Nclex-Rn Practice Questions-Care Of The Child - Gastrointestinal Disorders Part 3
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Question 1 |
The most serious and irreversible adverse effects of lead intoxication affect which system?
A | Central nervous system (CNS) |
B | Hematologic system |
C | Renal system |
D | Respiratory system |
Question 2 |
A mother of a recently admitted child asks the nurse about the bluish black lines along her child’s gums. The nurse would respond that the bluish black lines indicate which of the following types of poisoning?
A | Acetaminophen |
B | Lead |
C | Plants |
D | Salicylates |
Question 3 |
The parents of a child with lead poisoning ask the nurse which procedure is the main treatment for lead poisoning. What is the best response by the nurse?
A | Exchange transfusion |
B | Bone marrow transplant |
C | Chelation therapy |
D | Dialysis |
Question 4 |
What is the most important nursing intervention for a child with lead poisoning who must undergo chelation therapy with edetate calcium disodium?
A | Prepare the child for complete bed rest. |
B | Prepare the child for I.V. fluid therapy. |
C | Prepare the child for an extended hospital stay. |
D | Prepare the child for a large number of injections. |
Question 5 |
The nurse is aware that a child receiving chelation therapy for the treatment of lead poisoning is at risk for which condition?
A | Hypercalcemia |
B | Hypocalcemia |
C | Hyperglycemia |
D | Hypoglycemia |
Question 6 |
A nurse is aware that the best way to prevent lead poisoning in children is to do which of the following?
A | Educate the child about the dangers of chewing on pencils. |
B | Educate the public about imported toys containing lead. |
C | Identify high-risk groups. |
D | Provide home chelation kits. |
Question 7 |
Certain forms of pica are caused by a deficiency. Which nutrient is most commonly deficient?
A | Minerals |
B | Vitamins |
C | Electrolytes |
D | Protein |
Question 8 |
A child with appendicitis reports a sudden cessation of abdominal pain to the nurse. What is the most appropriate intervention by the nurse?
A | Prepare the child and parents for discharge. |
B | Begin feeding the child, as tolerated. |
C | Prepare the child for emergency surgery. |
D | Begin ambulation, as tolerated. |
Question 9 |
Which condition is one of the initial signs of lead poisoning?
A | Anemia |
B | Constipation |
C | Anorexia |
D | Paralysis |
Question 10 |
The ingestion of lead-containing substances is mostly influenced by which risk factor?
A | Child’s age |
B | Child’s gender |
C | Child’s race |
D | A parent with the same habit |
Question 11 |
The mother of a child admitted for ingesting a caustic cleaning product tells the nurse she feels guilty. What is the best response by the nurse?
A | “Now you’ll know to keep all cleaning products locked up.” |
B | “Luckily, your child is going to be fine.” |
C | “You’ll need to watch your child more carefully.” |
D | “Tell me more about your guilty feelings.” |
Question 12 |
The nurse is evaluating the effectiveness of therapy with acetylcysteine (Mucomyst) in a child with acetaminophen poisoning. It is most important for the nurse to monitor which value?
A | Serum alanine aminotransferase and aspartate aminotransferase |
B | Serum calcium levels |
C | Prothrombin time (PT) |
D | Serum glucose levels |
Question 13 |
One of the most important nursing responsibilities to help prevent salicylate poisoning should include which action?
A | Identify salicylate overdose. |
B | Teach children the hazards of ingesting nonfood items. |
C | Decrease children’s curiosity by teaching parents to keep aspirin and drugs in clear view. |
D | Teach parents that the bottles must be kept out of reach of their children. |
Question 14 |
When a child has been poisoned, it is important for the nurse to identify the ingested poison. What is the most appropriate intervention to identify the poison?
A | Call the local poison control center. |
B | Ask the child. |
C | Ask the parents. |
D | Save all evidence of poison. |
Question 15 |
The nurse is caring for a child in the recovery phase following an ingestion of drain cleaner. The nurse is aware that the child is at risk for which of the following?
