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HESI RN · HESI Obstetrics and Pediatrics · Pediatric GI Disorders Test Bank Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 10-year-old is being evaluated for possible appendicitis and complains of nausea and sharp abdominal pain in the right lower quadrant. An abdominal ultrasound is scheduled, and a blood count has been obtained. The child vomits, finds the pain relieved, and calls the nurse. Which should be the nurse's next action?

A. Cancel the ultrasound, and obtain an order for oral Zofran (ondansetron).

B. Cancel the ultrasound, and prepare to administer an intravenous bolus.

C. Prepare for the probable discharge of the patient.

D. Immediately notify the physician of the child's status.

Expert Explanatory Rationale

Correct Answer: Immediately notify the physician of the child's status.

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

Folate is important during embryogenesis for the development of

A. central nervous system

B. genital organs

C. gastrointestinal system

D. cardiovascular system

Expert Explanatory Rationale

Correct Answer: central nervous system

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

More education about necrotizing enterocolitis (NEC) is needed in a nursing in-service when one of the participants states:

A. Encouraging the mother to pump her milk for the feedings helps prevent NEC.

B. Some sources state that the occurrence of NEC has increased because so many preterm infants are surviving.

C. When signs of sepsis appear, the infant will likely deteriorate quickly.

D. NEC occurs only in preemies and low-birth-weight infants.

Expert Explanatory Rationale

Correct Answer: NEC occurs only in preemies and low-birth-weight infants.

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