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 statement is most descriptive of Meckel diverticulum?
Correct Answer: B
Rationale: Meckel diverticulum often presents with mild to profuse intestinal bleeding due to its congenital nature. It?s present at birth, not acquired, is more common in males, and typically requires surgical removal, not just medical management.
Question 2 of 5
One of the major differences in clinical presentation between Crohn disease (CD) and ulcerative colitis (UC) is that UC is more likely to cause which clinical manifestation?
Correct Answer: B
Rationale: Rectal bleeding is more common in ulcerative colitis due to its exclusive involvement of the colon and rectum. Pain, perianal lesions, and growth retardation are more characteristic of Crohn disease, which can affect any part of the GI tract.
Question 3 of 5
Nutritional management of the child with Crohn disease includes a diet that has which component?
Correct Answer: B
Rationale: Increased protein in the diet supports healing and addresses growth failure in Crohn disease. High-fiber diets may cause obstruction, high-calorie diets are needed, and herbal supplements are not recommended without practitioner approval.
Question 4 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 5 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.