peds #6 GI Questions With All Correct Answers
1. Dustin who was diagnosed with Hirschsprung's disease has a fever and
watery explosive diarrhea. Which of the following would Nurse Joyce do first?
A. Administer an antidiarrheal.
B. Notify the physician immediately.
C. Monitor the child every 30 minutes.
D. Nothing. (These findings are common in Hirschsprung's disease.) correct
answer -B: For the child with Hirschsprung's disease, fever and explosive
diarrhea indicate enterocolitis, a life-threatening situation. Therefore, the
physician should be notified directly. A: Generally, because of the intestinal
obstruction and inadequate propulsive intestinal movement, antidiarrheals
are not used to treat Hirschsprung's disease. C: The child is acutely ill and
requires intervention, with monitoring more frequently than every 30
minutes. D: Hirschsprung's disease typically presents with chronic
constipation.
2. Nurse Nancy is assessing a child with pyloric stenosis; she is likely to note
which of the following?
A. "Currant jelly" stools
B. Regurgitation
C. Steatorrhea
D. Projectile vomiting correct answer -D: Projectile vomiting is a key sign
of pyloric stenosis. B: Regurgitation is seen more commonly with
gastroesophageal reflux. C: Steatorrhea occurs in malabsorption disorders
such as celiac disease. A: "Currant jelly" stools are characteristic of
intussusception.
3. An 11-year-old girl with celiac disease was discharged from the hospital. An
appropriate teaching was carried out by the nurse if the parents are aware of
avoiding which of the following?
A. Chicken
B. Wheat
C. Milk
D. Rice correct answer -B: Children with celiac disease cannot tolerate or
digest gluten. Therefore, because of its gluten content, wheat and wheat-
, containing products must be avoided. A,C,D: Rice, milk, and chicken do not
contain gluten and need not be avoided.
4. Which of the following applies to the defect emerging from residual
peritoneal fluid confined within the lower segment of the processus vaginalis?
A. Inguinal hernia
B. Incarcerated hernia
C. Communicating hydrocele
D. Noncommunicating hydrocele correct answer -D: With a
noncommunicating hydrocele, most commonly seen at birth, residual
peritoneal fluid is trapped within lower segment of the processus vaginalis
(the tunica vaginalis). There is no communication with the peritoneal cavity
and the fluid usually is absorbed during the first months after birth.
5. Baby Jonathan was born with cleft lip (CL); Nurse Barbara would be alert
that which of the following will most likely be compromised?
A. GI function
B. Locomotion
C. Sucking ability
D. Respiratory status correct answer -C: Because of the defect, the child
will be unable to form mouth adequately around the nipple, thereby requiring
special devices to allow for feeding and sucking gratification. A: GI functioning
is not compromised in the child with a CL. B: Locomotion would be a problem
for older infant because of the use of restraints. D: Respiratory status may be
compromised if the child is fed improperly during post-operative period.
6. Will is being assessed by Nurse Lucas for possible intussusception; which of
the following would be least likely to provide valuable information?
A. Abdominal palpation
B. Family history
C. Pain pattern
D. Stool inspection correct answer -B: Because intussusception is not
believed to have familial tendency, obtaining a family history would provide
the least amount of information. A,C,D: Stool inspection, pain pattern, and
abdominal palpation would reveal possible indicators of intussusception.
"Currant jelly" stools, containing blood and mucus, are an indication of
1. Dustin who was diagnosed with Hirschsprung's disease has a fever and
watery explosive diarrhea. Which of the following would Nurse Joyce do first?
A. Administer an antidiarrheal.
B. Notify the physician immediately.
C. Monitor the child every 30 minutes.
D. Nothing. (These findings are common in Hirschsprung's disease.) correct
answer -B: For the child with Hirschsprung's disease, fever and explosive
diarrhea indicate enterocolitis, a life-threatening situation. Therefore, the
physician should be notified directly. A: Generally, because of the intestinal
obstruction and inadequate propulsive intestinal movement, antidiarrheals
are not used to treat Hirschsprung's disease. C: The child is acutely ill and
requires intervention, with monitoring more frequently than every 30
minutes. D: Hirschsprung's disease typically presents with chronic
constipation.
2. Nurse Nancy is assessing a child with pyloric stenosis; she is likely to note
which of the following?
A. "Currant jelly" stools
B. Regurgitation
C. Steatorrhea
D. Projectile vomiting correct answer -D: Projectile vomiting is a key sign
of pyloric stenosis. B: Regurgitation is seen more commonly with
gastroesophageal reflux. C: Steatorrhea occurs in malabsorption disorders
such as celiac disease. A: "Currant jelly" stools are characteristic of
intussusception.
3. An 11-year-old girl with celiac disease was discharged from the hospital. An
appropriate teaching was carried out by the nurse if the parents are aware of
avoiding which of the following?
A. Chicken
B. Wheat
C. Milk
D. Rice correct answer -B: Children with celiac disease cannot tolerate or
digest gluten. Therefore, because of its gluten content, wheat and wheat-
, containing products must be avoided. A,C,D: Rice, milk, and chicken do not
contain gluten and need not be avoided.
4. Which of the following applies to the defect emerging from residual
peritoneal fluid confined within the lower segment of the processus vaginalis?
A. Inguinal hernia
B. Incarcerated hernia
C. Communicating hydrocele
D. Noncommunicating hydrocele correct answer -D: With a
noncommunicating hydrocele, most commonly seen at birth, residual
peritoneal fluid is trapped within lower segment of the processus vaginalis
(the tunica vaginalis). There is no communication with the peritoneal cavity
and the fluid usually is absorbed during the first months after birth.
5. Baby Jonathan was born with cleft lip (CL); Nurse Barbara would be alert
that which of the following will most likely be compromised?
A. GI function
B. Locomotion
C. Sucking ability
D. Respiratory status correct answer -C: Because of the defect, the child
will be unable to form mouth adequately around the nipple, thereby requiring
special devices to allow for feeding and sucking gratification. A: GI functioning
is not compromised in the child with a CL. B: Locomotion would be a problem
for older infant because of the use of restraints. D: Respiratory status may be
compromised if the child is fed improperly during post-operative period.
6. Will is being assessed by Nurse Lucas for possible intussusception; which of
the following would be least likely to provide valuable information?
A. Abdominal palpation
B. Family history
C. Pain pattern
D. Stool inspection correct answer -B: Because intussusception is not
believed to have familial tendency, obtaining a family history would provide
the least amount of information. A,C,D: Stool inspection, pain pattern, and
abdominal palpation would reveal possible indicators of intussusception.
"Currant jelly" stools, containing blood and mucus, are an indication of
