ATI Peds NCLEX Practice Detailed Answer Key Graded A

ATI Peds NCLEX Practice Detailed Answer Key Graded A 1. A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching? A. "I'm glad that my child's ostomy is only temporary." Rationale: Hirschsprung disease is also known as aganglionic megacolon and is characterized by an area of the large intestine without nerve innervation. The child will probably require two surgeries over an 18- to 24-month period before normal bowel function is obtained. The initial surgery creates an ostomy, which relieves the obstructed area and allows the bowel distal to the ostomy to rest. B. "I'm glad my child will have normal bowel movements now." Rationale: The child will not have bowel movements after the initial surgery. C. "I want to learn how to use my child's feeding tube as soon as possible." Rationale: The child will not have a feeding tube after the surgery. D. "I want to learn how to empty my child's urinary catheter bag." Rationale: The child will not have a urinary catheter after the surgery. 2. A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is projectile vomiting immediately after eating. Which of the following responses should the nurse make? A. "Bring your baby in to the clinic today." Rationale: Projectile vomiting followed by hunger are characteristic of pyloric stenosis. The infant needs to be examined in the clinic by a provider as soon as possible. B. "Burp your baby more frequently during feedings." Rationale: Burping the infant does not address the cause of the projectile vomiting. C. "Give your infant an oral rehydration solution." Rationale: Administering an oral rehydration solution does not address the cause of the projectile vomiting. D. "Try switching to a different formula." Rationale: Switching to a different formula does not address the cause of the projectile vomiting.