A newborn failed to pass meconium within the first 24 hours of life. Physical examination reveals abdominal distension and a palpable mass in the left lower quadrant. Most likely diagnosis is:

Questions 56

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Pediatric Gi Practice Questions Quizlet Questions

Question 1 of 9

A newborn failed to pass meconium within the first 24 hours of life. Physical examination reveals abdominal distension and a palpable mass in the left lower quadrant. Most likely diagnosis is:

Correct Answer: C

Rationale: Hirschsprung disease fits delayed meconium and a mass from stool retention, per AAP. A, B, D, E differ.

Question 2 of 9

Child situations to which a Rapid Response Team (RRT) should be called include which of the following?

Correct Answer: A

Rationale: Neurological changes and tachycardia signal acute deterioration requiring RRT. Catheter removal and absence seizures are less urgent.

Question 3 of 9

The nurse should suspect tetanus if a child has

Correct Answer: B

Rationale: Muscle stiffness B is a hallmark of tetanus, per document p30, 4.

Question 4 of 9

A 6-year-old girl in sickle cell crisis requires priority nursing concerns of

Correct Answer: A

Rationale: Hydration and pain management A are urgent in sickle cell crisis, per document p5, 7.

Question 5 of 9

A 3-year-old girl presents with a barking cough and inspiratory stridor. Symptoms improve with cool mist. Most likely diagnosis is:

Correct Answer: B

Rationale: Croup presents with barking cough and stridor, responsive to cool mist, per AAP. A, C-E differ in symptoms.

Question 6 of 9

Which respiratory parameter determines the volume of the lung that does not eliminate CO2?

Correct Answer: D

Rationale: Physiologic dead space is the lung volume not participating in CO2 elimination, including anatomic dead space plus alveolar dead space from non-perfused alveoli. Anatomic dead space (Choice A) is part but incomplete. Expiratory reserve capacity (Choice B) is functional volume. FEV1 (Choice C) and FVC (Choice D) measure flow and capacity, not dead space. Physiologic dead space is the full answer.

Question 7 of 9

A 1-year-old girl presents with recurrent pneumonia and digital clubbing. Sweat chloride test is positive. Most likely diagnosis is:

Correct Answer: C

Rationale: Cystic fibrosis fits pneumonia and positive sweat test, per CFF. A, B, D, E differ.

Question 8 of 9

A child diagnosed with meningitis remains on transmission based droplet precautions until hours after appropriate antimicrobial therapy has been started.

Correct Answer: B

Rationale: Droplet precautions for meningitis continue 24 hours (B) post-antibiotics to ensure contagion reduction. Shorter (A) or longer (C, D) are incorrect. Document: 'Until 24 hours after appropriate antimicrobial therapy.'

Question 9 of 9

Clinical manifestations of marasmus include select all

Correct Answer: D

Rationale: Miserable looking B and wasting D II, IV define marasmus, per document 3.

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