Page 1 of 223
PEDS FINAL EXAM (WONG) QUESTIONS AND RATIONALE
EXAM COMPREHENSIVE 2026 QUESTIONS EXAM LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED
100 %
Which terms describe the functions of the gastrointestinal tract? Select all that
apply.
1
Secretory
2
Endocrine
3
Absorption
4
Circulatory
5
Immunologic
1,2,3,5
The various functions of the gastrointestinal tract include secretory, endocrine,
absorption, and immunologic. The cardiac system has circulatory function.
Parents reported to the nurse that their child is passing less than three hard
stools per week for the past month. After performing oral clean out for 3 days,
the child has been put on maintenance therapy. Which oral laxative is the best
treatment choice for maintenance therapy?
1
Lactulose
2
Mineral oil
3
Milk and molasses
4
Polyethylene glycol
, Page 2 of 223
4
Polyethylene glycol is the best treatment choice for maintenance therapy due to the
minimal side effects and taste. Moreover, it can be mixed with any drink, which
makes it easier to administer to children. It also increases fluid in the colon and the
additional volume of fluid stimulates the urge to defecate. Lactulose is also an oral
laxative; however, it is less effective than polyethylene glycol. Mineral oil is also an
oral laxative; however, it should be given carefully to avoid the risk of aspiration. The
combination of milk and molasses is not an oral laxative; it is used for enema clean
out.
A young child is experiencing chronic constipation. Which interventions does
the nurse recommend to promote regular bowel elimination? Select all that
apply.
1
Decrease activity
2
Use of polyethylene glycol
3
Establish bathroom use routine
4
Increase dietary fiber and fluids
5
Increase iron and calcium supplements
6
Give child a bathroom time limit of 2 to 3 minutes
2,3,4
Interventions the nurse should recommend to promote regular bowel elimination
include use of polyethylene glycol, establishment of bathroom use routines, and an
increase of dietary fiber and fluids. Decreasing activity, increasing iron and calcium
supplements, and rushing a child by only giving 2 to 3 minutes to completely
evacuate the bowel promote constipation.
Which are malabsorptive causes of chronic diarrhea? Select all that apply.
1
Crohn disease
2
Celiac disease
3
Ulcerative colitis
4
Lactose intolerance
5
Short-bowel syndrome
2,,4,5
, Page 3 of 223
Malabsorptive causes of chronic diarrhea include celiac disease, lactose
intolerance, and short-bowel syndrome. Ulcerative colitis and Crohn disease are
inflammatory bowel diseases.
Which are true statements associated with pica? Select all that apply.
1
A nonfood pica example is hair.
2
Pica is considered an eating disorder.
3
A food pica example is coffee grounds.
4
Pica is more common in men and children.
5
Pica is clearly associated with protein deficiency.
1,2,3
True statements associated with pica include: pica is considered an eating disorder
in which food and nonfood items are eaten compulsively and excessively for at least
one month. A food pica example is coffee grounds and a nonfood pica example is
hair. Pica is more common in various groups including women (not men) and
children. Pica is clearly associated with both iron and zinc deficiency (not protein
deficiency).
Which symptoms are most associated with Crohn disease? Select all that
apply.
1
Skip lesions
2
Telescoping bowel
3
Red, currant jelly–like stool
4
Inflammation involves any part of the GI tract
5
Inflammation is limited to the colon and rectum
1,4
Symptoms most associated with Crohn disease include skip lesions involving any
part of the GI tract from mouth to anus. Ulcerative colitis is limited to the colon and
rectum. A telescoping bowel with red, currant jelly-like stool is intussusception.
When reviewing the endocrine causes of chronic diarrhea, the nursing
instructor includes which medical problems? Select all that apply.
1
Hyperthyroidism
2
, Page 4 of 223
Hypothyroidism
3
Addison disease
4
Hirschsprung disease
5
Congenital adrenal hyperplasia
1,3,5
Endocrine causes of chronic diarrhea include hyperthyroidism, Addison disease,
and congenital adrenal hyperplasia. Hypothyroidism tends to cause constipation
rather than diarrhea. Hirschprung disease is a gastrointestinal motility disorder rather
than an endocrine disorder.
A nursing student receives report that a child has the diagnosis of failure to
thrive. The nurse explains what failure to thrive means. Which statements are
included in this explanation? Select all that apply.
1
Deceleration from growth patterns
2
The inability to maintain body functions conducive to life
3
A psychological condition where the patient has no desire to live
4
A condition that is sometimes accompanied by developmental delays
5
Consistently remaining below the fifth percentile for height and weight on
standard growth charts
1,4,5
Failure to thrive is a deceleration from growth patterns or consistently remaining
below the fifth percentile for height and weight on standard growth charts. It is
sometimes accompanied by developmental delays. Failure to thrive does not mean
the patient does not have the ability or desire to live.
Which statements are true about intussusception? Select all that apply.
