Gastrointestinal Conditions (CPN Exam) Questions with Latest Update
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Course
Gastroenterology
Institution
Gastroenterology
48 hours after birth, a neonate has not passed meconium. The nurse suspects which condition? - Answer-cystic fibrosis
The nurse is providing dietary teaching for the parents of a child with celiac disease. This child should avoid? - Answer-prepared puddings
A toddler is brought to the ED with...
Gastrointestinal Conditions (CPN Exam)
Questions with Latest Update
48 hours after birth, a neonate has not passed meconium. The nurse suspects which
condition? - Answer-cystic fibrosis
The nurse is providing dietary teaching for the parents of a child with celiac disease.
This child should avoid? - Answer-prepared puddings
A toddler is brought to the ED with sudden onset of abdominal pain, vomiting, and
stools that look like red currant jelly. To confirm intussuscpetion, the nurse expects the
doctor to order which of the following tests? - Answer-barium enema
What is the most common assessment finding in a child with ulcerative colitis? -
Answer-bloody diarrhea
When caring for a 12 month old infant with dehydration and metabolic acidosis, the
nurse expects to see which of the following? - Answer-tachypnea
When caring for a 12 month old infant with dehydration and metabolic acidosis. What is
the most common cause of dehydration and acidosis in infants? - Answer-diarrhea
You are the nurse caring for an infant who was just delivered. You suspect the child has
a trachea esophageal fistula. Which set of symptoms would suggest this problem? -
Answer-increased mucous production and oral secretions
Johnny is suspected of Hirschsprung's disease (decreased intestinal motility). The
nurse would expect the child's history of present illness to include which of the
following? - Answer-abdominal distention, constipation and foul smelling stools
You are caring for a newborn who is being evaluated for an imperforate anus. Which of
the following nursing interventions would be most important? - Answer-maintaining NPO
status
You are caring for a 7 month old who is suspected of having intussusception. What
clinical manifestation would most likely present? - Answer-inconsolable crying,
abdominal pain, sausage shaped mass in the right lower quadrant (classic sign=currant
jelly stools)
Which of the following is the most appropriate discharge teaching for the nurse caring
for the child with Celiac disease? - Answer-eliminating wheat, rye, barley and oats from
the diet
, Which of the following assessments would you expect to note when caring for the child
with pyloric stenosis? - Answer-visible peristaltic waves
You are caring for a 3 year old admitted with diarrhea and dehydration. She is NPO for
bowel rest. She is ordered IVMF. Her weight is 13 kg. You calculate her hourly IV fluid
rate to be? - Answer-46 ml/hr (10 kg x 4 ml/hr + 3 kg x 2 ml/hr= 46)
A 3 year old's mother reports that the patient opened a bottle of medication that was in
her purse. In the ER, the patient has white powder around her mouth and there are no
pills left in the bottle. A diagnosis of accidental overdose is made. In order to verify the
placement of the NG tube for charcoal administration, the nurse should? - Answer-after
the tube is placed, aspirate the contents and verify the pH is less than 6
The nurse is teaching a class to a group of new parents when on parent tells the nurse
that her neighbor's infant was treated for esophageal burns from the formula that was
too hot. Which of the following is the nurse's best response? - Answer-"It is always
important to test the temperature of the formula since a young baby will automatically
swallow what is in his mouth."
Amelia is a 3 month old infant who is receiving tube feeds due to a temporary
malformation in the GI system. Which of the following should the nurse encourage
Amelia's mother to do during her feedings? - Answer-give Amelia a pacifier during the
feeding
Adam is a 6 year old with severe CP. He is the youngest of 4 siblings and is cared for at
home. His mother is discussing his usual daily routine with the nurse. Which of the
following is important for both Adam and his family? - Answer-Adam receives his tube
feedings at the table during family meal times
A 4 year old has been vomiting for 24 hours. Several labs have been ordered. The
nurse would expect the results to show which of the following? - Answer-metabolic
alkalosis
The nurse is caring for 18 month old Kobe who has moderate diarrhea. Which of the
following should be included in Kobe's plan of care? - Answer-ensure that all of Kobe's
diapers are weighed
The nurse is working in the ER when Mrs. Evans brings 4 year old Sally in to be
evaluated. Sally has been vomiting and having diarrhea for 2 days. Mrs. Evans states
that Sally "just hasn't been able to keep anything down". The nurse notes that Sally is
very pale and has dark circles around her eyes. Sally is very lethargic and doesn't cry or
move when the nurse obtains her vital signs. Which of the following should the nurse
anticipate would be included in Sally's plan of care? - Answer-administering an IV bolus
of NS
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