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NR 328 Nursing Exam 2 Pediatric 2026/2027
Chamberlain Test Bank Questions and Answers with
Complete Solutions and Verified Rationales Grade A
1. A nurse is assessing a newborn with suspected Hirschsprung disease. Which findings
should the nurse expect? (Select All That Apply.)
A. Distended abdomen
B. Frequent watery stools
C. Failure to pass meconium in the first 24-48 hours
D. Vomiting
E. Hyperactive bowel sounds
Correct Answer: A, C, D
Rationale: Hirschsprung disease presents with abdominal distention, failure to pass
meconium, and vomiting. Stools are infrequent, and bowel sounds may be diminished
or absent in the affected segment.
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2. A child is diagnosed with Hirschsprung disease. The nurse understands that the
definitive treatment for this condition is:
A. Oral electrolyte solutions
B. Surgical removal of the aganglionic portion of the bowel
C. Long-term antibiotic therapy
D. High-fiber diet
Correct Answer: B. Surgical removal of the aganglionic portion of the bowel
Rationale: Hirschsprung disease requires surgical removal of the aganglionic bowel
segment. A temporary colostomy may be needed, followed by reanastomosis.
3. A nurse is providing preoperative teaching for the parents of an infant with
Hirschsprung disease. Which information should the nurse include?
A. The surgery is performed through the abdomen only
B. A temporary colostomy may be necessary
C. The infant will be able to eat solid foods immediately after surgery
D. No special postoperative care is needed
Correct Answer: B. A temporary colostomy may be necessary
Rationale: Surgical management may include a temporary colostomy to allow the bowel
to heal before reanastomosis. Parents need education about colostomy care.
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4. An infant with gastroesophageal reflux (GER) is being discharged. Which
instructions should the nurse include in the discharge teaching? (Select All That
Apply.)
A. Place the infant supine for sleep
B. Feed the infant in an upright position
C. Thicken formula with rice cereal
D. Offer large, infrequent feedings
E. Burp the infant frequently
Correct Answer: A, B, C, E
Rationale: GER management includes upright feeding, thickened formula, frequent
burping, and supine sleep (per SIDS recommendations). Small, frequent feedings are
preferred over large, infrequent ones.
5. A child is prescribed ranitidine (Zantac) for gastroesophageal reflux. The nurse
explains that this medication works by:
A. Neutralizing stomach acid
B. Blocking histamine-2 receptors to reduce acid production
NR 328 Nursing Exam 2 Pediatric 2026/2027
Chamberlain Test Bank Questions and Answers with
Complete Solutions and Verified Rationales Grade A
1. A nurse is assessing a newborn with suspected Hirschsprung disease. Which findings
should the nurse expect? (Select All That Apply.)
A. Distended abdomen
B. Frequent watery stools
C. Failure to pass meconium in the first 24-48 hours
D. Vomiting
E. Hyperactive bowel sounds
Correct Answer: A, C, D
Rationale: Hirschsprung disease presents with abdominal distention, failure to pass
meconium, and vomiting. Stools are infrequent, and bowel sounds may be diminished
or absent in the affected segment.
,2|Page
2. A child is diagnosed with Hirschsprung disease. The nurse understands that the
definitive treatment for this condition is:
A. Oral electrolyte solutions
B. Surgical removal of the aganglionic portion of the bowel
C. Long-term antibiotic therapy
D. High-fiber diet
Correct Answer: B. Surgical removal of the aganglionic portion of the bowel
Rationale: Hirschsprung disease requires surgical removal of the aganglionic bowel
segment. A temporary colostomy may be needed, followed by reanastomosis.
3. A nurse is providing preoperative teaching for the parents of an infant with
Hirschsprung disease. Which information should the nurse include?
A. The surgery is performed through the abdomen only
B. A temporary colostomy may be necessary
C. The infant will be able to eat solid foods immediately after surgery
D. No special postoperative care is needed
Correct Answer: B. A temporary colostomy may be necessary
Rationale: Surgical management may include a temporary colostomy to allow the bowel
to heal before reanastomosis. Parents need education about colostomy care.
, 3|Page
4. An infant with gastroesophageal reflux (GER) is being discharged. Which
instructions should the nurse include in the discharge teaching? (Select All That
Apply.)
A. Place the infant supine for sleep
B. Feed the infant in an upright position
C. Thicken formula with rice cereal
D. Offer large, infrequent feedings
E. Burp the infant frequently
Correct Answer: A, B, C, E
Rationale: GER management includes upright feeding, thickened formula, frequent
burping, and supine sleep (per SIDS recommendations). Small, frequent feedings are
preferred over large, infrequent ones.
5. A child is prescribed ranitidine (Zantac) for gastroesophageal reflux. The nurse
explains that this medication works by:
A. Neutralizing stomach acid
B. Blocking histamine-2 receptors to reduce acid production
