CPN Gastrointestinal Conditions Problem Solving Exam
Questions and certified for accuracy solutions; updated
2026/2027
The nurse is working in the clinic when she is told that a child with IBD is coming in for
lab work. Which of the following is accurate? - correct answer Crohn's disease affects
all layers of the bowel wall
The nurse is providing discharge instructions to a 14-year-old with ulcerative colitiis.
Which is the nurse's best advice regarding her diet? - correct answer It's
recommended that you eat high protein, high calorie and low-fat foods
A 12 year old with IBD has recently developed mouth ulcers and arthritis in his joints.
Which of the following is likely occurring? - correct answer He likely has Crohn's
disease
The nurse is caring for a 4 year old with celiac. When reviewing his hx, what would you
expect to find? - correct answer History of fatty stools
The nurse is caring for a 6 year old with pneumonia and celiac disease. The dietary aide
brings the lunch trays and asks what Trisha can eat. Which of the following would be
acceptable? - correct answer grilled chicken and corn
The nurse is presenting a review on NEC. The nurse knows that more information is
needed when on of the students states which of the following? - correct answer when
the bowel dies, more mucus invades the bowel
The nurse is caring for a premature infant and is concerned that they are developing
NEC. Which of the following could indicate NEC? - correct answer low body
temperature
,The nurse is taking care of a patient with NEC. The nurse anticipates that which of the
following will be included in the patient's care? - correct answer Administering
antibiotics
The nurse is caring for a 2 month old with biliary atresia. When reviewing the patient's
hx, the nurse would expect? - correct answer very poor weight gain
Lucy is a 3 month old with biliary atresia. Lucy's mom asks why her infant is so irritable
and restless.. Which of the following is the best response? - correct answer Lucy is
probably feeling very itchy, I will give her some medication for that (cholestyramine)
A mom calls the nurse and states she is worried her kids will get pinworms like her
neighbors. Which of the following should the nurse tell the mother? - correct answer
Your kids should be treated with medication if they have been around your neighbors
A mom calls the nurse and states a classmate of her daughter has been diagnosed with
Hep A. She asks when she would likely see symptoms if her daughter were to also
come down with it. The nurse bases her response on the knowledge that the incubation
period of Hep A is which of the following? - correct answer 4 weeks
The nurse is doing a presentation on Hepatitis. The nurse knows that clarification is
needed when one of the students makes which of the following statements? - correct
answer In order to prevent the spread of Hep A, we should not allow toddlers to assist
with toileting
A mom calls and is concerned about her 1 year old, reporting that he had an episode
where he drew his legs up to his abdomen and then vomited. She later checked his
diaper and found that is contained a small of amount of stool stained with mucus and
blood. Which of the following represents the nurse's best response to the mother? -
correct answer You should bring him to the ER to be evaluated to make sure there is
nothing serious going on (intussception)
Cameron is a toddler diagnosed with intussusception who arrives lethargic, very rapid
HR and BP that is only palpable. His abdomen is rigid and he doesn't respond
vigorously when examined. The nurse correctly expects? - correct answer he will be
immediately brought to the OR for surgical correction (concern for perforated bowel)
, The nurse is caring for a 12 year old who has an acetaminophen OD. Her parents ask
when she will be considered "out of the woods". How long must she be monitored for
liver damage? - correct answer 36 hours (24-36 hrs)
The nurse is working in the ER when a 16 year old is admitted with an acetaminophen
OD. He admits that he took the medication 50 minutes ago. Which of the following
should be included in Jeremy's plan of care? - correct answer administer N-
acetylcysteine within 8 hours of ingestion
Most common cause of diarrhea - correct answer Rotavirus
Most common antimicrobial-associated diarrhea - correct answer C. Difficile
Symptoms of C.Diff - correct answer Bloody diarrhea
Fever
Abdominal pain
Complication: Metabolic Acidosis and dehydration
Rehydration Therapy Guidelines: Mild/Moderate Dehydration - correct answer PO
Rehydration (electrolyte solution- pedialyte)
Rehydration Therapy Guidelines: Severe Dehydration - correct answer IV Fluids
#1 cause of vomiting - correct answer Overfeeding
Complications from vomiting - correct answer Dehydration
Metabolic Alkalosis
Aspiration
Questions and certified for accuracy solutions; updated
2026/2027
The nurse is working in the clinic when she is told that a child with IBD is coming in for
lab work. Which of the following is accurate? - correct answer Crohn's disease affects
all layers of the bowel wall
The nurse is providing discharge instructions to a 14-year-old with ulcerative colitiis.