A | Esophageal strictures |
B | Esophageal diverticula |
C | Tracheal stenosis |
D | Tracheal varices |
Question 16 |
The nurse is caring for a client with an extreme case of salicylate poisoning. The nurse anticipates the client will receive which treatment?
A | Gastric lavage |
B | Hypothermia blankets |
C | Peritoneal dialysis |
D | Vitamin K injection |
Question 17 |
The nurse explains to the mother of a child with lead poisoning that X-rays are necessary, as lead retained in the body is initially stored in the:
A | bone. |
B | brain. |
C | kidney. |
D | liver. |
Question 18 |
A client is undergoing testing for a diagnosis of ulcerative colitis. Which symptom would the nurse most likely identify during this initial diagnosis?
A | Constipation |
B | Diarrhea |
C | Vomiting |
D | Weight loss |
Question 19 |
A child is being admitted through the emergency department with a diagnosis of suspected accidental poisoning by medication. The nurse is aware that the most common cause of accidental poisoning in children is which of the following?
A | Pain medications |
B | Vitamins |
C | Laxatives |
D | Antibiotics |
Question 20 |
A preschooler is brought to the emergency department after ingesting kerosene. The nurse is aware the child is at risk for which condition?
A | Pneumonitis |
B | Carditis |
C | Uremia |
D | Hepatitis |
Question 21 |
Shock is a complication of several types of poisoning. Which measure would help reduce the risk of shock?
A | Keep the child on his right side. |
B | Let the child maintain normal activity as possible. |
C | Elevate the head and legs to the level of the heart. |
D | Keep the head flat and raise the legs to the level of the heart. |
Question 22 |
A child has ingested poisonous hydrocarbons. What is the most important nursing intervention?
A | Induce vomiting. |
B | Keep the child calm and relaxed. |
C | Administer activated charcoal. |
D | Monitor the parent–child interactions for possible child abuse. |
Question 23 |
What is the most important information for a nurse to tell parents if their child ingests a poison?
A | Administer syrup of ipecac. |
B | Call the poison control center. |
C | Transport the child to the emergency department. |
D | Watch the child for adverse effects. |
Question 24 |
A client ingested a large amount of acetaminophen at 1:00 a.m. Two hours later, the client comes to the emergency department and is diagnosed with acetaminophen poisoning. What is the priority intervention for this client?
A | Perform gastric lavage. |
B | Obtain blood work. |
C | Administer I.V. fluid. |
D | Administer activated charcoal. |
Question 25 |
A child arrives in the emergency department after ingesting poisonous amounts of salicylates. The nurse is aware that obvious signs of toxicity will be evident when?
A | Immediately |
B | 2 to 4 hours after ingestion |
C | 6 hours after ingestion |
D | 18 hours after ingestion |
Question 26 |
Which advice should a nurse give over the telephone to the mother of a 7- year-old child with abdominal pain, a low-grade fever, and vomiting?
A | Give prune juice to relieve constipation. |
B | Test for rebound tenderness in the left lower quadrant of the abdomen. |
C | Encourage fluids to prevent dehydration. |
D | Seek immediate emergency medical care. |
Question 27 |
A 7-year-old child who ingested several leaves of a poinsettia plant has arrived in the emergency department. What is the priority nursing intervention?
A | Begin teaching accident prevention. |
B | Provide emotional support to the child. |
C | Be prepared for immediate intervention. |
D | Provide emotional support to the parents. |
Question 28 |
A nurse is planning care for a 14-year-old client following surgical repair of a ruptured appendix. What is the most important intervention?
A | Reduce conflict between the client and his parents. |
B | Promote the development of an identity and independence. |
C | Encourage the development of trust. |
D | Confirm plans for the future. |
Question 29 |
A child has ingested a poisonous substance. What is the priority intervention?
A | Make the child vomit. |
B | Call 911 as soon as possible. |
C | Give large amounts of water to flush the system. |
D | Empty the mouth of pills, plant parts, or other material. |
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