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Chapter 27, test 3
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Questions in this quiz (94)
1What is the earliest sign of tracheoesophageal fistula
- Amom develops polyhydramnios
- Bmom develops
- Cmom is dehydrated
- Dmom is bipolar
2When can you tell if an infant has tracheoesaphageal fistula?
- Ainfant chokes with the fist feeding
- Binfant vomits with the first feeding
- Cinfant has a high pitched cry
- Dinfant vomits and chokes with the first feeding
3tracheoesaphageal fistulas are caused by failure of tissues of the GI tract to separate form respiratory tract in utero
- ATrue
- BFalse
4What is important for a child with a tracheoesophageal fistula?
- Agive IV fluids
- Bassess first feeding
- Csupport their head with two pillows
- DNPO
- Esuctions airway and position for drainage
5where is the imperforate anus?
- Aupper end of the GI tract and anus end in a blind pouch
- Bleft side of the GI tract and anus end in a blind pouch
- Cright side of the GI tract and anus end in a blind pouch
- Dlower end of the GI tract and anus end in a blind pouch
6How to assess a newborn for imperforate anus
- Aassess patency of anus
- Bassess proliferation of the anus
- Cassess the anal wall
- Dassess the stool
7What is important to report to the doctor while being hospitalized for an imperforate anus?
- Ashrill cry
- Bfailure to pass meconium
- Cfever
- Drash
8What is pyloric stenosis?
- Aobstruction at the upper end of the stomach
- Bobstruction at the lower end of the stomach
- Cobstruction at the left end of the stomach
- Dobstruction at the right end of the stomach
9When does a child show symptoms of pyloric stenosis?
- A1-2 weeks old
- B2-3 weeks old
- C3-4 weeks old
- D4-5 weeks old
10A child comes in with projectile vomiting immediately after feedings, constantly hungry and eat again after vomiting, and sunken fontanels, decrease in urination and inelastic skin
- ACeliac disease
- Bpyloric stenosis
- Chirschsprung disease
- Dgastroenteritis
11How to document feedings
- Aamount offered and taken
- Btype of formula
- Ctime
- Dvomiting and appearance of hunger
- Einfant weight
- Fstools
- GI&O's
- Hcolor of urine
12When a patient is in postop for pyloric stenosis what would you resume oral feedings with after anesthesia wore off with?
- Alarge amounts of glucose water
- Bsmall amounts of glucose water
- Clarge amounts of clear liquid
- Dsmall amounts of clear liquid
13Nursing care for pyloric stenosis
- AThicken formula
- Bloosen formula
- Cburp before and during feedings
- Dfeed fast
- Efeed slowly
- Fposition on side to facilitate drainage into the intestine or high fowlers
- Gif infant vomits-refeed
14Celiac disease is the leading malabsorption problem in children
- ATrue
- BFalse
15When do symptoms of celiac disease occur?
- A1-10 months
- B6 months-2 years
- C10 months-3 years
- D2-3 years
16A patient has large, bulky and frothy stools. What disorder might be the cause?
- Apyloric stenosis
- Bgastroenteritis
- CMeckels Diverticulum
- Dceliac disease
17Foods to avoid when you have celiac disease
- Awheat
- Boats
- Crye
- Dpotatoes
- Ebarley
18What is the hallmark sign of celiac disease?
- Aabdominal distention and back pains
- Babdominal distention and buttock atrophy
- Cabdominal distention and vaginal atrophy
- Dabdominal distention and excessive diarrhea
19Gluten damages villi, and will make it to where you do not absorb enough nutrients after you have been on milk and then get introduced to gluten for celiac disease
- ATrue
- BFalse
20What is the best food for a patient with celiac disease?
- Aegg yolk
- Brice
- Cham
- Dpoultry
21With Hirschsprung disease what happens to the portion of the bowel nearest to the obstruction?
- Aabdominal distention and dilated
- Babdominal distention and constricted
- Cabdominal distention
- Dbecomes inflamed
22Hirschsprung disease is the absence of innervations to the lower portion of the sigmoid colon's muscle and it lacks normal peristalsis
- ATrue
- BFalse
23S/S of Hirschsprung disease
- Avomiting
- Bdiarrhea
- Canorexia
- Dabdominal distention
- Econstipation with ribbon like stools
- Fin a newborn, failure to pass meconium within 24-48 hours
- Gshrill cry in a newborn
- Hfever
24What is a complication of Hirschspring disease?
- Aenterocolitis
- Bstaphylococcus
- Cvaginits
- Dcholycystitis
25What is the best diagnostic test for Hirschsprung disease?
- AUltrasound
- Brectal biopsy
- Cbladder biopsy
- Dbarium enema
26Tap water enemas are used more frequently than NSS enemas
- ATrue
- BFalse
27How to treat Hirschspring disease in an adult
- Aremoving the whole colon
- Bremoving the large intestine
- Cremoving the small intestine
- Dremoving the impaired part of the colon
28What is the best treatment for Hirschsprung disease in a newborn?
