Week 9 Practice Questions Flashcards
5 peds, 5 adult
Which of the following are signs and symptoms of an infant with possible
intussusception? Select all that apply.
a. Vitamin deficiency
b. Currant jelly like stools
c. Sausage shaped mass
d. Weight loss
e. Vomiting and diarrhea
B,C,E
A one-year-old is admitted with suspected intussusception with a possible bowel
perforation. Which of the following actions does the nurse take?
a. Administer a barium enema
b. Checking the stool for occult blood
c. Administer antibiotics
d. Prepare the client for surgery
D
A 3-year-old child with short bowel syndrome is started on enteral nutrition. Within 48
hours, the child develops confusion, muscle weakness, and tachycardia. Laboratory
results show hypophosphatemia, hypokalemia, and hypomagnesemia. What is the most
likely cause of these symptoms?
a. Malabsorption due to short bowel syndrome
b. Sepsis secondary to central line infection
c. Electrolyte shifts due to refeeding syndrome
d. Acute kidney injury from dehydration
C
A pediatric patient with short bowel syndrome is being weaned off parenteral nutrition.
Which of the following factors is most important to monitor during this transition?
a. Frequency of bowel movements
b. Serum electrolyte levels and hydration status
c. Caloric intake through oral feedings
d. Weight gain and growth rate
B
A child comes to the emergency department with diarrhea, cramping, and vomiting.
Initial lab reports indicate anemia. Based on these findings the nurse suspects which of
the following conditions?
a. Intussusception
b. Short bowel syndrome
c. Obstructive uropathy
d. Hemolytic uremic syndrome
D
The nurse is caring for a patient with an Acute Kidney Injury (AKI) who is at risk for
shock. The nurse anticipates which of the following fluid orders?
a. D5W
b. D5W 0.45% Normal Saline
c. 0.45% Normal Saline
d. 0.9% Normal saline
D
Which of the following is the most common prerenal cause of acute kidney injury (AKI)?
a. Acute tubular necrosis
b. Severe dehydration
c. Urinary obstruction
d. Tumor
B
The charge nurse is monitoring the 24-hour urine output on four patients on a renal unit.
Which urine output is the most concerning for potential acute kidney injury (AKI)?
a. 600 ml/day
b. 800 ml/day
c. 1000 ml/day
d. 1200 ml/day
A
The nurse is reviewing the following labs on a patient newly admitted for acute kidney
injury. Sodium 136 (reference range 135-145), Potassium: 6.2 (reference range: 3.5-5.3),
Calcium 9 (reference range 9-11). Based on these lab findings, which action will the
nurse take first?
a. Educate the patient on dietary recommendations
b. Initiate cardiac monitoring
c. Prepare for dialysis
d. Administer total parenteral nutrition
B
The nurse knows to monitor for which of the following side effects on a patient after
hemodialysis?
a. Hypotension
b. Fever and chills
c. Decreased serum potassium levels
d. Increased urine output
C
