PEDIATRIC NURSING TEST BANK CONTAINS REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY
GRADED A+||
Sausage shaped mass, and bloody stools - CORRECT ANSWERS-Volvulus/Mal-Rotation or
Intussusception.
Trisomy Children (13, 18, & 21) may be at risk for: - CORRECT ANSWERS-Celiac Disease,
Omphalocele, and Hirschprung Disease
Lactose Intolerance is associated with what GI motility disorder? - CORRECT ANSWERS-Celiac
Disease
How to protect suture lines in Cleft Lip? - CORRECT ANSWERS-Prevent Crying (Cuddling),
Supine position with elbow restraints, or on the side with head elevated up right. Logan's bar. No sippy
cups, toothbrush, or straws.
Post-operative position for Cleft Palate Repair - CORRECT ANSWERS-May lie prone (on the
abdomen) immediatley post-operatively
Why is a cleft lip/cleft palate child at risk for infection - CORRECT ANSWERS-Oropharyngeal
airways are exposed and dry, making them at risk for infection.
Characteristic of Fatty Stools: - CORRECT ANSWERS-Greasy, pale, and foul-smelling
What congenital defect is associated with inefficient eustachian tube function, Otitis Media, and hearing
loss - CORRECT ANSWERS-Cleft Lip & Cleft Palate
Symptom of Hirschsprung's disease? - CORRECT ANSWERS-constipation, vomitting,
abdominal swelling, growth retardation, failure to pass meconium in first 48 hours of life, poor feeding
,GI disorder requiring 1 1/2 fluid maintenance - CORRECT ANSWERS-Gastroschisis due to
insensible fluid loss
pain scale for CP/CL - CORRECT ANSWERS-FLACC (Surgery is done after first month of life)
Cystic Fibrosis is associated with what other GI disorder - CORRECT ANSWERS-Intussusception
When can juice be introduced into the diet? - CORRECT ANSWERS-When the baby is at least 8
months old.
Toddler weight gain per year - CORRECT ANSWERS-5-6 lbs/year (2.3-2.7 kg/year)
decreased caloric needs
Can a mother breastfeed their infant if they have PKU? - CORRECT ANSWERS-Yes. Breast milk
has low amounts of phenylalanine, so the mother can breast as long as the infants phenylalanine level is
monitored.
Vaccines given routinely at 15 months. - CORRECT ANSWERS-Hib & DTaP
Which priority intervention for the newborn of a mother positive for hepatitis antigen? - CORRECT
ANSWERS-The newborn should receive both hepatitis B vaccine and hepatitis B immune globulin
within 12 hours of birth to prevent hepatitis B infection.
signs of intussusception - CORRECT ANSWERS-bloody stools or "currant jelly stools", diarrhea,
Large palpable sausage shaped mass in the abdomen, abdominal distention, grunting, dehydration Fever,
and pain (legs pulled towards abdomen)!
Flat Ribbon Stools indicate - CORRECT ANSWERS-Hirschsprung Disease
,Treatment for Intussusception - CORRECT ANSWERS-Barium or air enema
Nursing Care for Intussusception - CORRECT ANSWERS-Document I & O
Monitor for peritonitis & perforation
Monitor and record stools
Biggest complications of Intussusception - CORRECT ANSWERS-Peritonitis and Perforation
Risk factors for intussusception - CORRECT ANSWERS-Cystic Fibrosis
Ages 3 months to 3 years old.
Complication of Mal-Rotation & Valvolus - CORRECT ANSWERS-Pain related to rotation of
intestines around the mesenteric artery can cut off circulation, leading to potential septic intestinal
necrosis.
Which pediatric GI disorder presents with green bilious vomiting? - CORRECT ANSWERS-Mal-
Rotation and Valvolus
GI disorders that present with bloody stools? - CORRECT ANSWERS-Mal-Rotation/Valvolus &
Intussusception.
Obstructive GI disorders where a palpated sausage shaped mass is felt on the abdomen. - CORRECT
ANSWERS-Mal-Rotation and Valvolus. Symptoms for these disorders are similar but Mal-Rotation
requires surgical intervention.
