Hirschsprung's Disease

Question 1

550. Definition :is a congenital anomaly also known as congenital aganglionosis or aganglionic megacolon. The
     disease occurs as the result of an absence of ganglion cells in the rectum and other areas of the affected
     intestine

Question 2

551. A 24 hours after delivery , the nurses noted that the newborn failed to pass meconium. This indicates which
     of the following condition?
     A. GERD
     B. Pyloric stenosis
     C. Failure to thrive
     D. Hirsch sprung disease

Answer 2

d

Question 3

552. A nurse is assessing a 6-month-old infant that has retar reduced responsiveness and interaction with the
     environment to smile or make eye contact. The nurse notices that the attempt to hold or comfort the crying
     infant. What diagnosis should the nurse anticipate?
     A. Celiac disease
     B. Failure to thrive
     C. Cystic fibrosis
     D. Growth hormone deficiency

Answer 3

B

Question 4

553. A 3 days old newborn is diagnosed with Hirschsprung disease. The nurse is conducting a physical examination.
     Which of the following findings will alert the nurse to suspect this disease in the newborn?
     A. palpable sausage-shaped mass
     B. cyanosis of fingers and toes
     C. failure to pass meconium within 24-48 hours of life
     D. weight less than expected for height and age

Answer 4

C

Question 5

554. A 9 month old child is diagnosed Hischsprung disease scheduled for surgical operation which of the following
     should the nurse understand the purpose for surgical intervention?
     A. To remove the aganglion portion of the bowel to relieve obstruction
     B. To maintain optimum nutritional status growth the intertinal
     C. To stimulate intestinal adaptation with internal feeding
     D. To minimize complication related to the disease

Answer 5

A

Question 6

555. A 9 month old child is diagnosed with Hirschsprung disease he is scheduled for surgical operation which of the
     following is the most common complication expected during this age ?
     A. Mechanical obstruction
     B. Entro colitis
     C. Pleural effusion
     D. Esophageal Artesia

Answer 6

B

Question 7

556. An 8-month-old infant is admitted with Hirschsprung disease. Which of the following would be a significant
     finding in this infant?
     A. Depressed anterior fontanel
     B. Polyuria, hematuria
     C. Weight gain, edema
     D. Failure to thrive, constipation

Answer 7

D

Question 8

557. The nurse is assessing a 2 -years-old child with Wilms surgery Which of the following should the nurse avoid?
     A. Putting the child in lateral position
     B. Palpating the child’s abdomen
     C. Putting the child in a private room
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     90

D. Provide mouth hygiene 30 minutes after meal

Answer 8

B

Question 9

558. A nurse is taking a history from the infant parents who have a suspected diagnosis of intussusception. Which
     of the following assessment question would be most helpful?
     A. Do you breast feeding your child ?
     B. What does your child’s stool look like?
     C. How often your child urinating?
     D. What is the colour of your child’ urine?

Answer 9

B

Question 10

559. A 5-month-old boy has been vomiting green coloured vomit He has intermittent abdominal pain during
     which he draws his chest, turns pale and cries forcefully. On observation, the in the stool which has a jelly-like
     consistency. Abdominal pal a long. tube-like mass. There is no fever, rash nor diarrhea are hyperactive in all
     quadrants which is the most likely form of initial treatment?
     A. Manual manipulation
     B. Surgical resection
     C. Normal saline enema
     D. Laparoscopy

Answer 10

C

Question 11

560. A 7-month-old infant seen in the Emergency Department suffering from episodes of severe abdominal pain,
     and the infant’s stool became like red jelly. Abdominal examination revealed palpable sausage- shaped mass in
     the right upper quadrant. Which of the following is the first line of therapeutic management for this infant?
     A. Non-surgical hydrostatic reduction
     B. Surgical simple reduction
     C. Pyloromyotomy
     D. Endorectal pull-Through

Answer 11

A

Question 12

561. 7month-old infant seen in the Emergency Department suffering from episodes of severe abdominal pain,
     and the infant’s stool become like red jelly. Abdominal examination revealed palpable sausage-shaped mass in
     the right upper quadrant which of the following is the best diagnosis?
     A. Hirschsprung disease
     B. Hypertrophic pyloric stenosis
     C. Infant colic
     D. Intussuception

Answer 12

D

Question 13

562. Nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews the child’s record
     and expects to note which sign of this disorder documented?
     A. watery diarrhea
     B. rib bone-like stools
     C. profuse projectile vomiting
     D. Red jelly stool

Answer 13

D