ArcherReview uct cree essa Achieve your NCLEX or 0 == a= USMLE target score with eS ArcherReview! statisti nee aes een eRe UE eo ue Nea eosArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 01:31:21 QID: 4539 oad | 8 OB © @) F MARK FOR LATER You are taking care of a 10-year-old with a gastro-jejunostomy (GJ) tube. Which electrolyte deficit is this patient at risk for? © A Sodium © 8B. Potassium © C. Chloride © D. Calcium Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 01:30:49 QID: 5897 2 of 61 | > MARK FOR LATER iy @ & &) Which of the following symptoms should the nurse monitor for in her patient suspected of intussusception? Select all that apply. (1) A.Red, currant jelly stool (JB. Hematemesis [) C. Palpable, sausage-shaped mass in the RUQ (1 Dz Steatorrhea Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 01:30:06 QID: 4127 3 of 61 | > MARK FOR LATER iy @ & &) Before administering a nasogastric feeding to a preterm infant, the nurse prepares to aspirate the residual fluid from the stomach. Please place the following nursing actions in sequential order. = Aspirate gastric contents = Position the patient with the head slightly elevated = ‘Return the aspirate and subtract the amount of the aspirate from the feeding =} Begin the prescribed nasogastric feeding = Measure the aspirate Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 01:29:37 QID: 2784 col ay 8 OB © @) F MARK FOR LATER The nurse is caring for a child with ulcerative colitis. She is talking to the mother regarding the disease, when the mother asks, “Is this a form of cancer?” The nurse's best response would be: A. "Yes, this is a rare form of cancer in children.” . "You are worried your child might get cancer. Let's talk about that some more." . "You don’t need to worry; it still takes 10 years or more for the persistence of the disease to develop into cancer.” OO000 D. “Your son is in good hands. We won't let anything happen to him.” Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 01:26:44 QID: 5904. 5 of 61 8 OB © @) F MARK FOR LATER Which of the following does the nurse know are possible causes of constipation in the pediatric patient? Select all that apply. (0 A-Hirschsprung's disease B. Spina bifida C. Iron supplements ood D. Psychosocial factors Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 01:25:57 QID: 4375 Kol ai 8 OB © @) F MARK FOR LATER Which of the following are appropriate nursing interventions to prevent aspiration after a child has vomited? Select all that apply. ( A. Position the child on their side. B. Suction the mouth to remove vomitus. C. Offer the child a sip of water to clear the mouth. ood D. Assess the character and amount of vomitus. Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) QID: 3510 © Time Elapsed : 01:24:11 7 of 61 8 OB © @) F MARK FOR LATER The nurse is helping a 7-year-old post-abdominal surgery patient who is attempting to make a pinwheel spin by blowing on it. The child, however, is unable to make it spin. What would be the most appropriate action by the nurse? A. Praise the child for his/her attempts. B. Call the respiratory therapist and have the child start incentive spirometry. C. Instruct the child to turn from side to side. OO000 D. Show the child how to make the pinwheel spin. Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 01:23:33 QID: 5944. tel aoi| 8 OB © @) F MARK FOR LATER The nurse is speaking with her patient who is undergoing chemotherapy treatment. The patient states, "My friend beat cancer using complementary therapies; | think | should try that too." Which of the following responses from the nurse is most appropriate? A. "Complementary therapies are not safe with your chemotherapy.” B. “| would be desperate if | had cancer too." . "Let us go get your healthcare provider so that we may discuss it with him." OO000 D. “Tell me more about what you mean when you say complementary therapies.” Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) QID: 5893 © Time Elapsed : 01:22:54 9 of 61 8 OB © @) F MARK FOR LATER Which of the following electrolyte imbalances should the nurse monitor for in her patient with Celiac disease? Select all that apply. (1 A. Hyperkalemia B. Hypomagnesemia C. Hyperphosphatemia ood D. Hypocalcemia Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 01:22:03 QID: 5902 10 of 61 8 OB © @) F MARK FOR LATER Which of the following are correct statements about the proper administration of polyethylene glycol prescribed for constipation? Select all that apply. (1 A.Mix the powder with any beverage the patient enjoys. B. Administer it at the same time every day. C. Administer it with meals. ood D. Dilute the powder with 8 oz of water. Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) QID: 2783 © Time Elapsed : 01:21: 11 of 61 8 OB © @) F MARK FOR LATER A 4-year-old boy is recovering from abdominal surgery at the pediatric unit. As the nurse caring for the child, which of the following activities do you recommend that he prioritize? A. Blowing bubbles B. Peek-a-boo C. Building blocks OO000 D. Playing with clay Next Question Tes Book Jelly € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) QID: 2789 © Time Elapsed : 01:20:38 12 of 61 8 OB © @) F MARK FOR LATER The mother of a toddler with Celiac disease is being instructed by the nurse regarding dietary modifications for her child. Which food choice by the mother would indicate a need for further discussion? A. Rice cakes B. Restaurant french fries C. Milk shake OO000 D. Grilled Chicken Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) QID: 2803 © Time Elapsed : 01:19:24 13 of 61 8 OB © @) F MARK FOR LATER The nurse in the pediatric clinic is talking to a mother of an 18-month-old toddler. The mother asks about her child's protruding abdomen. The most appropriate response by the nurse is: “Your baby ate too much; that’s why he has a large abdomen today.” “Your toddler has not yet developed his abdominal muscles.” A. B. Cc. “Your toddler has a bow legged posture. This accounts to your child’s protruding abdomen.” D. OO000 “Maybe your child has too much gas in his stomach.” Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) QID: 5901 © Time Elapsed : 01:18:44 14 of 61 8 OB © @) F MARK FOR LATER The nurse should expect to administer which of the following medications to the infant diagnosed with omphalocele? Select all that apply. (2 A.Ceftriaxone B. DOW C. Albumin 25% ood D. Sodium bicarbonate Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) QID: 5949 © Time Elapsed : 01:17:52 15 of 61 8 OB © @) F MARK FOR LATER A parent is sobbing loudly at the bedside of their infant, who was just born with an omphalocele. She wails, "| cannot believe my baby was born this way! He will surely die!" Which of the following statements by the nurse is most appropriate? © A."Oh, hush, this is not so bad." "Lam so sorry. This is certainly serious, but there is a treatment that can repair the omphalocele and we will take excellent care of your baby." Oo Oo C. "Your baby will not die; this can be fixed!" Oo D. “| understand you must be upset. Would you like to hold your baby while he is still here?” Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) QID: 5951 © Time Elapsed : 01:17:10 16 of 61 8 OB © @) F MARK FOR LATER While you are tending to a one-day-old newborn, the mother tells you that the baby has not had a bowel movement yet. Which of the following terms refers to the first stool passed by a newborn infant? A. Melena B. Meconium C. Diarrhea OO000 D. Hematemesis Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 01:16:35 QID: 5896 Solan 8 OB © @) F MARK FOR LATER The nurse is caring for a 14-year-old who is scheduled to go to the OR for an appendectomy later in the day. What is the nurse's role in obtaining informed consent before surgery? Select all that apply. (0 A. Explain the procedure to the patient in terms they can understand. 1s. Review the risks and benefits of the surgery. (. C. Validate that the parents are competent to provide consent for the patient. [] D. Witness the signature on the informed consent Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 01:15:31 QID: 5360 18 of 61 8 OB © @) F MARK FOR LATER You are providing education to the parents of a toddler suffering from gastroesophageal reflux disease (GERD). You know they understand your teaching when they make which of the following statements. Select all that apply. 0 A.“We should feed him 6 small meals a day instead of a few big ones.” (1 =~B. “Making sure he is sitting upright while eating may help the reflux.” [J C.“He should try to sleep on his left side so that his stomach can empty more easily.” O bp. “There are no medications that can help with this disease so we will have to make lifestyle changes.” Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) QID: 2698 © Time Elapsed : 01:14:42 19 of 61 8 OB © @) F MARK FOR LATER The nurse in a pediatric clinic is talking to a mother whose 3-year-old is about to undergo abdominal surgery in a month. The mother asks the nurse how she can prepare her child for the procedure. The nurse's response would be: A."You can draw a stomach and explain what happens.” . “Explain to your son that the procedure will take approximately one hour.” C. “You can use a pop-up book about the stomach and tell him what happens during surgery.” OO000 D. “You can use dolls or stuffed animals to show him what will happen.” Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) QID: 7985 © Time Elapsed : 01:13:53 20 of 61 8 OB © @) F MARK FOR LATER The nurse is caring for a child experiencing a celiac crisis. The nurse should anticipate which prescription from the primary healthcare provider (PHCP)? A. Tap water enema B. Intravenous (IV) fluids C. Fluid restrictions OO000 D. Nasogastric tube (NGT) insertion Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 01:13:08 fo) DES Ss) 21 of 61 8 OB © @) F MARK FOR LATER Which of the following formulas would the nurse correctly choose for an infant diagnosed with phenylketonuria? © AAlfamino © 8B. Lofenalac © C. Enfamil © D.Gentlease Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 01:12:16 QID: 3625 22 of 61 8 OB © @) F MARK FOR LATER A pediatric nurse is preparing to insert a nasogastric tube in an 8-month-old infant. Which nursing action is most appropriate when preparing the infant for the procedure? A. Tightly swaddle the infant using a mummy restraint. B. Offer a sugar-coated pacifier during the feeding. C. Measure the NG tube length from the bridge of the nose to the earlobe to the xiphoid process. OO000 D. Measure the NG tube length from the bridge of the nose to the earlobe to the halfway point between the umbilicus and the xiphoid process. Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 01:11:08 QID: 5891 23 of 61 8 OB © @) F MARK FOR LATER Which of the following are potential complications of cleft lip and cleft palate in the infant? Select all that apply. () A Ear infections B. Feeding difficulties C. Weight gain ood D. Speech delay Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) ime Elapsed : Oro @ Time Elapsed : 01:08:40 (eyo) 24 of 61 8 OB © @) F MARK FOR LATER Which of the following members of the intradisciplinary team should be consulted for an infant suspected of having Celiac disease? © A. Pharmacist © B. Pulmonologist © C Occupational therapist © D. Dietician Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) ime Elapsed : 4 @ Time Elapsed : 01:07:58 QID: 5950 25 of 61 8 OB © @) F MARK FOR LATER The nurse is taking care of a client with encopresis. Which of the following statements correctly describes encopresis? © A Infrequent and hard to pass stools lasting greater than two weeks. © B. Voluntary or involuntary fecal incontinence in children over the age of 4 who were previously toilet trained. © CG Involuntary fecal incontinence in children over the age of 4 who were previously toilet trained. © D. Inability to pass stool due to fecal impaction. Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) QID: 2514 © Time Elapsed : 01:07:07 26 of 61 8 OB © @) F MARK FOR LATER A toddler is brought to the family clinic by her parents due to her poor sleeping within the past two weeks and intense perianal itching and scratching. Based on the purported symptoms, the nurse in the clinic would suspect which condition? A. Anal fissure B. Enterobiasis C. Giardiasis OO000 D. Celiac disease Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) QID: 2543 © Time Elapsed : 01:06:07 27 of 61 8 OB © @) F MARK FOR LATER An emergency department nurse is caring for a 7-month-old infant with acute abdominal pain when the nurse begins to suspect intussusception. Which assessment finding would most support this suspicion? A. Black, tarry stool B. Ribbon-like stool C. Red, currant jelly-like stool OO000 D. Greasy, foul-smelling stool Next Question Il Pause € Previous | > NextNrontacv aVaN ee es\o1e).@ FP MARK FOR LATER Which of the following images shows a cleft palate? OA. ype act hy Previous | > NextNrontacv aVaN ee es\o1e).@ 4283587 (Timed) ) Time Elapsed : 01:04:08 QID: 5415, ) F mark ror taterArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 01:03:26 QID: 5906 29 of 61 8 OB © @) F MARK FOR LATER Which of the following educational points should the nurse reinforce with the parents of a toddler diagnosed with an imperforate anus? Select all that apply. 1) A."Toilet training will take longer for your child.” B. "Normal bowel habits can be established for your toddler over time." . "Do your best to have your child toilet trained before kindergarten starts." ood . "Bowel irrigations may help your toddler achieve normal bowel function.” Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) QID: 2790 © Time Elapsed : 01:00:09 30 of 61 8 OB © @) F MARK FOR LATER The nurse is caring for an infant with gastroesophageal reflux. At the beginning of the shift, she has been prescribed thickened feedings to help with the reflux. Which sign would indicate the effectiveness of the intervention? A. Increased stools B. Decreased urine output C. Absence of vomiting OO000 D. Weight gain Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) QID: 5942 © Time Elapsed : 00:59:14 31 of 61 8 OB © @) F MARK FOR LATER The nurse is setting up the room for a patient newly diagnosed with Celiac disease. She knows to place the patient on which of the following precautions? A. Droplet precautions B. Contact precautions C. Standard precautions OO000 D. Neutropenic precautions Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) QID: 5907 © Time Elapsed : 00:58:31 32 of 61 8 OB © @) F MARK FOR LATER Which of the following interventions does the nurse anticipate when caring for a patient after repair of an anorectal malformation? Select all that apply. (1 A.Imodium administration B. Initiation of a high-calorie diet C. Colace administration ood D. Initiation of a high-fiber diet Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:57:41 QID: 4535 33 of 61 8 OB © @) F MARK FOR LATER Which of the following represents the appropriate daily caloric intake for an adolescent male who plays high school soccer 4 days a week? © A.1600 calories © B. 2000 calories © C2400 calories © D. 2800 calories Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:57:03 QID: 5900 cy Mol aon| | > MARK FOR LATER iy @ & &) Which interventions should the nurse anticipate for an infant with omphalocele awaiting surgical repair? Select all that apply. (1) A. Cover the intestines with a sterile gauze soaked in saline (JB. Prone positioning C. Radiant warmer for thermoregulation D. Trophic feedings ood E. Wet circumferential abdominal wall wrap to prevent drying of the intestines Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:56:22 QID: 5948 35 of 61 8 OB © @) F MARK FOR LATER The nurse observes a parent swaddling their infant with an unrepaired omphalocele. Which of the following statements would be appropriate? A. "Stop! You will kill your baby." B. "That is a nice, tight swaddle. It will help soothe your new baby." . "May | help you? We will need to be careful with their intestines since we do not want the swaddle to push them back inside." OO000 D. "Swaddling is not allowed for these babies; please stop.” Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:55:40 QID: 5895 36 of 61 8 OB © @) F MARK FOR LATER Your client had an appendectomy 4 to 5 days ago. He is tolerating an oral diet. Which of the following assessment findings would be a priority? Select all that apply. ( A.WBC count B. Hydration status C. Temperature ood D. Pulses Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:54:48 QID: 6938 37 of 61 8 OB © @) F MARK FOR LATER The nurse is assessing a neonate with Hirschsprung’s disease. Which of the following would be an expected finding? © A. Abdominal distention © 8B. Urinary retention © C.Hematemesis © D.Palpable abdominal mass Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:54:09 QID: 5903 38 of 61 8 OB © @) F MARK FOR LATER Which of the following foods can the nurse recommend to parents of toddlers who have constipation? Select all that apply. ( A.Mac and cheese B. Whole grains C. Whole milk ood D. Black beans Next Question Il Pause € Previous | > Nexteer aU id (aha ea ole).4]anag Eves AUs) 5 Time Elapsed : 00:45:12 QID: 3820 EK You are a pediatric emergency room nurse triaging patients on a busy night. A 1-month-old presents with the following symptoms: projectile vomiting after feeding, visible peristaltic waves across the epigastrium, and an olive- shaped mass in the epigastrium just right of the umbilicus. Based on your assessment, choose the image showing the anatomy the nurse expects this patient to demonstrate. OA.Ev (Timed) Mea QID: 3820 39 0f61ArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:43:32 QID: 3672 40 of 61 8 OB © @) F MARK FOR LATER You are caring for a toddler who is experiencing pain as the result of a tonsillectomy. Which independent nursing intervention would you implement in terms of this pain? A. Give the toddler a “magic” blanket to take the pain away. B. Administer the toddler's ordered analgesic medication. C. Provide the toddler with privacy so they are not embarassed with crying. OO000 D. Help the toddler to develop better coping skills in terms of their pain. Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:42:59 QID: 5888 Pao aon) | > MARK FOR LATER iy @ & &) While reinforcing education with a family who has a 1-year-old son diagnosed with phenylketonuria (PKU), the mother states. "I think we should just stick to the formula. | am too scared to feed him other foods.” The LPN should review which of the following foods for this family to avoid? Select all that apply. [1 A. Pork tenderloin [J B. Green beans [) C. Cheese omelets ( #CO~Z« Pears Next Questi Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:42:20 QID: 5346 42 of 61 8 OB © @) F MARK FOR LATER You are providing education to a group of parents about nutrition for their toddler age children. Which of the following educational points should you include? Select all that apply. (A. Offer whole milk instead of skim or 2% milk. [)_=B. Using food as a reward can be a positive incentive. (1 C. Good iron-rich choices include whole grain bread and cheese. ()_ OD. Iron deficiency anemia is common in toddlers. Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) QID: 5890 © Time Elapsed : 00:41:45 Pe Kol aon) 8 OB © @) F MARK FOR LATER Which of the following interventions does the nurse expect when caring for a toddler who has a diagnosis of phenylketonuria? Select all that apply. (1 A Initiation of a keto diet B. IV iron dextran treatments C. Elimination of dairy, meat, and eggs from the diet ood D. Strict avoidance of aspartame Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:41:08 QID: 5361 44 of 61 8 OB © @) F MARK FOR LATER Which of the following signs and symptoms are characteristic of pyloric stenosis? Select all that apply. (1 A.Weight gain B. Projectile vomiting C. Olive-shaped mass ood D. Anorexia Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:40:31 QID: 2556 45 of 61 8 OB © @) F MARK FOR LATER A neonate is suspected of having a tracheoesophageal fistula. Which symptom would the nurse observe from the neonate? © A-Hypersensitive gag reflex © 8B. Dry mouth O CG Cyanosis © D. Decreased level of consciousness Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:39:55 QID: 3622 46 of 61 8 OB © @) F MARK FOR LATER The nurse is paired with an LPN in the pediatric unit. A four-month-old infant with a temporary colostomy is being discharged today. What is the most appropriate action of the nurse and the LPN? A. The LPN completes the discharge instructions to the mother. B. The LPN demonstrates to the mother how to irrigate the child’s colostomy. C. The LPN gives the mother the child's medications, instructions on how to administer them, and explains the purpose of the medications. OO000 D. The LPN is tasked by the nurse to remove the child's IV catheter. Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:39:17 QID: 4079 Cy oa oh 8 OB © @) F MARK FOR LATER The mother of a child with lactose intolerance asks for more nutrition information. Which mineral and vitamin deficiencies are the lactose intolerant children at the most significant risk for developing? Select all that apply. OO A.VitaminA 0 B.Salt [J C. Magnesium [1 ‘OD. Vitamin D OE. Calcium Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:38:38 QID: 5898 48 of 61 8 OB © @) F MARK FOR LATER Which of the following medications would the nurse expect to administer to her patient presenting with an intussusception? Select all that apply. (0 A.Cefazolin B. Lactated Ringers C. Metoprolol ood D. Ranitidine Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) QID: 2791 © Time Elapsed : 00:37:42 49 of 61 8 OB © @) F MARK FOR LATER The nurse in the nursery is caring for a 24 hour-old infant. The nurse suspects the child of having pyloric stenosis. Which manifestation by the infant would confirm the nurse's suspicion? A. Melena B. Currant jelly stools C. Projectile vomiting OO000 D. Steatorrhea Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:37:16 QID: 5326 era oi 8 OB © @) F MARK FOR LATER A gastrointestinal disease of childhood where a piece of bowel goes backward inside itself forming an obstruction is called what? © A Intussusception © B. Pyloric stenosis © CGAHirschsprung's disease © _D. Omphalocele Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) fo) |p yest-2. 