- Atemporary colostomy fixed at about 5 years old
- Btemporary colostomy fixed at about 2 years old
- Ctemporary colostomy fixed at about 3 years
- Dpermanent colostomy
29A 3 month old boy has telescoping of his bowels, what disorder is this associated with?
- AAganglionic megacolon
- Bgastroenteritis
- Cmeckels diverticulum
- Dintussusception
30Who is likely to get intussusception
- Aboys 3 months-6years
- Bboys 4-9 years
- Cgirls 3 months-6 years
- Dgirls 4-9 years
31S/S of intussusception
- Adelayed onset
- Bsudden onset
- Csevere abdominal pain and rigid abdomen
- Dpink emesis
- Egreen/yellow emesis
- Fcurrant jelly stools
- GBM consist of blood and mucus
- Hlarge bulky stools
32Barium enemas prevent surgery in a child with intussusception
- ATrue
- BFalse
33Best treatment for intussusception is a barium enema
- ATrue
- BFalse
34In Meckels diverticulum during fetal life, where does the intestine attach to?
- Aegg sac
- Bbowel sac
- Cyolk sac
- Dendometrium sac
35The meckels diverticulum does not occur near the ileocecal valve
- ATrue
- BFalse
36when does meckels diverticulum appear by?
- A7 years
- B6 years
- C4 years
- D2 years
37S/S of meckels diverticulum
- Ablack tarry stools
- Bbright red/dark red stool
- Cfever
- Dbackache
38What is inflammation of the stomach and intestines?
- Ameckels diverticulum
- Bgastroenteritis
- CGERD
- DHirschsprung disease
39Causes of diarrhea
- Aunderfeeding
- Boverfeeding
- Cimproper formula preparation
- Dfood intolerance
- Eexcess water
40Priority for a patient with gastroenteritis
- AFluid and electrolyte imbalance
- Bair way
- Cpain
- Dactivity intolerance
41What does an increased ESR with gastroenteritis mean?
- Aweight loss
- Binflammation
- Cdilation
- Dimbalance of electrolytes
42If a patient is being treated for gastroenteritis and several days into the treatment there is still weight loss, what does this mean?
- AThe treatment is working and you need to remind the patient to have patience
- Bthe treatment is not working and you have to find an alternative method
- Cif the treatment is still in process it is too soon to tell
- Dthere is nothing you can do
43What do you lose when you vomit?
- Awater
- Bstomach acid
- Cfood
- Dlife
44Which type of metabolic imbalance do you get from vomiting?
- ARespiratory acidosis
- Brespiratory alkalosis
- Cmetabolic alkalosis
- Dmetabolic acidosis
45How to position a baby during feedings with vomiting?
- AOn the left side
- Bon the right side
- Csupine
- Dprone
46what to document for a baby that is vomiting
- Atime
- Bday
- Camount
- Dforce color/consistency
- Ewhat followed the vomiting
- Fwhat preceded the vomiting
47Treatment for vomiting
- Aphenergan
- Bxanex
- Ctigan
- Dpeptobismol
48GERD is stomach contents regurgitated in the esophagus
- ATrue
- BFalse
49S/S of GERD's
- Avomiting
- Bdiarrhea
- Cweight loss
- Dfussy and hungry
- Easpiration and or closing of epiglottis
50How to position a patient with GERDS
- Aprone with head of the bed elevated 30-45 degrees
- Bright side with head of the bed elevated
- Cleft side with head of the bed elevated
- Dsupine with head of the bed elevated 30-45 degrees
51Which medication is administered to a patient with GERDS?
- ATigan
- Bphenegran
- Creglan
- Dtagament/zantac
52What will the infant with diarrhea expel out of their anus?
- Abrown and watery stools
- Bgreen, watery stools
- Cred bulky stools
- Dgreen bulky stools
53S/S of diarrhea
- Arefuse to eat
- Bdehydration
- Cweight loss
- Dlistless
- Epink-tinged urine
54What metabolic imbalance is diarrhea?
- Arespiratory acidosis
- Brespiratory alkalosis
- Cmetabolic acidosis
- Dmetabolic alkalosis
55What are these signs of: sunken fontanels, sunken eyes and decreased urination, increased urine specific gravity?
- Aconstipation
- Bdehydration
- Covereating
- DICP
56Normal urine specific gravity for a newborn
- A1.001-1.020
- B1.015-1.030
- C1.100-1.200
- D1.151-1.717
57what to avoid when a patient has diarrhea?
- Ared meats
- Bcaffeinated beverages
- Clow electrolyte content fluids
- Dfruit juice
58What is the medical definition of constipation?
- Aless than 10 bowel movements in a 2 week period
- Bless than 7 bowel movements in a 2 week period
- Cless than 5 bowel movements in a 2 week period
- Dless than 14 bowel movements in a 2 week period
59What to give to a constipated patient?
