Peds Exam 3- GI/ GU Questions With Complete Solutions
Which are the leading causes of pediatric abdominal injuries for
which the nurse should provide client teaching during scheduled
health maintenance visits? Select all that apply.
1. Motor vehicle crashes
2. Falls
3. Blunt trauma
4. Stabbing
5. Impalement Correct Answers Answer: 1, 2, 3
Explanation:
1. Motor vehicle crashes are a leading cause of pediatric
abdominal injuries. The nurse should provide education related
to proper use of seat belts during health maintenance visits to
decrease the incidence of abdominal injuries.
2. Falls are a leading cause of pediatric abdominal injuries. The
nurse should include education regarding age-appropriate
pediatric fall prevention during health maintenance visits.
3. Blunt trauma is a leading cause of pediatric abdominal
injuries. The nurse should include prevention strategies during
health maintenance visits.
4. While stabbing can cause abdominal injury, this is not a
common cause in the pediatric population.
5. While impalement can cause abdominal injury, this is not a
common cause in the pediatric population.
0 A 14-year-old is being treated for renal failure. The
nurse would ensure that the child follows a:
1. High-sodium diet.
2. High-protein diet.
3. Low-sodium diet.
,4. Low-fiber diet. Correct Answers Answer: 3With the inability
to secrete urine, electrolytes will build up in the blood, including
sodium and
potassium. The child should be on a low-sodium, lowpotassium
diet with restricted fluids and proteins
1 A child who underwent cleft palate repair has just
returned from surgery with elbow restraints in place.
The parents question why their child must have the
restraints. The nurse would give which of the following as the
best explanation to the parents?
1. "This device is frequently used postoperatively to protect the
IV site in small children."
2. "The restraints will help us maintain proper body alignment."
3. "Elbow restraints are used postoperatively to keep children's
hands away from the surgical site."
4. "The restraints help maintain the child's NPO status." Correct
Answers Answer: 3Elbow restraints are used to keep hands
away from the mouth after cleft palate surgery. This precaution
will be maintained at home until the palate is
healed, usually 4 to 6 weeks. They are not used to protect the IV
site, maintain NPO status, or maintain body
alignment
1 A newborn is found to have exstrophy of the bladder. The
nurse should evaluate the infant for: (Select
all that apply.)
1. Hypospadias.
2. Epispadias.
3. Cryptorchidism.
4. Acute tubular necrosis.
,5. Bilateral inguinal hernias. Correct Answers Answers: 2,
5Epispadias and bilateral inguinal hernias
are frequent anomalies associated with exstrophy of the
bladder. The other conditions listed are not
1 An 18-month-old child with a history of cleft lip and
palate has been admitted for palate surgery. The
nurse would provide which explanation about why a
toothbrush should not be used immediately after
surgery?
1. The toothbrush would be frightening to the child.
2. The child no longer has deciduous teeth.
3. The suture line could be interrupted.
4. The child will be NPO. Correct Answers Answer: 3During
the immediate postoperative period,
protecting the operative site is a priority in the nursing
care of this child. A toothbrush should be a familiar object to an
18-month-old child. Deciduous (primary)
teeth are still present at this age and are replaced by
permanent (secondary) teeth around 6 years of age.
Oral care will be performed according to the physicians'
orders but usually consists of cleansing the area with
sterile water
1 An 18-month-old client is brought in for a well-child
visit. The parent reports feeling a lump to the right of
the "bellybutton" during bathing. Initial assessments
should include: (Select all that apply.)
1. Measuring weight and height.
2. Palpation of the area.
3. Routine urine testing.
, 4. Vital signs.
5. Questioning the parents about abuse. Correct Answers 1
Answers: 1, 3, 4This is the usual presentation of Wilm's
tumor (nephroblastoma), and palpating the area may
cause the tumor to spread. Since Wilm's tumor is a cancer of the
kidney, it important to assess growth and development; kidney
function; and blood pressure, which
may be elevated due to increased renin production.
There is no evidence of abuse or rationale for performing a
neuro check.
1 The nurse would place highest priority on which
nursing activity in managing a young child diagnosed
with urinary tract infection (UTI)?
1. Provide adequate nutrition to prevent dehydration.
2. Prevent enuresis.
3. Administer ordered antibiotics on schedule.
4. Restrict fluids to provide kidney rest. Correct Answers
Answer: 3Urinary tract infections are ascending in nature; an
untreated UTI can lead to acute pyelonephritis
with resulting kidney scarring and damage. Early diagnosis and
prompt antimicrobial therapy will prevent or
minimize permanent renal damage.
1.
Which instructions would the nurse provide to the family of a
child who has undergone a hypospadias repair? (Select all that
apply.)
a. Avoid tub baths until the catheter is removed.
