Study Guide – Practice
Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update.
How does the nurse interpret the laboratory analysis of a stool sample
containing excessive amounts of azotorrhea and steatorrhea in a child with
cystic fibrosis (CF)? The values indicate the child is
1. Not compliant with taking her vitamins.
2. Not compliant with taking her enzymes.
3. Eating too many foods high in fat.
4. Eating too many foods high in fiber. - Ans✔✔-ANS 2
2. If the child were not taking enzymes, the result would be a large amount of
undigested food, azotorrhea, and steatorrhea in the stool. Pancreatic ducts in
CF patients become clogged with thick mucus that blocks the flow of digestive
enzymes from the pancreas to the duodenum. Therefore, patients must take
digestive enzymes with all meals and snacks to aid in absorption of nutrients.
,Often, teens are noncompliant with their medication regimen because they
want to be like their peers.
TEST-TAKING HINT: The test taker needs to understand the pathophysiology of
CF and the impact it has on the gastrointestinal system. The test taker also
must be familiar with the conditions azotorrhea and steatorrhea.
Which would the nurse explain to parents about the inheritance of cystic
fibrosis?
1. CF is an autosomal-dominant trait passed on from the child's mother.
2. CF is an autosomal-dominant trait passed on from the child's father.
3. The child of parents who are both carriers of the gene for CF has a 50%
chance of
acquiring CF.
4. The child of a mother who has CF and a father who is a carrier of the gene
for CF
has a 50% chance of acquiring CF. - Ans✔✔-ANS 4
4. If the child is born to a parent with CF and the other parent is a carrier, the
child has a 50% chance of acquiring the disease and a 50% chance of being a
carrier of the disease. TEST-TAKING HINT: Answers 1 and 2 can be eliminated
with knowledge of the genetic inheritance of CF. CF is inherited as an
autosomal-recessive trait.
The parent of a 4-month-old with cystic fibrosis (CF) asks the nurse what time
to begin the child's first chest physiotherapy (CPT) each day. Which is the
nurse's best response?
,1. "Thirty minutes before feeding the child breakfast."
2. "After deep-suctioning the child each morning."
3. "Thirty minutes after feeding the child breakfast."
4. "Only when the child has congestion or coughing." - Ans✔✔-1. CPT should
be done in the morning prior to feeding to avoid the risk of the child vomiting.
TEST-TAKING HINT: Answer 4 can be eliminated because of the word "only."
There are very few times in health care when an answer will be "only." Answer
3 can be eliminated when one considers the risk of vomiting and aspiration
that may occur if percussion is performed following eating
The parent of an infant with cystic fibrosis (CF) asks the nurse how to meet the
child's increased nutritional needs. Which is the nurse's best suggestion?
1. "You may need to increase the number of fresh fruits and vegetables you
give
your child."
2. "You may need to advance your child's diet to whole cow's milk because it is
higher
in fat than formula."
3. "You may need to change your child to a higher-calorie formula."
4. "You may need to increase your child's carbohydrate intake." - Ans✔✔-3.
Often infants with CF need to have a higher-calorie formula to meet their
nutritional needs. Infants may also be placed on hydrolysate formulas that
contain medium-chain triglycerides.
, TEST-TAKING HINT: Answers 1, 2, and 4 can be eliminated with understanding
of the nutritional needs of the child with CF. Answer 2 can also be eliminated
because whole cow's milk is not recommended until 12 months of age.
The parent of a child with cystic fibrosis (CF) is excited about the possibility of
the child receiving a double lung transplant. What should the parent
understand?
1. The transplant will cure the child of CF and allow the child to lead a long and
healthy life.
2. The transplant will not cure the child of CF but will allow the child to have a
longer life.
3. The transplant will help to reverse the multisystem damage that has been
caused by CF.
4. The transplant will be the child's only chance at surviving long enough to
graduate
college. - Ans✔✔-2. A lung transplant does not cure CF, but it does offer the
patient an opportunity to live a longer life. The concerns are that, after the lung
transplant, the child is at risk for rejection of the new organ and for
development of secondary infections because of the immunosuppressive
therapy.
TEST-TAKING HINT: Answer 4 can be eliminated because of the word "only."
There are very few times in health care when an answer will be "only." Answers
1 and 3 can be eliminated if the test taker has a basic knowledge of the
pathophysiology of CF.