Nclex Questions.
1. What clinical manifestations would the nurse expect to find in a newborn
who has developed necrotizing enterocolitis (NEC)?
Hyperthermia
Gastric residual and melena
The passage of ribbon-like stools
Projectile vomiting
point
2. The care of a newborn with a cleft lip and palate before surgical repair
includes
little to no sucking.
gastrostomy feedings.
providing nonnutritive and nutritive sucking.
positioning infant in near-horizontal for feeding.
point
3. A 4-year-old child has ingested a toxic dose of iron. The parent reports that
the child vomited and complained of gastric pain an hour ago but “feels
fine” now. The parent is not certain when the child ingested the iron
tablets. The most appropriate recommendation by the nurse to the parent
is to
observe the child closely for 2 more hours.
bring the child to the hospital immediately.
administer activated charcoal.
administer ipecac to induce vomiting if the child does not vomit again within
1 hour.
point
, 4. Which statement best describes Hirschsprung disease?
The colon has an aganglionic segment.
There is a passage of excessive amounts of meconium in the neonate.
It results in excessive peristaltic movements within the gastrointestinal tract.
It results in frequent evacuation of solids, liquids, and gas.
point
5. A child has a nasogastric (NG) tube after surgery for acute appendicitis.
What is the purpose of the NG tube?
Maintain electrolyte balance
Maintain an accurate record of output
Prevent the spread of infection
Prevent abdominal distention
point
6. Dietary management of a child with inflammatory bowel disease (IBD)
should include
low protein.
low calorie.
high fiber.
vitamin supplements.
point
7. What should the nurse include when teaching an adolescent with Crohn
disease?
Preventing the spread of illness to others and nutritional guidance
Adjusting to chronic illness and preventing the spread of illness to others
Coping with stress and adjusting to chronic illness
Nutritional guidance and preventing constipation
, point
8. Management of the child with a peptic ulcer often includes
milk at frequent intervals.
proton pump inhibitors.
antacids 1 and 3 hours before meals and at bedtime.
coping with stress and adjusting to chronic illness.
9. The nurse is discussing home care with the mother of a 6-year-old child
with hepatitis A. Part of the discharge teaching plan should include?
Bed rest is important until 1 week after the icteric phase.
The child should not return to school until 3 weeks after the icteric phase.
Reassure the mother that hepatitis A cannot be transmitted to other family
members.
Teach infection control measures to family members.
point
10.What should the nurse consider when providing support to a family whose
infant has just been diagnosed with biliary atresia?
Liver transplantation may be needed eventually.
Death usually occurs by 6 months of age.
The prognosis for full recovery is excellent.
Children with surgical correction live normal lives.
point
point
11.) The nurse is caring for a child with probable intussusception. The child had
diarrhea before admission, but while waiting for administration of air pressure to
reduce the intussusception, the child passed a normal brown stool. What is the
most appropriate nursing action?
Notify the physician.
1. What clinical manifestations would the nurse expect to find in a newborn
who has developed necrotizing enterocolitis (NEC)?
Hyperthermia
Gastric residual and melena
The passage of ribbon-like stools
Projectile vomiting
point
2. The care of a newborn with a cleft lip and palate before surgical repair
includes
little to no sucking.
gastrostomy feedings.
providing nonnutritive and nutritive sucking.
positioning infant in near-horizontal for feeding.
point
3. A 4-year-old child has ingested a toxic dose of iron. The parent reports that
the child vomited and complained of gastric pain an hour ago but “feels
fine” now. The parent is not certain when the child ingested the iron
tablets. The most appropriate recommendation by the nurse to the parent
is to
observe the child closely for 2 more hours.
bring the child to the hospital immediately.
administer activated charcoal.
administer ipecac to induce vomiting if the child does not vomit again within
1 hour.
point
, 4. Which statement best describes Hirschsprung disease?
The colon has an aganglionic segment.
There is a passage of excessive amounts of meconium in the neonate.
It results in excessive peristaltic movements within the gastrointestinal tract.
It results in frequent evacuation of solids, liquids, and gas.
point
5. A child has a nasogastric (NG) tube after surgery for acute appendicitis.
What is the purpose of the NG tube?
Maintain electrolyte balance
Maintain an accurate record of output
Prevent the spread of infection
Prevent abdominal distention
point
6. Dietary management of a child with inflammatory bowel disease (IBD)
should include
low protein.
low calorie.
high fiber.
vitamin supplements.
point
7. What should the nurse include when teaching an adolescent with Crohn
disease?
Preventing the spread of illness to others and nutritional guidance
Adjusting to chronic illness and preventing the spread of illness to others
Coping with stress and adjusting to chronic illness
Nutritional guidance and preventing constipation
, point
8. Management of the child with a peptic ulcer often includes
milk at frequent intervals.
proton pump inhibitors.
antacids 1 and 3 hours before meals and at bedtime.
coping with stress and adjusting to chronic illness.
9. The nurse is discussing home care with the mother of a 6-year-old child
with hepatitis A. Part of the discharge teaching plan should include?
Bed rest is important until 1 week after the icteric phase.
The child should not return to school until 3 weeks after the icteric phase.
Reassure the mother that hepatitis A cannot be transmitted to other family
members.
Teach infection control measures to family members.
point
10.What should the nurse consider when providing support to a family whose
infant has just been diagnosed with biliary atresia?
Liver transplantation may be needed eventually.
Death usually occurs by 6 months of age.
The prognosis for full recovery is excellent.
Children with surgical correction live normal lives.
point
point
11.) The nurse is caring for a child with probable intussusception. The child had
diarrhea before admission, but while waiting for administration of air pressure to
reduce the intussusception, the child passed a normal brown stool. What is the
most appropriate nursing action?
Notify the physician.