Which are the leading causes of pediatric abdominal injuries for
which the nurse should provide client teaching during scheduled
health maintenance visits? Select all that apply.
1. Motor vehicle crashes
2. Falls
3. Blunt trauma
4. Stabbing
5. Impalement Correct Answers Answer: 1, 2, 3
Explanation:
1. Motor vehicle crashes are a leading cause of pediatric
abdominal injuries. The nurse should provide education related
to proper use of seat belts during health maintenance visits to
decrease the incidence of abdominal injuries.
2. Falls are a leading cause of pediatric abdominal injuries. The
nurse should include education regarding age-appropriate
pediatric fall prevention during health maintenance visits.
3. Blunt trauma is a leading cause of pediatric abdominal
injuries. The nurse should include prevention strategies during
health maintenance visits.
4. While stabbing can cause abdominal injury, this is not a
common cause in the pediatric population.
5. While impalement can cause abdominal injury, this is not a
common cause in the pediatric population.
0 A 14-year-old is being treated for renal failure. The
nurse would ensure that the child follows a:
1. High-sodium diet.
2. High-protein diet.
3. Low-sodium diet.
,4. Low-fiber diet. Correct Answers Answer: 3With the inability
to secrete urine, electrolytes will build up in the blood, including
sodium and
potassium. The child should be on a low-sodium, lowpotassium
diet with restricted fluids and proteins
1 A child who underwent cleft palate repair has just
returned from surgery with elbow restraints in place.
The parents question why their child must have the
restraints. The nurse would give which of the following as the
best explanation to the parents?
1. "This device is frequently used postoperatively to protect the
IV site in small children."
2. "The restraints will help us maintain proper body alignment."
3. "Elbow restraints are used postoperatively to keep children's
hands away from the surgical site."
4. "The restraints help maintain the child's NPO status." Correct
Answers Answer: 3Elbow restraints are used to keep hands
away from the mouth after cleft palate surgery. This precaution
will be maintained at home until the palate is
healed, usually 4 to 6 weeks. They are not used to protect the IV
site, maintain NPO status, or maintain body
alignment
1 A newborn is found to have exstrophy of the bladder. The
nurse should evaluate the infant for: (Select
all that apply.)
1. Hypospadias.
2. Epispadias.
3. Cryptorchidism.
4. Acute tubular necrosis.
,5. Bilateral inguinal hernias. Correct Answers Answers: 2,
5Epispadias and bilateral inguinal hernias
are frequent anomalies associated with exstrophy of the
bladder. The other conditions listed are not
1 An 18-month-old child with a history of cleft lip and
palate has been admitted for palate surgery. The
nurse would provide which explanation about why a
toothbrush should not be used immediately after
surgery?
1. The toothbrush would be frightening to the child.
2. The child no longer has deciduous teeth.
3. The suture line could be interrupted.
4. The child will be NPO. Correct Answers Answer: 3During
the immediate postoperative period,
protecting the operative site is a priority in the nursing
care of this child. A toothbrush should be a familiar object to an
18-month-old child. Deciduous (primary)
teeth are still present at this age and are replaced by
permanent (secondary) teeth around 6 years of age.
Oral care will be performed according to the physicians'
orders but usually consists of cleansing the area with
sterile water
1 An 18-month-old client is brought in for a well-child
visit. The parent reports feeling a lump to the right of
the "bellybutton" during bathing. Initial assessments
should include: (Select all that apply.)
1. Measuring weight and height.
2. Palpation of the area.
3. Routine urine testing.
, 4. Vital signs.
5. Questioning the parents about abuse. Correct Answers 1
Answers: 1, 3, 4This is the usual presentation of Wilm's
tumor (nephroblastoma), and palpating the area may
cause the tumor to spread. Since Wilm's tumor is a cancer of the
kidney, it important to assess growth and development; kidney
function; and blood pressure, which
may be elevated due to increased renin production.
There is no evidence of abuse or rationale for performing a
neuro check.
1 The nurse would place highest priority on which
nursing activity in managing a young child diagnosed
with urinary tract infection (UTI)?
1. Provide adequate nutrition to prevent dehydration.
2. Prevent enuresis.
3. Administer ordered antibiotics on schedule.
4. Restrict fluids to provide kidney rest. Correct Answers
Answer: 3Urinary tract infections are ascending in nature; an
untreated UTI can lead to acute pyelonephritis
with resulting kidney scarring and damage. Early diagnosis and
prompt antimicrobial therapy will prevent or
minimize permanent renal damage.
1.
Which instructions would the nurse provide to the family of a
child who has undergone a hypospadias repair? (Select all that
apply.)
a. Avoid tub baths until the catheter is removed.
