PEDS EXAM 4 TESTBANK EXAM; GRADE A
QUESTIONS AND VERIFIED ANSWERS
(LATEST 2026- 2027) 100% CORRECT
Which condition in a child should alert a nurse for increased fluid requirements? - ANS-fever
A nurse is conducting an in-service on gastrointestinal disorders. The nurse includes that melena, the
passage of black, tarry stools, suggests bleeding from which area? - ANS-upper gastrointestinal tract
Which type of dehydration is defined as dehydration that occurs in conditions in which electrolyte and
water deficits are present in approximately balanced proportion? - ANS-isotonic dehydration
A nurse is admitting an infant with dehydration caused from water loss in excess of electrolyte loss.
Which type of dehydration is this infant experiencing? - ANS-hypertonic
An infant is brought to the emergency department with dehydration. Which physical assessment finding
does the nurse expect? - ANS-poor skin turgor
Parents call the clinic and report that their toddler has had acute diarrhea for 24 hours. The nurse should
further ask the parents if the toddler has which associated factor that is causing the acute diarrhea? -
ANS-antibiotic therapy
Which pathogen is the viral pathogen that frequently causes acute diarrhea in young children? – ANS
rotavirus
Which is a parasite that causes acute diarrhea? - ANS-Giardia lamblia
A child is admitted with bacterial gastroenteritis. Which lab results of a stool specimen confirm this
diagnosis? - ANS-neutrophils and RBC
Which therapeutic management should the nurse prepare to initiate first for a child with acute diarrhea
and moderate dehydration? - ANS-oral rehydration soultion
,A school-age child with diarrhea has been rehydrated. The nurse is discussing the childs diet with the
family. Which statement by the parent would indicate a correct understanding of the teaching? - ANS-I
should have my child eat a normal diet with easily digested foods for the next 48 hours.
A young child is brought to the emergency department with severe dehydration secondary to acute
diarrhea and vomiting. Therapeutic management of this child should begin with: - ANS-intravenous IV
fluids
A mother calls the clinic nurse about her 4-year-old son who has acute diarrhea. She has been giving him
the antidiarrheal drug loperamide (Imodium A-D). The nurses response should be based on knowledge
that this drug is: - ANS-not indicated
Constipation has recently become a problem for a school-age girl. She is healthy except for seasonal
allergies that are being treated with antihistamines. The nurse should suspect that the constipation is
most likely caused by: - ANS-antihistamines
Which is a high-fiber food that the nurse should recommend for a child with chronic constipation? - ANS-
popcorn
Which therapeutic management treatment is implemented for children with Hirschsprung disease? a.
Daily enemas - ANS-surgical removal of affected section of the bowel
Enemas are ordered to empty the bowel preoperatively for a child with Hirschsprung disease. The enema
solution should be: - ANS-normal saline.
A 3-year-old child with Hirschsprung disease is hospitalized for surgery. A temporary colostomy will be
necessary. The nurse should recognize that preparing this child psychologically is: - ANS-necessary
because it will be an adjustment.
The nurse is explaining to a parent how to care for a school-age child with vomiting associated with a
viral illness. Which action should the nurse include? - ANS-Brush teeth or rinse mouth after vomiting.
A 4-month-old infant has gastroesophageal reflux (GER) but is thriving without other complications.
Which should the nurse suggest to minimize reflux? - ANS-thicken formula with rice cereal
A histamine-receptor antagonist such as cimetidine (Tagamet) or ranitidine (Zantac) is ordered for an
infant with GER. The purpose of this is to: - ANS-reduce gastric acid production
Which clinical manifestation would be the most suggestive of acute appendicitis? - ANS-Abdominal pain
that is most intense at McBurney point
When caring for a child with probable appendicitis, the nurse should be alert to recognize that which
condition or symptom is a sign of perforation? - ANS-Sudden relief from pain
, The nurse is caring for a child admitted with acute abdominal pain and possible appendicitis. Which is
appropriate to relieve the abdominal discomfort? - ANS-Allow to assume position of comfort.
