PEDS Exam 4 Testbank Arizona college
PEDS Exam 4 Testbank Arizona college
Which condition in a child should alert a nurse for increased fluid requirements? -
CORRECT ANSWER fever
A nurse is conducting an in-service on gastrointestinal disorders. The nurse includes
that melena, the passage of black, tarry stools, suggests bleeding from which area? -
CORRECT ANSWER upper gastrointestinal tract
Which type of dehydration is defined as dehydration that occurs in conditions in which
electrolyte and water deficits are present in approximately balanced proportion? -
CORRECT ANSWER isotonic dehydration
A nurse is admitting an infant with dehydration caused from water loss in excess of
electrolyte loss. Which type of dehydration is this infant experiencing? - CORRECT
ANSWER hypertonic
An infant is brought to the emergency department with dehydration. Which physical
assessment finding does the nurse expect? - CORRECT ANSWER poor skin turgor
Parents call the clinic and report that their toddler has had acute diarrhea for 24 hours.
The nurse should further ask the parents if the toddler has which associated factor that
is causing the acute diarrhea? - CORRECT ANSWER antibiotic therapy
Which pathogen is the viral pathogen that frequently causes acute diarrhea in young
children? - CORRECT ANSWER rotavirus
Which is a parasite that causes acute diarrhea? - CORRECT ANSWER Giardia lamblia
A child is admitted with bacterial gastroenteritis. Which lab results of a stool specimen
confirm this diagnosis? - CORRECT ANSWER neutrophils and RBC
Which therapeutic management should the nurse prepare to initiate first for a child with
acute diarrhea and moderate dehydration? - CORRECT ANSWER oral rehydration
soultion
A school-age child with diarrhea has been rehydrated. The nurse is discussing the
childs diet with the family. Which statement by the parent would indicate a correct
understanding of the teaching? - CORRECT ANSWER I should have my child eat a
normal diet with easily digested foods for the next 48 hours.
A young child is brought to the emergency department with severe dehydration
secondary to acute diarrhea and vomiting. Therapeutic management of this child should
begin with: - CORRECT ANSWER intravenous IV fluids
,PEDS Exam 4 Testbank Arizona college
A mother calls the clinic nurse about her 4-year-old son who has acute diarrhea. She
has been giving him the antidiarrheal drug loperamide (Imodium A-D). The nurses
response should be based on knowledge that this drug is: - CORRECT ANSWER not
indicated
Constipation has recently become a problem for a school-age girl. She is healthy except
for seasonal allergies that are being treated with antihistamines. The nurse should
suspect that the constipation is most likely caused by: - CORRECT ANSWER
antihistamines
Which is a high-fiber food that the nurse should recommend for a child with chronic
constipation? - CORRECT ANSWER popcorn
Which therapeutic management treatment is implemented for children with
Hirschsprung disease?
a. Daily enemas - CORRECT ANSWER surgical removal of affected section of the
bowel
Enemas are ordered to empty the bowel preoperatively for a child with Hirschsprung
disease. The enema solution should be: - CORRECT ANSWER normal saline.
A 3-year-old child with Hirschsprung disease is hospitalized for surgery. A temporary
colostomy will be necessary. The nurse should recognize that preparing this child
psychologically is: - CORRECT ANSWER necessary because it will be an adjustment.
The nurse is explaining to a parent how to care for a school-age child with vomiting
associated with a viral illness. Which action should the nurse include? - CORRECT
ANSWER Brush teeth or rinse mouth after vomiting.
A 4-month-old infant has gastroesophageal reflux (GER) but is thriving without other
complications. Which should the nurse suggest to minimize reflux? - CORRECT
ANSWER thicken formula with rice cereal
A histamine-receptor antagonist such as cimetidine (Tagamet) or ranitidine (Zantac) is
ordered for an infant with GER. The purpose of this is to: - CORRECT ANSWER reduce
gastric acid production
Which clinical manifestation would be the most suggestive of acute appendicitis? -
CORRECT ANSWER Abdominal pain that is most intense at McBurney point
When caring for a child with probable appendicitis, the nurse should be alert to
recognize that which condition or symptom is a sign of perforation? - CORRECT
ANSWER Sudden relief from pain
, PEDS Exam 4 Testbank Arizona college
The nurse is caring for a child admitted with acute abdominal pain and possible
appendicitis. Which is appropriate to relieve the abdominal discomfort? - CORRECT
ANSWER Allow to assume position of comfort.
A nurse is conducting an in-service on childhood gastrointestinal disorders. Which
statement is most descriptive of Meckel diverticulum? - CORRECT ANSWER Intestinal
bleeding may be mild or profuse.
A nurse is admitting a child with Crohn disease. Parents ask the nurse, How is this
disease different from ulcerative colitis? Which statement should the nurse make when
answering this question? - CORRECT ANSWER With Crohns the inflammatory process
involves the whole GI tract.
Which is used to treat moderate to severe inflammatory bowel disease? - CORRECT
ANSWER Corticosteroids
Bismuth subsalicylate, clarithromycin, and metronidazole are prescribed for a child with
a peptic ulcer to:` - CORRECT ANSWER eradicate Helicobacter pylori.
Which statement best characterizes hepatitis A? - CORRECT ANSWER Onset is
usually rapid and acute.
Which vaccine is now recommended for the immunization of all newborns? - CORRECT
ANSWER hepatitis B vaccine
The best chance of survival for a child with cirrhosis is: - CORRECT ANSWER liver
transplantation.
A nurse is admitting an infant with biliary atresia. Which is the earliest clinical
manifestation of biliary atresia the nurse should expect to assess? - CORRECT
ANSWER jaundice
A newborn was admitted to the nursery with a complete bilateral cleft lip and palate. The
physician explained the plan of therapy and its expected good results. However, the
mother refuses to see or hold her baby. Initial therapeutic approach to the mother
should be: - CORRECT ANSWER encouraging her to express her feelings.
Caring for the newborn with a cleft lip and palate before surgical repair includes: -
CORRECT ANSWER providing satisfaction of sucking needs.
A mother who intended to breastfeed has given birth to an infant with a cleft palate.
Nursing interventions should include: - CORRECT ANSWER encouraging and helping
mother to breastfeed.
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