ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 1 of 74
The Alvarado/MANTRELS rule for diagnosis of acute appendicitis gives 2 points for
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 2 of 74
The following hereditary forms of rickets may help to diagnose an apparently healthy mother with the same disease
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 3 of 74
Which should the nurse include in the plan of care to decrease symptoms of gastroesophageal reflux (GER) in a 2-month-old? (Select all that apply.)
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 4 of 74
Ondansetron is an effective adjunct to the treatment of vomiting and is usually given
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 5 of 74
Risks associated with severe dehydration that might necessitate intravenous resuscitation include
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 6 of 74
Complications of appendicitis include
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 7 of 74
The MOST profound consequence of undernutrition is
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 8 of 74
Secretory diarrhea can be caused by all of the following EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 9 of 74
The nurse is caring for a 4-month-old who has just had an isolated cleft lip repaired. Select the best position for the child in the immediate postoperative period.
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 10 of 74
An 11-year-old Tanner stage 2 female experiences intermittent periumbilical abdominal pain 2 days before emergently visiting her pediatrician. Six hours later, she is nauseated and has one or two episodes of emesis. She also has had two soft bowel movements without blood or relief of symptoms. She walks cautiously into your office and lies still on your examining table. When you begin your examination, she is apprehensive and watches every move of your examining hand. You notice guarding and tenderness throughout her abdomen; the most tender area is the right lower quadrant. The most likely diagnosis is
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 11 of 74
The nurse is providing discharge instructions to the parents of a child who had an appendectomy for a ruptured appendix 5 days ago. The nurse knows that further education is required when the parent states:
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 12 of 74
Of the following, the MOST sensitive and specific test in the evaluation of children with suspected appendicitis is
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 13 of 74
Rectal examination is helpful in children with which of the following?
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 14 of 74
All the following are features of hereditary folate malabsorption EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 15 of 74
The following might reflect physical features associated with obesity in a 10-year-old boy, EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 16 of 74
Dysphagia is best described as
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 17 of 74
Which child may need extra fluids to prevent dehydration? (Select all that apply.)
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 18 of 74
Potential causes of constipation include all of the following EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 19 of 74
One of the following studies may be helpful in discovering the cause behind small bowel atresia
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 20 of 74
Direct person-to-person contact outbreaks of gastroenteritis are usually caused by
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 21 of 74
Regarding Kayser-Fleischer rings, which of the following is NOT true?
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 22 of 74
Oral treatment of iron deficiency anemia should be continued for
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 23 of 74
Micrognathia and cleft palate are common associations with which of the following?
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 24 of 74
The nurse receives a call from the mother of a 6-month-old who describes her child as alternately sleepy and fussy. The infant vomited once this morning and had two episodes of diarrhea; the last episode contained mucus and a small amount of blood. The mother asks what she should do. Select the nurse's best response.
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 25 of 74
A 5-year-old boy presented with obesity, syndactyly, infantile genitalia, and mental retardation. Fundoscopy revealed retinal degeneration, the parents are first cousin. Of the following, the MOST likely cause of his obesity is
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 26 of 74
A 1-day-old neonate of 35 weeks of gestational age presents with drooling and respiratory distress. A nasogastric tube is placed, oxygen is given, and a chest x-ray obtained. After reviewing the chest x-ray, Figure 17-1, the most likely diagnosis is
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 27 of 74
All of the following are features of achalasia EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 28 of 74
All are true about Crohn disease and ulcerative colitis (IBD) EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 29 of 74
The clinical manifestations of vitamin A deficiency in humans appear as a group of ocular signs termed xerophthalmia. Of the following, the EARLIEST manifestation is
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 30 of 74
All the following are features of Stickler syndrome EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 31 of 74
After blunt facial trauma, a 12-year-old appears to have a missing incisor. There is no evidence of the tooth at the scene, and the child does not remember swallowing the tooth. The next step in evaluating the child is
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 32 of 74
All the following matchings' between drugs and vitamin and nutrient deficiency states are true EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 33 of 74
A 5-year-old has a history of chronic recurrent abdominal pain and emesis. A diagnosis of cyclic vomiting was made at 3 years of age. Therapy with antimigraine medications was unsuccessful. During each episode, the serum ammonia, pH, glucose, and bicarbonate were normal. He now manifests bile-stained emesis, a tender distended abdomen, and bright-red blood per rectum. The most likely diagnosis is
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 34 of 74
Regarding Johanson-Blizzard syndrome, which of the following is NOT true?
