1 Exampromax - Stuvia US 2025/2026
peds exam 2 nclex Questions and Correct Detailed
Answers (Verified Answers) ||Already Graded
A+||Newest Version
A nurse is providing care to an infant who underwent a laparoscopic
pyloromyotomy. After providing discharge instructions to the infant's
caregivers, which statements indicate appropriate understanding? Select all
that apply.
A. "I will feed my baby 3 times per day."
B. "I will clean the incision site with warm, soapy water twice per day."
C. "I will burp my baby every 1-2 ounces during feedings."
D. "I will hold my baby in an upright position for 15 minutes after each
feeding."
Exampromax - Stuvia US
E. "It is important to slide the diaper under my baby when changing the
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diaper."
Ans: "I will burp my baby every 1-2 ounces during feedings."
"It is important to slide the diaper under my baby when changing the
diaper."
The nurse is providing care to a 1-month-old infant who is brought to the
pediatric clinic for projectile vomiting. Which data collected during the
assessment process would support the diagnosis of pyloric stenosis? Select
all that apply.
A. Persistent hunger
B. Peristaltic wave
C. Consistent weight gain
D. Low-grade fever
E. Blood-tinged vomit
Ans: Persistent hunger
Peristaltic wave
Blood-tinged vomit
, 2 Exampromax - Stuvia US 2025/2026
The nurse suspects that an infant has pyloric stenosis. Which physical
assessment should the nurse identify that are associated with this disorder?
(Select all that apply.)
A. Bulging fontanels
B. Mucus-streaked stools
C. Olive-shaped mass
D. Hyperactive bowel sounds
E. Full bounding pulses
Ans: Olive-shaped mass
Hyperactive bowel sounds
A new mother brings a male infant, 2 weeks old, to the pediatric clinic for a
Exampromax - Stuvia US
checkup. The mother is concerned that the infant may be at risk for pyloric
stenosis due to his age and because her husband had surgery for the
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condition when he was an infant. Which responses by the nurse are the
most appropriate based on this data?
A. "As long as your baby has bowel movements there is nothing to worry
about."
B. "Due to your age, your son is at an increased risk for the condition."
C. "Your baby has a greater risk for the condition due to a familial history."
D. "Your baby would have an increased risk if the infant was a girl."
Ans: "Your baby has a greater risk for the condition due to a familial
history."
The nurse is caring for an infant who is scheduled for surgery for pyloric
stenosis. When planning the infant's care, which nursing diagnoses are
appropriate? Select all that apply.
A. Imbalanced Nutrition: Less than Body Requirements related to
inadequate intake and vomiting
B. Hyperbilirubinemia related to poor liver function
C. Sleep Pattern Disturbance related to discomfort and hunger
D. Parental Anxiety related to surgery
, 3 Exampromax - Stuvia US 2025/2026
E. Deficient Fluid Volume related to inadequate intake and vomiting
Ans: Imbalanced Nutrition: Less than Body Requirements related to
inadequate intake and vomiting
Sleep Pattern Disturbance related to discomfort and hunger
Parental Anxiety related to surgery
Deficient Fluid Volume related to inadequate intake and vomiting
The nurse is reviewing the laboratory values for an infant diagnosed with
pyloric stenosis. Which change should the nurse expect to see secondary to
this condition? (Select all that apply.)
A. Decreased pH
Exampromax - Stuvia US
B. Low level of serum chloride
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C. Low level of serum calcium
D. low level of serum sodium
E. Low level of serum potassium
Ans: Low level of serum chloride
Low level of serum sodium
Low level of serum potassium
A nurse is caring for an infant postsurgery for pyloric stenosis. Which
nursing interventions are appropriate when providing care for this infant?
Select all that apply.
A. Teach the parents to remove the Steri-Strips during the infant's first bath
postsurgery.
