MCII - GI, GU, & ENDO QUIZ
The nurse is implementing therapeutic techniques in a child's plan of care to manage nocturnal enuresis. Which technique does the nurse include in the care plan? A. Provide fluids or juices before meals B. Avoid caffeinated beverages after 4 pm C. Avoid interupting the child's sleep at night D. Ask the parent to stay with the child often
B. Avoid caffeinated beverages after 4 pm
A child is admitted with jaundice and cholestasis. The nurse observes yellow discoloration of the skin and the sclera. The child's serum bilirubin is 5mg/dL, which is not very high. What can the nurse infer from the symptoms that the child is furreing from? A. Giardiasis B. Biliary Atresia (BA) C. Hepatitis B D. Inflammatory Bowel Disease (IBD)
B. Biliary Atresia (BA)
What should the nurse include in the plan of care when teaching an adolescent with Crohn's disease? A. Nutritional guidance and prevention of constipation B. Coping with stress and adjusting to chronic illness C. Nutritional guidance and preventing the spread of illness to others D. Adjusting to chronic illness and preventing spread to others
B. Coping with stress and adjusting to chronic illness
A child is admitted to the emergency department with acute abdominal pain. The nurse observes that the child is screaming and drawing the knees toward the chest. During assessment, the nurse detects a palpable, sausage-shaped mass in the URQ of the abdomen. What can the nurse deduce that the child has from these symptoms and findings? A. Hiatal Hernia B. Intussusception C. Zollinger-Ellison syndrome D. Hypertrophic pyloric stenosis
B. Intussusception
The nurse should recognize that when a child develops diabetic ketoacidosis, what is true? A. It is an expected outcome B. It is a life threatening emergency C. It is best treated at home D. It is best treated at the practitioner's office or clinic
B. It is a life threatening emergency
What action does the nurse take when the child on insulin therapy suddenly begins to tremble and sweat? A. Give the prescribed dose of glucagon B. Provide a glass of orange juice C. Provide a snack of eggs and fruits D. Provide a glass of water
B. Provide a glass of orange juice
The parents of an infant with cleft palate (CP) report the following, "Our child can't eat properly and is not getting proper nutrition." What does the nurse suggest to the patents? A. The infant needs to be fed parenterally B. The infant needs a pigeon bottle for feeding C. The infant will eat properly when 5 years old D. The infant will never be able to properly feed
B. The infant needs a pigeon bottle for feeding
The nurse is discussing bed-wetting with the parents of an 8-year-old patient suffering from enuresis. What are the different aspects of caring that the nurse should make the parents aware of? Select all that apply. A. Regularly punish the child for this activity B. Shame the child publicly in front of friends C. Observe for side effects of any medication D. Reinforce the desired behavior in a positive way E. Assure the parents that the condition has nothing to do with upbringing
C, D, E
What is an appropriate nursing intervention while the child with nephrotic syndrome is confined to bed? A. Restraining the child as necessary B. Discouraging parents from holding the child C. Adjusting activities to the child's level of tolerance D. Doing passive ROM exercises once a day
C. Adjusting activities to the child's level of tolerance
When discussing a child's precocious puberty with the parents, what should the nurse tell them? A. The child is not yet fertile B. Heterosexual interest is usually advances C. Dress and activities should be appropriate to chronological age D. Appearance of secondary sexual characteristics does not proceed in usual order
C. Dress and activities should be appropriate to chronological age
What should the nurse consider when providing support to a family whose infant has just been diagnosed with biliary atresia? A. Prognosis for a full recovery is excellent B. Death usually occurs by 6 months of age C. Liver transplantation may be needed eventually D. Children with surgical corrections live normal lives
C. Liver transplantation may be needed eventually
A patient has been admitted with complaints of bloody stools. The nurse observes that the stool is dark red with mucous and looks like currant jelly. The patient does not complain of any pain during rectal bleeding. The nurse can infer that from this set of symptoms that the patient is suffering from what? A. Giardiasis B. Hirschsprung's Disease C. Meckel Diverticulum D. Ascariasis
C. Meckel Diverticulum
A 5-year-old female child has been sent to the school nurse for urinary incontinence three times in the past two days. The nurse should recommend to the parent that the first action is to have the child evaluated for what? A. School phobia B. Emotional causes C. Possible urinary tract infection D. Possible structural defect of the urinary tract
C. Possible uti
A young child is diagnosed with vesicoureteral reflux. The nurse should know that this is usually associated with what? A. Incontinence B. Urinary obstruction C. Recurrent kidney infection D. Infarction of renal vessels
C. Recurrent kidney infection
An infant is admitted with excessive salivation and drooling accompanied with coughing, choking, and cyanosis. What can the nurse infer from the symptoms? A. Severe dehydration B. GER C. TEF D. Congenital diaphragmatic hernia
C. TEF
When evaluating the extent of an infants dehydration, the nurse should recognize that the symptoms of severe dehydration include what? A. Intense thirst, normal pulse and blood pressure B. Tachycardia, decreased tears, and 5% weight loss C. Irritability, moderate thirst, normal eye & fontanels D. Tachycardia, parched mucous membranes, and sunken eye and fontanels
D. Tachycardia, parched mucous membranes, and sunken fontanels
The nurse caring for a 6-year-old child with DM notices that the child is sweating profusely. The child also complains of headache, dizziness, and shortness of breath. What should the nurse's immediate actions be? Select all that apply. A. Inform the primary health care provider B. Administer a dose of insulin subcutaneously C. Assess the child's BG levels D. Give the child a large, high-calorie meal E. Ask the child when the last meal was eaten.