- AReglan
- BTigan
- CColace
- Dphenegran
60infants have a lower water need and loss than adults
- ATrue
- BFalse
61A child less than 2 years has more water loss through the skin than the kidneys
- ATrue
- BFalse
62A child less than 2 years old has lower % of body water contained in extracellular compartment than adults
- ATrue
- BFalse
63Infants are subject to greater water loss via evaporation from skin and rapid respirations
- ATrue
- BFalse
64Isotonic is more fluid shifts to from an area of high pressure to an area of low pressure
- ATrue
- BFalse
65What must you document before giving potassium IV
- ALast meal
- Bfirst void
- Cfirst stool
- Dfirst meal
66water intoxication is...?
- Ahypertonic dehydration
- Bhypotonic dehydration
- Chypertonic water intoxication
- Dhypotonic water intoxication
67What are you likely to see with overhydration?
- Aexcessive sweating
- Bfrequent urination
- Cedema
- Dweight loss
68what is a protein deficiency
- ABrights disease
- BKwashiokor disease
- CHirschsprung disease
- Daganglionic megacolon
69Hallmark sign of kwashiokor disease
- Aabdominal edema
- Bthin and dry hair
- Cwhite streak in the hair due to depigmentation
- Dmuscle weakness and wasting
70Children allergic to _______ must avoid casein
- Awheat
- Bapples
- Ccows milk
- Dgoat milk
71What is needed for absorption of vitamin D?
- Acalcium
- Bmagnesium
- Csodium
- Dphosphorus
72Which vitamin is rickets deficient in?
- AMg
- BD
- CK
- DC
73What deficiency is scurvy?
- Avitamin D
- Bvitamin C
- Cvitamin K
- Dvitamin A
74How is vitamin C destroyed?
- Amoisture
- Bheat
- Ccold climate
- Dhigh altitudes
75You lose vitamin C when you urinate
- ATrue
- BFalse
76You can take 2 vitamin D 600 mg at once to equal 1200 mg
- ATrue
- BFalse
77Where is the initial pain with appendicitis?
- Aright lower quadrant
- Bright upper quadrant
- Cperiumbilical area
- Dumbilical area
78Where is pain in the first 4 hours with appendicitis
- ARLQ
- BRUQ
- CLUQ
- DLLQ
79What is McBurneys point?
- Atenderness in the RLQ
- Btenderness in the RUQ
- Csharp pain in the RLQ
- Dsharp pain in the RUQ
80If a patient is complaining of pain in the right upper quadrant, and it suddenly goes away what do you do?
- Adocument the findings
- Bnotify the doctor because this means the appendix could have ruptured
- Cexplain to the patient that the illness has gone away
- Dtell the patient it is okay to go home
81What to avoid with a patient with appendicitis
- Aenemas
- Blaxatives
- Cheat packs
- Dcold packs
- Epressure
82S/S of thrush
- Awhite patches present on tongue
- Bwhite patches present on gums
- Cwhite patches present on oral mucosa
- Dpink mucous membranes
83Treatment for thrush
- Areglan
- Btigan
- Cnystatin
- DNSAIDS
84When do you swab the mouth of a patient with thrush?
- Abefore breakfast
- Bbetween feedings
- Cafter dinner
- Dbefore bedtime
85Where do pinworms live?
- Aupper intestine
- Blower intestine
- Cbrain
- Desophagus
86What to know about the treatment of pinworms with Povan?
- Astains fabrics and turns stool brown
- Bstains fabrics and turns stool red and suspensions
- Cstains fabrics and turns stools black
- Dstains fabrics and turns stools yellow
87How do you wash cloth diapers and bed linens for a patient with pinworms?
- Acold water
- Bhot water
- Cwarm water
88Where do roundworms thrive?
- Acold climates
- Bwarm climates
- Cmoist climates
- Ddry climates
89antidote of acetaminophen is mucomyst (N-acetylcysteine)
- ATrue
- BFalse
90How do you administer Mucomyst
- ANGT before lavage or give po every 4 hours for 72 hours
- BNGT after lavage or give po every 4 hours for 72 hours
- Csuppository
- DIV
91primary source of lead poisoning
- Apaint
- Binfant play toys
- Calcohol
- Dsharpies
92How long does deleading take?
- Aa year
- Ba couple of weeks
- Cseveral months
- Da few days
93how long does it take for foreign bodies to pass through the GI tract?
- A2-4 days
- B4-6 days
- C8-10 days
- D1-2 days
94Who is the best football team?
- ALonghorns
- BHouston Texans
- CBoth
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- Quiz on Chapter 27, test 3 , created by nicoleharkins316 on 23/07/2015.
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- nicoleharkins316
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- Created on 23 Jul 2015 · updated on 19 Feb 2016
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