NCLEX EXAM zm
Exam Solution
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Davis Q&A NCLEX "Gastrointestinal Disorders" 2026 A
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+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFI
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ED ANSWERS (2E4AB)
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QUESTION 1 zm
Term
ANSWER
Definition
QUESTION 2 zm
The nurse is caring for a 9-month-
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old with diarrhea secondary to rotavirus. The child has not vomited and is mildly deh
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ydrated. Which is likely to be included in the discharge teaching? 1. Administer Imodi
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um as needed. 2. Administer Kaopectate as needed. 3. Continue breastfeeding per rout
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ine. 4. The infant may return to day care 24 hours after antibiotics have been started.
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ANSWER
Answer: 3 3. Breastfeeding is usually well tolerated and helps prevent death of intestinal villi and m
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alabsorption. TEST- zm
TAKING HINT: The test taker can eliminate answer 4 because antibiotics are not effective with virus
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es such as rotavirus. Answers 1 and 2 can be eliminated because antidiarrheal agents are not recom
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mended in the pediatric population.
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QUESTION 3 zm
The parents of a 4-year-
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old ask the nurse how to manage their child's constipation. Select the nurse's best res
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ponse. 1. "Add 2 ounces of apple or pear juice to the child's diet." 2. "Be sure your chi
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ld eats a lot of fresh fruit such as apples and bananas." 3. "Encourage your child to dr
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ink more fluids." 4. "Decrease bulky foods such as whole-grain breads and rice."
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ANSWER
, Answer: 3 3. Increasing fluid consumption helps to decrease the hardness of the stool. TEST-
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TAKING HINT: Answer 1 decreases constipation in an infant but not in a preschooler.
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QUESTION 4 zm
A child is diagnosed with chronic constipation that has been unresponsive to dietary a
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nd activity changes. Which pharmacological measure is most appropriate? 1. Natural s
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upplements and herbs. 2. Stimulant laxative. 3. Osmotic agent. 4. Pharmacological mea
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sures are not used in pediatric constipation.
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ANSWER
Answer: 3 3. A stool softener is the drug of choice because it will lead to easier evacuation. TEST-
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TAKING HINT: The test taker should eliminate answer 4 because it implies that medications are nev
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er given to the constipated child. In health care, there are very few cases of "never" and "always."
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QUESTION 5 zm
Which discharge instruction for a child diagnosed with encopresis should the nurse q
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uestion? 1. Limit the intake of milk. 2. Offer a diet high in protein. 3. Obtain a comple
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te dietary log. 4. Follow up with a child psychologist.
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ANSWER
Answer: 2 2. A diet high in protein will cause more constipation. TEST-
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TAKING HINT: Recall foods and behaviors that cause constipation in children and successful approac
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hes to meet their needs.
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QUESTION 6 zm
The nurse is caring for a 4-month-
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old with gastroesophageal reflux (GER). The infant is due to receive Zantac (rantadine
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). Based on the medication's mechanism of action, when should this medication be ad
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ministered? 1. Immediately before a feeding. 2. 30 minutes after the feeding. 3. 30 mi
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nutes before the feeding. 4. At bedtime.
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ANSWER
Answer: 3 3. Zantac decreases gastric acid secretion and should be administered 30 minutes before
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a feeding. TEST-
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TAKING HINT: The test taker needs to be familiar with the administration of rantadine (Zantac).
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QUESTION 7 zm
Which is the best position for an 8-year-
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old who has just returned to the pediatric unit after an appendectomy for a ruptured
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appendix? 1. Semi-Fowler. 2. Prone. 3. Right side-lying. 4. Left side-lying.
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Exam Solution
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Davis Q&A NCLEX "Gastrointestinal Disorders" 2026 A
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+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFI
zm zm zm zm zm zm
ED ANSWERS (2E4AB)
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QUESTION 1 zm
Term
ANSWER
Definition
QUESTION 2 zm
The nurse is caring for a 9-month-
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old with diarrhea secondary to rotavirus. The child has not vomited and is mildly deh
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ydrated. Which is likely to be included in the discharge teaching? 1. Administer Imodi
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um as needed. 2. Administer Kaopectate as needed. 3. Continue breastfeeding per rout
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ine. 4. The infant may return to day care 24 hours after antibiotics have been started.
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ANSWER
Answer: 3 3. Breastfeeding is usually well tolerated and helps prevent death of intestinal villi and m
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alabsorption. TEST- zm
TAKING HINT: The test taker can eliminate answer 4 because antibiotics are not effective with virus
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es such as rotavirus. Answers 1 and 2 can be eliminated because antidiarrheal agents are not recom
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mended in the pediatric population.
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QUESTION 3 zm
The parents of a 4-year-
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old ask the nurse how to manage their child's constipation. Select the nurse's best res
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ponse. 1. "Add 2 ounces of apple or pear juice to the child's diet." 2. "Be sure your chi
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ld eats a lot of fresh fruit such as apples and bananas." 3. "Encourage your child to dr
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ink more fluids." 4. "Decrease bulky foods such as whole-grain breads and rice."
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ANSWER
, Answer: 3 3. Increasing fluid consumption helps to decrease the hardness of the stool. TEST-
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TAKING HINT: Answer 1 decreases constipation in an infant but not in a preschooler.
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QUESTION 4 zm
A child is diagnosed with chronic constipation that has been unresponsive to dietary a
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nd activity changes. Which pharmacological measure is most appropriate? 1. Natural s
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upplements and herbs. 2. Stimulant laxative. 3. Osmotic agent. 4. Pharmacological mea
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sures are not used in pediatric constipation.
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ANSWER
Answer: 3 3. A stool softener is the drug of choice because it will lead to easier evacuation. TEST-
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TAKING HINT: The test taker should eliminate answer 4 because it implies that medications are nev
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er given to the constipated child. In health care, there are very few cases of "never" and "always."
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QUESTION 5 zm
Which discharge instruction for a child diagnosed with encopresis should the nurse q
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uestion? 1. Limit the intake of milk. 2. Offer a diet high in protein. 3. Obtain a comple
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te dietary log. 4. Follow up with a child psychologist.
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ANSWER
Answer: 2 2. A diet high in protein will cause more constipation. TEST-
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TAKING HINT: Recall foods and behaviors that cause constipation in children and successful approac
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hes to meet their needs.
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QUESTION 6 zm
The nurse is caring for a 4-month-
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old with gastroesophageal reflux (GER). The infant is due to receive Zantac (rantadine
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). Based on the medication's mechanism of action, when should this medication be ad
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ministered? 1. Immediately before a feeding. 2. 30 minutes after the feeding. 3. 30 mi
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nutes before the feeding. 4. At bedtime.
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ANSWER
Answer: 3 3. Zantac decreases gastric acid secretion and should be administered 30 minutes before
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a feeding. TEST-
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TAKING HINT: The test taker needs to be familiar with the administration of rantadine (Zantac).
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QUESTION 7 zm
Which is the best position for an 8-year-
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old who has just returned to the pediatric unit after an appendectomy for a ruptured
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appendix? 1. Semi-Fowler. 2. Prone. 3. Right side-lying. 4. Left side-lying.
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