ANSWERS WITH SOLUTIONS 2024
A nurse is caring for a child who has watery diarrhea for the past 3 days. Which of the following is an
action for the nurse to take - ANSWER Initiate oral rehydration therapy
A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the following
actions should the nurse take - ANSWER Collect a stool sample for culture
A nurse is assessing a child who has a rotavirus infection. What are the expected findings - ANSWER
Fever, vomiting, watery stools
A nurse is teaching a group of parents about Salmonella. What information should the nurse include in
the teaching - ANSWER It is a bacterial infection, bloody diarrhea, transmission can be from house pets
A nurse is teaching a group of caregivers about E. coli. What information should the nurse include in the
teaching - ANSWER Severe abdominal pain, it can lead to hemolytic uremic syndrome, it is a foodborne
illness
A nurse is assessing an infant who has hypertrophic pyloric stenosis. What manifestations should the
nurse expect - ANSWER Projectile vomiting, dry mucus membranes, constant hunger
A nurse is caring for a child who has Hirschsprung's disease. What actions should the nurse take -
ANSWER Prepare the family for surgery
A nurse is caring for an infant who has just returned from PACU following cleft lip and palate repair. What
actions should the nurse take - ANSWER Place the infant in the upright position
A nurse is caring for a child who has Meckel's diverticulum. What manifestations should the nurse expect
- ANSWER Abdominal pain, mucus/blood in stool
A nurse is teaching a parent of an infant about the gastrointestinal reflux disease. What should the nurse
include in the teaching - ANSWER Offer frequent feedings, thicken formula with rice cereal, position baby
upright after feedings
, A nurse is teaching a parent of a child who has a urinary tract infection. What should the nurse include in
the teaching - ANSWER Avoid bubble baths, empty bladder completely with each void, watch for
manifestations of infection
A nurse is planning care of a child who has a urinary tract infection. What inventions should the nurse
include - ANSWER Encourage frequent voiding
A nurse is caring for a child who has enuresis. What is a complication of enuresis - ANSWER Emotional
problems
A nurse is assessing an infant who has a suspected urinary tract infection. What are the expected
findings - ANSWER Irritability, vomiting, fever
A nurse is assessing a child who has a urinary tract infection. What are the manifestations of a urinary
tract infection - ANSWER Swelling of the face, pallor, fatigue
A nurse is caring for an infant who has hydrocele. What actions should the nurse take - ANSWER Explain
to the parents that the issue will self-resolve
A nurse is caring for a male infant who has an epispadias. What findings should the nurse expect -
ANSWER Bladder exstrophy, widened pubic symphysis, urethral opening on the dorsal side of the penis
A nurse is caring for an infant who has ambiguous genitalia. What actions should the nurse take -
ANSWER Prepare the child for surgery, refer the family for genetic counseling, explain the need for
chromosomal analysis
A nurse is caring for an infant who has obstructive uropathy. What findings should the nurse expect -
ANSWER Urinary tract infection, hydronephrosis
A nurse is assessing a child who has nephrotic syndrome. What findings should the nurse expect -
ANSWER Urine dipstick +2 protein, edema in the ankles, hyperlipidemia, anorexia