ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 22 : The Child with Gastrointestinal Dysfunction Questions
Question 1 of 5
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?
Correct Answer: C
Rationale: Thickening feedings and enlarging the nipple hole reduces emesis volume and frequency by increasing caloric density and easing feeding. Surgery is for severe cases, prone positioning risks SIDS, and smaller, frequent feedings are better than larger volumes.
Question 2 of 5
After surgery yesterday for gastroesophageal reflux, the nurse finds that the infant has somehow removed the nasogastric (NG) tube. What nursing action is most appropriate to perform at this time?
Correct Answer: A
Rationale: Notifying the practitioner is critical, as replacing an NG tube after upper GI surgery risks injury to the surgical site and requires surgical team evaluation. Inserting or replacing the tube independently or assuming it?s no longer needed bypasses necessary medical oversight.
Question 3 of 5
An adolescent with irritable bowel syndrome comes to see the school nurse. What information should the nurse share with the adolescent?
Correct Answer: B
Rationale: Stress management can reduce irritable bowel syndrome symptoms by addressing its psychologic and autonomic components. A high-fiber diet is beneficial, milk products may worsen symptoms in lactose intolerance, and proton pump inhibitors are ineffective for IBS.
Question 4 of 5
What clinical manifestation should be the most suggestive of acute appendicitis?
Correct Answer: D
Rationale: Colicky, periumbilical pain that becomes constant and may shift to the right lower quadrant is the hallmark of acute appendicitis. Rebound tenderness is unreliable and painful, bleeding is not typical, and pain relieved by eating is not associated with appendicitis.
Question 5 of 5
When caring for a child with probable appendicitis, the nurse should be alert to recognize which sign or symptom as a manifestation of perforation?
Correct Answer: C
Rationale: Sudden pain relief after perforation indicates peritonitis, a critical complication. Anorexia is a pre-existing appendicitis symptom, tachycardia (not bradycardia) accompanies peritonitis, and abdominal distention typically increases with perforation.