 |
The nurse is aware that an infant who had surgical repair of a tracheoesophageal fistula is most at risk for which of the following?
A | Atelectasis |
B | Choking during feeding attempts |
C | Damaged vocal cords |
D | Infection |
Question 11 |
The nurse is caring for an infant suspected of having esophageal atresia and tracheoesophageal fistula. Which sign would the nurse initially observe?
A | Abdominal distention |
B | Decreased oral secretions |
C | Normal respiratory effort |
D | Scaphoid abdomen |
Question 12 |
The nurse is providing information on dietary management to a child diagnosed with ulcerative colitis. The nurse should teach the child the importance of which diet?
A | High-calorie diet |
B | High-residue diet |
C | Low-protein diet |
D | Low-salt diet |
Question 13 |
A nurse suspects an infant may have a tracheoesophageal fistula or esophageal atresia. What is the most important intervention by the nurse?
A | Give oxygen. |
B | Tell the parents. |
C | Put the neonate in an Isolette or on a radiant warmer. |
D | Report the suspicion to the physician. |
Question 14 |
A small child has undergone surgical repair of a cleft palate and is ready for discharge. What is the most important information for the nurse to tell the parents?
A | Continue a normal diet. |
B | Continue using arm restraints at home. |
C | Don’t allow the child to drink from a cup. |
D | Establish good mouth care and proper brushing. |
Question 15 |
The mother of a neonate born with a cleft lip and palate is preparing to feed the baby for the first time. The most important information for the nurse to give the mother is:
A | burp the neonate. |
B | clean the mouth. |
C | hold the neonate in an upright position. |
D | prepare the bottle using a normal nursery nipple. |
Question 16 |
Which goal is most important when teaching the parents of a child diagnosed with celiac disease?
A | Promote a normal life for the child. |
B | Stress the importance of good health in preventing infection. |
C | Introduce the parents and child to a peer with celiac disease. |
D | Help the parents and child follow the prescribed dietary restrictions. |
Question 17 |
The nurse is assessing the stool of a child with celiac disease. How would the nurse expect the stool to appear?
A | Constipated hard stool |
B | Clay-colored stool |
C | Red currant jelly stool |
D | Foul-smelling, fatty, frothy stool |
Question 18 |
The parents of a child with celiac disease ask the nurse how they can help promote a normal life for their child. What is the best response by the nurse?
A | Treat the child differently from other siblings. |
B | Focus on restrictions that make him feel different. |
C | Introduce the child to another peer with celiac disease. |
D | Don’t allow the child to express doubt in keeping with dietary restrictions. |
Question 19 |
The nurse is evaluating the effectiveness of nutritional therapy for a child with celiac disease. What is the most important assessment?
A | Vital signs |
B | Appearance, size, and number of stools |
C | Blood urea nitrogen (BUN) and serum creatinine levels |
D | Intake and output |
Question 20 |
The nurse is planning care for a neonate with cleft lip and palate. Which issue is a priority of care?
A | Feeding difficulties |
B | Operative care |
C | Pain management |
D | Parental reaction |
Question 21 |
An infant returns from surgery after repair of a cleft palate. What is the priority nursing intervention?
A | Offer a pacifier for comfort. |
B | Position the infant on his side. |
C | Suction the mouth and nose of all secretions. |
D | Remove the arm restraints placed on the infant after surgery. |
Question 22 |
The nurse is assessing an infant who has just returned to the pediatric unit after undergoing a cleft lip repair. The nurse is aware of the potential for trauma to the suture line and determines that which of the following is the best intervention?
A | Placing mittens on the infant’s hands |
B | Maintaining arm restraints |
C | Not allowing the parents to touch the infant |
D | Removing the lip device from the infant after surgery |
Question 23 |
The nurse is teaching parents how to feed their infant who has a cleft palate. The nurse teaches the parents to apply gentle steady pressure to the base of the bottle. The nurse explains that this will:
A | reduce the risk of choking or coughing. |
B | prevent further damage to the affected area. |
C | decrease the amount of formula lost while eating. |
D | decrease the amount of noise the infant makes when eating. |
Question 24 |
The pediatric unit has just been notified that they will be admitting an infant with cleft lip and palate. What is the best nursing intervention to implement when feeding the infant?
A | Burp the infant often. |
B | Limit the amount the infant eats. |
C | Feed the infant at scheduled times. |
D | Remove the nipple if the infant is making loud noises. |
Question 25 |
Which intervention is essential in the nursing care of an infant with cleft lip or palate?
A | Discourage breastfeeding. |
B | Hold the infant flat while feeding. |
C | Involve the parents as soon as possible. |
D | Use a normal nursery nipple for feedings. |
Question 26 |
The parents of an infant born with cleft lip and palate are seeing the infant for the first time. The nurse caring for the infant should focus on which area?
A | The infant’s positive features |
B | Irritation with how the infant eats |
C | Ambivalence in caring for an infant with this defect |
D | Dissatisfaction with the infant’s physical appearance |
Question 27 |
To prevent tissue infection and breakdown after cleft palate or lip repair, a nurse should use which intervention?
A | Keep the suture line moist at all times. |
B | Allow the infant to suck on his pacifier. |
C | Rinse the infant’s mouth with water after each feeding. |
D | Follow orders from the physician to not feed the infant by mouth. |
Question 28 |
The nurse is caring for a child with celiac disease who has been started on the prescribed diet. The nurse expects that 1 or 2 days after starting the diet the child will have which of the following?
A | Diarrhea |
B | Foul-smelling stools |
C | Improved appetite |
D | Weight loss |
Question 29 |
Following repair of a cleft lip in a 3-month-old infant, the mother asks the nurse what would be the most appropriate toy to bring the infant. What is the best response by the nurse?
A | A plastic teething ring |
B | A stuffed animal |
C | A mobile to hang over the crib |
D | Children’s books |
Question 30 |
Which nursing intervention has the highest priority for an infant during the first 24 hours after surgery for cleft lip repair?
A | Carefully clean the suture line using sterile technique after feedings to reduce the risk of infection. |
B | Position the infant in the prone position after feedings to promote drainage. |
C | Allow the infant to cry to promote lung expansion. |
D | Encourage the infant to use a pacifier to satisfy the urge to suck. |
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