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NSG 2525 EXAM 2 PEDIATRIC NCLEX QUESTIONS ANS ANSWERS LATEST UPDATE
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NSG 2525 EXAM 2 PEDIATRIC NCLEX QUESTIONS ANS ANSWERS LATEST UPDATE
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NSG 2525 EXAM 2 PEDIATRIC NCLEXQUESTIONS ANS ANSWERS LATEST
UPDATE
True or False: the appendix is found on the left lower side of the abdomen and is
connected to the cecum of the large intestine. - Answer-FALSE
Which of the following are not causes of appendicitis? SATA
A. Fecalith
B. Routine usage of NSAIDs
C. Infection due to Helicobacter pylori
D. Lymph node enlargemnent due to viral or bacterial infection
E. Diet low in fiber - Answer-B. Routine usage of NSAIDs
C. infection due to Helicobacter pylori
E. Diet low in fiber
A child is admitted with suspected appendicitis and states that he is having pain around
the umbilicus that extends into the lower part of his abdomen. In addition, he says that
the pain is worst on the right lower quadrant. The patient points to his abdomen at a
location which is about 1/3 distance between the anterior superior iliac spine and
umbilicus. What is this area called?
A. Rovsing's point
B. Hamman's point
C. McBurnery's point
D. Murphy's point - Answer-C. McBurney's point
Thinking back to the scenario in question 3, what other signs and symptoms are
associated with appendicitis. SATA.
A. Increased RBCs
B. Patient has the desire to be positioned in the prone position to relieve pain
C. Umbilical pain that extends in the right lower quadrant
D. Abdominal flaccidity
E. Abdominal rebound tenderness - Answer-C. Umbilical pain that extends in the right
lower quadrant
E. Abdominal rebound tenderness
A child is admitted with appendicitis. Which statement by the patient requires immediate
nursing intervention?
A. The pain hurts so much its making me nauseaus
B. I have no appetite
C. The pain seems to be gone now
D. If i position myself on my right side, it makes the pain less severe - Answer-C. The
pain seems to be gone now
,You're providing education to a group of nursing students about the care of a child with
appendicitis. Which statement by a nursing student requires re-education about your
teaching?
A. After an appendectomy the patient may have a nasogastric tube to remove stomach
fluids and swallowed air
B. Non-pharmacologic techniques for a patient with appenditicitis include application of
heat to the abdomen and the side-lying position
C. The nurse should monitor the patient for signs and symptoms of peritonitis which
includes increased heart rate, respirations, temperature, abdominal distention, and
intense abdominal pain
D. It is normal for some patients to have shoulder pain after a laparoscopic
appendectomy - Answer-B. Non-pharmacologic techniques for a patient with
appenditicitis include application of heat to the abdomen and the side-lying position
You patient is 4 days post op from an appendectomy. Which assessment finding
requires further evaluation?
A. The patient reports their last bowel movement was the day before surgery
B. The patient reports incisional pain
C. The patient coughs and deep breathes while splinting the abdominal incision
D. Options A and C - Answer-A. The patient reports their last bowel movement was the
day before surgery
A patient is recovering after having an appendectomy. the patient is 48 hours post op
from surgery and is tolerating full liquids. The physician orders for the patient to try solid
foods. What types of foods should the patient incorporate in their diet?
A. Foods high in fiber
B. Foods low in fiber
C. Foods high in carbohyrdates
D. Foods low in protein - Answer-A. Foods high in fiber
A patient is scheduled for an appendectomy at noon. while performing your morning
assessment, you note that the patient has a fever of 103.8 F and rates abdominal pain
at a 9 out of 10. In addition, the abdomen is distended and the patient claims that he
was feeling better last night, but it seems the pain has gotten worse. The patient is
having tachycardia and tachypnea. Based on the scenario, what do you suspect the
patient is experiencing?
A. Pulmonary embolism
B. Colon Fistulae
C. Peritonitis
D. Hemorrhage - Answer-C. Peritonitis
A 10-year-old is being evaluated for possible appendicitis and complains of nausea and
sharp abdominal pain in the right lower quadrant. An abdominal ultrasound is
scheduled, and a blood count has been obtained. The child vomits, finds the pain
relieved, and calls the nurse. Which should be the nurse's next action?
