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HESI RN · HESI Obstetrics and Pediatrics · Pediatric Gastrointestinal Nursing Interventions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

All of the following conditions are associated with a higher incidence of inguinal hernia EXCEPT

A. Cystic fibrosis

B. A family history of inguinal hernia

C. Adrenogenital syndrome

D. Testicular feminization syndrome

Expert Explanatory Rationale

Correct Answer: Testicular feminization syndrome

Question 2 of 5

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

A. food poisoning

B. colic

C. intussusception

D. infant botulism

Expert Explanatory Rationale

Correct Answer: intussusception

Question 3 of 5

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:

A. More often in large infants.

B. In white infants more than in African American infants.

C. Twice as often in male infants.

D. More often in premature infants.

Expert Explanatory Rationale

Correct Answer: More often in premature infants.

Question 4 of 5

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.

A. Your infant will need to have some tests in the emergency room to determine if anything serious is going on.

B. Try feeding your infant in about 30 minutes; if vomiting repeats, bring the infant to the emergency room for tests and IV rehydration.

C. Many infants display these symptoms when they develop an allergy to the formula; try switching to a soy-based formula.

D. This presentation suggests intussusception, which is an emergency. Please take your child immediately to the emergency room.

Expert Explanatory Rationale

Correct Answer: This presentation suggests intussusception, which is an emergency. Please take your child immediately to the emergency room.

Question 5 of 5

All of the following are features of achalasia EXCEPT

A. dysphagia for solids and liquids

B. may be accompanied by undernutrition

C. may be misdiagnosed as asthma

D. usually diagnosed before school age

Expert Explanatory Rationale

Correct Answer: usually diagnosed before school age

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