HESI LPN · LPN NCLEX Pediatric Gastrointestinal Practice Questions
Question 1 of 73
Palatopharyngeal incompetence is characterized by all of the following EXCEPT
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Question 2 of 73
All the following can cause folate deficiency EXCEPT
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Question 3 of 73
To prevent obesity, families need to be counseled on age-appropriate and healthy eating patterns which include all the following EXCEPT
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Question 4 of 73
Osteoporosis that occurs in childhood is related to all the following EXCEPT
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Question 5 of 73
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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Question 6 of 73
Effective supplementation of folate for prevention of neural tube defect is
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Question 7 of 73
The parents of a child being evaluated for appendicitis tell the nurse the physician said their child has a positive Rovsing sign. They ask the nurse what this means. Select the nurse's best response.
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Question 8 of 73
The most common symptom of gastroesophageal reflux disease (GERD) in infants is
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Question 9 of 73
An 18-year-old male complains of right upper respiratory quadrant pain and fever for 2 weeks. Physical examination reveals hepatomegaly, no icterus, and right lower quadrant fullness. Four weeks before admission, he returned from Mexico, where he received an over-the-counter medication for an illness characterized by abdominal pain, nausea, and emesis. The most likely diagnosis is
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Question 10 of 73
For patients with advanced liver disease, hepatic transplantation has a success rate >85% and might correct the metabolic error in diseases such as
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Question 11 of 73
Ciprofloxacin is the drug of choice for the treatment of
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Question 12 of 73
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?
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Question 13 of 73
A 6-week-old male born to para 1, gravida 1, 44-year-old woman presents with a week of recurrent nonbilious emesis and dehydration. The serum levels of sodium are 138, potassium 2.9, and bicarbonate 34. The most likely diagnosis is
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Question 14 of 73
Which of the following is NOT true regarding HBV serologic markers?
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Question 15 of 73
The nurse is providing discharge teaching to the parents of an infant with an umbilical hernia. Which should be included in the plan of care?
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Question 16 of 73
Nondigestive causes of vomiting include all of the following EXCEPT
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Question 17 of 73
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.
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Question 18 of 73
One consequence matching is TRUE regarding the trace element excess and its impact
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Question 19 of 73
Aphthous-like lesions may be associated with the following conditions EXCEPT
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Question 20 of 73
All the following statements concerning breast milk are true EXCEPT
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Question 21 of 73
Hypoplasia or absence of the gallbladder can be associated with all the following EXCEPT
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Question 22 of 73
The MOST convenient way to confirm a diagnosis of pellagra in children is
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Question 23 of 73
The diagnosis of celiac disease is confirmed by
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Question 24 of 73
Common observations with vitamin B12 deficiency in children include all the following EXCEPT
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Question 25 of 73
The 4 d (dermatitis, dementia, diarrhea, and death) are characteristic features in the deficiency of
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Question 26 of 73
Delayed eruption of teeth may occur in association with
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Question 27 of 73
Meckel diverticulum has been conveniently explained by the rule of twos, which is FALSE in this rule
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Question 28 of 73
The only FDA-approved medication for obesity in children
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Question 29 of 73
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?
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Question 30 of 73
In infants and very young toddlers chronic diarrhea can appear following infectious enteritis. The pathogenesis of the diarrhea is not always clear and may be related to
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Question 31 of 73
The hematocrit of the patient in Question 46 is 29%, and the vital signs are stable. The next appropriate test is
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Question 32 of 73
Regarding breast engorgement; All the following are true EXCEPT
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Question 33 of 73
Matching: Constipation
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Question 34 of 73
Trace elements recommended to be given during the stabilization phase of malnutrition are
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Question 35 of 73
The MOST likely cause of a neonate presented with watery and voluminous stool which is mistaken for urine.
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Question 36 of 73
A 6-week-old preterm infant presented with progressive pallor and peripheral edema, his blood film revealed anemia, elevated reticulocyte count, and thrombocytosis. Of the following, the BEST management of this preterm is to
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Question 37 of 73
A 6-year-old female presented with history of abdominal pain after each meal and at bed time, burning in nature associated with sour taste in her mouth. Of the following, the MOST likely cause is
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Question 38 of 73
An 18-month-old boy presented with sudden onset of vomiting; crampy abdominal pain; his knees draw up, and cries out and exhibits pallor with a colicky pattern occurring every 15 to 20 minutes. Of the following, the MOST likely diagnosis is
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Question 39 of 73
The nurse is caring for an infant with pyloric stenosis. The parent asks if any future children will likely have pyloric stenosis. Select the nurse's best response.
