NR 328 TEST EVALUATION ANSWERS AND
QUESTIONS SET A+
✔✔What is a high-fiber food that the nurse should recommend for a child with chronic
constipation? - ✔✔Popcorn
✔✔A 2-year-old child has a chronic history of constipation and is brought to the clinic for
evaluation. What should the therapeutic plan initially include? - ✔✔Bowel cleansing
✔✔What statement best describes Hirschsprung disease? - ✔✔The colon has an
aganglionic segment.
✔✔What procedure is most appropriate for assessment of an abdominal circumference
related to a bowel obstruction? - ✔✔Marking the point of measurement with a pen
✔✔A 3-year-old child with Hirschsprung disease is hospitalized for surgery. A temporary
colostomy will be necessary. How should the nurse prepare this child? - ✔✔It is
essential because it will be an adjustment.
✔✔A child has a nasogastric (NG) tube after surgery for Hirschsprung disease. What is
the purpose of the NG tube? - ✔✔Prevent abdominal distention.
✔✔A parent of an infant with gastroesophageal reflux asks how to decrease the number
and total volume of emesis. What recommendation should the nurse include in teaching
this parent? - ✔✔Thicken feedings and enlarge the nipple hole.
✔✔After surgery yesterday for gastroesophageal reflux, the nurse finds that the infant
has somehow removed the nasogastric (NG) tube. What nursing action is most
appropriate to perform at this time - ✔✔Notify the practitioner.
✔✔An adolescent with irritable bowel syndrome comes to see the school nurse. What
information should the nurse share with the adolescent? - ✔✔Stress management may
be helpful.
,✔✔What clinical manifestation should be the most suggestive of acute appendicitis? -
✔✔Colicky, cramping, abdominal pain around the umbilicus
✔✔When caring for a child with probable appendicitis, the nurse should be alert to
recognize which sign or symptom as a manifestation of perforation? - ✔✔Sudden relief
from pain
✔✔The nurse is caring for a child admitted with acute abdominal pain and possible
appendicitis. What intervention is appropriate to relieve the abdominal discomfort during
the evaluation? - ✔✔Allow the child to assume a position of comfort.
✔✔What statement is most descriptive of Meckel diverticulum? - ✔✔Intestinal bleeding
may be mild or profuse.
✔✔One of the major differences in clinical presentation between Crohn disease (CD)
and ulcerative colitis (UC) is that UC is more likely to cause which clinical
manifestation? - ✔✔Rectal bleeding
✔✔Nutritional management of the child with Crohn disease includes a diet that has
which component? - ✔✔Increased protein
✔✔What information should the nurse include when teaching an adolescent with Crohn
disease (CD)? - ✔✔How to cope with stress and adjust to chronic illness
✔✔A child with pyloric stenosis is having excessive vomiting. The nurse should assess
for what potential complication? - ✔✔Metabolic alkalosis
✔✔What term describes invagination of one segment of bowel within another? -
✔✔Intussusception
✔✔A school-age child with celiac disease asks for guidance about snacks that will not
exacerbate the disease. What snack should the nurse suggest? - ✔✔Popcorn
✔✔An infant with short bowel syndrome is receiving total parenteral nutrition (TPN). The
practitioner has added continuous enteral feedings through a gastrostomy tube. The
nurse recognizes this as important for which reason? - ✔✔Stimulate adaptation of the
small intestine
✔✔Melena, the passage of black, tarry stools, suggests bleeding from which source? -
✔✔The upper gastrointestinal (GI) tract
, ✔✔A child with acute gastrointestinal bleeding is admitted to the hospital. The nurse
observes which sign or symptom as an early manifestation of shock? - ✔✔Restlessness
✔✔What signs or symptoms are most commonly associated with the prodromal phase
of acute viral hepatitis? - ✔✔Anorexia and malaise
✔✔What immunization is recommended for all newborns? - ✔✔Hepatitis B vaccine
✔✔The nurse is discussing home care with a mother whose 6-year-old child has
hepatitis A. What information should the nurse include? - ✔✔Teach infection control
measures to family members.
✔✔What therapeutic intervention provides the best chance of survival for a child with
cirrhosis? - ✔✔Liver transplantation
✔✔The nurse observes that a newborn is having problems after birth. What should
indicate a tracheoesophageal fistula? - ✔✔Excessive frothy saliva
✔✔The nurse is caring for a neonate with a suspected tracheoesophageal fistula. What
should nursing care include? - ✔✔Raise the patients head and give nothing by mouth.
✔✔The nurse is caring for an infant who had surgical repair of a tracheoesophageal
fistula 24 hours ago. Gastrostomy feedings have not been started. What do nursing
actions related to the gastrostomy tube include? - ✔✔Leave the tube open to gravity
drainage.
✔✔What should preoperative care of a newborn with an anorectal malformation
include? - ✔✔Gastrointestinal decompression
✔✔A child who has just had definitive repair of a high rectal malformation is to be
discharged. What should the nurse address in the discharge preparation of this family? -
✔✔Changes in stooling patterns to report to the practitioner
✔✔The parents of a newborn with an umbilical hernia ask about treatment options. The
nurses response should be based on which knowledge? - ✔✔The defect usually
resolves spontaneously by 3 to 5 years of age.
