Test 2 Pediatric Nursing
NCLEX Practice | Quiz #1: 50
Questions
1. Dustin who was diagnosed with Hirschsprung's disease has a fever and
watery explosive diarrhea. Which of the following would Nurse Joyce do
first?: Notify the physician immediately.
For the child with Hirschsprung's disease, fever and explosive diarrhea indicate
enterocolitis, a life-threatening situation. Therefore, the physician should be notified
directly. Further important pointers in the history of patients with suspected HD
include clinical features of Hirschsprung's associated enterocolitis (HAEC), multiple
episodes of overflow constipation, and soft distended abdomen.
2. Generally, because of intestinal obstruction and inadequate propulsive
intestinal movement, antidiarrheals are not used to treat Hirschsprung's
disease. The diagnosis of Hirschsprung disease (HD) almost exclusively
demands surgical intervention. Pediatric health care providers should
possess a comprehensive understanding of the most popular surgical
procedures to assist the bridging referral phase between the surgeon and
the patient's family.:
3. The child is acutely ill and requires intervention, with monitoring more
frequently than every 30 minutes. Parents should be aware of any
suspicious symptoms suggestive of HD, including delay in the passage of
meconium for more than 48 hours during the neonatal period. Moreover,
non-specific symptoms, including constipation, abdominal distention,
reflux, nausea, vomiting, and diarrhea, should also raise suspicion.:
4. Hirschsprung's disease typically presents with chronic constipation.
Several points in the history and physical examination of HD as one of the
differential diagnosis of neonatal bowel obstruction include: (1) abnormal
maternal amniotic fluid indexes including polyhydramnios
(2) vomiting and specifically bilious emesis
, Test 2 Pediatric Nursing
NCLEX Practice | Quiz #1: 50
Questions
(3) obstipation, which might present with failure to pass meconium in the first 48
hours of life
(4) abdominal distention
5. Mr. and Ms. Byers' child failed to pass meconium within the first 24 hours
after birth; this may indicate which of the following?: Hirschsprung's
disease Failure to pass meconium within the first 24 hours after birth may be a
sign of Hirschsprung's disease, a congenital anomaly resulting in mechanical
obstruction due to weak motility in an intestinal segment. History of the colonic
obstruction, which might occur during the early neonatal period till adulthood,
along with failure to pass meconium during the first 48 hours of the life, which
presents in up to 90% of the affected patients, is highly compatible with the
impression of HD.
6. Celiac disease: • also known as gluten-sensitive enteropathy
• is an autoimmune disease of the small intestine
• a condition in which the body responds to gluten with an inappropriate immune
response causing small intestinal inflammation and damage
7. Intussusception: • is a condition in which part of the intestine folds into the
section next to it
• usually involves the small bowel and rarely the large bowel
• symptoms include abdominal pain which may wax and wane, vomiting, bloating,
and bloody stool
8. Failure to pass meconium is not connected with abdominal wall defect.:
Gastroschisis is a paraumbilical abdominal wall defect associated with protrusion
of the bowel through the defect. A membrane does not cover the bowel exposed
in utero and, as a result, may be matted, dilated, and covered with a fibrinous
inflammatory rind.
, Test 2 Pediatric Nursing
NCLEX Practice | Quiz #1: 50
Questions
9. Steve is diagnosed with celiac disease and experiences celiac crisis
secondary to upper respiratory tract infection; which of the following would
Nurse
Nancy expect to assess?: Watery diarrhea
Episodes of celiac crises are precipitated by infections, ingestion of gluten,
prolonged fasting, or exposure to anticholinergics. Celiac crisis is typically
characterized by severe watery diarrhea. Celiac crisis is a life-threatening syndrome
in which patients with celiac disease have profuse diarrhea and severe metabolic
disturbances.
10. Irritability, rather than lethargy, is more likely. Clinically it is
characterized by severe diarrhea, dehydration, and metabolic disturbances
including hypokalemia, hyponatremia, hypocalcemia, hypomagnesemia, and
hypoproteinemia.:
11. Because of the fluid loss associated with severe watery diarrhea, the
child's weight is more likely to be decreased. In childhood, failure to thrive
is an important aspect of history, while in adulthood the corresponding
symptom would be unexplained weight loss.:
12. Respiratory distress is unlikely in a routine upper respiratory tract
infection. Symptoms from other than gastrointestinal systems include
recurrent aphthous ulcers in the mouth, iron deficiency anemia, ataxia,
chronic headaches, and delayed menarche.:
13. In pediatric gastroesophageal reflux disease (GERD), the immaturity of
lower esophageal sphincter function is manifested by frequent transient
lower esophageal relaxations, which result in retrograde flow of gastric
contents into the esophagus. Which statement about the esophagus is true?
Select all that apply.: It has upper and lower sphincters.
