Nclex-Rn Practice Questions-Care Of The Child - Gastrointestinal Disorders Part 4
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Question 1 |
Which symptom is the most common for acute appendicitis?
A | Bradycardia |
B | Fever |
C | Pain descending to the lower left quadrant |
D | Pain radiating into the rectum |
Question 2 |
A pediatrician suspects that a child has pinworms and instructs the nurse to assess the child for their presence. The nurse determines that which method is most reliable for assessing for pinworms?
A | A history of itching at the anal area and of restlessness at night |
B | A blood culture |
C | Eggs retrieved from the anal edge on a piece of cellophane tape |
D | A stool culture |
Question 3 |
The nurse is preparing a teaching plan for the parents of a child with celiac disease. What is the most important information for the nurse to include?
A | The gluten-free diet alterations must be continued for a lifetime. |
B | The diet needs to be free of lactose because the child is intolerant. |
C | Diet alterations are necessary when the child reports cramping and bloating. |
D | The diet needs to be low in fats because of the malabsorption problem in the intestines. |
Question 4 |
Nursing assessments in an infant with gastroenteritis should be directed toward detecting which potential problem?
A | Urinary retention |
B | Heart failure |
C | Electrolyte imbalance |
D | Hyperactive reflexes |
Question 5 |
An infant has been admitted to the hospital with gastroenteritis. What is the priority nursing diagnosis?
A | Acute pain |
B | Diarrhea |
C | Deficient fluid volume |
D | Imbalanced nutrition: Less than body requirements |
Question 6 |
A mother calls the children’s clinic and tells the nurse she found her toddler with an open and empty bottle of acetaminophen (Tylenol) and wants to know what to do. What is the priority nursing intervention?
A | Ask the mother whether she has any syrup of ipecac. |
B | Ask the mother to give the child a large glass of milk. |
C | Ask the mother to bring the child to the emergency department (ED). |
D | Ask the mother whether she knows cardiopulmonary resuscitation (CPR). |
Question 7 |
The nurse is providing preoperative care for a child diagnosed with appendicitis. What is the most appropriate intervention?
A | Give clear fluids. |
B | Apply heat to the abdomen. |
C | Maintain complete bed rest. |
D | Administer an enema, if ordered. |
Question 8 |
When assessing a client suspected of having pyloric stenosis, which finding should the nurse expect?
A | An “olive” mass in the right upper quadrant |
B | An “olive” mass in the left upper quadrant |
C | A “sausage” mass in the right upper quadrant |
D | A “sausage” mass in the left upper quadrant |
Question 9 |
A neonate is suspected of having a tracheoesophageal fistula (type III/C). Which symptom would be seen on the initial assessment?
A | Excessive drooling |
B | Excessive vomiting |
C | Mottling |
D | Polyhydramnios |
Question 10 |
A neonate has been diagnosed with a unilateral complete cleft lip and cleft palate. The nurse formulating the care plan for this neonate will have which nursing diagnosis as a priority?
A | Risk for infection |
B | Impaired skin integrity |
C | Risk for aspiration |
D | Delayed growth and development |
Question 11 |
After surgical repair of a ruptured appendix, which position would be the most appropriate?
A | High Fowler’s position |
B | Left side |
C | Semi-Fowler’s position |
D | Supine |
Question 12 |
Which statement by the parent of a child being treated for pinworms indicates to the nurse that further teaching is necessary?
A | “I will make my child wash his hands well before meals.” |
B | “I will tell my child not to share hairbrushes or hats.” |
C | “I will give my child only one dose of medication.” |
D | “I will keep my child’s nails short.” |
Question 13 |
Which findings would the nurse assess in a premature neonate who may have necrotizing enterocolitis?
A | Abdominal distention and gastric retention |
B | Gastric retention and guaiac-negative stools |
C | Metabolic alkalosis and abdominal distention |
D | Guaiac-negative stools and metabolic alkalosis |
Question 14 |
Which nursing diagnosis has the highest priority in a 1-month-old infant admitted with projectile vomiting after feeding?
A | Deficient fluid volume |
B | Risk for impaired parenting |
C | Interrupted breastfeeding |
D | Risk for infection |
Question 15 |
A 1-month-old infant is brought to the pediatrician’s office. His mother states that he’s fussy and cries as if in pain. He’s tolerating normal amounts of formula, gaining weight, and having episodes of paroxysmal abdominal cramping after feedings. These signs and symptoms indicate that the infant most likely has which condition?
A | Intussusception |
B | Meconium ileus |
C | Colic |
D | Pyloric stenosis |
Question 16 |
A mother brings her 4-week-old child to the clinic. She states that he hasn’t been eating well and is lethargic when she holds and cuddles him. He has lost 7 oz (198.5 g) since birth. He’s otherwise healthy and has no congenital defects. Which condition is the pediatrician most likely to diagnose?
A | Celiac disease |
B | Failure to thrive |
C | Hirschsprung’s disease |
D | Imperforate anus |
Question 17 |
Postoperative care of a child with a ruptured appendix should include which treatment or intervention?
A | Liquid diet |
B | Oral antibiotics for 7 to 10 days |
C | Positioning the child on the left side |
D | Parenteral antibiotics for 7 to 10 days |
Question 18 |
During an initial nursing assessment, a nurse determines that an 8-year-old child has right lower quadrant pain, a low-grade fever, nausea, rebound tenderness, and a positive psoas sign. The nurse suspects that the client has which condition?
A | Appendicitis |
B | Gastroenteritis |
C | Pancreatitis |
D | Cholecystitis |
Question 19 |
A 15-year-old client needs a nasogastric tube inserted because of peritonitis caused by a ruptured appendix. The client is afraid that the procedure will hurt. Which statement by the nurse is most appropriate to help decrease the client’s anxiety?
A | “Breathe deeply through your mouth and relax. It will be over soon.” |
B | “This is a simple procedure, and it won’t hurt.” |
C | “You’ll feel pressure and be uncomfortable for a few minutes, but it shouldn’t be painful.” |
D | “You’re old enough now and should be able to handle pain.” |
Question 20 |
A 16-year-old African-American student visits a school nurse with complaints of nausea and fatigue. The nurse determines a need to check for jaundice. Which area of the body should the nurse examine?
A | Sclera of the eye |
B | Overall skin color |
C | Outer ears and back of the neck |
D | Tongue and inside the cheek area |
Question 21 |
A mother brings her 18-month-old child to the emergency department and tells a nurse that he has been ill for the past 2 days. He has a fever of 104.8° F (40.8° C), is irritable, has had diarrhea, and hasn’t been wetting his diaper much in the past 24 hours. The child is admitted to the pediatric unit for treatment of moderate dehydration and gastroenteritis. I.V. therapy and strict intake and output are ordered. As rehydration occurs, the child is started on oral feedings of a rehydration fluid. When caring for this child during the later stage of rehydration, the nurse should take which action?
A | Force fluids. |
B | Allow the client to drink as much as he wants. |
C | Monitor the client’s intake and output. |
D | Monitor the client’s ability to retain fluids. |
Question 22 |
A nurse caring for an infant with pyloric stenosis should expect to observe which laboratory values?
A | pH, 7.30; chloride, 120 mEq/L |
B | pH, 7.38; chloride, 110 mEq/L |
C | pH, 7.43; chloride, 100 mEq/L |
D | pH, 7.49; chloride, 90 mEq/L |
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