PEDS GI/GU SHERPATH PRACTICE QUESTIONS AND CORRECT ANSWERS
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Course
GU Peds
Institution
GU Peds
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 your back."
"Lie on your abdomen."
"Lie on your left side with knees bent."
"Sit up straight in the chair with your legs dangling." "Lie on your le...
PEDS GI/GU SHERPATH PRACTICE
QUESTIONS AND CORRECT ANSWERS
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 your back."
"Lie on your abdomen."
"Lie on your left side with knees bent."
"Sit up straight in the chair with your legs dangling." ✅"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.
The nurse is preparing a child for an appendectomy and notes that the child is
extremely quiet. Which nursing action is correct?
Select all that apply.
Encourage the child to try to sleep.
Tell the child that everything will be fine.
Encourage the child to verbalize feelings.
Provide discharge instructions to allow the parents to leave faster. ✅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?
Select all that apply.
Administer oral pain medication as needed.
Assess electrolyte and albumin levels regularly.
Question the child about feelings related to body image.
Assess the child's height and weight and plot these values on a growth chart.
Encourage the parents and child to establish a regular bowel elimination regimen.
✅Assess the child's height and weight and plot these values on a growth chart.
Encourage the parents and child to establish a regular bowel elimination regimen.
Assess electrolyte and albumin levels regularly.
The nurse is caring for a child diagnosed with Crohn's disease. Which assessment
findings would be concerning?
Select all that apply.
Nocturnal diarrhea
Loss of 5 pounds in 1 week
Gain of 2 pounds in 3 days
Decreased albumin and hemoglobin levels
Rapid recoil when skin of the sternum is pinched ✅Nocturnal diarrhea
Loss of 5 pounds in 1 week
Decreased albumin and hemoglobin 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?
Administer oral prednisone.
,Administer IV pain medication.
Administer oral metronidazole.
Administer intravenous (IV) normal saline bolus. ✅Administer intravenous (IV) normal
saline bolus.
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?
An elemental diet
A high-fiber, high-residue diet
A diet high in folate and vitamin C
Total parenteral nutrition (TPN) and lipids ✅An 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?
Decrease in crying
Drinking milk with dinner
Playing a game with a sibling
Decrease in bowel movements to 6 per day ✅Playing a game with a sibling
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
Dehydration
Malnutrition
Hypertension ✅Sepsis
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?
SATA
, Provide clear liquids only.
Provide emotional support.
Administer intravenous fluids.
Administer IV analgesic medication.
Administer oral antipyretic medication. ✅Provide emotional support.
Administer intravenous fluids.
Administer IV analgesic medication.
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 the child daily vitamins.
Administer total parenteral nutrition.
Provide the child with a high-fiber diet.
Include high-fat dairy products in the child's diet. ✅Daily vitamins
The nurse is caring for a child who presents with abdominal distention and currant jelly
stools. Since admission, the patient's blood pressure has decreased and the patient has
become lethargic. Which is the priority nursing action for this patient?
Notify the health care provider
Administer intravenous (IV) pain medication
Prepare the patient for abdominal ultrasonography
Prepare the patient for magnetic resonance imaging (MRI) of the chest and abdomen
✅HCP
When assessing a child treated for intussusception, which behavioral finding would
indicate the expected outcomes had been met for that child?
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