NUR328 Quiz 2 Questions and
answers 100% Pass
A 2-year-old child has a chronic history of constipation and is brought to the
clinic for evaluation. What should the therapeutic plan initially include?
A. Bowel cleansing
B. Dietary modification
C. Structured toilet training
D. Behavior modification - CORRECT ANSWER-ANS: A
The first step in the treatment of chronic constipation is to empty the bowel and
allow the distended rectum to return to normal size. Dietary modification is an
important part of the treatment. Increased fiber and fluids should be gradually
added to the childs diet. A 2-year-old child is too young for structured toilet
training. For an older child, a regular schedule for toileting should be established.
Behavior modification is part of the overall treatment plan. The child practices
releasing the anal sphincter and recognizing cues for defecation.
,What statement best describes Hirschsprung disease?
A. The colon has an aganglionic segment.
B. It results in frequent evacuation of solids, liquid, and gas.
C. The neonate passes excessive amounts of meconium.
D. It results in excessive peristaltic movements within the gastrointestinal tract. -
CORRECT ANSWER-ANS: A
Mechanical obstruction in the colon results from a lack of innervation. In most
cases, the aganglionic segment includes the rectum and some portion of the distal
colon. There is decreased evacuation of the large intestine secondary to the
aganglionic segment. Liquid stool may ooze around the blockage. The obstruction
does not affect meconium production. The infant may not be able to pass the
meconium stool. There is decreased movement in the colon.
What procedure is most appropriate for assessment of an abdominal
circumference related to a bowel obstruction?
A. Measuring the abdomen after feedings
B. Marking the point of measurement with a pen
C. Measuring the circumference at the symphysis pubis
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,D. Using a new tape measure with each assessment to ensure accuracy -
CORRECT ANSWER-ANS: B
Pen marks on either side of the tape measure allow the nurse to measure the same
spot on the childs abdomen at each assessment. The child most likely will be kept
NPO (nothing by mouth) if a bowel obstruction is present. If the child is being
fed, the assessment should be done before feedings. The symphysis pubis is too
low. Usually the largest part of the abdomen is at the umbilicus. Leaving the tape
measure in place reduces the trauma to the child.
A 3-year-old child with Hirschsprung disease is hospitalized for surgery. A
temporary colostomy will be necessary. How should the nurse prepare this child?
A. It is unnecessary because of childs age.
B. It is essential because it will be an adjustment.
C. Preparation is not needed because the colostomy is temporary.
D. Preparation is important because the child needs to deal with negative body
image. - CORRECT ANSWER-ANS: B
The childs age dictates the type and extent of psychologic preparation. When a
colostomy is performed, it is necessary to prepare the child who is at least
preschool age by telling him or her about the procedure and what to expect in
, concrete terms, with the use of visual aids. The preschooler is not yet concerned
with body image.
A child has a nasogastric (NG) tube after surgery for Hirschsprung disease. What is
the purpose of the NG tube?
A. Prevent spread of infection.
B. Monitor electrolyte balance.
C. Prevent abdominal distention.
D. Maintain accurate record of output. - CORRECT ANSWER-ANS: C
The NG tube is placed to suction out gastrointestinal secretions and prevent
abdominal distention. The NG tube would not affect infection. Electrolyte content
of the NG drainage can be monitored. Without the NG tube, there would be no
drainage. After the NG tube is placed, it is important to maintain an accurate
record of intake and output. This is not the reason for placement of the tube.
A parent of an infant with gastroesophageal reflux asks how to decrease the
number and total volume of emesis. What recommendation should the nurse
include in teaching this parent?
A. Surgical therapy is indicated.
COPYRIGHT ©️ 2025, ALL RIGHTS RESERVED.
answers 100% Pass
A 2-year-old child has a chronic history of constipation and is brought to the
clinic for evaluation. What should the therapeutic plan initially include?
A. Bowel cleansing
B. Dietary modification
C. Structured toilet training
D. Behavior modification - CORRECT ANSWER-ANS: A
The first step in the treatment of chronic constipation is to empty the bowel and
allow the distended rectum to return to normal size. Dietary modification is an
important part of the treatment. Increased fiber and fluids should be gradually
added to the childs diet. A 2-year-old child is too young for structured toilet
training. For an older child, a regular schedule for toileting should be established.
Behavior modification is part of the overall treatment plan. The child practices
releasing the anal sphincter and recognizing cues for defecation.
,What statement best describes Hirschsprung disease?
A. The colon has an aganglionic segment.
B. It results in frequent evacuation of solids, liquid, and gas.
C. The neonate passes excessive amounts of meconium.
D. It results in excessive peristaltic movements within the gastrointestinal tract. -
CORRECT ANSWER-ANS: A
Mechanical obstruction in the colon results from a lack of innervation. In most
cases, the aganglionic segment includes the rectum and some portion of the distal
colon. There is decreased evacuation of the large intestine secondary to the
aganglionic segment. Liquid stool may ooze around the blockage. The obstruction
does not affect meconium production. The infant may not be able to pass the
meconium stool. There is decreased movement in the colon.
What procedure is most appropriate for assessment of an abdominal
circumference related to a bowel obstruction?
A. Measuring the abdomen after feedings
B. Marking the point of measurement with a pen
C. Measuring the circumference at the symphysis pubis
COPYRIGHT ©️ 2025, ALL RIGHTS RESERVED.
,D. Using a new tape measure with each assessment to ensure accuracy -
CORRECT ANSWER-ANS: B
Pen marks on either side of the tape measure allow the nurse to measure the same
spot on the childs abdomen at each assessment. The child most likely will be kept
NPO (nothing by mouth) if a bowel obstruction is present. If the child is being
fed, the assessment should be done before feedings. The symphysis pubis is too
low. Usually the largest part of the abdomen is at the umbilicus. Leaving the tape
measure in place reduces the trauma to the child.
A 3-year-old child with Hirschsprung disease is hospitalized for surgery. A
temporary colostomy will be necessary. How should the nurse prepare this child?
A. It is unnecessary because of childs age.
B. It is essential because it will be an adjustment.
C. Preparation is not needed because the colostomy is temporary.
D. Preparation is important because the child needs to deal with negative body
image. - CORRECT ANSWER-ANS: B
The childs age dictates the type and extent of psychologic preparation. When a
colostomy is performed, it is necessary to prepare the child who is at least
preschool age by telling him or her about the procedure and what to expect in
, concrete terms, with the use of visual aids. The preschooler is not yet concerned
with body image.
A child has a nasogastric (NG) tube after surgery for Hirschsprung disease. What is
the purpose of the NG tube?
A. Prevent spread of infection.
B. Monitor electrolyte balance.
C. Prevent abdominal distention.
D. Maintain accurate record of output. - CORRECT ANSWER-ANS: C
The NG tube is placed to suction out gastrointestinal secretions and prevent
abdominal distention. The NG tube would not affect infection. Electrolyte content
of the NG drainage can be monitored. Without the NG tube, there would be no
drainage. After the NG tube is placed, it is important to maintain an accurate
record of intake and output. This is not the reason for placement of the tube.
A parent of an infant with gastroesophageal reflux asks how to decrease the
number and total volume of emesis. What recommendation should the nurse
include in teaching this parent?
A. Surgical therapy is indicated.
COPYRIGHT ©️ 2025, ALL RIGHTS RESERVED.