A nurse is conducting an in-service on childhood gastrointestinal disorders. Which statement is most
descriptive of Meckel diverticulum? - ANS-Intestinal bleeding may be mild or profuse.
A nurse is admitting a child with Crohn disease. Parents ask the nurse, How is this disease different from
ulcerative colitis? Which statement should the nurse make when answering this question? - ANS-With
Crohns the inflammatory process involves the whole GI tract.
Which is used to treat moderate to severe inflammatory bowel disease? - ANS-Corticosteroids
Bismuth subsalicylate, clarithromycin, and metronidazole are prescribed for a child with a peptic ulcer
to:` - ANS-eradicate Helicobacter pylori.
Which statement best characterizes hepatitis A? - ANS-Onset is usually rapid and acute.
Which vaccine is now recommended for the immunization of all newborns? - ANS-hepatitis B vaccine
The best chance of survival for a child with cirrhosis is: - ANS-liver transplantation.
A nurse is admitting an infant with biliary atresia. Which is the earliest clinical manifestation of biliary
atresia the nurse should expect to assess? - ANS-jaundice
A newborn was admitted to the nursery with a complete bilateral cleft lip and palate. The physician
explained the plan of therapy and its expected good results. However, the mother refuses to see or hold
her baby. Initial therapeutic approach to the mother should be: - ANS-encouraging her to express her
feelings.
Caring for the newborn with a cleft lip and palate before surgical repair includes: - ANS-providing
satisfaction of sucking needs.
A mother who intended to breastfeed has given birth to an infant with a cleft palate. Nursing
interventions should include: - ANS-encouraging and helping mother to breastfeed.
The nurse is caring for an infant whose cleft lip was repaired. Important aspects of this infants
postoperative care include: - ANS-cleansing the suture line, supine and side-lying positions, arm
restraints.
During the first few days after surgery for cleft lip, which intervention should the nurse do? - ANSRemove
restraints periodically to cuddle infant.
The nurse is caring for a neonate with a suspected tracheoesophageal fistula. Nursing care should
include: - ANS-elevating the head but give nothing by mouth.
QUESTIONS AND VERIFIED ANSWERS
(LATEST 2026- 2027) 100% CORRECT
Which condition in a child should alert a nurse for increased fluid requirements? - ANS-fever
A nurse is conducting an in-service on gastrointestinal disorders. The nurse includes that melena, the
passage of black, tarry stools, suggests bleeding from which area? - ANS-upper gastrointestinal tract
Which type of dehydration is defined as dehydration that occurs in conditions in which electrolyte and
water deficits are present in approximately balanced proportion? - ANS-isotonic dehydration
A nurse is admitting an infant with dehydration caused from water loss in excess of electrolyte loss.
Which type of dehydration is this infant experiencing? - ANS-hypertonic
An infant is brought to the emergency department with dehydration. Which physical assessment finding
does the nurse expect? - ANS-poor skin turgor
Parents call the clinic and report that their toddler has had acute diarrhea for 24 hours. The nurse should
further ask the parents if the toddler has which associated factor that is causing the acute diarrhea? -
ANS-antibiotic therapy
Which pathogen is the viral pathogen that frequently causes acute diarrhea in young children? – ANS
rotavirus
Which is a parasite that causes acute diarrhea? - ANS-Giardia lamblia
A child is admitted with bacterial gastroenteritis. Which lab results of a stool specimen confirm this
diagnosis? - ANS-neutrophils and RBC
Which therapeutic management should the nurse prepare to initiate first for a child with acute diarrhea
and moderate dehydration? - ANS-oral rehydration soultion
,A school-age child with diarrhea has been rehydrated. The nurse is discussing the childs diet with the
family. Which statement by the parent would indicate a correct understanding of the teaching? - ANS-I
should have my child eat a normal diet with easily digested foods for the next 48 hours.
