WorksheetsQuizizz #35 More Peds GI
Total questions: 20
Worksheet time: 40mins
Name
Class
Date
1.
A histamine-receptor antagonist such as cimetidine (Tagamet) or ranitidine (Zantac) is ordered for an infant with GER. The purpose of this is to:
a)
prevent reflux.
b)
prevent hematemesis.
c)
reduce gastric acid production.
d)
increase gastric acid production.
2.
When caring for a child with probable appendicitis, the nurse should be alert to recognize that which condition or symptom is a sign of perforation?
a)
Bradycardia
b)
Anorexia
c)
Sudden relief from pain
d)
Decreased abdominal distention
3.
A nurse is conducting an in-service on childhood gastrointestinal disorders. Which statement is most descriptive of Meckel diverticulum?
a)
It is more common in females than in males.
b)
It is acquired during childhood.
c)
Intestinal bleeding may be mild or profuse.
d)
Medical interventions are usually sufficient to treat the problem.
4.
A nurse is admitting a child with Crohn disease. Parents ask the nurse, “How is this disease different from ulcerative colitis?” Which statement should the nurse make when answering this question?
a)
“With Crohn’s the inflammatory process involves the whole GI tract.”
b)
"There is no difference between the two diseases.”
c)
“The inflammation with Crohn’s is limited to the colon and rectum.”
d)
“Ulcerative colitis is characterized by skip lesions.”
5.
Which is used to treat moderate to severe inflammatory bowel disease?
a)
Antacids
b)
Antibiotics
c)
Corticosteroids
d)
Antidiarrheal medications
6.
Bismuth subsalicylate, clarithromycin, and metronidazole are prescribed for a child with a peptic ulcer to:
a)
eradicate Helicobacter pylori.
b)
coat gastric mucosa.
c)
treat epigastric pain.
d)
reduce gastric acid production.
7.
Which statement best characterizes hepatitis A?
a)
Incubation period is 6 weeks to 6 months.
b)
Principal mode of transmission is through the parenteral route.
c)
Onset is usually rapid and acute.
d)
There is a persistent carrier state.
8.
The best chance of survival for a child with cirrhosis is:
a)
liver transplantation.
b)
treatment with corticosteroids.
c)
treatment with immune globulin.
d)
provision of nutritional support.
9.
A nurse is admitting an infant with biliary atresia. Which is the earliest clinical manifestation of biliary atresia the nurse should expect to assess?
a)
Jaundice
b)
Vomiting
c)
Hepatomegaly
d)
Absence of stooling
10.
Caring for the newborn with a cleft lip and palate before surgical repair includes:
a)
gastrostomy feedings.
b)
keeping infant in near-horizontal position during feedings.
c)
-
d)
allowing little or no sucking.
11.
The nurse is caring for an infant whose cleft lip was repaired. Important aspects of this infant’s postoperative care include:
a)
arm restraints, postural drainage, mouth irrigations.
b)
cleansing the suture line, supine and side-lying positions, arm restraints.
c)
mouth irrigations, prone position, cleansing suture line.
d)
supine and side-lying positions, postural drainage, arm restraints.
12.
The nurse is caring for a neonate with a suspected tracheoesophageal fistula. Nursing care should include:
a)
elevating the head but give nothing by mouth.
b)
elevating the head for feedings.
c)
feeding glucose water only.
d)
avoiding suctioning unless infant is cyanotic.
13.
Pyloric stenosis can best be described as:
a)
dilation of the pylorus.
b)
hypertrophy of the pyloric muscle.
c)
hypotonicity of the pyloric muscle.
d)
reduction of tone in the pyloric muscle
14.
The nurse is caring for an infant with suspected pyloric stenosis. Which clinical manifestation would indicate pyloric stenosis?
a)
Abdominal rigidity and pain on palpation
b)
Rounded abdomen and hypoactive bowel sounds
c)
Visible peristalsis and weight loss
d)
Distention of lower abdomen and constipation
15.
Invagination of one segment of bowel within another is called:
a)
atresia.
b)
stenosis.
c)
herniation.
d)
intussusception.
16.
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. Which nursing action is the most appropriate?
a)
Notify practitioner.
b)
Measure abdominal girth.
c)
Auscultate for bowel sounds.
d)
Take vital signs, including blood pressure.
17.
An infant with short bowel syndrome will be discharged home on total parenteral nutrition (TPN) and gastrostomy feedings. Nursing care should include:
a)
preparing family for impending death.
b)
teaching family signs of central venous catheter infection.
c)
teaching family how to calculate caloric needs.
d)
securing TPN and gastrostomy tubing under diaper to lessen risk of dislodgment.
18.
A nurse is receiving report on a newborn admitted yesterday after a gastroschisis repair. In the report, the nurse is told the newborn has a physician’s prescription for an NG tube to low intermittent suction. The reporting nurse confirms that the NG tube is to low intermittent suction and draining light green stomach contents. Upon initial assessment, the nurse notes that the newborn has pulled the NG tube out. Which is the priority action the nurse should take?
a)
Replace the NG tube and continue the low intermittent suction.
b)
Leave the NG tube out and notify the physician at the end of the shift.
c)
Leave the NG tube out and monitor for bowel sounds.
d)
Replace the NG tube, but leave to gravity drainage instead of low wall suction.
19.
Parents of a child undergoing an endoscopy to rule out peptic ulcer disease (PUD) from H. pylori ask the nurse, “If H. pylori is found will my child need another endoscopy to know that it is gone?” Which is the nurse’s best response?
a)
“Yes, the only way to know the H. pylori has been eradicated is with another endoscopy.”
b)
“We can collect a stool sample and confirm that the H. pylori has been eradicated.”
c)
“A blood test can be done to determine that the H. pylori is no longer present.”
d)
“Your child will always test positive for H. pylori because after treatment it goes into remission, but can’t be completely eradicated.”
20.
A child has recurrent abdominal pain (RAP) and a dairy-free diet has been prescribed for 2 weeks. Which explanation is the reason for prescribing a dairy-free diet?
a)
To rule out lactose intolerance
b)
To rule out celiac disease
c)
To rule out sensitivity to high sugar content
d)
To rule out peptic ulcer disease
100 %
