Meckel diverticulum has been conveniently explained by the rule of twos, which is FALSE in this rule

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NCLEX Pediatric Gastrointestinal Practice Questions Questions

Question 1 of 5

Meckel diverticulum has been conveniently explained by the rule of twos, which is FALSE in this rule

A. found in approximately 2% of the general population B. usually located 2 feet proximal to the ileocecal valve C. approximately 2 inches in length D. found twice as commonly in males

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A 4-month-old has had vomiting and diarrhea for 24 hours. The infant is fussy, and the anterior fontanel is sunken. The nurse notes the infant does not produce tears when crying. Which task will help confirm the diagnosis of dehydration?

A. Urinalysis obtained by bagged specimen. B. Urinalysis obtained by sterile catheterization. C. Analysis of serum electrolytes. D. Analysis of cerebrospinal fluid.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

The mother of a newborn asks the nurse why the infant has to nurse so frequently. Which is the best response?

A. Formula tends to be more calorically dense, and formula-fed babies require fewer feedings than breastfed babies. B. The newborn's stomach capacity is small, and peristalsis is rapid, necessitating frequent small feedings. C. The newborn's stomach capacity is small, and peristalsis is more rapid than in older children. D. Breastfed babies tend to take longer to complete a feeding than formula-fed babies.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A 3-month-old is being evaluated for possible Hirschsprung disease. His parents call the nurse and show his diaper containing a large amount of mucus and bloody diarrhea. The nurse notes that the infant is irritable and has a very distended abdomen. Which should be the nurse's next action?

A. Reassure the parents that this is an expected finding and not uncommon. B. Call a code for a potential cardiac arrest, and stay with the infant. C. Immediately obtain all vital signs with a quick head-to-toe assessment. D. Obtain a stool sample for occult blood.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

The nurse is caring for a 5-month-old infant diagnosed with intussusception. The infant has periods of irritability with the knees drawn to the chest alternating with periods of lethargy; vital signs are stable. The physician elects to give an enema. The parents ask the purpose of the enema. Select the nurse's most appropriate response.

A. The enema will confirm the diagnosis. If the test result is positive, your child will need to have surgery to correct the intussusception. B. The enema will confirm the diagnosis. Although very unlikely, the enema may also help fix the intussusception so that your child will not immediately need surgery. C. The enema will help confirm the diagnosis and has a good chance of reducing the intussusception. D. The enema will help confirm the diagnosis and may temporarily fix the intussusception. If the bowel returns to normal, there is a strong likelihood that the intussusception will recur.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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