A young child is brought to the emergency department with severe dehydration secondary to acute
diarrhea and vomiting. Therapeutic management of this child should begin with: - ANS-intravenous IV
fluids
A mother calls the clinic nurse about her 4-year-old son who has acute diarrhea. She has been giving him
the antidiarrheal drug loperamide (Imodium A-D). The nurses response should be based on knowledge
that this drug is: - ANS-not indicated
Constipation has recently become a problem for a school-age girl. She is healthy except for seasonal
allergies that are being treated with antihistamines. The nurse should suspect that the constipation is
most likely caused by: - ANS-antihistamines
Which is a high-fiber food that the nurse should recommend for a child with chronic constipation? - ANS-
popcorn
Which therapeutic management treatment is implemented for children with Hirschsprung disease? a.
Daily enemas - ANS-surgical removal of affected section of the bowel
Enemas are ordered to empty the bowel preoperatively for a child with Hirschsprung disease. The enema
solution should be: - ANS-normal saline.
A 3-year-old child with Hirschsprung disease is hospitalized for surgery. A temporary colostomy will be
necessary. The nurse should recognize that preparing this child psychologically is: - ANS-necessary
because it will be an adjustment.
The nurse is explaining to a parent how to care for a school-age child with vomiting associated with a
viral illness. Which action should the nurse include? - ANS-Brush teeth or rinse mouth after vomiting.
A 4-month-old infant has gastroesophageal reflux (GER) but is thriving without other complications.
Which should the nurse suggest to minimize reflux? - ANS-thicken formula with rice cereal
A histamine-receptor antagonist such as cimetidine (Tagamet) or ranitidine (Zantac) is ordered for an
infant with GER. The purpose of this is to: - ANS-reduce gastric acid production
Which clinical manifestation would be the most suggestive of acute appendicitis? - ANS-Abdominal pain
that is most intense at McBurney point
When caring for a child with probable appendicitis, the nurse should be alert to recognize that which
condition or symptom is a sign of perforation? - ANS-Sudden relief from pain
, The nurse is caring for a child admitted with acute abdominal pain and possible appendicitis. Which is
appropriate to relieve the abdominal discomfort? - ANS-Allow to assume position of comfort.
A nurse is conducting an in-service on childhood gastrointestinal disorders. Which statement is most
descriptive of Meckel diverticulum? - ANS-Intestinal bleeding may be mild or profuse.
A nurse is admitting a child with Crohn disease. Parents ask the nurse, How is this disease different from
ulcerative colitis? Which statement should the nurse make when answering this question? - ANS-With
Crohns the inflammatory process involves the whole GI tract.
Which is used to treat moderate to severe inflammatory bowel disease? - ANS-Corticosteroids
Bismuth subsalicylate, clarithromycin, and metronidazole are prescribed for a child with a peptic ulcer
to:` - ANS-eradicate Helicobacter pylori.
Which statement best characterizes hepatitis A? - ANS-Onset is usually rapid and acute.
Which vaccine is now recommended for the immunization of all newborns? - ANS-hepatitis B vaccine
The best chance of survival for a child with cirrhosis is: - ANS-liver transplantation.
A nurse is admitting an infant with biliary atresia. Which is the earliest clinical manifestation of biliary
atresia the nurse should expect to assess? - ANS-jaundice
A newborn was admitted to the nursery with a complete bilateral cleft lip and palate. The physician
explained the plan of therapy and its expected good results. However, the mother refuses to see or hold
her baby. Initial therapeutic approach to the mother should be: - ANS-encouraging her to express her
feelings.
Caring for the newborn with a cleft lip and palate before surgical repair includes: - ANS-providing
satisfaction of sucking needs.
A mother who intended to breastfeed has given birth to an infant with a cleft palate. Nursing
interventions should include: - ANS-encouraging and helping mother to breastfeed.
The nurse is caring for an infant whose cleft lip was repaired. Important aspects of this infants
postoperative care include: - ANS-cleansing the suture line, supine and side-lying positions, arm
restraints.
During the first few days after surgery for cleft lip, which intervention should the nurse do? - ANSRemove
restraints periodically to cuddle infant.
The nurse is caring for a neonate with a suspected tracheoesophageal fistula. Nursing care should
include: - ANS-elevating the head but give nothing by mouth.
