N371: Final Exam Questions with correct answers
A patient who is receiving thyroid replacement therapy for
hypothyroidism reports constipation and insomnia. What should be
included in this patient's plan of care?
Administering sedatives
Increasing fiber in the diet
Increasing the medication dose
Discontinuing thyroid treatment Correct Answer-increase medication
dosage
A patient with thyroid replacement therapy is required to have a dose
adjustment depending on clinical parameters and signs and symptoms.
The medication dose should be increased when the patient experiences
insomnia and is constipated. An increase of fiber in the diet treats only
the constipation, but does not address the insomnia. Sedatives may help
treat insomnia, but they do not address the constipation. Discontinuing
thyroid therapy would not be helpful to either condition.
What information should the nurse include when teaching an adolescent
with Crohn's disease?
Nutritional guidance and prevention of constipation
How to cope with stress and adjust to chronic illness
How to preventing the spread of illness to others and nutritional
guidance
,How to adjust to chronic illness and prevent the spread of illness to
others Correct Answer-How to cope with stress and adjust to chronic
illness
Which statement best describes Hirschsprung disease?
The colon has an aganglionic segment.
It results in frequent evacuation of solids, liquids, and gas.
There is a passage of excessive amounts of meconium in the neonate.
It results in excessive peristaltic movements within the gastrointestinal
tract. Correct Answer-the colon has an aganglionic segment
What should the nurse teach the parents about caring for the infant with
gastroesophageal reflux (GER)?
Place the infant supine after feeding.
Feed the infant just before bedtime.
Place the infant on the side to sleep.
Avoid vigorous play after feedings. Correct Answer-avoid vigorous play
after feedings
Parents should avoid vigorous play with the infant after feedings to
prevent regurgitation. The head of the bed may be raised to 30 degrees
after feedings to prevent discomfort and regurgitation. Parents must
avoid feeding the infant just before bedtime to avoid GER. The infant
must not be positioned on the side to sleep. The Task Force on Sudden
Infant Death Syndrome recommends that the infant be placed in the
supine position when sleeping.
,What does management of the child with a peptic ulcer often include?
Proton pump inhibitors
Milk at frequent intervals
Coping with stress and adjusting to chronic illness
Antacids 1 and 3 hours before meals and at bedtime Correct Answer-
proton pump inhibitor
The parents of a 1-month-old infant bring the child to the clinic because
the infant has been projectile vomiting 30 minutes after feeding. The
parent describes the vomit as stale milk. On assessment the nurse
palpates an olivelike mass. What condition do these clinical
manifestations characterize?
Gastroschisis
Hiatal hernia
Umbilical hernia
Hypertrophic pyloric stenosis Correct Answer-Hypertrophic pyloric
stenosis
Which inflammatory bowel disease is characterized by inflammation
limited to the colon and rectum?
Celiac disease
Crohn disease
Ulcerative colitis
Meckel diverticulum Correct Answer-ulcerative colitis
, A 3-month-old child presents with sudden acute abdominal pain. The
child is having episodes of screaming and drawing knees to her chest
followed by periods of comfort. The parent tells the nurse the child's
stool looked like red jelly. What do these clinical manifestations
suggest?
Omphalocele
Gastroschisis
Intussusception
Anorectal malformations Correct Answer-intussusception
What should the nurse teach the parents of an infant with cleft lip (CL)
about feeding?
Avoid breastfeeding; provide bottle feeds.
Use bottles with a narrow base nipple.
Feed the infant in the supine position.
Provide cheek support when feeding. Correct Answer-Provide cheek
support when feeding.
The nurse is teaching a 2-year-old's parent about necessary dietary
restrictions needed to manage celiac disease. Which statement made by
the parent indicates effective learning?
"I should include oats in my child's breakfast daily."
"I should provide rye bread in my child's daily diet."
"I should provide a bowl of rice in my child's lunch and dinner."
A patient who is receiving thyroid replacement therapy for
hypothyroidism reports constipation and insomnia. What should be
included in this patient's plan of care?
Administering sedatives
Increasing fiber in the diet
Increasing the medication dose
Discontinuing thyroid treatment Correct Answer-increase medication
dosage
A patient with thyroid replacement therapy is required to have a dose
adjustment depending on clinical parameters and signs and symptoms.
The medication dose should be increased when the patient experiences
insomnia and is constipated. An increase of fiber in the diet treats only
the constipation, but does not address the insomnia. Sedatives may help
treat insomnia, but they do not address the constipation. Discontinuing
thyroid therapy would not be helpful to either condition.
What information should the nurse include when teaching an adolescent
with Crohn's disease?
Nutritional guidance and prevention of constipation
How to cope with stress and adjust to chronic illness
How to preventing the spread of illness to others and nutritional
guidance
,How to adjust to chronic illness and prevent the spread of illness to
others Correct Answer-How to cope with stress and adjust to chronic
illness
Which statement best describes Hirschsprung disease?
The colon has an aganglionic segment.
It results in frequent evacuation of solids, liquids, and gas.
There is a passage of excessive amounts of meconium in the neonate.
It results in excessive peristaltic movements within the gastrointestinal
tract. Correct Answer-the colon has an aganglionic segment
What should the nurse teach the parents about caring for the infant with
gastroesophageal reflux (GER)?
Place the infant supine after feeding.
Feed the infant just before bedtime.
Place the infant on the side to sleep.
Avoid vigorous play after feedings. Correct Answer-avoid vigorous play
after feedings
Parents should avoid vigorous play with the infant after feedings to
prevent regurgitation. The head of the bed may be raised to 30 degrees
after feedings to prevent discomfort and regurgitation. Parents must
avoid feeding the infant just before bedtime to avoid GER. The infant
must not be positioned on the side to sleep. The Task Force on Sudden
Infant Death Syndrome recommends that the infant be placed in the
supine position when sleeping.
,What does management of the child with a peptic ulcer often include?
Proton pump inhibitors
Milk at frequent intervals
Coping with stress and adjusting to chronic illness
Antacids 1 and 3 hours before meals and at bedtime Correct Answer-
proton pump inhibitor
The parents of a 1-month-old infant bring the child to the clinic because
the infant has been projectile vomiting 30 minutes after feeding. The
parent describes the vomit as stale milk. On assessment the nurse
palpates an olivelike mass. What condition do these clinical
manifestations characterize?
Gastroschisis
Hiatal hernia
Umbilical hernia
Hypertrophic pyloric stenosis Correct Answer-Hypertrophic pyloric
stenosis
Which inflammatory bowel disease is characterized by inflammation
limited to the colon and rectum?
Celiac disease
Crohn disease
Ulcerative colitis
Meckel diverticulum Correct Answer-ulcerative colitis
, A 3-month-old child presents with sudden acute abdominal pain. The
child is having episodes of screaming and drawing knees to her chest
followed by periods of comfort. The parent tells the nurse the child's
stool looked like red jelly. What do these clinical manifestations
suggest?
Omphalocele
Gastroschisis
Intussusception
Anorectal malformations Correct Answer-intussusception
What should the nurse teach the parents of an infant with cleft lip (CL)
about feeding?
Avoid breastfeeding; provide bottle feeds.
Use bottles with a narrow base nipple.
Feed the infant in the supine position.
Provide cheek support when feeding. Correct Answer-Provide cheek
support when feeding.
The nurse is teaching a 2-year-old's parent about necessary dietary
restrictions needed to manage celiac disease. Which statement made by
the parent indicates effective learning?
"I should include oats in my child's breakfast daily."
"I should provide rye bread in my child's daily diet."
"I should provide a bowl of rice in my child's lunch and dinner."