1
More common in females than males
2
Passage of red, currant jelly–like stools
3
Associated with sudden acute abdominal pain
4
The cause of intussusception is usually inflammation
5
Olive-shaped mass in the epigastrium just right of the umbilicus
2,3
PEDS FINAL EXAM (WONG) QUESTIONS AND RATIONALE
EXAM COMPREHENSIVE 2026 QUESTIONS EXAM LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED
100 %
Which terms describe the functions of the gastrointestinal tract? Select all that
apply.
1
Secretory
2
Endocrine
3
Absorption
4
Circulatory
5
Immunologic
1,2,3,5
The various functions of the gastrointestinal tract include secretory, endocrine,
absorption, and immunologic. The cardiac system has circulatory function.
Parents reported to the nurse that their child is passing less than three hard
stools per week for the past month. After performing oral clean out for 3 days,
the child has been put on maintenance therapy. Which oral laxative is the best
treatment choice for maintenance therapy?
1
Lactulose
2
Mineral oil
3
Milk and molasses
4
Polyethylene glycol
, Page 2 of 223
4
Polyethylene glycol is the best treatment choice for maintenance therapy due to the
minimal side effects and taste. Moreover, it can be mixed with any drink, which
makes it easier to administer to children. It also increases fluid in the colon and the
additional volume of fluid stimulates the urge to defecate. Lactulose is also an oral
laxative; however, it is less effective than polyethylene glycol. Mineral oil is also an
oral laxative; however, it should be given carefully to avoid the risk of aspiration. The
combination of milk and molasses is not an oral laxative; it is used for enema clean
out.
A young child is experiencing chronic constipation. Which interventions does
the nurse recommend to promote regular bowel elimination? Select all that
apply.
1
Decrease activity
2
Use of polyethylene glycol
3
Establish bathroom use routine
4
Increase dietary fiber and fluids
5
Increase iron and calcium supplements
6
Give child a bathroom time limit of 2 to 3 minutes
2,3,4
Interventions the nurse should recommend to promote regular bowel elimination
include use of polyethylene glycol, establishment of bathroom use routines, and an
increase of dietary fiber and fluids. Decreasing activity, increasing iron and calcium
supplements, and rushing a child by only giving 2 to 3 minutes to completely
evacuate the bowel promote constipation.
Which are malabsorptive causes of chronic diarrhea? Select all that apply.
1
Crohn disease
2
Celiac disease
3
Ulcerative colitis
4
Lactose intolerance
5
Short-bowel syndrome
2,,4,5
, Page 3 of 223
Malabsorptive causes of chronic diarrhea include celiac disease, lactose
intolerance, and short-bowel syndrome. Ulcerative colitis and Crohn disease are
inflammatory bowel diseases.
Which are true statements associated with pica? Select all that apply.
1
A nonfood pica example is hair.
2
Pica is considered an eating disorder.
3
A food pica example is coffee grounds.
4
Pica is more common in men and children.
5
Pica is clearly associated with protein deficiency.
1,2,3
True statements associated with pica include: pica is considered an eating disorder
in which food and nonfood items are eaten compulsively and excessively for at least
one month. A food pica example is coffee grounds and a nonfood pica example is
hair. Pica is more common in various groups including women (not men) and
children. Pica is clearly associated with both iron and zinc deficiency (not protein
deficiency).
Which symptoms are most associated with Crohn disease? Select all that
apply.
1
Skip lesions
2
Telescoping bowel
3
Red, currant jelly–like stool
4
Inflammation involves any part of the GI tract
5
Inflammation is limited to the colon and rectum
1,4
Symptoms most associated with Crohn disease include skip lesions involving any
part of the GI tract from mouth to anus. Ulcerative colitis is limited to the colon and
rectum. A telescoping bowel with red, currant jelly-like stool is intussusception.
When reviewing the endocrine causes of chronic diarrhea, the nursing
instructor includes which medical problems? Select all that apply.
1
Hyperthyroidism
2
, Page 4 of 223
Hypothyroidism
3
Addison disease
4
Hirschsprung disease
5
Congenital adrenal hyperplasia
1,3,5
Endocrine causes of chronic diarrhea include hyperthyroidism, Addison disease,
and congenital adrenal hyperplasia. Hypothyroidism tends to cause constipation
rather than diarrhea. Hirschprung disease is a gastrointestinal motility disorder rather
than an endocrine disorder.
A nursing student receives report that a child has the diagnosis of failure to
thrive. The nurse explains what failure to thrive means. Which statements are
included in this explanation? Select all that apply.
1
Deceleration from growth patterns
2
The inability to maintain body functions conducive to life
3
A psychological condition where the patient has no desire to live
4
A condition that is sometimes accompanied by developmental delays
5
Consistently remaining below the fifth percentile for height and weight on
standard growth charts
1,4,5
Failure to thrive is a deceleration from growth patterns or consistently remaining
below the fifth percentile for height and weight on standard growth charts. It is
sometimes accompanied by developmental delays. Failure to thrive does not mean
the patient does not have the ability or desire to live.
Which statements are true about intussusception? Select all that apply.
1
More common in females than males
2
Passage of red, currant jelly–like stools
3
Associated with sudden acute abdominal pain
4
The cause of intussusception is usually inflammation
5
Olive-shaped mass in the epigastrium just right of the umbilicus
2,3