NCLEX Practice | Quiz #1: 50
Questions
1. Dustin who was diagnosed with Hirschsprung's disease has a fever and
watery explosive diarrhea. Which of the following would Nurse Joyce do
first?: Notify the physician immediately.
For the child with Hirschsprung's disease, fever and explosive diarrhea indicate
enterocolitis, a life-threatening situation. Therefore, the physician should be notified
directly. Further important pointers in the history of patients with suspected HD
include clinical features of Hirschsprung's associated enterocolitis (HAEC), multiple
episodes of overflow constipation, and soft distended abdomen.
2. Generally, because of intestinal obstruction and inadequate propulsive
intestinal movement, antidiarrheals are not used to treat Hirschsprung's
disease. The diagnosis of Hirschsprung disease (HD) almost exclusively
demands surgical intervention. Pediatric health care providers should
possess a comprehensive understanding of the most popular surgical
procedures to assist the bridging referral phase between the surgeon and
the patient's family.:
3. The child is acutely ill and requires intervention, with monitoring more
frequently than every 30 minutes. Parents should be aware of any
suspicious symptoms suggestive of HD, including delay in the passage of
meconium for more than 48 hours during the neonatal period. Moreover,
non-specific symptoms, including constipation, abdominal distention,
reflux, nausea, vomiting, and diarrhea, should also raise suspicion.:
4. Hirschsprung's disease typically presents with chronic constipation.
Several points in the history and physical examination of HD as one of the
differential diagnosis of neonatal bowel obstruction include: (1) abnormal
maternal amniotic fluid indexes including polyhydramnios
(2) vomiting and specifically bilious emesis
, Test 2 Pediatric Nursing
NCLEX Practice | Quiz #1: 50
Questions
(3) obstipation, which might present with failure to pass meconium in the first 48
hours of life
(4) abdominal distention
5. Mr. and Ms. Byers' child failed to pass meconium within the first 24 hours
after birth; this may indicate which of the following?: Hirschsprung's
disease Failure to pass meconium within the first 24 hours after birth may be a
sign of Hirschsprung's disease, a congenital anomaly resulting in mechanical
obstruction due to weak motility in an intestinal segment. History of the colonic
obstruction, which might occur during the early neonatal period till adulthood,
along with failure to pass meconium during the first 48 hours of the life, which
presents in up to 90% of the affected patients, is highly compatible with the
impression of HD.
6. Celiac disease: • also known as gluten-sensitive enteropathy
• is an autoimmune disease of the small intestine
• a condition in which the body responds to gluten with an inappropriate immune
response causing small intestinal inflammation and damage
7. Intussusception: • is a condition in which part of the intestine folds into the
section next to it
• usually involves the small bowel and rarely the large bowel
• symptoms include abdominal pain which may wax and wane, vomiting, bloating,
and bloody stool
8. Failure to pass meconium is not connected with abdominal wall defect.:
Gastroschisis is a paraumbilical abdominal wall defect associated with protrusion
of the bowel through the defect. A membrane does not cover the bowel exposed
in utero and, as a result, may be matted, dilated, and covered with a fibrinous
inflammatory rind.
, Test 2 Pediatric Nursing
NCLEX Practice | Quiz #1: 50
Questions
9. Steve is diagnosed with celiac disease and experiences celiac crisis
secondary to upper respiratory tract infection; which of the following would
Nurse
Nancy expect to assess?: Watery diarrhea
Episodes of celiac crises are precipitated by infections, ingestion of gluten,
prolonged fasting, or exposure to anticholinergics. Celiac crisis is typically
characterized by severe watery diarrhea. Celiac crisis is a life-threatening syndrome
in which patients with celiac disease have profuse diarrhea and severe metabolic
disturbances.
10. Irritability, rather than lethargy, is more likely. Clinically it is
characterized by severe diarrhea, dehydration, and metabolic disturbances
including hypokalemia, hyponatremia, hypocalcemia, hypomagnesemia, and
hypoproteinemia.:
11. Because of the fluid loss associated with severe watery diarrhea, the
child's weight is more likely to be decreased. In childhood, failure to thrive
is an important aspect of history, while in adulthood the corresponding
symptom would be unexplained weight loss.:
12. Respiratory distress is unlikely in a routine upper respiratory tract
infection. Symptoms from other than gastrointestinal systems include
recurrent aphthous ulcers in the mouth, iron deficiency anemia, ataxia,
chronic headaches, and delayed menarche.:
13. In pediatric gastroesophageal reflux disease (GERD), the immaturity of
lower esophageal sphincter function is manifested by frequent transient
lower esophageal relaxations, which result in retrograde flow of gastric
contents into the esophagus. Which statement about the esophagus is true?
Select all that apply.: It has upper and lower sphincters.
