NCLEX_CRUSADE_ACADEMY TEST - 6 GASTROINTESTINAL RENAL GENITOURINARY

1. A newborn diagnosed with tracheoesophageal fistula should also be assessed for: Only respiratory defects. VACTERL-associated anomalies. Asthma. RSV infection.

2. The classic 3 Cs of EA/TEF include: Crying, Coughing, Clamminess. Coughing, Choking, Cyanosis. Coughing, Congestion, Cyanosis. Cyanosis, Crying, Coldness.

3. Pre-operative priority for EA/TEF is: Oral feeding. NPO and suction of blind pouch. Position flat. Insert NG and feed.

4. Projectile, non-bilious vomiting in a 4-week-old suggests: Intestinal atresia. GERD. Hypertrophic pyloric stenosis. Hirschsprung disease.

5. The metabolic disturbance in pyloric stenosis is: Metabolic acidosis. Respiratory acidosis. Metabolic alkalosis with hypokalemia. Hypernatremia only.

6. Surgery for pyloric stenosis is delayed until: Vomiting stops. Dehydration and electrolytes corrected. Weight improves. NG tube removed.

7. Failure to pass meconium within 2448 hours suggests: Pyloric stenosis. GERD. Hirschsprung disease. Intussusception.

8. Ribbon-like stools are characteristic of: Celiac disease. Hirschsprung disease. IBS. Appendicitis.

9. Fever, explosive watery diarrhea, and abdominal distension in Hirschsprung indicates: Constipation. Normal adaptation. Enterocolitis (emergency). Food intolerance.

10. Immediate action for gastroschisis is to: Insert NG and feed. Cover exposed bowel with sterile saline gauze. Apply dry dressing only. Position prone.

11. Infants with omphalocele are at high risk for: Hypothermia. Hyperthermia. Hypertension. Hypoglycemia only.

12. In suspected imperforate anus, contraindicated action is: Visual inspection. Checking for stool in urine. Rectal temperature measurement. Side-lying positioning.

13. Gold standard for fluid status in pediatrics is: Urine color. Skin turgor. Daily weight. Pulse rate.

14. Dehydration sign in infants includes: Bulging fontanel. Excess tears. Sunken fontanel. Bradycardia.

15. Urine output less than _____ indicates concern in infants. 2 mL/kg/hr. 1 mL/kg/hr. 0.5 mL/kg/hr. 3 mL/kg/hr.

16. Strict intake and output monitoring is essential for: Only cardiac cases. Fluid and electrolyte imbalance correction. Respiratory infections. Behavioral issues.

17. In suspected EA/TEF, feeding should be: Encouraged. NPO until repair. Thickened only. Breast milk only.

18. An olive-shaped mass in RUQ is hallmark of: Hirschsprung. Appendicitis. Pyloric stenosis. Intussusception.

19. Stool in urine suggests: UTI. Recto-urinary fistula. Normal newborn finding. Dehydration.

20. Final clinical priority across GI congenital defects is to: Feed immediately. Stabilize airway and manage fluids. Delay surgery indefinitely. Provide laxatives.