GI/GU Peds Sherpath Study Guide with
Questions and Correct Answers
A child is admitted with right lower quadrant abdominal pain, anorexia, and fever. The
pain suddenly subsides, and the child is able to play normally but still has a fever.
Which potential complication is an immediate concern for this child? ✅Sepsis
A child is admitted to the hospital with right lower abdominal pain, anorexia, and fever.
Which nursing actions are appropriate to achieve an optimum outcome for this patient?
✅Emotional support, IV fluids, IV analgesics
The nurse is caring for a child with abdominal pain, nausea, vomiting, and anorexia. The
nurse palpates the abdomen and expects the child to report pain in which area? ✅C
(McBurney's Pt)
A patient with inflammatory bowel disease (IBD) presents with weight loss, dehydration,
and anemia. The patient is at the 15th percentile for weight and has been experiencing
severe and frequent diarrhea and vomiting. What will the nurse teach the child's parents
about dietary management of the condition? ✅Give daily vitamins
A child with inflammatory bowel disease (IBD) is experiencing an acute flare-up. Which
type of diet will the nurse recommend to help the child maintain adequate nutrition
during this episode? ✅Elemental diet
A child is diagnosed with and treated for inflammatory bowel disease (IBD). Which
action by the child best indicates that the desired outcomes have been met? ✅Plays a
game with sibling
A child presents with anorexia, right lower quadrant pain, and nausea. Which instruction
can the nurse give to the child to enhance comfort? ✅Lie on left side with knees bent
A child with right lower quadrant pain and anorexia has begun vomiting. Which
assessments are necessary to evaluate the outcome of nursing care for this patient?
✅Palpate skin, measure UOP
The nurse is preparing a child for an appendectomy and notes that the child is
extremely quiet. Which nursing action is correct? ✅Encourage the child to sleep +
verbalize feelings
The nurse is caring for a child who has inflammatory bowel disease with severe
malabsorption and anemia who can no longer attend school because of the condition.
Which nursing actions are appropriate? ✅Assess electrolytes/albumin daily, assess
height/weight and plot on graph, encourage regular bowel elimination regimen
, The nurse is caring for a child diagnosed with Crohn's disease. Which assessment
findings would be concerning? ✅Nocturnal diarrhea, loss of 5 lbs in 1 week, decreased
albumin and Hgb levels
A child with irritable bowel disease presents with complaints of severe intestinal
cramping, diarrhea, and bloating. Which intervention is most important in achieving the
desired outcome for this patient? ✅IV NS bolus
When assessing an infant with a tracheoesophageal fistula, which findings would be
expected? ✅Gagging during bottle feeding
Blue discoloration around the mouth
Coughing after latching onto breast for feeding
The nurse is teaching a parent how to care for a child's gastrostomy tube. Which
statement, made by the parent, indicates successful patient teaching? ✅"I will apply
antimicrobial ointment if indicated."
"If crusty drainage appears, I will use half-strength hydrogen peroxide."
The nurse is caring for a child with esophageal atresia who has been diagnosed with
failure to thrive. Which assessment findings indicate the expected outcomes have been
met for this patient? ✅Weight gain, increased head circumference, normal urine
specific gravity
The caregivers of a child with cleft lip ask the nurse how to decrease feeding difficulties
associated with the condition. Which is the best response from the nurse regarding
optimizing feeding of the child? ✅Use a long nipple for feeding
A nurse is providing patient teaching to a couple whose infant has just had surgery for
cleft lip. What information does the nurse provide regarding feeding to ensure the child
receives adequate nutrition? ✅"Stop feeding frequently to burp."
"Feed the infant in an upright position."
"Use a syringe with a rubber tip for feedings."
The nurse is evaluating how a couple is coping with their young child's diagnosis of cleft
lip. For which signs does the nurse look to determine whether effective coping is taking
place? ✅Parents plan and organize all special care appointments.
A 4-year-old patient is diagnosed with congenital diaphragmatic hernia. What are
appropriate nursing outcomes for this patient? ✅Pink mucosa, regular breath sounds
Which action can exacerbate respiratory distress in a patient with congenital
diaphragmatic hernia? ✅Using a facemask or bag valve mask for ventilatory support
Questions and Correct Answers
A child is admitted with right lower quadrant abdominal pain, anorexia, and fever. The
pain suddenly subsides, and the child is able to play normally but still has a fever.
