Exam 2: NR328 / NR 328 (Latest Update
) Pediatric Nursing | Questions
& Answers | 100% Correct | Grade A -
Chamberlain
1. What is a clinical manifestation of appendicitis in a pediatric patient?
a. Pain at McBurney’s point
b. Hypothermia
c. Decreased WBCs
d. Clear stools
Correct Answer: a
Expert-Verified Explanation: Pain at McBurney’s point is a hallmark of appendicitis due to
inflammation of the appendix. Relevance: Requires urgent surgical consultation.
2. What is a nursing intervention for a child with suspected appendicitis?
a. Apply heat to the abdomen
b. Administer analgesics immediately
c. Prepare for surgical intervention
d. Encourage a high-fiber diet
Correct Answer: c
Expert-Verified Explanation: Preparing for surgery (appendectomy) is critical as appendicitis
often requires surgical intervention. Relevance: Prevents complications like rupture.
3. What is a clinical manifestation of Hirschsprung’s disease?
a. Ribbonlike, foul-smelling stools
b. Projectile vomiting
c. Hyperactive bowel sounds
d. Weight gain
, Correct Answer: a
Expert-Verified Explanation: Hirschsprung’s disease causes constipation and ribbonlike, foul-
smelling stools due to aganglionic colon segments. Relevance: May require a temporary ostomy.
4. What is a nursing intervention for a child with Hirschsprung’s disease?
a. Restrict all fluids
b. Monitor for signs of enterocolitis
c. Encourage ambulation immediately
d. Administer laxatives routinely
Correct Answer: b
Expert-Verified Explanation: Monitoring for enterocolitis (e.g., fever, abdominal distention)
prevents complications in Hirschsprung’s disease. Relevance: Ensures early detection of
infection.
5. What is a classic sign of intussusception in a pediatric patient?
a. Currant jelly-like stools
b. High-pitched bowel sounds
c. Fever
d. Weight gain
Correct Answer: a
Expert-Verified Explanation: Currant jelly-like stools result from blood and mucus leakage
due to intestinal telescoping in intussusception. Relevance: Requires urgent intervention.
6. What is a nursing intervention for intussusception?
a. Administer clear fluids
b. Apply a heating pad
c. Restrict all oral intake
d. Encourage early ambulation
Correct Answer: a
Expert-Verified Explanation: Clear fluids maintain hydration while awaiting procedures like
air enema for intussusception. Relevance: Supports patient stability.
) Pediatric Nursing | Questions
& Answers | 100% Correct | Grade A -
Chamberlain
1. What is a clinical manifestation of appendicitis in a pediatric patient?
a. Pain at McBurney’s point
b. Hypothermia
c. Decreased WBCs
d. Clear stools
Correct Answer: a
Expert-Verified Explanation: Pain at McBurney’s point is a hallmark of appendicitis due to
inflammation of the appendix. Relevance: Requires urgent surgical consultation.
2. What is a nursing intervention for a child with suspected appendicitis?
a. Apply heat to the abdomen
b. Administer analgesics immediately
c. Prepare for surgical intervention
d. Encourage a high-fiber diet
Correct Answer: c
Expert-Verified Explanation: Preparing for surgery (appendectomy) is critical as appendicitis
often requires surgical intervention. Relevance: Prevents complications like rupture.
3. What is a clinical manifestation of Hirschsprung’s disease?
a. Ribbonlike, foul-smelling stools
b. Projectile vomiting
c. Hyperactive bowel sounds
d. Weight gain
, Correct Answer: a
Expert-Verified Explanation: Hirschsprung’s disease causes constipation and ribbonlike, foul-
smelling stools due to aganglionic colon segments. Relevance: May require a temporary ostomy.
4. What is a nursing intervention for a child with Hirschsprung’s disease?
a. Restrict all fluids
b. Monitor for signs of enterocolitis
c. Encourage ambulation immediately
d. Administer laxatives routinely
Correct Answer: b
Expert-Verified Explanation: Monitoring for enterocolitis (e.g., fever, abdominal distention)
prevents complications in Hirschsprung’s disease. Relevance: Ensures early detection of
infection.
5. What is a classic sign of intussusception in a pediatric patient?
a. Currant jelly-like stools
b. High-pitched bowel sounds
c. Fever
d. Weight gain
Correct Answer: a
Expert-Verified Explanation: Currant jelly-like stools result from blood and mucus leakage
due to intestinal telescoping in intussusception. Relevance: Requires urgent intervention.
6. What is a nursing intervention for intussusception?
a. Administer clear fluids
b. Apply a heating pad
c. Restrict all oral intake
d. Encourage early ambulation
Correct Answer: a
Expert-Verified Explanation: Clear fluids maintain hydration while awaiting procedures like
air enema for intussusception. Relevance: Supports patient stability.