B. Encourage swaddling and rocking to facilitate relaxation.
C. Monitor temperature once per shift.
D. Administer analgesics, per order.
E. Instruct the parents on proper diapering to avoid pressure over the
incision.
peds exam 2 nclex Questions and Correct Detailed
Answers (Verified Answers) ||Already Graded
A+||Newest Version
A nurse is providing care to an infant who underwent a laparoscopic
pyloromyotomy. After providing discharge instructions to the infant's
caregivers, which statements indicate appropriate understanding? Select all
that apply.
A. "I will feed my baby 3 times per day."
B. "I will clean the incision site with warm, soapy water twice per day."
C. "I will burp my baby every 1-2 ounces during feedings."
D. "I will hold my baby in an upright position for 15 minutes after each
feeding."
Exampromax - Stuvia US
E. "It is important to slide the diaper under my baby when changing the
Approved By:
diaper."
Ans: "I will burp my baby every 1-2 ounces during feedings."
"It is important to slide the diaper under my baby when changing the
diaper."
The nurse is providing care to a 1-month-old infant who is brought to the
pediatric clinic for projectile vomiting. Which data collected during the
assessment process would support the diagnosis of pyloric stenosis? Select
all that apply.
A. Persistent hunger
B. Peristaltic wave
C. Consistent weight gain
D. Low-grade fever
E. Blood-tinged vomit
Ans: Persistent hunger
Peristaltic wave
Blood-tinged vomit
, 2 Exampromax - Stuvia US 2025/2026
The nurse suspects that an infant has pyloric stenosis. Which physical
assessment should the nurse identify that are associated with this disorder?
(Select all that apply.)
A. Bulging fontanels
B. Mucus-streaked stools
C. Olive-shaped mass
D. Hyperactive bowel sounds
E. Full bounding pulses
Ans: Olive-shaped mass
Hyperactive bowel sounds
A new mother brings a male infant, 2 weeks old, to the pediatric clinic for a
Exampromax - Stuvia US
checkup. The mother is concerned that the infant may be at risk for pyloric
stenosis due to his age and because her husband had surgery for the
Approved By:
condition when he was an infant. Which responses by the nurse are the
most appropriate based on this data?
A. "As long as your baby has bowel movements there is nothing to worry
about."
B. "Due to your age, your son is at an increased risk for the condition."
C. "Your baby has a greater risk for the condition due to a familial history."
D. "Your baby would have an increased risk if the infant was a girl."
Ans: "Your baby has a greater risk for the condition due to a familial
history."
The nurse is caring for an infant who is scheduled for surgery for pyloric
stenosis. When planning the infant's care, which nursing diagnoses are
appropriate? Select all that apply.
A. Imbalanced Nutrition: Less than Body Requirements related to
inadequate intake and vomiting
B. Hyperbilirubinemia related to poor liver function
C. Sleep Pattern Disturbance related to discomfort and hunger
D. Parental Anxiety related to surgery
, 3 Exampromax - Stuvia US 2025/2026
E. Deficient Fluid Volume related to inadequate intake and vomiting
Ans: Imbalanced Nutrition: Less than Body Requirements related to
inadequate intake and vomiting
Sleep Pattern Disturbance related to discomfort and hunger
Parental Anxiety related to surgery
Deficient Fluid Volume related to inadequate intake and vomiting
The nurse is reviewing the laboratory values for an infant diagnosed with
pyloric stenosis. Which change should the nurse expect to see secondary to
this condition? (Select all that apply.)
A. Decreased pH
Exampromax - Stuvia US
B. Low level of serum chloride
Approved By:
C. Low level of serum calcium
D. low level of serum sodium
E. Low level of serum potassium
Ans: Low level of serum chloride
Low level of serum sodium
Low level of serum potassium
A nurse is caring for an infant postsurgery for pyloric stenosis. Which
nursing interventions are appropriate when providing care for this infant?
Select all that apply.
A. Teach the parents to remove the Steri-Strips during the infant's first bath
postsurgery.
B. Encourage swaddling and rocking to facilitate relaxation.
C. Monitor temperature once per shift.
D. Administer analgesics, per order.
E. Instruct the parents on proper diapering to avoid pressure over the
incision.
