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HESI LPN · HESI LPN Pediatrics · LPN Pediatric GI Disorders Test Bank Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Plain radiographs may demonstrate the following findings in acute appendicitis EXCEPT

A. sentinel loops of bowel and localized ileus

B. scoliosis from psoas muscle spasm

C. a RLQ soft-tissue mass

D. a calcified appendicolith (50% of cases)

Expert Explanatory Rationale

Correct Answer: scoliosis from psoas muscle spasm

Question 2 of 5

All of the following are true about cyclic vomiting EXCEPT

A. the onset is between 3 and 5 years

B. episodes last 2-3 days

C. there are four or more emesis episodes per hour

D. it is associated with nystagmus

Expert Explanatory Rationale

Correct Answer: it is associated with nystagmus

Question 3 of 5

The nurse is caring for an infant with biliary atresia. The parents ask why the child is receiving cholestyramine. Select the nurse's best response.

A. To lower your child's cholesterol.

B. To relieve your child's itching (pruritus).

C. To help your child gain weight.

D. To help feedings be absorbed in a more efficient manner.

Expert Explanatory Rationale

Correct Answer: To relieve your child's itching (pruritus).

Question 4 of 5

The patient in Question 40 is carefully evaluated. All electrolytes are normal, a plain abdominal x-ray (KUB) reveals multiple air fluid levels, but the barium small bowel follow-through is negative for an anatomic site of obstruction. The most likely etiology of the patient's distention and vomiting is

A. hypothyroidism

B. congenital microvillus inclusion disease

C. pancreatitis

D. intestinal pseudo-obstruction

Expert Explanatory Rationale

Correct Answer: intestinal pseudo-obstruction

Question 5 of 5

A premature infant was demonstrated to have intestinal malrotation. After surgical repair, she experienced repeated episodes of emesis and abdominal distention. The differential diagnosis should include all of the following EXCEPT

A. adhesions

B. electrolyte disturbance

C. intestinal pseudo-obstruction

D. cystic fibrosis

Expert Explanatory Rationale

Correct Answer: cystic fibrosis

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