A 1-month-old infant presents with projectile vomiting. Physical exam reveals an olive-shaped mass in the epigastrium. Most likely diagnosis is:

Questions 56

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Pediatric Gi Disorders Practice Questions Questions

Question 1 of 9

A 1-month-old infant presents with projectile vomiting. Physical exam reveals an olive-shaped mass in the epigastrium. Most likely diagnosis is:

Correct Answer: B

Rationale: Pyloric stenosis presents with projectile vomiting and a palpable mass, per AAP. A, C-E have different features.

Question 2 of 9

A preschool-aged child is admitted to the pediatric unit for surgery. The parents request to stay with their child. Which is the best response by the nurse?

Correct Answer: C

Rationale: Informing parents they can stay aligns with family-centered care, reducing stress for the preschooler.

Question 3 of 9

A newborn failed to pass meconium within the first 24 hours of life. He appears with abdominal distension and vomiting. Most likely diagnosis is:

Correct Answer: D

Rationale: Meconium ileus fits failure to pass meconium with distension and vomiting, often in cystic fibrosis, per AAP. A-C, E present differently.

Question 4 of 9

In patent ductus arteriosus, blood shunts from

Correct Answer: A

Rationale: Aorta to pulmonary artery A is the shunt in PDA, per document p12, .

Question 5 of 9

Inhaled glucocorticoid therapy can cause dysphonia in patients with asthma. The cause of dysphonia is:

Correct Answer: A

Rationale: Vocal cord myopathy from inhaled glucocorticoids causes dysphonia via local steroid effects on laryngeal muscles (ATS). Fungal infection causes thrush, and C-E are unrelated.

Question 6 of 9

Which of the following are immediate responses of untreated pain in the hospitalized child? Select one that does not apply.

Correct Answer: D

Rationale: Pain causes physiologic responses: decreased O2 saturation from shallow breathing, increased heart rate , and blood pressure from stress. Mistrust and motor issues are long-term.

Question 7 of 9

A primary task between 12-15 months is to start

Correct Answer: D

Rationale: Walking erect D is a key milestone, per document p19, 9.

Question 8 of 9

The most common complication of a tonsillectomy is

Correct Answer: C

Rationale: Bleeding C is the primary concern, per document p60, 8.

Question 9 of 9

A pregnant woman tells the nurse that she got relief from nausea when she had a therapy that involves pressure and massage on meridian sites. The nurse recognizes the description of this therapy as:

Correct Answer: B

Rationale: Acupressure (B) uses pressure/massage on meridian sites to relieve nausea. Acupuncture (A) uses needles, aromatherapy (C) scents, and Ayurveda (D) holistic balance. Document: 'Acupressure uses finger pressure and massage on the meridian sites… to control nausea.'

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