updated 2025 and correct verified
answers
the nurse is providing care to a pediatric client, diagnosed with inflammatory bowel disease,
who is prescribed daily prednisone. Which parental statement regarding administration of this
drug indicates correct understanding of the teaching provided bu the nurse - answer ✔✔-i will
administer this medication with meals
which assessment data would cause the nurse to suspect that a 3 year old child has
Hirschsprung disease - answer ✔✔-hx of chronic, progressive constipation and failure to gain
weight
an adolescent client reports recurrent ab pain with diarrhea and bloody stools. Which type of
inflammatory bowel disease does the nurse suspect based on these data? - answer ✔✔-
ulcerative colitis
The nurse is assessing abdominal girth for a pediatric client who presents with abdominal
distension. Which nursing action is appropriate? - answer ✔✔-Measuring the girth around the
portion of the stomach (belly button between)
Which is the priority nursing diagnosis when planning care for a newborn who is born with
esophageal atresia and tracheoesophageal fistula? - answer ✔✔-risk for aspiration
,A newborn diagnosed with an omphalocele defect is admitted to the intensive care nursery.
Which nursing action is appropriate based on the current data? - answer ✔✔-placing the
newborn on a radiant warmer
The nurse is planning care for a school-age client who is postoperative for the surgical removal
of the appendix. In addition to pharmacologic pain management, which should the nurse
include in the plan of care to address pain? - answer ✔✔-applying a pillow to the incision site to
splint while coughing
Which parental statement at the end of a teaching session by the nurse indicates correct
understanding of colostomy stoma care for the infant client? - answer ✔✔-we will watch for
skin irritation around the stoma
A nurse is preparing for the delivery of a newborn with a known diaphragmatic hernia defect.
Which equipment should the nurse have on hand for the delivery? - answer ✔✔-endotracheal
tube
A child returns from exploratory surgery following a gunshot wound to the abdomen. Which
nursing intervention should be excluded for the plan of care? - answer ✔✔-immediate initiation
of oral feeding
A neonate is born with a bilateral cleft lip that was not detected during the pregnancy. The
parents are distressed about the appearance of their infant. Which nursing actions are
appropriate to assist the parents to bond with their newborn? Select all that apply. - answer
✔✔--calling the newborn by the chosen name
- smiling and talking to the newborn in the presence of the parents
- showing the parents before and after pictures of children with cleft lips
- discussing positive features of the baby
The nurse is unsuccessful in inserting a nasogastric tube for a newborn client. The nurse
suspects the newborn has esophageal atresia/tracheoesophageal (EA/TE) fistula. Which nursing
, action is appropriate while waiting for the healthcare provider to further assess the neonate? -
answer ✔✔-position the newborn in a semifowlers position
A nasogastric tube to suction is ordered for a neonate diagnosed with a diaphragmatic hernia.
Which complication related to gastric drainage is the priority when planning care for this
neonate? - answer ✔✔-metabolic alkalosis
Which statements, made by the adolescent following dietary teaching for Crohn disease,
indicate correct understanding of the content presented by the nurse? Select all that apply. -
answer ✔✔-- small frequent meals are preferred
- i should identify foods that cause distress and eliminate them from my diet
- high calorie dietary supplement shakes can help me to meet nutritional requirements
Which parental action, observed during a home care visit for an infant diagnosed with
gastroesophageal reflux, requires intervention by the nurse? - answer ✔✔-the infant is placed
in a car seat after feedings
Which is the priority nursing action when preparing a neonate born with a gastroschisis defect
for transport to a pediatric hospital for corrective surgery? - answer ✔✔-covering the exposed
intestines with moist and sterile gauze
A toddler is admitted to the surgical unit for a planned closure of a temporary colostomy. Which
medical prescription should the nurse question? - answer ✔✔-rectal temp every 4 hours
Which gastrointestinal defects, often diagnosed shortly after birth, should the nurse include in
the assessment process of all newborns? Select all that apply. - answer ✔✔-- hirschsprung
disease
- diaphragmatic hernia