Exam (elaborations)
NCLEX/HESI Pediatric Gastrointestinal Problems questions with correct answers
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- Maryville University Of St. Louis
NCLEX/HESI Pediatric Gastrointestinal Problems questions with correct answers
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NCLEX/HESI Pediatric Gastrointestinal Problemsquestions with correct answers
The clinic nurse reviews the record of an infant and notes that the
primary health care provider (PHCP) has documented a diagnosis of
suspected Hirschsprung's disease. The nurse reviews the assessment
findings documented in the record, knowing that which sign most likely
led the parent to seek health care for the infant? Correct Answer-Foul-
smelling ribbon-like stools
*an absence of ganglion cells in the rectum and other areas of the
affected intestine. Chronic constipation beginning in the first month of
life and resulting in pellet-like or ribbon-like stools that are foul-
smelling.
An infant has just returned to the nursing unit after surgical repair of a
cleft lip on the right side. The nurse would place the infant in which best
position at this time? Correct Answer-Left lateral position
The nurse reviews the record of a newborn infant and notes that a
diagnosis of esophageal atresia with tracheoesophageal fistula is
suspected. The nurse expects to note which most likely sign of this
condition documented in the record? Correct Answer-choking with
feedings
The nurse provides feeding instructions to the parent of an infant
diagnosed with gastroesophageal reflux disease. Which instruction
would the nurse give to the parent to assist in reducing the episodes of
,emesis? Correct Answer-Thicken the feedings by adding rice cereal to
the formula.
A child is hospitalized because of persistent vomiting. The nurse would
monitor the child closely for which problem? Correct Answer-Metabolic
alkalosis
*loss of hydrochloric acid
The nurse is caring for a newborn with a suspected diagnosis of
imperforate anus. The nurse monitors the infant, knowing that which is a
clinical manifestation associated with this disorder? Correct Answer-
Failure to pass meconium stool in the first 24 hours after birth
The nurse admits a child to the hospital with a diagnosis of pyloric
stenosis. On assessment, which data would the nurse expect to obtain
when asking the parent about the child's symptoms? Correct Answer-
projectile vomiting
The nurse provides home care instructions to the parents of a child with
celiac disease. The nurse would teach the parents to include which food
item in the child's diet? Correct Answer-Rice
*Avoid gluten in wheat, barley and oats.
The nurse is preparing to care for a child with a diagnosis of
intussusception. The nurse reviews the child's record and expects to note
, which sign of this disorder documented? Correct Answer-Bright red
blood and mucus in the stools.
*Knees drawn to chest and jelly stool.
Which interventions would the nurse include when creating a care plan
for a child with hepatitis? Select all that apply. Correct Answer-
Providing a low-fat, well-balanced diet.
Teaching the child effective handwashing technique.
Instructing the parents to avoid administering medications unless
prescribe
Vomiting concerns Correct Answer-Metabolic alkalosis.
Dehydration
Aspiration.
Atelectasis.
pneumonia.
ICP.
Food intolerance.
Mechanical obstruction.
Vomiting interventions Correct Answer-Maintain pt airway.
Side position.
Monitor frequency.
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