NSG 434 Exam 2
Gastroschisis: what is going to be priority nursing care for a patient with Gastroschisis?
A. Keep the abdominal contents inside the peritoneal sac moist with a plastic bag
B. Keep the abdominal contents moist with a plastic bag
C. Prepare the infant for a Nissan fundoplication
D. Manage the child's secretions and keep them NPO - answer Answer: B
A. Is incorrect because Omphalocele is the disorder where the abdominal contents are
inside a peritoneal sac. Gastroschisis is abdominal contents outisde of the body without
a peritoneal sac.
C. Nissan fudiplication is a last resort surgery for patients with GER. It wraps the upper
end of the stomach around the lower portion of the esophagus creating a lower
esophageal sphincter.
D. These would be interventions that you would see for an Esophageal Astresia and
Tracheoesphageal Fistula.
A patient asks the nurse to explain what ulcerative colitis is. How would the nurse
answer?
A. An inflammatory bowel disorder that occurs from the mouth to rectum.
B. An inflammatory bowel disorder that causes acid reflux into the esophagus.
C. An inflammatory bowel disorder that occurs from the large intestine to the rectum.
D. An inflammatory bowel disorder that occurs from the stomach to the rectum. -
answerAnswer: C
A. Is a definition for Crohn's disease
B. Is similar to GER, but it isn't under the inflammatory bowel disorders.
An infant has been diagnosed with Hirschsprung. The mother asks what should I expect
my babies stools to look like with this disorder? How will the nurse respond.
A. Ribbon like stool
B. Stenorrhea or fatty like stool
C. Red current Jelly like stool
D. Chalky white stool - answerAnswer: A
B. Stenorrhea is seen with celiac disease
C. Red current jelly like stool is seen with Intussusception because of intestinal bleeding
and intestinal mucous
D. Chalky white stool is seen with biliary Atresia because of the lack of bile in the stool
Otitis Media increased risk
A. Being around Smoking
B. Drinking while breast feeding
C. Doing drugs while breast feeding
D. Being in contact with someone with Otitis Media - answerAnswer A
, What is a complication that can happen from Malrotation?
A. Intussusception of the bowel
B. Infection from bowel sticking out of cavity
C. Short bowel syndrome
D. Decreased blood flow to the body - answerAnswer: C
Malrotation is when there is abnormal rotation of the intestine around the superior
mesenteric artery during embryonic development. This can lead to Volvulus, which is
where the intestine twists around itself and compromises the blood supply. This requires
immediate surgery.
Treatment for Otitis Media
A. Penicillin
B. Corticosteroids
C. Azythromycin
D. Amoxicillin - answerAnswer: D
Which foods is a child most at risk to aspirate on? (select all that apply)
A. Grapes
B. Strawberries
C. Popcorn
D. Hotdogs
E. Nuts - answerAnswer: A, C, D, E
These foods should either be cut up or not given to children to prevent aspiration.
What are some side effects of corticosteroids? - answerTeach patients that it can cause
hyperglycemia and decreases the immune system.
What heart rate for children would you hold digoxin?
A. less than 60
B. less than 50
C. less than 90
D. less than 100 - answerAnswer: C
A child's heart beat is higher than an adult so the threshold for digoxin is higher.
Which diagnostic test is used for cystic fibrosis?
A. Chlorid Sweat test
B. Electrolyes
C. Chest X ray
D. Genetic DNA test - answerAnswer: A
This is a painless, non-invasive test that measures the amount of chloride in sweat.
Children with cystic fibrosis might have salty tasting skin.
A child presents to the ER with edema or erythema of the palms and soles, periungual
desquamation (peeling) of the hands and feet, bilateral conjunctival inflammation,
Gastroschisis: what is going to be priority nursing care for a patient with Gastroschisis?
A. Keep the abdominal contents inside the peritoneal sac moist with a plastic bag
B. Keep the abdominal contents moist with a plastic bag
C. Prepare the infant for a Nissan fundoplication
D. Manage the child's secretions and keep them NPO - answer Answer: B
A. Is incorrect because Omphalocele is the disorder where the abdominal contents are
inside a peritoneal sac. Gastroschisis is abdominal contents outisde of the body without
a peritoneal sac.
C. Nissan fudiplication is a last resort surgery for patients with GER. It wraps the upper
end of the stomach around the lower portion of the esophagus creating a lower
esophageal sphincter.
D. These would be interventions that you would see for an Esophageal Astresia and
Tracheoesphageal Fistula.
A patient asks the nurse to explain what ulcerative colitis is. How would the nurse
answer?
A. An inflammatory bowel disorder that occurs from the mouth to rectum.
B. An inflammatory bowel disorder that causes acid reflux into the esophagus.
C. An inflammatory bowel disorder that occurs from the large intestine to the rectum.
D. An inflammatory bowel disorder that occurs from the stomach to the rectum. -
answerAnswer: C
A. Is a definition for Crohn's disease
B. Is similar to GER, but it isn't under the inflammatory bowel disorders.
An infant has been diagnosed with Hirschsprung. The mother asks what should I expect
my babies stools to look like with this disorder? How will the nurse respond.
A. Ribbon like stool
B. Stenorrhea or fatty like stool
C. Red current Jelly like stool
D. Chalky white stool - answerAnswer: A
B. Stenorrhea is seen with celiac disease
C. Red current jelly like stool is seen with Intussusception because of intestinal bleeding
and intestinal mucous
D. Chalky white stool is seen with biliary Atresia because of the lack of bile in the stool
Otitis Media increased risk
A. Being around Smoking
B. Drinking while breast feeding
C. Doing drugs while breast feeding
D. Being in contact with someone with Otitis Media - answerAnswer A
, What is a complication that can happen from Malrotation?
A. Intussusception of the bowel
B. Infection from bowel sticking out of cavity
C. Short bowel syndrome
D. Decreased blood flow to the body - answerAnswer: C
Malrotation is when there is abnormal rotation of the intestine around the superior
mesenteric artery during embryonic development. This can lead to Volvulus, which is
where the intestine twists around itself and compromises the blood supply. This requires
immediate surgery.
Treatment for Otitis Media
A. Penicillin
B. Corticosteroids
C. Azythromycin
D. Amoxicillin - answerAnswer: D
Which foods is a child most at risk to aspirate on? (select all that apply)
A. Grapes
B. Strawberries
C. Popcorn
D. Hotdogs
E. Nuts - answerAnswer: A, C, D, E
These foods should either be cut up or not given to children to prevent aspiration.
What are some side effects of corticosteroids? - answerTeach patients that it can cause
hyperglycemia and decreases the immune system.
What heart rate for children would you hold digoxin?
A. less than 60
B. less than 50
C. less than 90
D. less than 100 - answerAnswer: C
A child's heart beat is higher than an adult so the threshold for digoxin is higher.
Which diagnostic test is used for cystic fibrosis?
A. Chlorid Sweat test
B. Electrolyes
C. Chest X ray
D. Genetic DNA test - answerAnswer: A
This is a painless, non-invasive test that measures the amount of chloride in sweat.
Children with cystic fibrosis might have salty tasting skin.
A child presents to the ER with edema or erythema of the palms and soles, periungual
desquamation (peeling) of the hands and feet, bilateral conjunctival inflammation,
