PEDS FINAL EXAM NEWEST 2024 ACTUAL EXAM
COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VRIFIED ANSWERS) |
ALREADY GRADED A+
The nurse is conducting a physical examination of an infant with suspected pyloric
stenosis. Which finding indicates pyloric stenosis?
a. Sausage-shaped mass in the upper mid abdomen
b. Perianal fissures and skin tags
c. Abdominal pain and irritability
d. Hard, moveable "olive-like mass" in the upper right quadrant - ANSWER: d. Hard,
moveable "olive-like mass" in the upper right quadrant
In caring for an infant diagnosed with pyloric stenosis the nurse would anticipate
which intervention?
a. prepare the infant for surgery
b. medicate the infant with analgesics
c. change the infant's diet to lactose-free
d. assist in doing a barium enema procedure on the infant - ANSWER: a. prepare the
infant for surgery
The nurse is discussing the treatment of congenital aganglionic megacolon with the
caregivers of a child diagnosed with this disorder. Which statement is the best
explanation of the treatment for this diagnosis?
a. "The treatment for the disorder will be a surgical procedure."
b. "Your child will be treated with oral iron preparations to correct the anemia."
c. "We will give enemas until clear and then teach you how to do these at home."
d. "Your child will receive counseling so the underlying concerns will be addressed." -
ANSWER: a. "The treatment for the disorder will be a surgical procedure."
Which assessment finding would suggest that a child's postoperative feeding
schedule following pyloric stenosis surgery should be slowed?
a. Flatulence
b. Vomiting
c. Semiformed bowel movements
d. Falling asleep at each feeding - ANSWER: b. Vomiting
The nurse is caring for a child admitted with pyloric stenosis. Which clinical
manifestation would likely have been noted in the child with this diagnosis?
a. Explosive diarrhea
, b. Projectile vomiting
c. Severe abdominal pain
d. Frequent urination - ANSWER: b. Projectile vomiting
The labor and delivery nurse is caring for a mother who has demonstrated
polyhydramnios upon delivery. The newborn displays copious, frothy bubbles of
mucus in the mouth and nose, as well as drooling. The nurse is concerned that the
infant has what disorder?
a. Esophageal atresia
b. Omphalocele
c. Gastroschisis
d. Hiatal hernia - ANSWER: a. Esophageal atresia
A nurse taking a health history of a newborn notes that there is a maternal history of
polyhydramnios. What GI condition might this history precipitate?
a. Esophageal atresia (EA)
b. Cleft palate
c. Pyloric stenosis
d. Hernia - ANSWER: a. Esophageal atresia (EA)
The nurse has performed client teaching to a 15-year-old boy with Crohn disease,
and his parents, regarding the cobblestone lesions in his small intestine. Which
comment by the family indicates learning occurred?
a. "I have to be careful because I am prone to not absorbing nutrients."
b. "I have a lot of diarrhea every day because of how my small intestine is damaged."
c. "I may end up with a colectomy because the disease is continuous from the
beginning to the end of my intestines."
d. "It's unusual for someone my age to get Crohn disease." - ANSWER: a. "I have to
be careful because I am prone to not absorbing nutrients."
A child is diagnosed with intussusception. The nurse anticipates that what action
would be attempted first to reduce this condition?
a. Barium enema
b. Surgery
c. Upper endoscopy
d. Endoscopic retrograde cholangiopancreatography - ANSWER: a. Barium enema
What occurs in the gastrointestinal system of the child with Hirschsprung disease?
a. There is a partial or complete mechanical obstruction in the intestine.
b. There is a severe narrowing of the lumen of the pylorus.
c. There is an invagination or telescoping of one portion of the bowel into a distal
portion.
COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VRIFIED ANSWERS) |
ALREADY GRADED A+
The nurse is conducting a physical examination of an infant with suspected pyloric
stenosis. Which finding indicates pyloric stenosis?
a. Sausage-shaped mass in the upper mid abdomen
b. Perianal fissures and skin tags
c. Abdominal pain and irritability
d. Hard, moveable "olive-like mass" in the upper right quadrant - ANSWER: d. Hard,
moveable "olive-like mass" in the upper right quadrant
In caring for an infant diagnosed with pyloric stenosis the nurse would anticipate
which intervention?
a. prepare the infant for surgery
b. medicate the infant with analgesics
c. change the infant's diet to lactose-free
d. assist in doing a barium enema procedure on the infant - ANSWER: a. prepare the
infant for surgery
The nurse is discussing the treatment of congenital aganglionic megacolon with the
caregivers of a child diagnosed with this disorder. Which statement is the best
explanation of the treatment for this diagnosis?
a. "The treatment for the disorder will be a surgical procedure."
b. "Your child will be treated with oral iron preparations to correct the anemia."
c. "We will give enemas until clear and then teach you how to do these at home."
d. "Your child will receive counseling so the underlying concerns will be addressed." -
ANSWER: a. "The treatment for the disorder will be a surgical procedure."
Which assessment finding would suggest that a child's postoperative feeding
schedule following pyloric stenosis surgery should be slowed?
a. Flatulence
b. Vomiting
c. Semiformed bowel movements
d. Falling asleep at each feeding - ANSWER: b. Vomiting
The nurse is caring for a child admitted with pyloric stenosis. Which clinical
manifestation would likely have been noted in the child with this diagnosis?
a. Explosive diarrhea
, b. Projectile vomiting
c. Severe abdominal pain
d. Frequent urination - ANSWER: b. Projectile vomiting
The labor and delivery nurse is caring for a mother who has demonstrated
polyhydramnios upon delivery. The newborn displays copious, frothy bubbles of
mucus in the mouth and nose, as well as drooling. The nurse is concerned that the
infant has what disorder?
a. Esophageal atresia
b. Omphalocele
c. Gastroschisis
d. Hiatal hernia - ANSWER: a. Esophageal atresia
A nurse taking a health history of a newborn notes that there is a maternal history of
polyhydramnios. What GI condition might this history precipitate?
a. Esophageal atresia (EA)
b. Cleft palate
c. Pyloric stenosis
d. Hernia - ANSWER: a. Esophageal atresia (EA)
The nurse has performed client teaching to a 15-year-old boy with Crohn disease,
and his parents, regarding the cobblestone lesions in his small intestine. Which
comment by the family indicates learning occurred?
a. "I have to be careful because I am prone to not absorbing nutrients."
b. "I have a lot of diarrhea every day because of how my small intestine is damaged."
c. "I may end up with a colectomy because the disease is continuous from the
beginning to the end of my intestines."
d. "It's unusual for someone my age to get Crohn disease." - ANSWER: a. "I have to
be careful because I am prone to not absorbing nutrients."
A child is diagnosed with intussusception. The nurse anticipates that what action
would be attempted first to reduce this condition?
a. Barium enema
b. Surgery
c. Upper endoscopy
d. Endoscopic retrograde cholangiopancreatography - ANSWER: a. Barium enema
What occurs in the gastrointestinal system of the child with Hirschsprung disease?
a. There is a partial or complete mechanical obstruction in the intestine.
b. There is a severe narrowing of the lumen of the pylorus.
c. There is an invagination or telescoping of one portion of the bowel into a distal
portion.
