Which intervention is most important when feeding an infant with pyloric stenosis?

Questions 56

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PN Pediatric Nursing Online Practice B Questions

Question 1 of 9

Which intervention is most important when feeding an infant with pyloric stenosis?

Correct Answer: B

Rationale: Frequent burping (B) during feedings removes gas in pyloric stenosis, reducing vomiting risk. Quick feedings (A), discouraging parents (C), or stopping for vomiting (D) worsen outcomes. Document: 'The infant should be burped… to remove any gas accumulated in the stomach.'

Question 2 of 9

Symptoms suggesting meningitis in a child are

Correct Answer: A

Rationale: Fever, headache, vomiting, opisthotonus A are classic meningitis signs, per document p9, 6.

Question 3 of 9

A 5-year-old with asthma requires

Correct Answer: D

Rationale: All D manage asthma exacerbations, per document p52, .

Question 4 of 9

A child appears with systemic lupus erythematosus (SLE)-like syndrome without characteristic SLE serology. Most likely complement deficiency is:

Correct Answer: C

Rationale: C1q deficiency causes SLE-like syndromes without typical autoantibodies due to impaired immune complex clearance (NIAMS). Later complement defects (A-D) lead to infections, not SLE-like features.

Question 5 of 9

A 2-month-old infant presents with jaundice and acholic stools. Ultrasound shows no gallbladder. Most likely diagnosis is:

Correct Answer: B

Rationale: Biliary atresia features jaundice and absent gallbladder, per AAP. A, C-E differ.

Question 6 of 9

A 2-year-old boy presents with fever and a limp. X-ray shows periosteal elevation in the tibia. Most likely diagnosis is:

Correct Answer: B

Rationale: Osteomyelitis features fever, limp, and periosteal elevation, per AAP. A, C-E differ in imaging.

Question 7 of 9

A 6-year-old girl presents with fatigue and jaundice. Labs show elevated indirect bilirubin and reticulocytosis. Most likely diagnosis is:

Correct Answer: D

Rationale: Hemolytic anemia features jaundice and reticulocytosis, per ASH. A-C, E differ.

Question 8 of 9

A 6-year-old boy presents with fatigue and joint pain. Labs show antinuclear antibodies. Most likely diagnosis is:

Correct Answer: B

Rationale: SLE features fatigue, joint pain, and ANA positivity in children, per ACR. A, C-E differ in serology.

Question 9 of 9

When teaching an adolescent with Type I diabetes about dietary management, the nurse should instruct him to

Correct Answer: A

Rationale: Carrying glucose A prevents hypoglycemia, a key dietary management strategy, per document .

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