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Peds Gastrointestinal

Total questions: 27

Worksheet time: 55mins

Name
Class
Date
1.

What is the classic and most common symptom of pyloric stenosis?

a)

Abdominal distention

b)

Difficulty stooling

c)

Projectile vomiting

d)

Irritability

2.

Generally, when does this projectile vomiting occur?

a)

Upon waking in the morning

b)

Immediately after eating

c)

Two to three hours after eating

d)

After drinking

3.

What two interventions does the nurse provide prior to surgery for pyloric stenosis?

a)

Monitor blood pressure

b)

Insert NG tube

c)

Monitor for signs and symptoms of dehydration

d)

Start on clear liquids only

4.

Prior to reintroducing oral fluids and foods following GI surgery in the infant, what is the most critical nursing action?

a)

Administer medications as prescribed

b)

Monitor intake and output

c)

Auscultate for presence of bowel aounds

d)

Assess surgical site.

5.

A child has been diagnosed with rotavirus. What is a hallmark symptom?

a)

Vomiting immediately after eating

b)

Foul-smelling, watery diarrhea

c)

Abdominal pain

d)

Headache

6.

What are indicators of dehydration? Select all that apply.

a)

Less than 6 diapers in 24 hrs

b)

Less than 8 diapers in 24 hours

c)

No urination for 8-12 hours

7.

When would you initiate oral rehydration therapy (ORT)

a)

Chronic diarrhea and/or vomiting

b)

Acute diarrhea and/or vomiting

8.

What is the BRAT diet?

a)

Bread, Rice, Applesauce, Tater tots

b)

Bananas, Rice, Applesauce, Toast

c)

Bread, Rice, Apples, Toast

9.

How many hours after starting oral rehydration therapy (ORT) can you start the BRAT diet?

a)

12

b)

15

c)

24

d)

48

10.

How many hours after starting oral rehydration therapy (ORT) can you slowly reintroduce a regular diet?

a)

12

b)

24

c)

48

d)

72

11.

Identify three anorectal malformations.

a)

Rectal atresia

b)

Imperforate anus

c)

Rectal Stenosis

d)

Rectal peristalsis

12.

The nurse notes the passing of meconium through the vagina on a newborn. This finding is an indication that the child may have which anorectal malformation?

a)

Rectal atresia

b)

Rectal Stenosis

c)

Imperforate Anus

d)

Imperforate fistula

13.

What is defined as the twisting or misplacement of the small or large intestines that cuts off their blood supply?

a)

Malrotation

b)

Volvulus

c)

Intussusception

14.

What is defined as the COMPLETE twisting of the intestine around itself?

a)

Malrotation

b)

Volvulus

c)

Intussusception

15.

Identify two symptoms that are most commonly seen in a malrotation and volvulus.

a)

Clammy skin

b)

Intermittent bilious vomiting

c)

Tachypnea

d)

Tachycardia

e)

Abdominal distention

16.

Identify signs and symptoms of bowel perforation. Select all that apply.

a)

Distended abdomen with decreased bowel sounds

b)

May have rigid abdomen

c)

Acute pain over the perforated area that spreads all over abdomen

d)

Nausea/Vomiting

17.

The nurse is caring for a child that complains of intermittent periumbilical pain, right lower quadrant pain, and has a low-grade fever. The nurse understands these findings are indicative of what diagnosis?

a)

Intussusception

b)

Volvulus

c)

Appendicitis

d)

Meckel's Diverticulum

18.

How long is your window from the onset of pain to the rupture of the appendix?

a)

12- 24 hrs

b)

24 - 36 hrs

c)

36 - 48 hrs

d)

36 - 72 hrs

19.

The nurse is caring for a child who is being evaluated for appendicitis. The nurse asks the child how they would rate their pain. The child rates it at a '0' and says it stopped hurting. Should the nurse be concerned?

a)

No, the pain will come and go with appendicitis

b)

Yes, a relief of pain could indicate a rupture or perforation

c)

No, the child got morphine to help with the pain

d)

Yes, the child could be lying and will need an evaluation by social servcies

20.

The nurse is caring for a child being evaluated for appendicitis and identifies a positive (+) Psoas sign. What does this mean?

a)

The child had pain the right lower quadrant when jumping and landing on heels

b)

The child had pain in the right lower quadrant when it was pressed on and released

c)

The child had pain on passive extension of the right hip

d)

The child had periumbilical pain present.

21.

A child being evaluated for appendicitis complains of pain in the right lower quadrant when jumping and landing on their heels. How should the nurse document this finding?

a)

A negative (-) Psoas sign

b)

A positive (+) heel-drop jarring test

c)

A positive (+) Psoas sign

d)

A negative (-) heel-drop jarring test

22.

Pain that occurs when the right lower quadrant is pressed down is known as rebound pain.

a)

True

b)

False

23.

What is the most reliable way to diagnose appendicitis?

a)

The rebound test

b)

Progression/sequence of symptoms

c)

The Psoas test

d)

An ultrasound and CT scan

24.

The nurse is caring for a child following a cleft lip and palate repair. The nurse identifies the child's O2 sat is hanging around 90%. Which type of oxygen device would be most appropriate for the nurse to use on this child?

a)

Nasal cannula

b)

A laryngeal mask

c)

A face mask

25.

The nurse is caring for an infant who has returned after a cleft lip and palate repair. Which of the following actions would be appropriate for the nurse to take?

a)

Remove the packing in the mouth.

b)

Place the infant in an upright position.

c)

Offer a pacifier with sucrose.

d)

Assess the mouth with a tongue blade.

26.

What are the most common signs and symptoms of a child with an intussusception? Select all that apply.

a)

Acute abdominal pain

b)

Pulling legs up towards abdomen

c)

Red, currant, jelly stools

d)

Vomiting

e)

Tachycardia

27.

Which of the following should the nurse include in a plan of care for an infant with gastroesophageal reflux (GER)? Select all that apply.

a)

Small, frequent meals

b)

Lay flat after meals

c)

Thicken formula with with rice cereal

d)

Avoid foods that cause reflux