Peds NCLEX - GI

The nurse is assisting a HCP c an assessment of a child c a dx of suspected appendicitis. In assessing the intensity & progression of the pain, the HCP palpates the child at McBurney's point. The nurse understands that McBurney's point is located midway between which body landmarks?

Right anterior superior iliac crest & the umbilicus

The nurse is collecting data on an infant c a dx of suspected Hirschsprung's disease. Which question to the mother will most specifically elicit information regarding this d/o?

"Does your infant have foul-smelling, ribbon-like stools?"

The nurse reinforces home care instructions to the parents of an infant following surgical intervention for imperforate anus & tells the parents about the procedure for anal dilation. Which statement by the parents indicates the need for further teaching?

"I will insert a glycerin suppository before the dilation."

A child is dx c lactose intolerance. The child's mother asks the nurse about the disease. Which statement is the appropriate nursing response?

"It is the inability to tolerate sugar found in dairy products."

The nurse is reinforcing instructions to the parents of a child c a hernia regarding measures that will promote reducing the hernia. The nurse determines that the parents understand these measures if they make which statement?

"We will provide comfort measures to reduce any crying periods by our child."

The nurse is preparing to feed a 1 yo hospitalized child. The nurse prepares the amount of formula to be given to this child, knowing that generally a 1 yo consumes approx which amount?

175 mL per feeding

The nurse has reinforced dietary instructions to the mother of a child c celiac disease. The nurse determines that further teaching is needed if the mother states that she will include which item in the child's nutritional plan?

Oatmeal

An infant returns to the nursing unit after the surgical repair of a cleft lip located on the right side of the lip. The best position to place this infant at this time is which?

On his/her left side

The nurse is checking the status of jaundice in a child c hepatitis. Which should the nurse check to ascertain if the child is jaundiced?

The mucous membranes

The nurse is monitoring a NB c a suspected dx of imperforate anus. The nurse understands that which is unassociated c this d/o?

The passage of currant jelly-like stools

The nurse is caring for a child c a dx of intussusception. Which manifestation should the nurse expect to note in this child?

Blood & mucus in the stools

The nurse is reinforcing dietary instructions to the mother of a child c celiac disease. Which statement by the mother indicates a need for further teaching?

"I am so pleased that I won't have to eliminate oatmeal from my child's diet."

The nurse reinforces home-care instructions to the parents of a child c hepatitis regarding the care of the child & the prevention of the transmission of the virus. Which statement by a parent indicates a need for further teaching?

"I need to provide a well-balanced, high-fat diet to my child."

The nurse is caring for an 18 mo old child who has been vomiting. The appropriate position to place the child during naps & sleep time is which?

A side-lying position

The nurse is reviewing the record of a child c a dx of pyloric stenosis. Which data should the nurse expect to note as having been documented in the child's record?

Projectile vomiting

The nurse is assigned to care for a child who is scheduled for an appendectomy. Which prescriptions does the nurse anticipate to be prescribed? Select all that apply.

- Initiate an IV line. - Maintain NPO status. - Admin IV abx. - Admin preop meds.

Which interventions should the nurse include when preparing a plan of care for a child c hepatitis? Select all that apply.

- Providing a low-fat, well-balanced diet - Teaching the child effective hand-washing techniques - Instructing the parents about the risks associated c taking meds

The nurse is assigned to assist in caring for a NB c a colostomy that was created during surgical intervention for imperforate anus. When the NB returns from surgery, the nurse checks the stoma & notes that it is red & edematous. Which is the appropriate nursing intervention?

Document the findings

The nurse is monitoring for fluid volume deficit in an infant who is vomiting & having diarrhea. The nurse weighs the infant's diaper after each voiding & stool & carefully calculates fluid volume based on which knowledge?

Each gram of diaper weight is equivalent to 1 mL of urine.

A nursing student is preparing to conduct a clinical conference, & the topic is hepatitis in children. The nursing instructor advises the student to further research the topic if the student plans to include which information in the discussion?

Enteric precautions are necessary for hepatitis B (HBV) but not for hepatitis A (HAV).

The nurse reviews the record of a 3 wk old infant & notes that the HCP has documented a dx of suspected Hirschsprung's disease. The nurse understands that which manifestation led the mother to seek health care for the infant?

Foul-smelling, ribbon-like stools

A child is dx c intussusception. The nurse collects data on the child, knowing that which is a characteristic of this d/o?

Invagination of a section of the intestine into the distal bowel

The nurse is caring for a 1 yo child following a cleft palate repair. Which solution should the nurse use after feedings to cleanse the child's mouth?

Water (Sterile)

The nurse is monitoring for signs of dehydration in a 1 yo child who has been hospitalized for diarrhea & prepares to take the child's temperature. Which method of temperature measurement should be avoided?

Rectal

A child c a dx of a hernia has been scheduled for a surgical repair in 2 wks. The nurse reinforces instructions to the parents about the signs of possible hernial strangulation. The nurse tells the parents that which manifestation requires HCP notification by the parents?

Vomiting