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Question 40 of 73
Beckwith-Wiedemann syndrome is caused by an imprinting disorder and characterized by gigantism, macroglossia, microcephaly, visceromegaly, and
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Question 41 of 73
Permanent contraindication to breastfeeding is recommended in
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Question 42 of 73
Neonatal iron storage disease (NISD), also known as neonatal hemochromatosis, is characterized by all the following EXCEPT
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Question 43 of 73
The outward sign of cell damage in malnutrition is
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Question 44 of 73
The mother of a newborn asks the nurse why the infant has to nurse so frequently. Which is the best response?
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Question 45 of 73
All of the following are true about Hirschsprung disease EXCEPT
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Question 46 of 73
When nutritional rehabilitation has begun for a malnourished child, all the following are true EXCEPT
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Question 47 of 73
The classic clinical triad of Wernicke encephalopathy of thiamine deficiency is
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Question 48 of 73
Which foods should be offered to a child with hepatitis?
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Question 49 of 73
Findings that suggest advanced appendicitis on ultrasound include the following EXCEPT
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Question 50 of 73
Antibiotics are not indicated and may be detrimental in the following foodborne bacterial illness
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Question 51 of 73
Parathyroid hormone level is reduced in
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Question 52 of 73
Thrombocytopenia in refeeding syndrome is mainly a result of
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Question 53 of 73
Immunoglobulin A (lgA) nephropathy is an extraintestinal manifestation of the following enteric infection
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Question 54 of 73
The TRUE hemoglobin cutoff to define anemia is
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Question 55 of 73
Primary peritonitis usually refers to bacterial infection of the peritoneal cavity without a demonstrable source. The most common isolated bacteria are
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Question 56 of 73
Advanced dentition for age and sex is seen in
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Question 57 of 73
All of the following suggest a potentially serious organic etiology of abdominal pain EXCEPT
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Question 58 of 73
The adequate intake (AI) for the total digestible carbohydrates in a nine-month-old boy is
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Question 59 of 73
The test of choice for acute pancreatitis is
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Question 60 of 73
Gastroesophageal reflux in children may be associated with all of the following EXCEPT
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Question 61 of 73
A 12-year-old black female presents with malaise, fatigue, anorexia, and jaundice. The differential diagnosis should include all of the following EXCEPT
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Question 62 of 73
The nurse is caring for a newborn who has just been diagnosed with tracheoesophageal fistula and is scheduled for surgery. Which should the nurse expect to do in the pre-operative period?
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Question 63 of 73
The most common indication for pediatric liver transplantation is
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Question 64 of 73
Features of Tangier disease include the following EXCEPT
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Question 65 of 73
The nurse is caring for an 8-week-old male who has just been diagnosed with Hirschsprung disease. The parents ask what they should expect. Select the nurse's best response.
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Question 66 of 73
A 4-week-old first-born male with vomiting is suspected of having pyloric stenosis. At the time you examine the patient, the physical examination results are normal. The best way to demonstrate the abnormal physical findings is
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Question 67 of 73
Which manifestations should the nurse expect to find in a child in the early stages of acute hepatitis?
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Question 68 of 73
The nurse will soon receive a 4-month-old who has been diagnosed with intussusception. The infant is very lethargic with the following vital signs: T 101.8°F (38.7°C), HR 181, BP 68/38; the reporting nurse states the infant's abdomen is very rigid. Which is the most appropriate action for the receiving nurse?
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Question 69 of 73
An 18-month-old white male manifests failure to thrive, poor appetite, abdominal distention, diarrhea, and irritability. He had been well until 9 months of age.
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Question 70 of 73
Large doses of vitamin C ingestion can cause
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Question 71 of 73
Potential causes of constipation include all of the following EXCEPT
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Question 72 of 73
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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Question 73 of 73
The standard method for determining a patient's vitamin D status is
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