Preoperative care for Mal-Rotation/Valvolus - CORRECT ANSWERS-Hydration, IV antibiotics,
NG tube.
Post-Operative Care for Intussusception - CORRECT ANSWERS-Bowel sounds should return in
four hours, progressive diet, hydration.
, Priority nursing diagnosis for intussusception - CORRECT ANSWERS-Acute Pain!
Which response about safety measures is the most appropriate advice for the 2 year old's mother who
had her older home remodeled to reduce the lead level? Select all that apply.
1. Wash & dry the child's hands and face before he eats.
2. it is best to use cold water to prepate the child's food to decrease lead level.
3. diet does not matter in reduce lead levels in the child.
4. Drinking two cups of milk per day helps decrease lead levels. - CORRECT ANSWERS-1 & 3.
Washing and drying hands and face especially before eating, decreases lead ingestion. Hot water absorbs
more lead readily than hot water. Diet does matter; regular meals, adequate iron and calcium, and less
fat help the child absorb less lead. Drinking 2 cups of milk per day is important for children but does not
help decrease lead level.
Which would the nurse explain to parents about the inheritance of cystic fibrosis?
1. The child of parents who are both carriers of the gene for CF has a 50% chance of acquiring CF.
2. The child of a mother who has CF and a father who is a carrier of the gene for CF has a 50% chance of
acquiring CF. - CORRECT ANSWERS-2. If the child is born to a parent with CF and the other is a
carrier, the child has a 50% chance of acquiring the disease and 50% chance of being a carrier of the
disease.
Number 1. is wrong. If a child is born to a parents who are both carriers of the CF gene, the child has a
25% chance of acquiring the disease and a 50% chance of being a carrier of the disease.
A 2 year old has just been diagnosed with CF. The parents ask the nurse what early respiratory symptoms
they should expect to see in their child. Which is the nurse's best response?
1. Barrel shaped chest
2. Chronic productive cough
3. bronchiectasis
4. wheezing - CORRECT ANSWERS-Wheezing respirations and a dry nonproductive cough are
common early symptoms of CF.
AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY
GRADED A+||
Sausage shaped mass, and bloody stools - CORRECT ANSWERS-Volvulus/Mal-Rotation or
Intussusception.
Trisomy Children (13, 18, & 21) may be at risk for: - CORRECT ANSWERS-Celiac Disease,
Omphalocele, and Hirschprung Disease
Lactose Intolerance is associated with what GI motility disorder? - CORRECT ANSWERS-Celiac
Disease
How to protect suture lines in Cleft Lip? - CORRECT ANSWERS-Prevent Crying (Cuddling),
Supine position with elbow restraints, or on the side with head elevated up right. Logan's bar. No sippy
cups, toothbrush, or straws.
Post-operative position for Cleft Palate Repair - CORRECT ANSWERS-May lie prone (on the
abdomen) immediatley post-operatively
Why is a cleft lip/cleft palate child at risk for infection - CORRECT ANSWERS-Oropharyngeal
airways are exposed and dry, making them at risk for infection.
Characteristic of Fatty Stools: - CORRECT ANSWERS-Greasy, pale, and foul-smelling
What congenital defect is associated with inefficient eustachian tube function, Otitis Media, and hearing
loss - CORRECT ANSWERS-Cleft Lip & Cleft Palate
Symptom of Hirschsprung's disease? - CORRECT ANSWERS-constipation, vomitting,
abdominal swelling, growth retardation, failure to pass meconium in first 48 hours of life, poor feeding
,GI disorder requiring 1 1/2 fluid maintenance - CORRECT ANSWERS-Gastroschisis due to
insensible fluid loss
pain scale for CP/CL - CORRECT ANSWERS-FLACC (Surgery is done after first month of life)
Cystic Fibrosis is associated with what other GI disorder - CORRECT ANSWERS-Intussusception
When can juice be introduced into the diet? - CORRECT ANSWERS-When the baby is at least 8
months old.
