NCLEX STYLE PEDIATRICS RENAL AND
GASTROINTESTINAL LATEST
2026/2027 WITH ORGANIZED
QUESTIONS AND 100% CORRECT
EXPERT VERIFIED ANSWERS GRADED
A+ (BRAND NEW!!!!!)
A cleft lip is a congenital anomaly that occurs as a result of
failure of soft tissue or bony structure to fuse during embryonic
development. After cleft lip repair, the nurse avoids positioning
an infant on the side of the repair or in the prone position
because these positions can cause rubbing of the surgical site on
the mattress. The nurse positions the infant on the side lateral
to the repair or on the back upright and positions the infant to
prevent airway obstruction by secretions, blood, or the tongue.
From the options provided, placing the infant on the left side
immediately after surgery is best to prevent the risk of
aspiration if the infant vomits.
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?
1.
Incessant crying
2.
,Coughing at nighttime
3.
Choking with feedings
4.
Severe projectile vomiting - THE CORRECT ANSWER-3.
In esophageal atresia and tracheoesophageal fistula, the
esophagus terminates before it reaches the stomach, ending in a
blind pouch, and a fistula is present that forms an unnatural
connection with the trachea. Any child who exhibits the "3
Cs"—coughing and choking with feedings and unexplained
cyanosis—should be suspected to have tracheoesophageal
fistula. Options 1, 2, and 4 are not specifically associated with
tracheoesophageal fistula.
The nurse provides feeding instructions to a parent of an infant
diagnosed with gastroesophageal reflux disease. Which
instruction should the nurse give to the parent to assist in
reducing the episodes of emesis?
1.
Provide less frequent, larger feedings.
2.
Burp the infant less frequently during feedings.
3.
,Thin the feedings by adding water to the formula.
4.
Thicken the feedings by adding rice cereal to the formula. - THE
CORRECT ANSWER-4.
Gastroesophageal reflux is backflow of gastric contents into the
esophagus as a result of relaxation or incompetence of the lower
esophageal or cardiac sphincter. Small, more frequent feedings
with frequent burping often are prescribed in the treatment of
gastroesophageal reflux. Feedings thickened with rice cereal
may reduce episodes of emesis. If thickened formula is used,
cross-cutting of the nipple may be required.
A child is hospitalized because of persistent vomiting. The
nurse should monitor the child closely for which problem?
1.
Diarrhea
2.
Metabolic acidosis
3.
Metabolic alkalosis
4.
Hyperactive bowel sounds - THE CORRECT ANSWER-3.
, Vomiting causes the loss of hydrochloric acid and subsequent
metabolic alkalosis. Metabolic acidosis would occur in a child
experiencing diarrhea because of the loss of bicarbonate.
Diarrhea might or might not accompany vomiting. Hyperactive
bowel sounds are not associated with vomiting.
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?
1.
Bile-stained fecal emesis
2.
The passage of currant jelly-like stools
3.
Failure to pass meconium stool in the first 24 hours after birth
4.
Sausage-shaped mass palpated in the upper right abdominal
quadrant - THE CORRECT ANSWER-3.
Imperforate anus is the incomplete development or absence of
the anus in its normal position in the perineum. During the
newborn assessment, this defect should be identified easily on
sight. However, a rectal thermometer or tube may be necessary
to determine patency if meconium is not passed in the first 24
hours after birth. Other assessment findings include absence or
stenosis of the anal rectal canal, presence of an anal membrane,
GASTROINTESTINAL LATEST
2026/2027 WITH ORGANIZED
QUESTIONS AND 100% CORRECT
EXPERT VERIFIED ANSWERS GRADED
A+ (BRAND NEW!!!!!)
A cleft lip is a congenital anomaly that occurs as a result of
failure of soft tissue or bony structure to fuse during embryonic
development. After cleft lip repair, the nurse avoids positioning
an infant on the side of the repair or in the prone position
because these positions can cause rubbing of the surgical site on
the mattress. The nurse positions the infant on the side lateral
to the repair or on the back upright and positions the infant to
prevent airway obstruction by secretions, blood, or the tongue.
From the options provided, placing the infant on the left side
immediately after surgery is best to prevent the risk of
aspiration if the infant vomits.
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?
1.
Incessant crying
2.
,Coughing at nighttime
3.
Choking with feedings
4.
Severe projectile vomiting - THE CORRECT ANSWER-3.
In esophageal atresia and tracheoesophageal fistula, the
esophagus terminates before it reaches the stomach, ending in a
blind pouch, and a fistula is present that forms an unnatural
connection with the trachea. Any child who exhibits the "3
Cs"—coughing and choking with feedings and unexplained
cyanosis—should be suspected to have tracheoesophageal
fistula. Options 1, 2, and 4 are not specifically associated with
tracheoesophageal fistula.
The nurse provides feeding instructions to a parent of an infant
diagnosed with gastroesophageal reflux disease. Which
instruction should the nurse give to the parent to assist in
reducing the episodes of emesis?
1.
Provide less frequent, larger feedings.
2.
Burp the infant less frequently during feedings.
3.
,Thin the feedings by adding water to the formula.
4.
Thicken the feedings by adding rice cereal to the formula. - THE
CORRECT ANSWER-4.
Gastroesophageal reflux is backflow of gastric contents into the
esophagus as a result of relaxation or incompetence of the lower
esophageal or cardiac sphincter. Small, more frequent feedings
with frequent burping often are prescribed in the treatment of
gastroesophageal reflux. Feedings thickened with rice cereal
may reduce episodes of emesis. If thickened formula is used,
cross-cutting of the nipple may be required.
A child is hospitalized because of persistent vomiting. The
nurse should monitor the child closely for which problem?
1.
Diarrhea
2.
Metabolic acidosis
3.
Metabolic alkalosis
4.
Hyperactive bowel sounds - THE CORRECT ANSWER-3.
, Vomiting causes the loss of hydrochloric acid and subsequent
metabolic alkalosis. Metabolic acidosis would occur in a child
experiencing diarrhea because of the loss of bicarbonate.
Diarrhea might or might not accompany vomiting. Hyperactive
bowel sounds are not associated with vomiting.
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?
1.
Bile-stained fecal emesis
2.
The passage of currant jelly-like stools
3.
Failure to pass meconium stool in the first 24 hours after birth
4.
Sausage-shaped mass palpated in the upper right abdominal
quadrant - THE CORRECT ANSWER-3.
Imperforate anus is the incomplete development or absence of
the anus in its normal position in the perineum. During the
newborn assessment, this defect should be identified easily on
sight. However, a rectal thermometer or tube may be necessary
to determine patency if meconium is not passed in the first 24
hours after birth. Other assessment findings include absence or
stenosis of the anal rectal canal, presence of an anal membrane,