Which is the nurse's best advice regarding her diet? - correct answer It's
recommended that you eat high protein, high calorie and low-fat foods
A 12 year old with IBD has recently developed mouth ulcers and arthritis in his joints.
Which of the following is likely occurring? - correct answer He likely has Crohn's
disease
The nurse is caring for a 4 year old with celiac. When reviewing his hx, what would you
expect to find? - correct answer History of fatty stools
The nurse is caring for a 6 year old with pneumonia and celiac disease. The dietary aide
brings the lunch trays and asks what Trisha can eat. Which of the following would be
acceptable? - correct answer grilled chicken and corn
The nurse is presenting a review on NEC. The nurse knows that more information is
needed when on of the students states which of the following? - correct answer when
the bowel dies, more mucus invades the bowel
The nurse is caring for a premature infant and is concerned that they are developing
NEC. Which of the following could indicate NEC? - correct answer low body
temperature
,The nurse is taking care of a patient with NEC. The nurse anticipates that which of the
following will be included in the patient's care? - correct answer Administering
antibiotics
The nurse is caring for a 2 month old with biliary atresia. When reviewing the patient's
hx, the nurse would expect? - correct answer very poor weight gain
Lucy is a 3 month old with biliary atresia. Lucy's mom asks why her infant is so irritable
and restless.. Which of the following is the best response? - correct answer Lucy is
probably feeling very itchy, I will give her some medication for that (cholestyramine)
A mom calls the nurse and states she is worried her kids will get pinworms like her
neighbors. Which of the following should the nurse tell the mother? - correct answer
Your kids should be treated with medication if they have been around your neighbors
A mom calls the nurse and states a classmate of her daughter has been diagnosed with
Hep A. She asks when she would likely see symptoms if her daughter were to also
come down with it. The nurse bases her response on the knowledge that the incubation
period of Hep A is which of the following? - correct answer 4 weeks
The nurse is doing a presentation on Hepatitis. The nurse knows that clarification is
needed when one of the students makes which of the following statements? - correct
answer In order to prevent the spread of Hep A, we should not allow toddlers to assist
with toileting
A mom calls and is concerned about her 1 year old, reporting that he had an episode
where he drew his legs up to his abdomen and then vomited. She later checked his
diaper and found that is contained a small of amount of stool stained with mucus and
blood. Which of the following represents the nurse's best response to the mother? -
correct answer You should bring him to the ER to be evaluated to make sure there is
nothing serious going on (intussception)
Cameron is a toddler diagnosed with intussusception who arrives lethargic, very rapid
HR and BP that is only palpable. His abdomen is rigid and he doesn't respond
vigorously when examined. The nurse correctly expects? - correct answer he will be
immediately brought to the OR for surgical correction (concern for perforated bowel)
, The nurse is caring for a 12 year old who has an acetaminophen OD. Her parents ask
when she will be considered "out of the woods". How long must she be monitored for
liver damage? - correct answer 36 hours (24-36 hrs)
The nurse is working in the ER when a 16 year old is admitted with an acetaminophen
OD. He admits that he took the medication 50 minutes ago. Which of the following
should be included in Jeremy's plan of care? - correct answer administer N-
acetylcysteine within 8 hours of ingestion
Most common cause of diarrhea - correct answer Rotavirus
Most common antimicrobial-associated diarrhea - correct answer C. Difficile
Symptoms of C.Diff - correct answer Bloody diarrhea
Fever
Abdominal pain
Complication: Metabolic Acidosis and dehydration
Rehydration Therapy Guidelines: Mild/Moderate Dehydration - correct answer PO
Rehydration (electrolyte solution- pedialyte)
Rehydration Therapy Guidelines: Severe Dehydration - correct answer IV Fluids
#1 cause of vomiting - correct answer Overfeeding
Complications from vomiting - correct answer Dehydration
Metabolic Alkalosis
Aspiration