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 35 of 74
The usual presenting symptoms of peptic ulcer disease in infants and younger children are the following EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 36 of 74
Complications of appendicitis include all of the following EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 37 of 74
Pill ulcers occur when certain medications are swallowed without sufficient liquids, allowing prolonged direct contact of the pill with the esophageal mucosa. Of the following, the MOST accused one is
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 38 of 74
During the treatment of malnutrition, the signal of entry to the rehabilitation phase is
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 39 of 74
The nurse is caring for a 9-month-old with diarrhea secondary to rotavirus. The child has not vomited and is mildly dehydrated. Which is likely to be included in the discharge teaching?
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 40 of 74
The nurse is caring for a 14-year-old with celiac disease. The nurse knows that the patient understands the diet instructions by ordering which of the following meals?
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 41 of 74
Pyridoxine is not affected in patients receiving
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 42 of 74
Risk factors for HBV infection in children and adolescents include all the following EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 43 of 74
The best indicator of body ascorbate stores is
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 44 of 74
All the following amino acids are indispensable in human diet EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 45 of 74
The parent of a newborn asks, 'Will my baby spit out the formula if it is too hot or too cold?' Select the nurse's best response.
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 46 of 74
Smooth tongue in nutritional deficiency disorders of childhood is usually caused by deficiency of
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 47 of 74
All the following infections are associated with vitamin D deficiency EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 48 of 74
The nurse is caring for an infant who has been diagnosed with short bowel syndrome (SBS). The parent asks how the disease will affect the child. Select the nurse's best response.
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 49 of 74
Acquired causes of gastric outlet obstruction include all of the following EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 50 of 74
The nurse is caring for a newborn with esophageal atresia. When reviewing the mother's history, which would the nurse expect to find?
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 51 of 74
A healthy 3-year-old boy reports to his mother that he accidentally swallowed a small plastic toy and is brought to the emergency department for evaluation. The mother recalls that the other toys in the playset are all 1 to 2 cm in length and have no sharp edges. On examination, the child appears to be in no distress and is playing in the examination room with his sister. His vital signs are normal. Of the following, the BEST next step is
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 52 of 74
The anorectal defect most frequently encountered in male patients is
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 53 of 74
An expectant mother asks the nurse if her new baby will have an umbilical hernia. The nurse bases the response on the fact that it occurs:
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 54 of 74
Hypertrophic pyloric stenosis has been associated with the following EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 55 of 74
Vitamin B12 is important for all of the following EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 56 of 74
Gastroesophageal reflux in children may be associated with all of the following EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 57 of 74
The MOST common congenital disorder associated with exocrine pancreatic insufficiency is
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 58 of 74
Thiamine-responsive megaloblastic anemia syndrome is characterized by the following EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 59 of 74
The most common cause of facial swelling without facial tenderness or erythema in the maxillary area of a 12-year-old is
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 60 of 74
All of the following conditions are associated with a higher incidence of inguinal hernia EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 61 of 74
Concerns to be considered among vegetarians are all the following EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 62 of 74
Of the following, the MOST severe complication of total parenteral nutrition (TPN) that can cause a variety of liver diseases is
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 63 of 74
The major minerals are those that require intakes of more than 100 mg/day and contribute at least 0.1% of total body weight. All the following are essential major minerals EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 64 of 74
One of the following causes osmotic diarrhea
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 65 of 74
One of the following rules out biliary atresia
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 66 of 74
The hallmark of refeeding syndrome is the development of severe
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 67 of 74
An 8-month-old manifests fussiness and emesis and refuses to eat. At presentation to the hospital on the second day of admission, he is difficult to arouse. Vital signs are normal, there is abdominal distention, and the rectal examination reveals occult blood in the stool. The most likely diagnosis is
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 68 of 74
Features dominant in X-linked hypophosphatemic rickets are
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 69 of 74
In abetalipoproteinemia, the following is seen in the peripheral blood smear EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 70 of 74
In healthy full-term infants, meconium is passed within 48 hours of birth in
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 71 of 74
The most common indication for liver transplantation in children is
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 72 of 74
The first factor to be affected by deficiency of vitamin K is
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 73 of 74
The following are characteristic features of acute hypervitaminosis A EXCEPT
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ATI RN · Pediatric Gastrointestinal Nursing Interventions
Question 74 of 74
Which manifestation suggests that an infant is developing necrotizing enterocolitis (NEC)?
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