5) © Time Elapsed : 00:36:45 51 of 61 8 OB © @) F MARK FOR LATER While caring for an 8-month-old child admitted for dehydration, the nurse prepares to administer an IV fluid bolus. She knows that the appropriate amount of fluid bolus is based on the child's weight. Which of the following is appropriate? A. 10 mL/kg B. 20 mL/kg C. 30 mL/kg OO000 D. 40 mL/kg Next Question Tes Book Jelly € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:35:52 QID: 7791 52 of 61 | > MARK FOR LATER iy @ & &) The nurse provides discharge education to the parents of a six-year-old who underwent a tonsillectomy. The nurse should recommend which dietary items to this client during their recovery? Select all that apply. OD A Ice chips B. Orange slices C. Potato chips O O [)_ D. Applesauce 0 E. Tomato soup Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:35:14 QID: 8396 53 of 61 8 OB © @) F MARK FOR LATER The parents of a 2-year old with Hirschsprung’s disease are talking to the nurse in the family clinic. They ask the nurse about treatment options for Hirschsprung’s disease; the nurse understands that the treatment of choice would be which of the following? A. Acolostomy B. Senna concentrate C. Polyethylene glycol OO000 D. Pull-through procedure Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) QID: 5939 © Time Elapsed : 00:34:37 54 of 61 8 OB © @) F MARK FOR LATER The nurse is changing a diaper for her 7-month-old patient suspected of having Celiac disease. She notes a large, pale, oily stool that is malodorous. This assessment finding is known as what? A. Diarrhea B. Steatorrhea C. Hematochezia OO000 D. Melena Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:33:59 QID: 2787 55 of 61 8 OB © @) F MARK FOR LATER The nurse is assessing a child for intussusception. Which assessment parameter would hold the least importance to the nurse? © A. Abdominal girth © B. Quality of vomitus © C Pain pattern © D. Family history Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) QID: 5947 © Time Elapsed : 00:33:23 56 of 61 8 OB © @) F MARK FOR LATER The nurse is caring for an infant who presents with a congenital abnormality where their abdominal contents come through the umbilicus while remaining in the peritoneal sac. The nurse knows the infant will be diagnosed with which of the following? A. Intussusception B. Gastroschisis C. Omphalocele OO000 D. Hirschsprung’s disease Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:32:47 QID: 4000 57 of 61 8 OB © @) F MARK FOR LATER The pediatric nurse is reading the chart for a newly admitted child suffering from intussusception. The nurse knows that this disorder is characterized by: A. The telescoping of one area of the intestines into another B. The absence of alveoli in one segment of the lobe C. A twisted colon OO000 D. The prolapse of the rectum Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) QID: 2535 © Time Elapsed : 00:32:01 58 of 61 8 OB © @) F MARK FOR LATER An 8-month-old infant has been brought into an emergency department (ED) for acute diarrhea and decreased oral intake. Which assessment finding would an ED nurse anticipate? A. Skin tenting B. Low hematocrit C. Bulging anterior fontanels OO000 D. Weight gain Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:31:27 QID: 3629 59 of 61 8 OB © @) F MARK FOR LATER The nurse is taking care of a 7-year old that has just undergone abdominal surgery and is very anxious. In order for the nurse to facilitate deep breathing exercises, the nurse initiates which action? A. Provide the child with instructions on how to use an incentive spirometer. B. Tell her that she will get ice cream after she successfully does the exercise. C. Give the child a pinwheel to blow on and play with her. OO000 D. Have the child play catch with the nurse using bean bags. Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:30:58 QID: 2538 60 of 61 8 OB © @) F MARK FOR LATER The parents of a 2-year-old with Hirschsprung's disease are speaking with the nurse in the family clinic when they ask the nurse about treatment options for the disease. Which of the following does the nurse understand is the treatment of choice for Hirschsprung's disease? A. Acolostomy B. Senna concentrate C. Polyethylene glycol OO000 D. Colectomy Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4283587 (Timed) © Time Elapsed : 00:30:24 QID: 3582 61 of 61 8 OB © @) F MARK FOR LATER A 12-year-old child is scheduled for an appendectomy. The child's mother has already signed the consent form and the child is about to be wheeled by the nurse to the operating room when her father arrives. It is made known to the nurse that the child's parents are divorced and have joint legal custody. Which action by the nurse is most appropriate? © A-Have the father sign a new consent form. © B. Cancel the operation. © C. Proceed with the child's operation. © D. Notify the physician. Il Pause € Previous | > Next