Page 1 of 17
NUR283 / NUR 283 COMPREHENSIVE EXAMS (LATEST
UPDATES STUDY BUNDLE PACKAGE WITH
SOLUTIONS) TRANSITION TO REGISTERED NURSING |
QUESTIONS & ANSWERS | GRADE A | 100%
CORRECT (VERIFIED SOLUTIONS) - GALEN
Esophageal Atresia and TEF .....ANSWER.....S/S: Usually a
Newborn, Frothy drooling /saliva Coughing, choking, and
cyanosis with feeding Apnea Abdominal distention
Esophageal Atresia and TEF .....ANSWER.....What do we do
about it: NPO, LIWS tube, TPN, possible gt
Esophageal Atresia and TEF .....ANSWER.....Nurse role: Observe
for oral aversion - speech feeding specialist
assist with feeding after surgery, teach parents to look for
trouble swallowing or breathing
,Page 2 of 17
Hirschsprung .....ANSWER.....S/S: Bilious vomiting, Distended
abdominal, Refusal to eat
Ribbon-like, foul smelling stool or Failure to pass meconium when
first born
Hirschsprung .....ANSWER.....What do we do about it: Biopsy,
Removal of colon tissue -1 step surgery or 2 step (with colostomy
bag)
Hirschsprung .....ANSWER.....Nurse role: Educate on colostomy
Monitor for enterocolitis/GI complications post surgery,
understand long-term complications
Intussusception .....ANSWER.....S/S: Abdominal pain, Red, currant
jelly-like stools
Screaming pain, sausage shaped mass, Telescoping of intestine
, Page 3 of 17
Intussusception .....ANSWER.....What do we do about it:
Ultrasound-guided air enema or Barium enema, possible surgery
if more complications
Intussusception .....ANSWER.....Nurse role: possible antibiotics,
watch for GI complications
GERD .....ANSWER.....S/S: Apnea & bradycardia, After eating
frequent spitting up after eating, Arching head back & very
fussy, low-weight gain
GERD .....ANSWER.....What do we do about it: Swallow study
Thicken food Allergy?
Lansoprazole 30 min prior to meal
GERD .....ANSWER.....Nurse role: Head of bed 30 degrees for
30-1 hour after feeding,
Long-term - Avoid foods that make it worse Possible Nissen
fundoplication
NUR283 / NUR 283 COMPREHENSIVE EXAMS (LATEST
UPDATES STUDY BUNDLE PACKAGE WITH
SOLUTIONS) TRANSITION TO REGISTERED NURSING |
QUESTIONS & ANSWERS | GRADE A | 100%
CORRECT (VERIFIED SOLUTIONS) - GALEN
Esophageal Atresia and TEF .....ANSWER.....S/S: Usually a
Newborn, Frothy drooling /saliva Coughing, choking, and
cyanosis with feeding Apnea Abdominal distention
Esophageal Atresia and TEF .....ANSWER.....What do we do
about it: NPO, LIWS tube, TPN, possible gt
Esophageal Atresia and TEF .....ANSWER.....Nurse role: Observe
for oral aversion - speech feeding specialist
assist with feeding after surgery, teach parents to look for
trouble swallowing or breathing
,Page 2 of 17
Hirschsprung .....ANSWER.....S/S: Bilious vomiting, Distended
abdominal, Refusal to eat
Ribbon-like, foul smelling stool or Failure to pass meconium when
first born
Hirschsprung .....ANSWER.....What do we do about it: Biopsy,
Removal of colon tissue -1 step surgery or 2 step (with colostomy
bag)
Hirschsprung .....ANSWER.....Nurse role: Educate on colostomy
Monitor for enterocolitis/GI complications post surgery,
understand long-term complications
Intussusception .....ANSWER.....S/S: Abdominal pain, Red, currant
jelly-like stools
Screaming pain, sausage shaped mass, Telescoping of intestine
, Page 3 of 17
Intussusception .....ANSWER.....What do we do about it:
Ultrasound-guided air enema or Barium enema, possible surgery
if more complications
Intussusception .....ANSWER.....Nurse role: possible antibiotics,
watch for GI complications
GERD .....ANSWER.....S/S: Apnea & bradycardia, After eating
frequent spitting up after eating, Arching head back & very
fussy, low-weight gain
GERD .....ANSWER.....What do we do about it: Swallow study
Thicken food Allergy?
Lansoprazole 30 min prior to meal
GERD .....ANSWER.....Nurse role: Head of bed 30 degrees for
30-1 hour after feeding,
Long-term - Avoid foods that make it worse Possible Nissen
fundoplication