Which potential complication is an immediate concern for this child? ✅Sepsis
A child is admitted to the hospital with right lower abdominal pain, anorexia, and fever.
Which nursing actions are appropriate to achieve an optimum outcome for this patient?
✅Emotional support, IV fluids, IV analgesics
The nurse is caring for a child with abdominal pain, nausea, vomiting, and anorexia. The
nurse palpates the abdomen and expects the child to report pain in which area? ✅C
(McBurney's Pt)
A patient with inflammatory bowel disease (IBD) presents with weight loss, dehydration,
and anemia. The patient is at the 15th percentile for weight and has been experiencing
severe and frequent diarrhea and vomiting. What will the nurse teach the child's parents
about dietary management of the condition? ✅Give daily vitamins
A child with inflammatory bowel disease (IBD) is experiencing an acute flare-up. Which
type of diet will the nurse recommend to help the child maintain adequate nutrition
during this episode? ✅Elemental diet
A child is diagnosed with and treated for inflammatory bowel disease (IBD). Which
action by the child best indicates that the desired outcomes have been met? ✅Plays a
game with sibling
A child presents with anorexia, right lower quadrant pain, and nausea. Which instruction
can the nurse give to the child to enhance comfort? ✅Lie on left side with knees bent
A child with right lower quadrant pain and anorexia has begun vomiting. Which
assessments are necessary to evaluate the outcome of nursing care for this patient?
✅Palpate skin, measure UOP
The nurse is preparing a child for an appendectomy and notes that the child is
extremely quiet. Which nursing action is correct? ✅Encourage the child to sleep +
verbalize feelings
The nurse is caring for a child who has inflammatory bowel disease with severe
malabsorption and anemia who can no longer attend school because of the condition.
Which nursing actions are appropriate? ✅Assess electrolytes/albumin daily, assess
height/weight and plot on graph, encourage regular bowel elimination regimen
, The nurse is caring for a child diagnosed with Crohn's disease. Which assessment
findings would be concerning? ✅Nocturnal diarrhea, loss of 5 lbs in 1 week, decreased
albumin and Hgb levels
A child with irritable bowel disease presents with complaints of severe intestinal
cramping, diarrhea, and bloating. Which intervention is most important in achieving the
desired outcome for this patient? ✅IV NS bolus
When assessing an infant with a tracheoesophageal fistula, which findings would be
expected? ✅Gagging during bottle feeding
Blue discoloration around the mouth
Coughing after latching onto breast for feeding
The nurse is teaching a parent how to care for a child's gastrostomy tube. Which
statement, made by the parent, indicates successful patient teaching? ✅"I will apply
antimicrobial ointment if indicated."
"If crusty drainage appears, I will use half-strength hydrogen peroxide."
The nurse is caring for a child with esophageal atresia who has been diagnosed with
failure to thrive. Which assessment findings indicate the expected outcomes have been
met for this patient? ✅Weight gain, increased head circumference, normal urine
specific gravity
The caregivers of a child with cleft lip ask the nurse how to decrease feeding difficulties
associated with the condition. Which is the best response from the nurse regarding
optimizing feeding of the child? ✅Use a long nipple for feeding
A nurse is providing patient teaching to a couple whose infant has just had surgery for
cleft lip. What information does the nurse provide regarding feeding to ensure the child
receives adequate nutrition? ✅"Stop feeding frequently to burp."
"Feed the infant in an upright position."
"Use a syringe with a rubber tip for feedings."
The nurse is evaluating how a couple is coping with their young child's diagnosis of cleft
lip. For which signs does the nurse look to determine whether effective coping is taking
place? ✅Parents plan and organize all special care appointments.
A 4-year-old patient is diagnosed with congenital diaphragmatic hernia. What are
appropriate nursing outcomes for this patient? ✅Pink mucosa, regular breath sounds
Which action can exacerbate respiratory distress in a patient with congenital
diaphragmatic hernia? ✅Using a facemask or bag valve mask for ventilatory support