✔✔The nurse is preparing to care for a newborn with an omphalocele. The nurse
should understand that care of the infant should include what intervention? -
✔✔Covering the intact bowel with a nonadherent dressing to prevent injury
QUESTIONS SET A+
✔✔What is a high-fiber food that the nurse should recommend for a child with chronic
constipation? - ✔✔Popcorn
✔✔A 2-year-old child has a chronic history of constipation and is brought to the clinic for
evaluation. What should the therapeutic plan initially include? - ✔✔Bowel cleansing
✔✔What statement best describes Hirschsprung disease? - ✔✔The colon has an
aganglionic segment.
✔✔What procedure is most appropriate for assessment of an abdominal circumference
related to a bowel obstruction? - ✔✔Marking the point of measurement with a pen
✔✔A 3-year-old child with Hirschsprung disease is hospitalized for surgery. A temporary
colostomy will be necessary. How should the nurse prepare this child? - ✔✔It is
essential because it will be an adjustment.
✔✔A child has a nasogastric (NG) tube after surgery for Hirschsprung disease. What is
the purpose of the NG tube? - ✔✔Prevent abdominal distention.
✔✔A parent of an infant with gastroesophageal reflux asks how to decrease the number
and total volume of emesis. What recommendation should the nurse include in teaching
this parent? - ✔✔Thicken feedings and enlarge the nipple hole.
✔✔After surgery yesterday for gastroesophageal reflux, the nurse finds that the infant
has somehow removed the nasogastric (NG) tube. What nursing action is most
appropriate to perform at this time - ✔✔Notify the practitioner.
✔✔An adolescent with irritable bowel syndrome comes to see the school nurse. What
information should the nurse share with the adolescent? - ✔✔Stress management may
be helpful.
,✔✔What clinical manifestation should be the most suggestive of acute appendicitis? -
✔✔Colicky, cramping, abdominal pain around the umbilicus
✔✔When caring for a child with probable appendicitis, the nurse should be alert to
recognize which sign or symptom as a manifestation of perforation? - ✔✔Sudden relief
from pain
✔✔The nurse is caring for a child admitted with acute abdominal pain and possible
appendicitis. What intervention is appropriate to relieve the abdominal discomfort during
the evaluation? - ✔✔Allow the child to assume a position of comfort.
✔✔What statement is most descriptive of Meckel diverticulum? - ✔✔Intestinal bleeding
may be mild or profuse.
✔✔One of the major differences in clinical presentation between Crohn disease (CD)
and ulcerative colitis (UC) is that UC is more likely to cause which clinical
manifestation? - ✔✔Rectal bleeding
✔✔Nutritional management of the child with Crohn disease includes a diet that has
which component? - ✔✔Increased protein
✔✔What information should the nurse include when teaching an adolescent with Crohn
disease (CD)? - ✔✔How to cope with stress and adjust to chronic illness
✔✔A child with pyloric stenosis is having excessive vomiting. The nurse should assess
for what potential complication? - ✔✔Metabolic alkalosis
✔✔What term describes invagination of one segment of bowel within another? -
✔✔Intussusception
✔✔A school-age child with celiac disease asks for guidance about snacks that will not
exacerbate the disease. What snack should the nurse suggest? - ✔✔Popcorn
✔✔An infant with short bowel syndrome is receiving total parenteral nutrition (TPN). The
practitioner has added continuous enteral feedings through a gastrostomy tube. The
nurse recognizes this as important for which reason? - ✔✔Stimulate adaptation of the
small intestine
✔✔Melena, the passage of black, tarry stools, suggests bleeding from which source? -
✔✔The upper gastrointestinal (GI) tract
, ✔✔A child with acute gastrointestinal bleeding is admitted to the hospital. The nurse
observes which sign or symptom as an early manifestation of shock? - ✔✔Restlessness
✔✔What signs or symptoms are most commonly associated with the prodromal phase
of acute viral hepatitis? - ✔✔Anorexia and malaise
✔✔What immunization is recommended for all newborns? - ✔✔Hepatitis B vaccine
✔✔The nurse is discussing home care with a mother whose 6-year-old child has
hepatitis A. What information should the nurse include? - ✔✔Teach infection control
measures to family members.
✔✔What therapeutic intervention provides the best chance of survival for a child with
cirrhosis? - ✔✔Liver transplantation
✔✔The nurse observes that a newborn is having problems after birth. What should
indicate a tracheoesophageal fistula? - ✔✔Excessive frothy saliva
✔✔The nurse is caring for a neonate with a suspected tracheoesophageal fistula. What
should nursing care include? - ✔✔Raise the patients head and give nothing by mouth.
✔✔The nurse is caring for an infant who had surgical repair of a tracheoesophageal
fistula 24 hours ago. Gastrostomy feedings have not been started. What do nursing
actions related to the gastrostomy tube include? - ✔✔Leave the tube open to gravity
drainage.
✔✔What should preoperative care of a newborn with an anorectal malformation
include? - ✔✔Gastrointestinal decompression
✔✔A child who has just had definitive repair of a high rectal malformation is to be
discharged. What should the nurse address in the discharge preparation of this family? -
✔✔Changes in stooling patterns to report to the practitioner
✔✔The parents of a newborn with an umbilical hernia ask about treatment options. The
nurses response should be based on which knowledge? - ✔✔The defect usually
resolves spontaneously by 3 to 5 years of age.
✔✔The nurse is preparing to care for a newborn with an omphalocele. The nurse
should understand that care of the infant should include what intervention? -
✔✔Covering the intact bowel with a nonadherent dressing to prevent injury
