ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 22 : The Child with Gastrointestinal Dysfunction Questions
Question 1 of 5
What information should the nurse include when teaching an adolescent with Crohn disease (CD)?
Correct Answer: A
Rationale: Teaching stress management and coping with chronic illness helps adolescents manage Crohn disease?s variable course and complications. There?s no cure, constipation isn?t typical, CD isn?t infectious, and a low-fiber diet is recommended.
Question 2 of 5
A child with pyloric stenosis is having excessive vomiting. The nurse should assess for what potential complication?
Correct Answer: D
Rationale: Excessive vomiting in pyloric stenosis leads to metabolic alkalosis due to loss of hydrogen ions. Potassium and chloride levels decrease, and acidosis is not typically associated with this condition.
Question 3 of 5
What test is used to screen for carbohydrate malabsorption?
Correct Answer: A
Rationale: Stool pH below 5.0 indicates carbohydrate malabsorption due to bacterial fermentation producing short-chain fatty acids. Urine ketones detect ketosis, not malabsorption; C urea breath test identifies Helicobacter pylori; and ELISA detects antigens or antibodies, not metabolic disorders.
Question 4 of 5
A toddlers mother calls the nurse because she thinks her son has swallowed a button type of battery. He has no signs of respiratory distress. The nurses response should be based on which premise?
Correct Answer: B
Rationale: Radiographic examination is needed to confirm the battery?s location, as esophageal lodging risks acid burns, necrosis, or perforation, while stomach passage is usually benign. Surgery isn?t immediately likely, timing for intervention varies, and batteries are detectable on X-rays.
Question 5 of 5
The mother of a child with cognitive impairment calls the nurse because her son has been gagging and drooling all morning. The nurse suspects foreign body ingestion. What physiologic occurrence is most likely responsible for the presenting signs?
Correct Answer: C
Rationale: Esophageal obstruction from a foreign body causes gagging and drooling due to inability to swallow saliva. GI perforation causes pain and bleeding, aspiration leads to respiratory symptoms, and stomach embedding doesn?t typically cause gagging or drooling.