Toddler weight gain per year - CORRECT ANSWERS-5-6 lbs/year (2.3-2.7 kg/year)
decreased caloric needs
Can a mother breastfeed their infant if they have PKU? - CORRECT ANSWERS-Yes. Breast milk
has low amounts of phenylalanine, so the mother can breast as long as the infants phenylalanine level is
monitored.
Vaccines given routinely at 15 months. - CORRECT ANSWERS-Hib & DTaP
Which priority intervention for the newborn of a mother positive for hepatitis antigen? - CORRECT
ANSWERS-The newborn should receive both hepatitis B vaccine and hepatitis B immune globulin
within 12 hours of birth to prevent hepatitis B infection.
signs of intussusception - CORRECT ANSWERS-bloody stools or "currant jelly stools", diarrhea,
Large palpable sausage shaped mass in the abdomen, abdominal distention, grunting, dehydration Fever,
and pain (legs pulled towards abdomen)!
Flat Ribbon Stools indicate - CORRECT ANSWERS-Hirschsprung Disease
,Treatment for Intussusception - CORRECT ANSWERS-Barium or air enema
Nursing Care for Intussusception - CORRECT ANSWERS-Document I & O
Monitor for peritonitis & perforation
Monitor and record stools
Biggest complications of Intussusception - CORRECT ANSWERS-Peritonitis and Perforation
Risk factors for intussusception - CORRECT ANSWERS-Cystic Fibrosis
Ages 3 months to 3 years old.
Complication of Mal-Rotation & Valvolus - CORRECT ANSWERS-Pain related to rotation of
intestines around the mesenteric artery can cut off circulation, leading to potential septic intestinal
necrosis.
Which pediatric GI disorder presents with green bilious vomiting? - CORRECT ANSWERS-Mal-
Rotation and Valvolus
GI disorders that present with bloody stools? - CORRECT ANSWERS-Mal-Rotation/Valvolus &
Intussusception.
Obstructive GI disorders where a palpated sausage shaped mass is felt on the abdomen. - CORRECT
ANSWERS-Mal-Rotation and Valvolus. Symptoms for these disorders are similar but Mal-Rotation
requires surgical intervention.
Preoperative care for Mal-Rotation/Valvolus - CORRECT ANSWERS-Hydration, IV antibiotics,
NG tube.
Post-Operative Care for Intussusception - CORRECT ANSWERS-Bowel sounds should return in
four hours, progressive diet, hydration.
, Priority nursing diagnosis for intussusception - CORRECT ANSWERS-Acute Pain!
Which response about safety measures is the most appropriate advice for the 2 year old's mother who
had her older home remodeled to reduce the lead level? Select all that apply.
1. Wash & dry the child's hands and face before he eats.
2. it is best to use cold water to prepate the child's food to decrease lead level.
3. diet does not matter in reduce lead levels in the child.
4. Drinking two cups of milk per day helps decrease lead levels. - CORRECT ANSWERS-1 & 3.
Washing and drying hands and face especially before eating, decreases lead ingestion. Hot water absorbs
more lead readily than hot water. Diet does matter; regular meals, adequate iron and calcium, and less
fat help the child absorb less lead. Drinking 2 cups of milk per day is important for children but does not
help decrease lead level.
Which would the nurse explain to parents about the inheritance of cystic fibrosis?
1. The child of parents who are both carriers of the gene for CF has a 50% chance of acquiring CF.
2. The child of a mother who has CF and a father who is a carrier of the gene for CF has a 50% chance of
acquiring CF. - CORRECT ANSWERS-2. If the child is born to a parent with CF and the other is a
carrier, the child has a 50% chance of acquiring the disease and 50% chance of being a carrier of the
disease.
Number 1. is wrong. If a child is born to a parents who are both carriers of the CF gene, the child has a
25% chance of acquiring the disease and a 50% chance of being a carrier of the disease.
A 2 year old has just been diagnosed with CF. The parents ask the nurse what early respiratory symptoms
they should expect to see in their child. Which is the nurse's best response?
1. Barrel shaped chest
2. Chronic productive cough
3. bronchiectasis
4. wheezing - CORRECT ANSWERS-Wheezing respirations and a dry nonproductive cough are
common early symptoms of CF.
