NSG 434 Exam 2 Questions With Correct Answers

NSG 434 Exam 2 Questions With Correct
Answers

Gastroschisis: what is going to be priority nursing care for a patient with
| | | | | | | | | | | | |



Gastroschisis?


A. Keep the abdominal contents inside the peritoneal sac moist with a
| | | | | | | | | | | |



plastic bag |




B. Keep the abdominal contents moist with a plastic bag
| | | | | | | | |




C. Prepare the infant for a Nissan fundiplication
| | | | | | |




D. Manage the child's secretions and keep them NPO
| | | | | | | |




Answer: B |




A. Is incorrect because Omphalocele is the disorder where the
| | | | | | | | | |



abdominal contents are inside a peritoneal sac. Gastroschisis is
| | | | | | | | |



abdominal contents outisde of the body without a peritoneal sac.
| | | | | | | | |




C. Nissan fudiplication is a last resort surgery for patients with GER. It
| | | | | | | | | | | | |



wraps the upper end of the stomach around the lower portion of the
| | | | | | | | | | | | |



esophagus creating a lower esophageal sphincter.
| | | | |




D. These would be interventions that you would see for an Esophageal
| | | | | | | | | | | |



Astresia and Tracheoesphageal Fistula.
| | |

,A patient asks the nurse to explain what ulcerative colitis is. How would
| | | | | | | | | | | | |



the nurse answer?
| |




A. An inflammatory bowel disorder that occurs from the mouth to
| | | | | | | | | | |



rectum.
B. An inflammatory bowel disorder that causes acid reflux into the
| | | | | | | | | | |



esophagus.
C. An inflammatory bowel disorder that occurs from the large intestine
| | | | | | | | | | |



to the rectum.
| |




D. An inflammatory bowel disorder that occurs from the stomach to the
| | | | | | | | | | | |



rectum.
Answer: C |




A. Is a definition for Crohn's disease
| | | | | |




B. Is similar to GER, but it isn't under the inflammatory bowel disorders.
| | | | | | | | | | | |




An infant has been diagnosed with Hirschsprung. The mother asks what
| | | | | | | | | | |



should I expect my babies stools to look like with this disorder? How will
| | | | | | | | | | | | |



the nurse respond.
| | |




A. Ribbon like stool
| | |




B. Stenorrhea or fatty like stool
| | | | |




C. Red current Jelly like stool
| | | | |




D. Chalky white stool
| | |




Answer: A |

,B. Stenorrhea is seen with celiac disease
| | | | | |




C. Red current jelly like stool is seen with Intussusception because of
| | | | | | | | | | | |



intestinal bleeding and intestinal mucous
| | | |




D. Chalky white stool is seen with biliary Atresia because of the lack of
| | | | | | | | | | | | | |



bile in the stool
| | |




Otitis Media increased risk
| | |




A. Being around Smoking
| | |




B. Drinking while breast feeding
| | | |




C. Doing drugs while breast feeding
| | | | |




D. Being in contact with someone with Otitis Media
| | | | | | | |




Answer A |




What is a complication that can happen from Malrotation?
| | | | | | | |




A. Intussusception of the bowel
| | | |




B. Infection from bowel sticking out of cavity
| | | | | | |




C. Short bowel syndrome
| | |




D. Decreased blood flow to the body
| | | | | |




Answer: C |

, Malrotation is when there is abnormal rotation of the intestine around
| | | | | | | | | | |



the superior mesenteric artery during embryonic development. This can
| | | | | | | |



lead to Volvulus, which is where the intestine twists around itself and
| | | | | | | | | | | | |



compromises the blood supply. This requires immediate surgery.
| | | | | | |




Treatment for Otitis Media | | |




A. Penicillin
|




B. Corticosteroids
|




C. Azythromycin
|




D. Amoxicillin
|




Answer: D |




Which foods is a child most at risk to aspirate on? (select all that apply)
| | | | | | | | | | | | | |




A. Grapes
|




B. Strawberries
|




C. Popcorn
|




D. Hotdogs
|




E. Nuts
|




Answer: A, C, D, E | | | |