1 Exampromax - Stuvia US 2025/2026
GI peds NCLEX Questions and Correct Detailed Answers
(Verified Answers) ||Already Graded A+||Newest
Version
A nurse is caring for an 11-month old infant admitted for watery, green
diarrhea; vomiting: and fever. He is diagnosed with gastroenteritis with no
known source at this time. Which nursing diagnosis should be the highest
priority?
a. Altered Nutrition
b. Anxiety related to hospitalization
c. Fluid Volume and Electrolyte Imbalance
d. Altered Family Coping
Exampromax - Stuvia US
Ans: C.
fluid and electrolyte imbalances can be life threatening
Approved By:
Which intervention would the nurse include in the care of an infant
following surgical repair of a cleft lip?
a. Let the infant touch the suture lines as a means of self-comforting.
b. Position the infant in the supine position for feedings to avoid aspiration.
c. Administer pain medications as ordered.
d. Use a special feeding device with shorter nipples.
Ans: C.
- don't want infant touching suture lines
- usually longer nipples use
- wouldn't want pt positioned in supine during feedings- want them upright
to prevent aspiration
Which assessment finding would lead the nurse to suspect esophageal
atresia in an infant?
a. Hypotonicity
b. Excessive crying
, 2 Exampromax - Stuvia US 2025/2026
c. Abdominal distention
d. Excessive drooling
Ans: D
excessive drooling is a sign of esophageal atresia
Which client would the nurse suspect to have pyloric stenosis?
a. A 7-month-old with choking episodes
b. An 11-year-old with an olive-shaped abdominal mass
c. A 5-week-old infant with projectile vomiting
d. A 2-year-old with a harsh cough
Ans: C.
Exampromax - Stuvia US
projectile vomiting is a sign of pyloric stenosis
Approved By:
a nurse is discharging an infant after a pyloric stenosis repair. Which
statement by the mother would indicate the need for further instructions
prior to discharge?
a. "I should call the doctor if my infant's temperature rises above 101
degrees."
b. "I should fold the diaper down so it does not irritate the incision."
c. "My infant's incision will need to be observed for redness, swelling, or
discharge."
d. "If my infant vomits, I should hold feedings for 6 hours.
Ans: D.
vomiting after surgery is common. mom should not withhold feedings
The nurse is preparing a pediatric client for a barium enema. Which
diagnosis would support the need for this diagnostic test?
a. Gastroschisis
b. Intussusception
c. Appendicitis
d. Pyloric stenosis
GI peds NCLEX Questions and Correct Detailed Answers
(Verified Answers) ||Already Graded A+||Newest
Version
A nurse is caring for an 11-month old infant admitted for watery, green
diarrhea; vomiting: and fever. He is diagnosed with gastroenteritis with no
known source at this time. Which nursing diagnosis should be the highest
priority?
a. Altered Nutrition
b. Anxiety related to hospitalization
c. Fluid Volume and Electrolyte Imbalance
d. Altered Family Coping
Exampromax - Stuvia US
Ans: C.
fluid and electrolyte imbalances can be life threatening
Approved By:
Which intervention would the nurse include in the care of an infant
following surgical repair of a cleft lip?
a. Let the infant touch the suture lines as a means of self-comforting.
b. Position the infant in the supine position for feedings to avoid aspiration.
c. Administer pain medications as ordered.
d. Use a special feeding device with shorter nipples.
Ans: C.
- don't want infant touching suture lines
- usually longer nipples use
- wouldn't want pt positioned in supine during feedings- want them upright
to prevent aspiration
Which assessment finding would lead the nurse to suspect esophageal
atresia in an infant?
a. Hypotonicity
b. Excessive crying
, 2 Exampromax - Stuvia US 2025/2026
c. Abdominal distention
d. Excessive drooling
Ans: D
excessive drooling is a sign of esophageal atresia
Which client would the nurse suspect to have pyloric stenosis?
a. A 7-month-old with choking episodes
b. An 11-year-old with an olive-shaped abdominal mass
c. A 5-week-old infant with projectile vomiting
d. A 2-year-old with a harsh cough
Ans: C.
Exampromax - Stuvia US
projectile vomiting is a sign of pyloric stenosis
Approved By:
a nurse is discharging an infant after a pyloric stenosis repair. Which
statement by the mother would indicate the need for further instructions
prior to discharge?
a. "I should call the doctor if my infant's temperature rises above 101
degrees."
b. "I should fold the diaper down so it does not irritate the incision."
c. "My infant's incision will need to be observed for redness, swelling, or
discharge."
d. "If my infant vomits, I should hold feedings for 6 hours.
Ans: D.
vomiting after surgery is common. mom should not withhold feedings
The nurse is preparing a pediatric client for a barium enema. Which
diagnosis would support the need for this diagnostic test?
a. Gastroschisis
b. Intussusception
c. Appendicitis
d. Pyloric stenosis
