Deck 14: Gastrointestinal Elimination

Question 1

When performing a physical assessment of the abdomen, under which conditions would palpation of the child's abdomen be performed last?

A) If the abdomen is concave
B) If the abdomen is convex
C) If the child is experiencing acute pain
D) If the child is experiencing nausea and vomiting

Answer 1

C

Question 2

While performing a physical assessment on a toddler, you observe a capillary refill time of greater than 2 seconds. Delayed capillary refill time of this magnitude is indicative of what medical condition?

A) Anemia
B) Malnutrition
C) Dehydration
D) Hypoglycemia

Answer 2

C

Question 3

During a physical assessment, you notice that the child exhibits multiple signs of dehydration, including skin turgor and abnormal respiratory pattern. If these findings are observed in combination with vomiting or diarrhea, which physical condition should you suspect?

A) Pending hypovolemic shock
B) Fluid deficit of 5% or greater
C) The patient is losing electrolytes faster than water
D) The patient is losing water faster than electrolytes

Answer 3

B

Question 4

What anticipatory guidance could you give to parents that would be beneficial to a child with GER or GERD?

A) Provide larger feedings less frequently
B) Provide smaller feedings more frequently
C) Place child in supine position after feedings
D) Place child in semi-Fowler's position after feedings

Question 5

You are responsible for caring for an infant with a cleft palate. What is the preferred method of providing nutrition to a child with this condition?

A) ESSR method for feeding
B) Tube feedings
C) Intravenous nutrition
D) Clear liquids with vitamin supplementation

Question 6

A 4-week-old infant presents with increasing, blood-tinged projectile vomiting and an olive-shaped mass in the right upper abdominal quadrant. As a pediatric nurse, what medical condition should be suspected?

A) Appendicitis
B) Inguinal hernia
C) Intussusception
D) Hypertrophic pyloric stenosis

Question 7

A 2-year-old child presents with episodic abdominal pain that comes and goes every 15-20 minutes, abdominal distention, and "red currant jelly-like" stools. As a pediatric nurse, based on this presentation, what medical condition should be suspected?

A) Appendicitis
B) Hirschsprung Disease
C) Intussusception
D) Hypertrophic pyloric stenosis

Question 8

As a pediatric nurse responsible for caring for a newborn child, you observe that the child has not passed stool for 2 days. This characteristic is a key indicator for what medical condition?

A) Appendicitis
B) Hirschsprung disease
C) Intussusception
D) Hypertrophic pyloric stenosis

Question 9

As a pediatric nurse responsible for the care of a newborn child, what action should you take if you notice the child is developing jaundice 2 or 3 days after birth?

A) Tell the mother to stop breastfeeding and initiate formula feeds.
B) Apply fluorescent light to the neonate's exposed body surface area.
C) Alert the physician that an exchange transfusion may be required.
D) Initiate rapid phototherapy with bili lights or a biliblanket.

Question 10

A 5-year-old child presents with classic symptoms of appendicitis, including persistent pain localized to the right lower quadrant of the abdomen at McBurney's point. While under your care, the child experiences a sudden relief of this persistent pain. As a pediatric nurse, what is the significance of this occurrence?

A) The condition is resolving
B) The child will not require pain medication
C) The appendix has ruptured
D) The patient was misdiagnosed