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Worksheets

Pediatric GI

Total questions: 14

Worksheet time: 9mins

Name
Class
Date
1.

A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the following actions should the nurse take?

a)

Perform a tape test

b)

Collect a stool sample

c)

Test the stool for occult blood

d)

Initiate IV fluids

2.

A nurse is assessing a child who has a rotavirus infection? Which of the following are expected findings? (Select all that apply)

a)

Fever

b)

Vomiting

c)

Watery stools

d)

Bloody stools

e)

Confusion

3.

A nurse is teaching a group of parents about Salmonella. Which of the following information should the nurse include in the teaching? (Select all that apply)

a)

Incubation period is nonspecific

b)

It is a bacterial infection

c)

Bloody diarrhea is common

d)

Transmission can be from house pets

e)

Antibiotics are used for treatment

4.

A nurse is teaching a group of parents about E. coli. Which of the following information should the nurse include in the teaching? (Select all that apply)

a)

Severe abdominal cramping occurs

b)

Watery diarrhea is present for more than 5 days

c)

It can lead to hemolytic uremic syndrome

d)

It is a foodborne pathogen

e)

Antibiotics are given for treatment

5.

A nurse is assessing an infant who has hypertrophic pyloric stenosis. Which of the following findings should the nurse expect? (Select all that apply)

a)

Projectile vomiting

b)

Dry mucus membranes

c)

Currant jelly stools

d)

Sausage-shaped abdominal mass

e)

Constant hunger

6.

A nurse is caring for a child who has Hirschsprung's disease. Which of the following actions should the nurse take?

a)

Encourage a high-fiber, low-protein, low-calorie diet

b)

Prepare the family for surgery

c)

Place an NG tube for decompression

d)

Initiate bed rest

7.

A nurse is caring for an infant who is postoperative following cleft lip and palate repair. Which of the following actions should the nurse take?

a)

Remove the packing in the mouth

b)

Place the infant in the upright position

c)

Offer a pacifier with sucrose

d)

Assess the mouth with a tongue blade

8.

A nurse is caring for a child who has Meckel's diverticulum. Which of the following manifestations should the nurse expect? (Select all that apply)

a)

Abdominal pain

b)

Fever

c)

Mucus, bloody stools

d)

Vomiting

e)

Rapid, shallow breathing

9.

A nurse is teaching a parent of an infant about gastrointestinal reflux disease. Which of the following should the nurse include in the teaching? (Select all that apply)

a)

Offer frequent feedings

b)

Thicken formula with rice cereal

c)

Use a bottle with a one-way valve

d)

Position baby upright after feedings

e)

Use a wide-based nipple for feedings

10.

A mother brings her 6-month-old infant to the clinic. The child has been vomiting since early morning and has had diarrhea since the day before. His temperature is 38 degrees Celsius, pulse 140, and respiratory rate 38. He has lost 6 ounces since his well-child visit 4 days ago. He cries before passing a bowel movement. He will not breastfeed today. What is the priority nursing diagnosis?

a)

thermoregulation alteration

b)

pain (abdominal) related to diarrhea

c)

fluid volume deficit related to excessive losses and inadequate intake

d)

alteration in nutrition, less than body requirements, related to decreased oral intake.

11.

A child presents with a 2-day history of fever, abdominal pain, occasional vomiting, and decreased oral intake. Which finding would the nurse prioritize for immediate reporting to the physician?

a)

Temperature 101.9 Farenheit

b)

Rebound tenderness and abdominal guarding

c)

Parents will be leaving the child alone in the hospital

d)

Child can tolerate only sips of fluid

12.

A 3-day-old infant presenting with physiologic jaundice is hospitalized and placed under phototherapy. Which response indicates to the nurse that the parent needs more teaching?

a)

"My infant is at risk for dehydration"

b)

"My infant needs to stay under the lights, except during feeding times"

c)

"My infant can continue to breastfeed during this time."

d)

"My infant has a serious liver disease"

13.

A 3-month-old infant presents with a history of vomiting after feeding. The plan for the infant is to rule out GER. What information from the history would lead the nurse to believe that this infant may need further intervention?

a)

Poor weight gain

b)

small "spits" after feeding

c)

sleeps through the night

d)

difficult to burp

14.

The nurse is caring for a child who has had diarrhea and vomiting for the past several days. What is the priority nursing assessment?

a)

Determine the child's weight

b)

Ask if the family has traveled outside of the country

c)

Assess circulation and perfusion

d)

Send a stool specimen