A & C
The nurse is working with an 11-year-old child who has type 1 DM. The nurse advises the child's parents to monitor the glucose levels at home. What should be the blood glucose levels if the DM is well managed? A. A random blood glucose level that is consistently less than 200 B. A random blood glucose level that is consistently less than 400 C. An 8-hour fasting blood glucose level that is regularly less than 126 D. AN 8-hour fasting blood glucose level that is regularly less than 300
A and C
Which instruction does the nurse give to the parents of a child with DM? Select all that apply. A. Provide leafy green vegetables and mushrooms B. Maintain consistency in the total number of calories every day C. Avoid giving snacks between meal times D. Provide extra food in case of increased activity E. Avoid candy, cookies, pasties, and soft drinks.
A, B, D, E
The urinalysis of a 7-year-old patient detects acute poststreptococcal glomerulonephritis. Which clinical manifestations does the nurse observe in the patient? Select all that apply. A. Gross discoloration of urine B. Proteinuria or excess protein in the urine C. Hyperalbuminemia or albumin in the urine D. Culture of the throat is positive for streptococci E. Azotemia or excess nitrogen in the blood F. Hematuria or excess RBCs in the urine
A, B, E, F
The nurse is taking a parent education class on prevention of hepatitis among children. What are the preventative measures that the nurse should state? Select all that apply. A. Wash hands regularly before eating B. Administer Hepatitis B immunoglobulin (HBIG) C. Eat clams and oysters to get immunity from hepatitis D. Vaccinate all newborns with HBV or hepatitis B vaccine E. Use drugs such as aspirin and acetaminophen
A, B, and D
A 15-year-old child has type 2 DM and needs dietary instructions from the nurse. Which statements from the nurse would provide the child with important information on nutritional needs? Select all that apply. A. You should have enough calories for your energy, growth, and development. B. You can regularly have soft drinks, concentrated sweets, and high calories meals. C. Food intake should correspond to timing and action of insulin prescribed D. You can have pizza and homemade apple pie before bedtime E. You should plan to incorporate snacks between meals and at bedtime
A, C, E
A child is undergoing hormone replacement therapy. The nurse observes that the child appears younger than the chronological age. WHat does the nurse include in the child's plan of care? Select all that apply. A. The nurse provides education to the child for self-management B. The nurse instructs the parents to treat the child in infantile ways C. The nurse instructs the family how to administer the prescribed baclofen D. The nurse instructs the family about injection sites and techniques E. The nurse instructs the family on how to prepare medications
A, D, E
Which laboratory finding, in conjunction with presenting symptoms, indicates nephrosis? A. Hypoalbuminemia B. Low specific gravity C. Decreased hematocrit D. Decreased hemoglobin
A. Hypoalbuminemia
A 7-year-old boy has been diagnosed with precocious puberty. What is the best explanation of the condition the nurse gives to the parents? A. It is sexual development in boys before the age of 9 B. It is proportional overgrowth of the long bones C. It is the absence of regression of secondary sex characteristics D. Is is a state of uncontrolled diuresis due to posterior pituitary hypofunction
A. It is sexual development in boys before the age of 9
The nurse is caring for a child admitted with acute diarrhea and dehydration. What is the accurate step the nurse should take? A. Monitor the IV fluids every day B. Send soiled diapers to the lab for testing C. Monitor body temperature via rectal thermometer D. Administer fluid orally for the first 48 hours
A. Monitor the IV fluids every day
The nurse is caring for a boy with probable intussusception. He had diarrhea before admission, but while waiting for administration of air pressure to reduce the intussusception, he passes a normal brown stool. What is the most appropriate nursing action? A. Notify physician B. Measure abdominal girth C. Auscultate bowel sounds D. Take vital signs including BP
A. Notify physician
The nurse plans to teach an adolescent diagnosed with type 1 DM about exercise and lifestyle changes that can help manage the condition. What information should the nurse include in the teaching plan? Select all that apply. A. The type and duration of exercise should be planned around your interests and capabilities. B. You can have snacks before you exercise to compensate for decreasing BG levels C. You can administer an oral hypoglycemic agent before you start your exercise regimen D. You should not exercise
A. The type and duration of exercise should be planned around your interests and capabilities. B. You can have snacks before you exercise to compensate for the decreasing BG levels
What is the purpose of adding dextrose to the IV solution when the child's blood glucose levels fall between 250-300 mg/dL? A. To maintain blood glucose levels between 120 and 240 B. To increase the serum pH and maintain cardiac stability C. To avoid frequent episodes of hypoglycemia D. To maintain glycosylated hemoglobin of 7% or less
A. To maintain blood glucose levels between 120 and 240.
In a non-toilet trained child with nephrotic syndrome, what is the best way to detect fluid retention? A. Weight the child daily B. Test urine for hemturia C. Count the number of wet diapers D. Measure the abdominal girth weekly
A. Weight the child daily
A child report to the nurse about abdominal discomfort and headache. On further assessment that nurse finds that the child's urine is smoky brown. Which condition does the nurse suspect in this child? A. Hyperlipidemia B. Hypoalbumina C. Chronic renal failure D. Acute glomerulonephritis
D. Acute glomerulonephritis
The nurse assesses the neonate immediately after birth. A tracheoesophageal fistula should be suspected if what condition is present. A. Club foot B. Jaundice C. Absence of sucking D. Excessive amount of frothy saliva in the mouth
D. Excessive amount of frothy saliva in the mouth excessive drooling and the three C's 3 C's: coughing, chocking, and cyanosis
