Chapter 20: NURS 340 Preparation For The Nclex Questions and Answers ,100% CORRECT
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Chapter 20: NURS 340
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Chapter 20: NURS 340
Chapter 20: NURS 340 Preparation For The Nclex Questions and Answers
Origin: Chapter 20, 1
1. The nurse is teaching the mother of a 5-year-old boy with a history of impaction how to administer enemas at home. Which response from the mother indicates a need for further teaching?
A) "I should p...
chapter 20 nurs 340 preparation for the nclex questions and answers
1 the nurse is teaching the mother of a 5 year old boy with a history of impaction how to administer enemas at home which respons
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Chapter 20: NURS 340 Preparation For The Nclex Questions
and Answers
Origin: Chapter 20, 1
1. The nurse is teaching the mother of a 5-year-old boy with a history of
impaction how to administer enemas at home. Which response from the
mother indicates a need for further teaching?
A) "I should position him on his abdomen with knees bent."
B) "He will require 250 to 500 mL of enema solution."
C) "I should wash my hands and then wear gloves."
D) "He should retain the solution for 5 to 10
minutes." Ans: A
Feedback:
A 5-year-old child should lie on his left side with his right leg flexed toward
the chest. An infant or toddler is positioned on his abdomen. Using 250 to
500 mL of solution, washing hands and wearing gloves, and retaining the
solution for 5 to 10 minutes are appropriate responses.
Origin: Chapter 20, 2
2. The nurse is taking a health history of an 11-year-old girl with recurrent
abdominal pain. Which response would lead the nurse to suspect irritable
bowel syndrome?
A) "I always feel better after I have a bowel movement."
B) "I don't take any medicine right now."
C) "The pain comes and goes."
D) "The pain doesn't wake me up in the middle of
the night." Ans: A
Feedback:
In cases of irritable bowel syndrome, the pain may be relieved by
defecation. Use of medications and pain that comes and goes or wakes the
person up in the middle of the night are all relevant findings pertinent to
recurrent abdominal pain.
Origin: Chapter 20, 3
Page 1
, 3. The nurse is caring for a 3-year-old girlwith short bowel syndrome as a
result of trauma to the small intestine. The girl's mother is extremely
anxious and tells the nurse she is afraid she will never learn how to care
for her daughter at home. How should the nurse respond?
A) "I will help you become an expert on your daughter's care."
B) "You must learn how to care for your daughter at home."
C) "You really need the support of your husband."
D) "There is a lot to learn and you need a positive
attitude." Ans: A
Feedback:
The nurse needs to empower families to become the experts on their
children's needs and conditions via education and participation in care. The
most positive approach in this case is to let the mother know the nurse will
support her and help her become an expert on her
Page 2
, daughter's care. Telling the mother that she must learn how to care for her
daughter or that she must have a positive attitude is not helpful. Telling her
that she needs the support of her husband is irrelevant and unhelpful.
Origin: Chapter 20, 4
4. The nurse is conducting a physical examination of a child with suspected
Crohn disease. Which finding would be the most suspicious of Crohn
disease?
A) Normal growth patterns
B) Perianal skin tags or fissures
C) Poor growth patterns
D) Abdominal tenderness
Ans: B
Feedback:
Perianal skin tags and/or fissures are highly suspicious of Crohn disease.
Poor growth patterns and abdominal tenderness are common to Crohn
disease but are also seen with many other conditions. Normal growth
patterns would not point to Crohn disease because of problems with
absorbing nutrients.
Origin: Chapter 20, 5
5. The nurse is caring for an infant with a temporary ileostomy. As part of
the plan of care, the nurse monitors for skin breakdown around the
stoma. If redness occurs, what would be most appropriate to promote
healing and prevent further skin breakdown?
A) Clean the area well with a scented diaper wipe.
B) Apply a barrier/healing cream or paste on the skin.
C) Use a barrier wafer to attach the appliance.
D) Sanitize the area with an alcohol wipe after each
diaper change. Ans: B
Feedback:
The nurse should use a barrier/healing cream or paste on the skin around
the stoma to promote healing and prevent further skin breakdown. Diaper
wipes that contain fragrance or alcohol can sting if used on nonintact skin
and can worsen skin breakdown. The barrier wafer would be helpful, but
Page 3
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