ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 22 Questions
Question 1 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 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
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.
Question 4 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 5 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.