,1. Cancel the ultrasound, and obtain an order for oral Zofran (ondansetron).
2. Cancel the ultrasound, and prepare to administer an intravenous bolus.
3. Prepare for the probable discharge of the patient.
4. Immediately notify the physician of the child's status. - Answer-4. The physician
should be notified immediately, as a sudden change or loss of pain often indicates a
perforated appendix
The nurse is caring for a 3-year-old who had an appendectomy 2 days ago. The child
has a fever of 101.8°F (38.8°C) and breath sounds are slightly diminished in the right
lower lobe. Which action is most appropriate?
1. Teach the child how to use an incentive spirometer.
2. Encourage the child to blow bubbles.
3. Obtain an order for intravenous antibiotics.
4. Obtain an order for Tylenol (acetaminophen). - Answer-2. Blowing bubbles is a
developmentally appropriate way to help the preschooler take deep breaths and cough.
The nurse is caring for a 5-year-old who has just returned from having an
appendectomy. Which is the optimal way to manage pain?
1. Intravenous morphine as needed.
2. Liquid Tylenol (acetaminophen) with codeine as needed.
3. Morphine administered through a PCA pump.
4. Intramuscular morphine as needed. - Answer-3. Morphine administered through a
PCA pump offers the child control over managing pain. The PCA pump also has the
benefit of offering a basal rate as well as an as-needed rate for optimal pain
management.
The nurse is providing discharge instructions to the parents of a child who had an
appendectomy for a ruptured appendix 5 days ago. The nurse knows that further
education is required when the parent states:
1. "We will wait a few days before allowing our child to return to school."
2. "We will wait 2 weeks before allowing our child to return to sports."
3. "We will call the pediatrician's office if we notice any drainage around the wound."
4. "We will encourage our child to go for walks every day." - Answer-4. "We will
encourage our child to go for walks every day."
The nurse is to receive a 4-year-old from the recovery room after an appendectomy.
The parents have not seen the child since surgery and ask what to expect. Select the
nurse's best response.
1. "Your child will be very sleepy, have an intravenous line in the hand, and have a
nasal tube to help drain the stomach. If your child needs pain medication, it will be given
intravenously."
2. "Your child will be very sleepy, have an intravenous line in the hand, and have white
stockings to help prevent blood clots. If your child needs pain medication, we will give it
intravenously or provide a liquid to swallow."
3. "Your child will be wide awake and will have an intravenous line in the hand. If your
child needs pain medication, we will give it intravenously or provide a liquid to swallow."
, 4. "Your child will be very sleepy and have an intravenous line in the hand. If your child
needs pain medication, we will give it int - Answer-4. "Your child will be very sleepy and
have an intravenous line in the hand. If your child needs pain medication, we will give it
intravenously."
The parents of a child being evaluated for appendicitis tell the nurse the physician said
their child has a positive Rovsing sign. They ask the nurse what this means. Select the
nurse's best response.
1. "Your child's physician should answer that question."
2. "A positive Rovsing sign means the child feels pain in the right side of the abdomen
when the left side is palpated."
3. "A positive Rovsing sign means pain is felt when the physician removes the hand
from the abdomen."
4. "A positive Rovsing sign means pain is felt in the right lower quadrant when the child
coughs. - Answer-2. "A positive Rovsing sign means the child feels pain in the right side
of the abdomen when the left side is palpated."
Which is the best position for an 8-year-old who has just returned to the pediatric unit
after an appendectomy for a ruptured appendix?
1. Semi-Fowler.
2. Prone.
3. Right side-lying.
4. Left side-lying - Answer-3. Right side-lying.
A child is experiencing a fever, rigid abdomen, and is bending over, holding his right
lower abdomen. What does the nurse suspect is the likely cause of this?
A. Peptic ulcer
B. Appendicitis
C. Dehydration
D. Pyloric stenosis - Answer-B. Appendicitis
A child presents with anorexia, right lower quadrant pain, and nausea. Which instruction
can the nurse give to the child to enhance comfort?
A. "Lie on your back."
B. "Lie on your abdomen."
C. "Lie on your left side with knees bent."
D. "Sit up straight in the chair with your legs dangling." - Answer-C. "Lie on your 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?
Select all that apply.
A. Palpate the skin
B. Auscultate the chest
C. Measure urine output
D. Obtain a food diary
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