Peds gastro /APEA Peds Questions and
Answers 2024
The nurse is providing teaching to the mother of a
newborn with early jaundice about the condition's
progression. The nurse knows that the teaching
regarding hyperbilirubinemia was successful when
the mother makes which response?
A-"Kernicterus is a consequence of elevated bilirubin
levels and has possible lifelong effects."
B-"My baby should not get hyperbilirubinemia if I
place him near a window in the sun light."
C-"My baby will be 3 days old at discharge, and I will
not need to worry about hyperbilirubinemia."
D-"Since I'm exclusively breastfeeding, the risk of
my baby having hyperbilirubinemia is very low." -
✔✔ANSW✔✔..A
The nurse should assess a newborn with
esophageal atresia and tracheoesophageal fistula
(TEF) for which complications? Select all that apply.
A-copious frothy mucus
B-episodes of cyanosis
,C-several loose stools
D-distended abdomen
E-poor gag reflex - ✔✔ANSW✔✔..A B D
The parents of a neonate with a cleft lip are shocked
when they see their child for the first time. Which
nursing action should the nurse include in the
neonate's plan of care to help the parents accept
their newborn's anomaly?
A-Encourage the parents to visit more frequently.
B-Reassure them that surgery will correct the defect.
C-Show them pictures of babies before and after
corrective surgery.
D-Allow them to complete their grieving process
before seeing the infant again. - ✔✔ANSW✔✔..C
Total parenteral nutrition (TPN) is prescribed for a
client who has recently had a small and large bowel
resection and who is currently not taking anything by
mouth. What should the nurse do to safely
administer the TPN?
A-Administer TPN through a nasogastric or
gastrostomy tube.
B-Handle TPN using strict aseptic technique.
, C-Auscultate for bowel sounds prior to administering
TPN.
D-Designate a peripheral IV site for TPN
administration. - ✔✔ANSW✔✔..B
Twenty-four hours after birth, a neonate has not
passed meconium. The infant's abdomen is firm with
hypoactive bowel sounds. The nurse anticipates the
healthcare provider will diagnose which condition?
A_Hirschsprung's disease
B-celiac disease
C-intussusception
D-abdominal wall defect - ✔✔ANSW✔✔..A
A 10-year-old child presents to the emergency
department with dehydration. A physician orders 1 L
of normal saline solution be administered at a rate of
60 ml/hour. While preparing the infusion, a nurse
notices that the I.V. pump's safety inspection sticker
has expired. Which action should the nurse take
next?
A-After starting the fluids, contact the maintenance
department and request a pump inspection.
Answers 2024
The nurse is providing teaching to the mother of a
newborn with early jaundice about the condition's
progression. The nurse knows that the teaching
regarding hyperbilirubinemia was successful when
the mother makes which response?
A-"Kernicterus is a consequence of elevated bilirubin
levels and has possible lifelong effects."
B-"My baby should not get hyperbilirubinemia if I
place him near a window in the sun light."
C-"My baby will be 3 days old at discharge, and I will
not need to worry about hyperbilirubinemia."
D-"Since I'm exclusively breastfeeding, the risk of
my baby having hyperbilirubinemia is very low." -
✔✔ANSW✔✔..A
The nurse should assess a newborn with
esophageal atresia and tracheoesophageal fistula
(TEF) for which complications? Select all that apply.
A-copious frothy mucus
B-episodes of cyanosis
,C-several loose stools
D-distended abdomen
E-poor gag reflex - ✔✔ANSW✔✔..A B D
The parents of a neonate with a cleft lip are shocked
when they see their child for the first time. Which
nursing action should the nurse include in the
neonate's plan of care to help the parents accept
their newborn's anomaly?
A-Encourage the parents to visit more frequently.
B-Reassure them that surgery will correct the defect.
C-Show them pictures of babies before and after
corrective surgery.
D-Allow them to complete their grieving process
before seeing the infant again. - ✔✔ANSW✔✔..C
Total parenteral nutrition (TPN) is prescribed for a
client who has recently had a small and large bowel
resection and who is currently not taking anything by
mouth. What should the nurse do to safely
administer the TPN?
A-Administer TPN through a nasogastric or
gastrostomy tube.
B-Handle TPN using strict aseptic technique.
, C-Auscultate for bowel sounds prior to administering
TPN.
D-Designate a peripheral IV site for TPN
administration. - ✔✔ANSW✔✔..B
Twenty-four hours after birth, a neonate has not
passed meconium. The infant's abdomen is firm with
hypoactive bowel sounds. The nurse anticipates the
healthcare provider will diagnose which condition?
A_Hirschsprung's disease
B-celiac disease
C-intussusception
D-abdominal wall defect - ✔✔ANSW✔✔..A
A 10-year-old child presents to the emergency
department with dehydration. A physician orders 1 L
of normal saline solution be administered at a rate of
60 ml/hour. While preparing the infusion, a nurse
notices that the I.V. pump's safety inspection sticker
has expired. Which action should the nurse take
next?
A-After starting the fluids, contact the maintenance
department and request a pump inspection.
