NCLEX Pyloric
Stenosis practice
questions (EXAM 1)
Questions With 100%
Correct Answer
Which classic symptom is most associated with pyloric stenosis in an
infant?
A. Projectile, nonbilious vomiting
B. Bilious green vomiting
C. Bloody diarrhea
D. Abdominal pain relieved by eating
Ans:>> A
Rationale: Projectile, nonbilious vomiting after feeds is the hallmark of
pyloric stenosis. Bilious vomiting suggests a lower obstruction (like
duodenal atresia). Diarrhea and bloody stools are not typical
, Quiz The nurse is assessing a 5 week old infant with suspected pyloric
stenosis. Which findings support this diagnosis?
A. Palpable olive-shaped mass in the RUQ
B. Visible peristaltic waves across the abdomen
C. Hypochloremic metabolic alkalosis
D. Projectile nonbilious vomiting
E. Severe bloody stool
Ans:>> A, B, C, D
Rationale: all are characteristics of pyloric stenosis. Bloody stools are
not typical; they would suggest another GI disorder
Quiz An infant with pyloric stenosis is admitted with dehydration and
electrolyte imbalances. Which is the nurses first priority?
A. Place the infant NPO and prepare for surgery
B. Start IV fluids to correct dehydration
C. Insert a NG tube for decompression
D. Educate the patients parents about surgical procedure
Ans:>> B
Stenosis practice
questions (EXAM 1)
Questions With 100%
Correct Answer
Which classic symptom is most associated with pyloric stenosis in an
infant?
A. Projectile, nonbilious vomiting
B. Bilious green vomiting
C. Bloody diarrhea
D. Abdominal pain relieved by eating
Ans:>> A
Rationale: Projectile, nonbilious vomiting after feeds is the hallmark of
pyloric stenosis. Bilious vomiting suggests a lower obstruction (like
duodenal atresia). Diarrhea and bloody stools are not typical
, Quiz The nurse is assessing a 5 week old infant with suspected pyloric
stenosis. Which findings support this diagnosis?
A. Palpable olive-shaped mass in the RUQ
B. Visible peristaltic waves across the abdomen
C. Hypochloremic metabolic alkalosis
D. Projectile nonbilious vomiting
E. Severe bloody stool
Ans:>> A, B, C, D
Rationale: all are characteristics of pyloric stenosis. Bloody stools are
not typical; they would suggest another GI disorder
Quiz An infant with pyloric stenosis is admitted with dehydration and
electrolyte imbalances. Which is the nurses first priority?
A. Place the infant NPO and prepare for surgery
B. Start IV fluids to correct dehydration
C. Insert a NG tube for decompression
D. Educate the patients parents about surgical procedure
Ans:>> B
